PEDIATRICS FINAL EXAM TEST BANK NEWEST 2025/2026
ACTUAL EXAM COMPLETE 250 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
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a mother calls the clinic because her 2 yo daughter has a rectal temp of 37.8 C
(100*F). She wonders how high the fever should be before she gives medications
to reduce it. What is the best response by the nurse?
A) all fevers should be treated to prevent seizures
B) Antipyretics should be used with any rise in temperature. they can help change
the course of an infection
C) Give you child aspirin when the fever is above 38 C (100.4*F)
D) usually in a normal healthy child, if your child is not uncomfortable, fevers less
than 38 C (100.4*F) do not require medication
D) usually in a normal healthy child, if your child is not uncomfortable, fevers less
than 38 C (100.4*F) do not require medication
the nurse recognizes that the single most important factor to consider when
communicating with children is:
A) the child's physical condition
B) presence or absence of the child's parents
C) nonverbal behaviors of the child
D) developmental level of the child
D) developmental level of the child
The mother of a newborn expresses concern that her breastfeeding baby is not
gaining weight. She tells the nurse that when she brought the baby home from
the hospital, he weighed 8 lbs. The nurse weighs the baby at the 2 week checkup
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and notes that the infant now weighs 8 lbs 12 oz. The nurse should
A) inform the mom that she should add rice cereal to the infant's diet to improve
wt gain
B) recommend supplementing breastfeeding with rice cereal
C) Inform the mom that the infant's wt gain is normal
D) encourage the mom to limit breastfeeding to every 4 hours because the infant
is gaining too much wt
C) Inform the mom that the infant's wt gain is normal
After reading the vaccine info sheets provided, a parent of a 2 month old is
hesitant to consent to a recommended vaccine. The nurse should first ask the
parent:
A) did you know that vaccines are required by law for school entry
B) what personal beliefs or safety concerns do you have about vaccinations?
C) would you prefer that fewer vaccines are given at a time?
D) Do you wish to postpone the vaccines?
B) what personal beliefs or safety concerns do you have about vaccinations?
The nurse assesses a 6 month old for vaccine readiness. Which finding would most
likely indicate the need to delay administering the DTaP vaccine?
A) a family hx of sudden infant death syndrome
B) a fever of 38 C following the 4 month vaccination
C) an acute bilateral ear infection
D) living with a family member who is immunosuppressed
C) an acute bilateral ear infection
the parent of a 9 month old is concerned that the infant's anterior fontanelle is
somewhat open. The nurse should tell the parent:
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A) I will measure your baby's head circumference to see it is developing properly
B) your infant will need to be referred for more testing
C) you should contact the physician immediately, we expect closing of the cranial
sutures by now
D) this is a normal finding and usually closes somewhere between 12-18 months
D) this is a normal finding and usually closes somewhere between 12-18 months
Which development is necessary for toilet training readiness for a 2 yo?
A) adequate neuromuscular development of sphincter control and ability to
communicate the need
B) appropriate chronological age
C) ability to play with and imitate other 2 yos
D) development of motor skills to remove clothing
A) adequate neuromuscular development of sphincter control and ability to
communicate the need
a mother of a 3 yo expresses concern over the child's bedwetting when
hospitalized. The best response by the nurse to the mom is:
A) he was too immature to be toilet trained anyways
B) Children are afraid in the hospital and frequently wet the bed
C) it's very common for children to regress when they are in the hospital
D) this is not unusual. He probably received too much fluid the night before
C) it's very common for children to regress when they are in the hospital
the nurse is teaching the parent of an infant about proper positioning of the pinna
for instillation of ear drops. The nurse instructs the parents to gently pull the
pinna
A) up and forward
B) up and backwards
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C) down and forward
D) down and backwards
D) down and backwards
the mother of a preschooler reports that her child creates a scene every night at
bedtime. After a discussion, the mom agrees that the best course of action would
be to
A) allow the child to stay up later one or 2 nights a week
B) establish a set bedtime and maintain the routine
C) encourage play before bedtime
D) give the child a prize if bedtime is pleasant
B) establish a set bedtime and maintain the routine
the mom of a 7 month old asks the nurse if her daughter should receive the flu
vaccine at her routine visit
A) she is too young to receive the flu vaccine this season
B) yes, once she is over 6 months she should receive the flu vaccine every year
C) she still has immunity from mom at this time
D) flu vaccine should be administered at a separate visit
B) yes, once she is over 6 months she should receive the flu vaccine every year
a nurse is assessing the growth and development of a 14 yo boy. He reports that
his 13 yo sister is 2 inches taller than him. The nurse should explain to the boy that
the growth spurt in adolescent boys compared with the growth spurt of
adolescent girls
A) occurs at the same time
B) occurs 2 years earlier
C) occurs 2 years later
D) occurs 1 year later
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