Comprehensive Exam Peds Questions
with Correct Answers
The presence of which vitamin is most effective in enhancing absorption of iron?
a. Vitamin A
b. Vitamin B
c. Vitamin C
d. Vitamin D - ANSWERSc. Vitamin C
Which of the following children with sickle cell anemia is at greatest risk for exacerbation
of the disease?
a. Anita, who lives in Pittsburgh and is visiting Denver, CO to go snow skiing
b. Jacques, who is spending a warm summer day swimming with his friends
c. Ed, who is learning how to rollerblade
d. Janessa, who is in a gymnastics class - ANSWERSa.
Takisha, age 8, has been admitted tot he hospital in sickle cell crisis. She complains of
pain all over her body. Which intervention by the new nurse requires the supervising
nurse to intervene? The new nurse:
a. allows Takisha to determine the level of activity she can tolerate
b. provides Takisha passive range of motion exercises
c. administers fluids to maintain hydration status
d. applies ice packs to specific painful areas of the body - ANSWERSd.
In a child with beta-thalassemia major, the nurse would expect to find which of the
following clinical manifestations?
a. long thin nose
b. malocclusion
c. narrow set eyes
d. concave forehead - ANSWERSb.
The first line of treatment for type I, or mild type II, von WIllebrand's diease is:
a. desmopressin
b. heparin
c. warfarin sodium
d. protamine - ANSWERSa.
,Which of hte following over-the-counter medications should not be taken by a child who
has immune thrombocytopenic purpura?
a. ibuprofen (Motrin)
b. asprin
c. acetaminophen (Tylenol)
d. ibuprofen (Advil) - ANSWERSb.
The child with disseminated intravascular coagulation is at greatest risk for the
development of which complication?
a. infection
b. airway obstruciton
c. hemorrhage
d. impaired skin integrity - ANSWERSc.
A caregiver of a child with a bleeding disorder has been taught the actions to take for
treatment of a nosebleed. Which statement by teh caregiver indicates that more
teaching is needed? If the child experiences a nosebleed I will:
a. lie the child down
b. pinch the child's nose
c. hold the nose for at least 10 minutes
d. apply ice to the bridge of the nose - ANSWERSa.
Which of the following is considered appropriate treatment for hemophilia B?
a. factor VIII concentrates
b. Desmopressin
c. aspirin
d. factor IX concentrates - ANSWERSd.
Which of the following is a side effect associated with cyclosporine therapy fo rhte
treatment of aplastic anemia?
a. decreased blood pressure
b. loss of body hair
c. gingival hyperplasia
d. decreased potassium - ANSWERSc.
Which of the following are compensatory mechanisms for anemia? Select all that apply.
a. increased erythropoiesis
b. decreased heart rate
c. retention of sodium
d. increased respiratory rate
, e. retention of water
f. leukocytosis - ANSWERSa,c,d,e
Marty, age 14, has iron deficiency anemia. When talking wtih him about which types of
foods to choose that are high in iron conent, the nurse suggests which of the following?
Select all that apply.
a. peas
b. potatoes
c. bananas
d. peaches
e. rasins
f. shrimp - ANSWERSa,b,d,e,f
Initial signs and symptoms of iron overdose include which of the following? Select all
that apply.
a. skin rash
b. vomiting
c. abdominal pain
d. bloody diarrhea
e. lethargy
f. dsypnea - ANSWERSb,c,d,e,f
Which of the following are stimuli for sickle cell crisis? Select all that apply.
a. exposure to heat
b. infection
c. fever
d. acidosis
e. diet high in carbohydrates
f. immunizations - ANSWERSb,c,d
A student nurse is obtaining a height for an 18-month old infant. Which action by the
student nurse requires the supervising nurse to intervene? The student nurse:
a. records the child's height to the nearest full inch
b. uses the supine position to measure the child's height
c. places the soles of the child's feet in a 90-degree angle to the footboard
d. measures the child when the child is barefoot - ANSWERSa
Which statement by a parent of a child receiving growth hormone replacement therapy
indicates taht more teaching is needed? I will call the primary care provider immediately
if my child experiences:
a. rapid weight gain
with Correct Answers
The presence of which vitamin is most effective in enhancing absorption of iron?
a. Vitamin A
b. Vitamin B
c. Vitamin C
d. Vitamin D - ANSWERSc. Vitamin C
Which of the following children with sickle cell anemia is at greatest risk for exacerbation
of the disease?
a. Anita, who lives in Pittsburgh and is visiting Denver, CO to go snow skiing
b. Jacques, who is spending a warm summer day swimming with his friends
c. Ed, who is learning how to rollerblade
d. Janessa, who is in a gymnastics class - ANSWERSa.
Takisha, age 8, has been admitted tot he hospital in sickle cell crisis. She complains of
pain all over her body. Which intervention by the new nurse requires the supervising
nurse to intervene? The new nurse:
a. allows Takisha to determine the level of activity she can tolerate
b. provides Takisha passive range of motion exercises
c. administers fluids to maintain hydration status
d. applies ice packs to specific painful areas of the body - ANSWERSd.
In a child with beta-thalassemia major, the nurse would expect to find which of the
following clinical manifestations?
a. long thin nose
b. malocclusion
c. narrow set eyes
d. concave forehead - ANSWERSb.
The first line of treatment for type I, or mild type II, von WIllebrand's diease is:
a. desmopressin
b. heparin
c. warfarin sodium
d. protamine - ANSWERSa.
,Which of hte following over-the-counter medications should not be taken by a child who
has immune thrombocytopenic purpura?
a. ibuprofen (Motrin)
b. asprin
c. acetaminophen (Tylenol)
d. ibuprofen (Advil) - ANSWERSb.
The child with disseminated intravascular coagulation is at greatest risk for the
development of which complication?
a. infection
b. airway obstruciton
c. hemorrhage
d. impaired skin integrity - ANSWERSc.
A caregiver of a child with a bleeding disorder has been taught the actions to take for
treatment of a nosebleed. Which statement by teh caregiver indicates that more
teaching is needed? If the child experiences a nosebleed I will:
a. lie the child down
b. pinch the child's nose
c. hold the nose for at least 10 minutes
d. apply ice to the bridge of the nose - ANSWERSa.
Which of the following is considered appropriate treatment for hemophilia B?
a. factor VIII concentrates
b. Desmopressin
c. aspirin
d. factor IX concentrates - ANSWERSd.
Which of the following is a side effect associated with cyclosporine therapy fo rhte
treatment of aplastic anemia?
a. decreased blood pressure
b. loss of body hair
c. gingival hyperplasia
d. decreased potassium - ANSWERSc.
Which of the following are compensatory mechanisms for anemia? Select all that apply.
a. increased erythropoiesis
b. decreased heart rate
c. retention of sodium
d. increased respiratory rate
, e. retention of water
f. leukocytosis - ANSWERSa,c,d,e
Marty, age 14, has iron deficiency anemia. When talking wtih him about which types of
foods to choose that are high in iron conent, the nurse suggests which of the following?
Select all that apply.
a. peas
b. potatoes
c. bananas
d. peaches
e. rasins
f. shrimp - ANSWERSa,b,d,e,f
Initial signs and symptoms of iron overdose include which of the following? Select all
that apply.
a. skin rash
b. vomiting
c. abdominal pain
d. bloody diarrhea
e. lethargy
f. dsypnea - ANSWERSb,c,d,e,f
Which of the following are stimuli for sickle cell crisis? Select all that apply.
a. exposure to heat
b. infection
c. fever
d. acidosis
e. diet high in carbohydrates
f. immunizations - ANSWERSb,c,d
A student nurse is obtaining a height for an 18-month old infant. Which action by the
student nurse requires the supervising nurse to intervene? The student nurse:
a. records the child's height to the nearest full inch
b. uses the supine position to measure the child's height
c. places the soles of the child's feet in a 90-degree angle to the footboard
d. measures the child when the child is barefoot - ANSWERSa
Which statement by a parent of a child receiving growth hormone replacement therapy
indicates taht more teaching is needed? I will call the primary care provider immediately
if my child experiences:
a. rapid weight gain
