UWorld Pediatrics Exam Questions and Answers

UWorld Pediatrics Exam Questions and Answers 2023/2024

• The clinic nurse is discussing nutrition needs with the parents of a 10-month-old client. The

parent provides a list of typical breakfast items offered to the infant. Which item is most concerning to the nurse?

• Applesauce sprinkled with cinnamon and sugar
• Bite-sized pieces of a whole-grain muffin with butter and jam
• Bite-sized pieces of organic chocolate chip waffles with syrup
• Infant oatmeal sweetened with natural honey

• The community health nurse is conducting health screenings in a culturally diverse neighborhood.

The nurse recognizes that which child may be demonstrating manifestations of beta- thalassemia?

• African American toddler with joint pain
• Ashkenazi Jewish infant with progressive muscle weakness
• Greek/mediterranean toddler with a large abdomen and pallor
• White infant with a persistent, thick, productive cough

• The nurse is evaluating a parent's understanding of home interventions for a 24-month-old client

who recently recovered from a viral illness that caused a febrile seizure. Which statement by the parent indicates a need for additional teaching?

• "At the first sign of fever, I will give my child an aspirin suppository.
• "I should avoid giving my child a bath in cool water or using ice to reduce fevers."
• "I should call emergency services if a febrile seizure lasts longer than 5 minutes."
• "If another febrile seizure occurs, I will turn my child on the side and measure the seizure

length."

• The nurse is educating the parent of a 7-year-old client who has newly diagnosed irritable bowel

syndrome (IBS). Which of the following statements by the nurse are appropriate? Select all that apply.

• "Adding a probiotic to your child's daily regimen may reduce abdominal

discomfort."

• "Anxiety contributes to IBS, so it encourages healthy coping skills such as deep

breathing.

• "Including more whole grains, fruits, and vegetables in the diet helps manage

constipation."

• "You should keep your child home from school when the IBS symptoms are present.
• "Your child will need to see a specialist throughout life as the disease progresses.'

• The nurse is caring for multiple pediatric clients. Which finding would alert the nurse to possible

child abuse?

• 5-month-old with bruises of varying colors on the left arm and right knee
• 2-year-old with an irregularly shaped scald burn on the right shoulder
• 4-year-old with brown bruises on both shins and a laceration on the left elbow
• 6-year-old with two missing upper teeth and an abrasion on the right knee 1 / 3

• The pediatric nurse is caring for a hospitalized 18-month-old child. Which of the following

nursing actions would be helpful in reducing stress for this client? Select all that apply.

• Allow parents to hold the child during procedures.
• Encourage parents to invite the child's friends to visit
• Permit the child to make simple choices when possible
• Thoroughly explain all of the treatments and procedures
• Use prescribed PRN topical aesthetics prior to needlesticks

• The pediatric nurse reinforces education about home administration of a liquid medication with

the parents of an 8-year-old client. Which statement by a parent indicates a correct understanding?

• "I can pour the medicine into a glass of my child's favorite beverage."
• "I will let my child gather supplies and mark doses on a daily calendar.'
• "I will measure the dose with the teaspoon from my kitchen tableware."
• "If my child vomits after taking the medicine, I will give another dose."

• The nurse is obtaining client histories during a pediatric developmental screening event. The

nurse recognizes that which of the following parent statements describe behaviors consistent with autism spectrum disorder? Select all that apply.

• "After placing new curtains in my child's bedroom my child became anxious and

began hitting his head.'

• "If family members do not sit in the same place at the dinner table each night my

child becomes distressed.'

• "My child gets in trouble at school for talking and not following directions during

individual quiet activities." ( this if for ADHD)

• "My child shows no interest in visitors to our home and does not make eye contact

with them."

• "When there is excessive noise in our home, my child sits on a chair and rocks back

and forth."

• The nurse provides teaching to the parent of a 7-year-old client diagnosed with nocturnal

enuresis. Which statement by the parent indicates a need for further education?

• "I will awaken my child at midnight every night to use the bathroom."
• "I will restrict my child's fluid intake after the evening meal.
• "My child will sit in time-out for a few minutes on mornings when the bed is wet."
• "My child will wear regular, cotton underpants to bed.'

• The nurse reviews measures to prevent obesity with the parent of an overweight 12-year-old

client. Which of the following statements by the parent indicate a correct understanding? Select all that apply.

• "I allow my child second portions at dinner because we do not eat breakfast."
• "I have replaced the cookies in my child's lunch with apples and grapes.
• "My child's birthday gift was a skateboard and related safety gear." 2 / 3

• "We have removed the television from our child's room."
• "We stopped buying cola beverages and instead keep a pitcher of water available."

• The nurse reinforces discharge teaching with the parent of a child who had a tonsillectomy.

Which of the following statements by the parent indicate that teaching was effective? Select all that apply

• "Citrus juices and spicy foods may irritate my child's throat.”
• "Drinking from a straw will reduce the pain of swallowing.”
• "I will give my child aspirin for discomfort or fever over 101 F (38.3 C)."
• "Mild ear pain is common, but I will report a persistent earache.”
• "My child can return to gymnastics practice after 4 days.”

• The clinic nurse reinforces education on measures to decrease asthma exacerbations with a

client's parents. Which of the following statements indicate that teaching has been effective?Select all that apply.

• "We can prevent indoor mold growth by using dehumidifiers.
• "We should avoid outdoor play when the pollen count is high."
• "We should stop using the wood-burning fireplace in our home.'
• "We will not allow anyone to smoke tobacco around our child."
• "We will wash plush toys often and allow them to dry thoroughly.”

• The nurse supervises a graduate nurse (GN) who is planning care for a child admitted with

measles. Which statement by the GN would cause the nurse preceptor to intervene?

• "I will administer the prescribed supplemental vitamin A and encourage intake of foods

that are rich in vitamin A.'

• "I will advise the parents to encourage other unvaccinated family members to receive the

measles vaccine."

• "I will place droplet precaution signs at the client's door and ensure that other staff

use surgical masks.' (measles is airborne)

• "I will promote a quiet environment and request that the parents avoid bringing additional

visitors."

• The nurse is preparing an enteral feeding for a 1-week-old client with low birth weight who is in

the neonatal intensive care unit. The nurse notes that the client appears lethargic and has a 1-cm increase in abdominal girth with blood in the stool. After notifying the health care provider, which of the following actions should the nurse implement? Select all that apply.

• Hold scheduled enteral feeding
• Monitor for decreased or absent bowel sounds
• Place the client in a supported prone position
• Prepare the client for an abdominal x-ray
• Take a rectal temperature reading to check for fever

• The nurse is providing education to a high school student with infectious mononucleosis. Which

statement by the student indicates a need for further teaching?

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