ESSENTIALS OF PEDIATRIC NURSING 4TH
EDITION BY KYLE AND CARMAN 2026
PRACTICE QUESTIONS AND ANSWERS TOP
REVIEW A+
◉ 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 Answer: Avoiding further
abdominal palpation
◉ 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
Filgrastim
Epoetin alfa Answer: Epoetin alfa
,◉ Why do nurses teach childhood cancer survivors to inform adult
health care providers of their prior disease and treatments?
To participate in cancer research
To obtain health insurance
To monitor for late effects
To access community support groups Answer: To monitor for late
effects
◉ Antiemetics are ordered to control nausea and vomiting in the
child undergoing chemotherapy. How can the nurse most effectively
use these medications?
Use the antiemetic after it is clear that nonpharmacologic methods
are not effective
Start the antiemetic on a scheduled basis when the chemotherapy
begins to cause nausea
Provide the antiemetic as needed (PRN) when nausea and vomiting
are reported
Administer the antiemetic before starting chemotherapy Answer:
Administer the antiemetic before starting chemotherapy
◉ A 3-year-old boy has been brought to the doctor's office with
symptoms of anorexia and abdominal pain. A blood test reveals a
lead level of 20 μg/100 mL. The child is prescribed an oral chelating
agent. On discharge, the nurse should counsel the parents regarding:
placing house plants out of reach of children
, removal or covering of flaking paint on the walls of the home
putting child safety locks on kitchen cabinets
putting medicine away where children cannot reach it Answer:
removal or covering of flaking paint on the walls of the home
◉ A nurse is counseling parents of a 7-year-old boy with leukemia
regarding the goals of the chemotherapy program for their son.
What should she mention as the first goal?
a) Prevention of leukemia cells from invading or growing in the CNS
b) Administration of delayed intensive therapy
c) Maintaining the original remission
d) Complete absence of leukemia cells Answer: Complete absence of
leukemia cells
◉ The nurse is assessing a school-aged child with sickle-cell anemia.
Which assessment finding is consistent with this child's diagnosis?
Enlarged mandibular growth
Slightly yellow sclera
Increased growth of long bones
Depigmented areas on the abdomen Answer: Slightly yellow sclera
◉ The nurse is teaching the parents of a 15-year-old boy who is
being treated for acute myelogenous leukemia about the side effects
EDITION BY KYLE AND CARMAN 2026
PRACTICE QUESTIONS AND ANSWERS TOP
REVIEW A+
◉ 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 Answer: Avoiding further
abdominal palpation
◉ 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
Filgrastim
Epoetin alfa Answer: Epoetin alfa
,◉ Why do nurses teach childhood cancer survivors to inform adult
health care providers of their prior disease and treatments?
To participate in cancer research
To obtain health insurance
To monitor for late effects
To access community support groups Answer: To monitor for late
effects
◉ Antiemetics are ordered to control nausea and vomiting in the
child undergoing chemotherapy. How can the nurse most effectively
use these medications?
Use the antiemetic after it is clear that nonpharmacologic methods
are not effective
Start the antiemetic on a scheduled basis when the chemotherapy
begins to cause nausea
Provide the antiemetic as needed (PRN) when nausea and vomiting
are reported
Administer the antiemetic before starting chemotherapy Answer:
Administer the antiemetic before starting chemotherapy
◉ A 3-year-old boy has been brought to the doctor's office with
symptoms of anorexia and abdominal pain. A blood test reveals a
lead level of 20 μg/100 mL. The child is prescribed an oral chelating
agent. On discharge, the nurse should counsel the parents regarding:
placing house plants out of reach of children
, removal or covering of flaking paint on the walls of the home
putting child safety locks on kitchen cabinets
putting medicine away where children cannot reach it Answer:
removal or covering of flaking paint on the walls of the home
◉ A nurse is counseling parents of a 7-year-old boy with leukemia
regarding the goals of the chemotherapy program for their son.
What should she mention as the first goal?
a) Prevention of leukemia cells from invading or growing in the CNS
b) Administration of delayed intensive therapy
c) Maintaining the original remission
d) Complete absence of leukemia cells Answer: Complete absence of
leukemia cells
◉ The nurse is assessing a school-aged child with sickle-cell anemia.
Which assessment finding is consistent with this child's diagnosis?
Enlarged mandibular growth
Slightly yellow sclera
Increased growth of long bones
Depigmented areas on the abdomen Answer: Slightly yellow sclera
◉ The nurse is teaching the parents of a 15-year-old boy who is
being treated for acute myelogenous leukemia about the side effects
