Essentials of Pediatric Nursing – with correct verified
answers. Latest 2025
1. The parents of a 6-year-old child with idiopathic thrombocytopenic purpura
(ITP) ask the nurse conducting an assessment of the child what causes the disease.
What is the nurse's best response?: "ITP is primarily an autoimmune disease in which
the immune system attacks and destroys the body's own platelets, for an unknown
reason."
2. A toddler who is beginning to walk has fallen and hit his head on the corner of
a low table. The caregiver has been unable to stop the bleeding and brings the child
to the pediatric clinic. The nurse is gathering data during the admission process and
notes several bruises and swollen joints. A diagnosis of hemophilia is confirmed.
This child most likely has a deficiency of which blood factor? Factor X
Factor XIII
Factor VIII
Factor V: Factor VIII
3. The nurse is caring for a child with leukemia. Which nursing intervention
would be the highest priority for this child? Providing age-appropriate activities
Following guidelines for protective isolation
Encouraging the child to share feelings
Grouping nursing care: Following guidelines for protective isolation
,4. The nurse is planning care for a child with idiopathic thrombocytopenic
purpura. Which client education should be included?
Not to pick or irritate the nose
What foods are high in folic acid
To use mainly cold water to wash
To apply a soothing cream to lesions: Not to pick or irritate the nose
5. A high-school football player has been diagnosed as having osteosarcoma of
the femur. The parents are angry because they told the adolescent not to play
football. Which health teaching points would the nurse include in the teaching plan
for the adolsecent and parents?
Tumor growth is related to your dislike of milk.
Football injuries do not contribute to the development of a tumor.
Osteosarcoma often follows trauma, such as a football injury.
You can expect some discoloration of the leg following chemotherapy.: Football
injuries do not contribute to the development of a tumor.
6. The nurse is caring for a 10-year-old boy with hemophilia. He asks the nurse
for suggestions about appropriate physical activities. Which activity would the
nurse most likely recommend?
Soccer
Wrestling
, Baseball
Football: Baseball
7. A nurse is reviewing the medical records of several children who have
undergone lead screening. The nurse would identify the child with which lead level
as requiring no further action?
26 mcg/dL
20 mcg/dL
14 mcg/dL
8 mcg/dL: 8 mcg/dL
8. A 4-year-old child diagnosed with Wilms tumor is admitted for surgery. What
information would be most important for the nurse to include in the child's
preoperative plan of care? Administering analgesics for pain
Avoiding further abdominal palpation
Performing dressing changes to the affected area
Preparing the child for amputation: Avoiding further abdominal palpation
9. A child receiving chemotherapy is experiencing significant reduction in red
blood cells secondary to myelosuppression. Which agent would the nurse most likely
expect to be ordered?
Gamma interferon
Sargramostim
answers. Latest 2025
1. The parents of a 6-year-old child with idiopathic thrombocytopenic purpura
(ITP) ask the nurse conducting an assessment of the child what causes the disease.
What is the nurse's best response?: "ITP is primarily an autoimmune disease in which
the immune system attacks and destroys the body's own platelets, for an unknown
reason."
2. A toddler who is beginning to walk has fallen and hit his head on the corner of
a low table. The caregiver has been unable to stop the bleeding and brings the child
to the pediatric clinic. The nurse is gathering data during the admission process and
notes several bruises and swollen joints. A diagnosis of hemophilia is confirmed.
This child most likely has a deficiency of which blood factor? Factor X
Factor XIII
Factor VIII
Factor V: Factor VIII
3. The nurse is caring for a child with leukemia. Which nursing intervention
would be the highest priority for this child? Providing age-appropriate activities
Following guidelines for protective isolation
Encouraging the child to share feelings
Grouping nursing care: Following guidelines for protective isolation
,4. The nurse is planning care for a child with idiopathic thrombocytopenic
purpura. Which client education should be included?
Not to pick or irritate the nose
What foods are high in folic acid
To use mainly cold water to wash
To apply a soothing cream to lesions: Not to pick or irritate the nose
5. A high-school football player has been diagnosed as having osteosarcoma of
the femur. The parents are angry because they told the adolescent not to play
football. Which health teaching points would the nurse include in the teaching plan
for the adolsecent and parents?
Tumor growth is related to your dislike of milk.
Football injuries do not contribute to the development of a tumor.
Osteosarcoma often follows trauma, such as a football injury.
You can expect some discoloration of the leg following chemotherapy.: Football
injuries do not contribute to the development of a tumor.
6. The nurse is caring for a 10-year-old boy with hemophilia. He asks the nurse
for suggestions about appropriate physical activities. Which activity would the
nurse most likely recommend?
Soccer
Wrestling
, Baseball
Football: Baseball
7. A nurse is reviewing the medical records of several children who have
undergone lead screening. The nurse would identify the child with which lead level
as requiring no further action?
26 mcg/dL
20 mcg/dL
14 mcg/dL
8 mcg/dL: 8 mcg/dL
8. A 4-year-old child diagnosed with Wilms tumor is admitted for surgery. What
information would be most important for the nurse to include in the child's
preoperative plan of care? Administering analgesics for pain
Avoiding further abdominal palpation
Performing dressing changes to the affected area
Preparing the child for amputation: Avoiding further abdominal palpation
9. A child receiving chemotherapy is experiencing significant reduction in red
blood cells secondary to myelosuppression. Which agent would the nurse most likely
expect to be ordered?
Gamma interferon
Sargramostim
