Pediatric Comat Exam
Pediatric Comat Exam Test Bank 2025-2026
With Complete Verified Questions And Correct
Answers with Detailed Rationales |Already
Graded A+||Brand New Guaranteed Pass
A 2-year-old is receiving care in the emergency department (ED) for a deep laceration on the
head. What action should the nurse implement to facilitate the child's cooperation?
a. Allow the child to hold a favorite toy or blanket.
b. Direct the parents to remain outside the treatment room.
c. Keep the child physically restrained during nursing care.
d. Let the child decide whether to sit up or lie down for procedures.
- Correct Answer :a. Allow the child to hold a favorite toy or blanket.
Allowing a child to hold a favorite toy or blanket provides familiarity and comfort that should
facilitate the child's cooperation during treatment. Parents should remain with the child to calm
and reassure the child who may perceive the ED environment as threatening.
Per the healthcare provider's orders, the nurse is preparing to catheterize an 8-year-old child.
Before gathering supplies and starting the procedure, which action should the nurse take first?
a. Obtain the parent's consent before initiating the procedure.
b. Explain to the child and parents why the procedure is being done and what will occur.
c. After talking with the parents about the procedure, ask them to leave the room.
d. Provide the child with privacy by conducting the procedure in the treatment room.
- Correct Answer :b. Explain to the child and parents why the procedure is being done and what
will occur.
An 8-year-old uses concrete operational thought (Piaget), can cooperate, and should be included
in the explanation of the plan of care. Explaining why the procedure is needed and what will
occur will enhance the child's understanding and cooperation. A separate consent does not need
to be obtained and signed. The parents should be allowed to stay in the room while the nurse
still protects the child's privacy. There is no need to move to a treatment room unless the nurse
or parents feel it is needed. More invasive procedures that can cause pain, such as IV insertion or
blood draws, can be done in a treatment room so the child's room remains a safe place.
A+ TEST BANK 1
, Pediatric Comat Exam
The nurse at the well-child clinic is advising the parents of an 8-month-old child about health and
safety. What information should the nurse provide?
a. Install stair guards or gates in the home.
b. Use of a car seat is optional if a lap and shoulder belt is in place.
c. Start toilet training with a child-sized potty.
d. Give syrup of ipecac in case of accidental ingestion or poisoning. –
Correct Answer :a. Install stair guards or gates in the home.
By the age of 8 months, a child is crawling and may be able to pull up to a standing position. The
use of a stair guard or gate is necessary to prevent accidents, which are the most common cause
of injury among children of this age.
A Spanish-speaking 5-year-old child starts kindergarten in an English-speaking school. The child
cries most of the time, appears helpless, and unable to function in the new situation. After
assessing the child, how should the school nurse document the situation?
a. Experiencing culture adaptation.
b. Lacks the maturity needed in school.
c. Refuses to participate in school activities.
d. Going through minority group discrimination.
- Correct Answer :a. Experiencing culture adaptation.
An inability to function may apply to persons of all ages undergoing transitions, such as moving
to a new country and adjusting to a subculture within a larger culture that is unfamiliar. Adapting
culturally describes feelings of discomfort and disorientation when adapting to new cultural
settings. Language barriers inhibit effective communication. A child who is unable to
communicate in the spoken language in the school environment lacks the skills necessary to
participate.
Which is the priority nursing intervention for a 12-year-old client newly diagnosed with bacterial
meningitis?
a. Continue pain management and provide comfort measures.
b. Maintain seizure precautions to protect the client from injury.
c. Monitor for increased intracranial pressure and do frequent neural vital sign checks.
d. Administer broad-spectrum antibiotics before results of culture and sensitivity tests are
returned.
A+ TEST BANK 2
, Pediatric Comat Exam
- Correct Answer :d. Administer broad-spectrum antibiotics before results of culture and
sensitivity tests are returned.
Although culture and sensitivity results identify the most effective treatment, prescribed broad-
spectrum antibiotic therapy should be initiated once the culture is obtained to provide an
immediate anti-infectant regimen against the risk of mortality due to bacterial meningitis.
A child is brought to the emergency department with sweating, chills, and snake fang-like
puncture marks on the calf. What action should the nurse implement after the type of snake is
identified?
a. Secure the antivenom.
b. Ambulate the child.
c. Apply a tourniquet to the leg.
d. Reassure the child and parent
. - Correct Answer :a. Secure the antivenom.
A snake's venom contains neurotoxins, which causes muscle paralysis and depression of the
respiratory system. Antivenom is essential to the child's survival because the child is showing
signs of envenomation. When a bite or envenomation is located on an extremity, the extremity
should be immobilized. The use of a tourniquet is not recommended. Envenomation is a
potentially life-threatening condition.
The parents of an adolescent male with Ewing sarcoma ask the nurse what is the most significant
factor contributing to their son's prognosis. Which factor should the nurse include when
answering the parent's concern?
a. Age of onset.
b. Gender of child.
c. Appearance on x-ray.
d. Degree of metastasis.
- Correct Answer :d. Degree of metastasis.
Ewing sarcoma is the second most common malignant bone tumor of children. Prognosis is most
significantly related to the degree of metastasis during the early course of the disease.
Which intervention should the nurse implement to help keep a 6-month-old infant calm during a
physical assessment?
a. Give the infant a soft cuddly toy to hold.
A+ TEST BANK 3
, Pediatric Comat Exam
b. Remove the pacifier from the infant's mouth.
c. Encourage the parent to hold the infant.
d. Distract the infant with noise or bright lights.
- Correct Answer :c. Encourage the parent to hold the infant.
Parents should be encouraged to participate by holding the infant as much as possible during an
examination to calm the infant and help the infant feel secure.
The nurse is caring for a premature infant who needs an IV access restarted. Which action should
the nurse take when using adhesive tape?
a. Use solvents such as water, mineral oil, or petrolatum to remove adhesives instead of pulling
on the skin.
b. Avoid using tape and adhesives until the skin is more mature.
c. Use scissors carefully to remove the tape instead of pulling the tape off.
d. Use alcohol to remove the adhesives.
- Correct Answer :a. Use solvents such as water, mineral oil, or petrolatum to remove adhesives
instead of pulling on the skin.
The use of adhesives should be minimized as much as possible in the treatment of preterm
neonates. They should be removed using water, mineral oil, or petrolatum. The skin of the
premature infant is fragile, delicate, and thinner compared to a full-term infant, and is easily
traumatized. Alcohol should not be used to remove adhesives.
The nurse plans to mix a medication with food to make it more palatable for a pediatric client.
Which food should the nurse choose?
a. Syrup.
b. Applesauce.
c. Orange juice.
d. Formula or milk.
- Correct Answer :b. Applesauce.
In order to prevent the child from developing a negative association with an essential food, a
nonessential food such as applesauce is best for mixing with medications.
The nurse is instructing an adolescent with bulimia and a low potassium level about the risk for
complications. Which medical problem should be the focus of the nurse's instruction to this
client?
A+ TEST BANK 4
Pediatric Comat Exam Test Bank 2025-2026
With Complete Verified Questions And Correct
Answers with Detailed Rationales |Already
Graded A+||Brand New Guaranteed Pass
A 2-year-old is receiving care in the emergency department (ED) for a deep laceration on the
head. What action should the nurse implement to facilitate the child's cooperation?
a. Allow the child to hold a favorite toy or blanket.
b. Direct the parents to remain outside the treatment room.
c. Keep the child physically restrained during nursing care.
d. Let the child decide whether to sit up or lie down for procedures.
- Correct Answer :a. Allow the child to hold a favorite toy or blanket.
Allowing a child to hold a favorite toy or blanket provides familiarity and comfort that should
facilitate the child's cooperation during treatment. Parents should remain with the child to calm
and reassure the child who may perceive the ED environment as threatening.
Per the healthcare provider's orders, the nurse is preparing to catheterize an 8-year-old child.
Before gathering supplies and starting the procedure, which action should the nurse take first?
a. Obtain the parent's consent before initiating the procedure.
b. Explain to the child and parents why the procedure is being done and what will occur.
c. After talking with the parents about the procedure, ask them to leave the room.
d. Provide the child with privacy by conducting the procedure in the treatment room.
- Correct Answer :b. Explain to the child and parents why the procedure is being done and what
will occur.
An 8-year-old uses concrete operational thought (Piaget), can cooperate, and should be included
in the explanation of the plan of care. Explaining why the procedure is needed and what will
occur will enhance the child's understanding and cooperation. A separate consent does not need
to be obtained and signed. The parents should be allowed to stay in the room while the nurse
still protects the child's privacy. There is no need to move to a treatment room unless the nurse
or parents feel it is needed. More invasive procedures that can cause pain, such as IV insertion or
blood draws, can be done in a treatment room so the child's room remains a safe place.
A+ TEST BANK 1
, Pediatric Comat Exam
The nurse at the well-child clinic is advising the parents of an 8-month-old child about health and
safety. What information should the nurse provide?
a. Install stair guards or gates in the home.
b. Use of a car seat is optional if a lap and shoulder belt is in place.
c. Start toilet training with a child-sized potty.
d. Give syrup of ipecac in case of accidental ingestion or poisoning. –
Correct Answer :a. Install stair guards or gates in the home.
By the age of 8 months, a child is crawling and may be able to pull up to a standing position. The
use of a stair guard or gate is necessary to prevent accidents, which are the most common cause
of injury among children of this age.
A Spanish-speaking 5-year-old child starts kindergarten in an English-speaking school. The child
cries most of the time, appears helpless, and unable to function in the new situation. After
assessing the child, how should the school nurse document the situation?
a. Experiencing culture adaptation.
b. Lacks the maturity needed in school.
c. Refuses to participate in school activities.
d. Going through minority group discrimination.
- Correct Answer :a. Experiencing culture adaptation.
An inability to function may apply to persons of all ages undergoing transitions, such as moving
to a new country and adjusting to a subculture within a larger culture that is unfamiliar. Adapting
culturally describes feelings of discomfort and disorientation when adapting to new cultural
settings. Language barriers inhibit effective communication. A child who is unable to
communicate in the spoken language in the school environment lacks the skills necessary to
participate.
Which is the priority nursing intervention for a 12-year-old client newly diagnosed with bacterial
meningitis?
a. Continue pain management and provide comfort measures.
b. Maintain seizure precautions to protect the client from injury.
c. Monitor for increased intracranial pressure and do frequent neural vital sign checks.
d. Administer broad-spectrum antibiotics before results of culture and sensitivity tests are
returned.
A+ TEST BANK 2
, Pediatric Comat Exam
- Correct Answer :d. Administer broad-spectrum antibiotics before results of culture and
sensitivity tests are returned.
Although culture and sensitivity results identify the most effective treatment, prescribed broad-
spectrum antibiotic therapy should be initiated once the culture is obtained to provide an
immediate anti-infectant regimen against the risk of mortality due to bacterial meningitis.
A child is brought to the emergency department with sweating, chills, and snake fang-like
puncture marks on the calf. What action should the nurse implement after the type of snake is
identified?
a. Secure the antivenom.
b. Ambulate the child.
c. Apply a tourniquet to the leg.
d. Reassure the child and parent
. - Correct Answer :a. Secure the antivenom.
A snake's venom contains neurotoxins, which causes muscle paralysis and depression of the
respiratory system. Antivenom is essential to the child's survival because the child is showing
signs of envenomation. When a bite or envenomation is located on an extremity, the extremity
should be immobilized. The use of a tourniquet is not recommended. Envenomation is a
potentially life-threatening condition.
The parents of an adolescent male with Ewing sarcoma ask the nurse what is the most significant
factor contributing to their son's prognosis. Which factor should the nurse include when
answering the parent's concern?
a. Age of onset.
b. Gender of child.
c. Appearance on x-ray.
d. Degree of metastasis.
- Correct Answer :d. Degree of metastasis.
Ewing sarcoma is the second most common malignant bone tumor of children. Prognosis is most
significantly related to the degree of metastasis during the early course of the disease.
Which intervention should the nurse implement to help keep a 6-month-old infant calm during a
physical assessment?
a. Give the infant a soft cuddly toy to hold.
A+ TEST BANK 3
, Pediatric Comat Exam
b. Remove the pacifier from the infant's mouth.
c. Encourage the parent to hold the infant.
d. Distract the infant with noise or bright lights.
- Correct Answer :c. Encourage the parent to hold the infant.
Parents should be encouraged to participate by holding the infant as much as possible during an
examination to calm the infant and help the infant feel secure.
The nurse is caring for a premature infant who needs an IV access restarted. Which action should
the nurse take when using adhesive tape?
a. Use solvents such as water, mineral oil, or petrolatum to remove adhesives instead of pulling
on the skin.
b. Avoid using tape and adhesives until the skin is more mature.
c. Use scissors carefully to remove the tape instead of pulling the tape off.
d. Use alcohol to remove the adhesives.
- Correct Answer :a. Use solvents such as water, mineral oil, or petrolatum to remove adhesives
instead of pulling on the skin.
The use of adhesives should be minimized as much as possible in the treatment of preterm
neonates. They should be removed using water, mineral oil, or petrolatum. The skin of the
premature infant is fragile, delicate, and thinner compared to a full-term infant, and is easily
traumatized. Alcohol should not be used to remove adhesives.
The nurse plans to mix a medication with food to make it more palatable for a pediatric client.
Which food should the nurse choose?
a. Syrup.
b. Applesauce.
c. Orange juice.
d. Formula or milk.
- Correct Answer :b. Applesauce.
In order to prevent the child from developing a negative association with an essential food, a
nonessential food such as applesauce is best for mixing with medications.
The nurse is instructing an adolescent with bulimia and a low potassium level about the risk for
complications. Which medical problem should be the focus of the nurse's instruction to this
client?
A+ TEST BANK 4
