Title WORKBOOK - PEDIA (KEY) ✅

1 | Page COMPREHENSIVE PHASE WORKBOOK PEDIATRIC NURSING NOV 2025 Philippine Nurse Licensure Examination Review 1. The most developed sense of the newborn is ___. A. Touch B. Taste C. Sight D. Hearing 2. The terms growth and development are often used interchangeably. To which of the following does development refer? A. A boy grows taller all through early childhood B. He learns to throw a ball overhand C. He triples his weight during the first year D. His brain increases in size until school age 3. Which of the following factors would contribute least to the ultimate height that a child reaches? A. His mother including nutritious food at meals B. The genetic material the child inherited C. Whether he enjoys active sport or not D. The occupations of his father and mother 4. The primary critical observation for Apgar scoring is the: A. Heart rate B. Respiratory rate C. Color D. Reflex irritability 5. Establishment of warmth after birth is made possible through the following means EXCEPT: A. Drying the skin immediately with towel B. Putting the baby on a pre-warmed crib with floor lamp C. Giving warm sterile water to warm up his stomach D. Letting the mother embrace the baby 6. At one minute after birth, a newborn’s body is pink with blue extremities, the heart rate is 99, there is withdrawal when the soles are flicked, the respiration are easy with no evidence of distress, and the arms and legs are flexed vigorously moving. The nurse assess the Apgar score to be: A. 6 B. 7 C. 8 D. 9 7. The following is true of neonatal screening except: A. done 24 hours after birth or before one week old B. cord blood is sent to the laboratory C. mandated to be done on all neonates D. provides information on some inborn error in metabolism that could be dangerous to the neonate 8. Several days after a baby girl’s birth she begins to vomit and lose weight. Galactosemia is diagnosed. The nurse explains to the parents that galactosemia is an inherited autosomal recessive disorder which is the result of: A. An intolerance of wheat and rye B. An inborn error of carbohydrate metabolism C. The inability to metabolize an essential amino acid D. The absence of parasympathetic ganglion cells in the colon 9. The nurse is aware that another diagnostic test is needed to further confirm phenylketonuria. The nurse is correct in choosing which of the following tests that utilizes urine specimen? A. Schillings test B. Phenistix C. Guthrie test D. Urinalysis 10. The parent of a child with congenital hypothyroidism is concerned about the condition of her child. The nurse knows that the most important consideration in caring for this child is all but which of the following? A. Safety B. Give levothyroxine C. Isolation D. Allow to play 11. During physical assessment of a newborn, which of the following comparative measurements would necessitate additional investigation? A. Head circumference 34 cm; chest circumference 31 cm B. Head circumference 31 cm; chest circumference 33 cm C. Head circumference 34.5 cm; chest circumference 32 cm D. Head circumference 32 cm; chest circumference 30 cm 12. A 6 month old infant is admitted with a diagnosis of failure to thrive. The birth weight was 7 pounds. Based on growth and development chart, the nurse should expect an infant at 6 months to weigh approximately: A. 10 pounds B. 14 pounds C. 18 pounds D. 21 pounds 13. Which of the following behaviors indicates normal biological development? A. A 6 week old begins to roll over B. A 6 months old sits without support C. A 7 month old transfer a toy from hand to hand D. A 7 month old stands unassisted 14. Appetite lags occur in toddlers for all the following reasons except: A. A form of rebellion against parents B. Physiology anorexia C. Preference from one type of food D. High activity level 15. During the oedipal stage of growth and development, the child: A. Loves and hates both parents B. Loves the parent of the same sex and the parent of the opposite sex C. Loves the parent of the opposite sex and hates the parent of the same sex D. Loves the parent of the same sex and hates the parent of the opposite sex 16. The usual position of the hand in the newborn is: A. open with fingers spread apart B. open with fingers flexed apart C. close with thumb inside the fingers D. close with thumb outside the fingers 17. Negativism and ritualistic behaviors are normal characteristics of: A. Preschoolers B. toddlers C. infants D. adolescents 18. A 5-year-old boy believes that there are “bogeymen and monsters” in his bedroom at night. What advice can the nurse give to Eric’s parent to help Eric cope with his fears? A. Let Eric sleep with his parent B. Tell Eric that bogeymen and monster do not exist C. Keep a night-light on in Eric’s room D. Tell Eric that no one else sees any monsters, so he must not see them either * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *


4 | Page D. Bruxism 59. Which of the following type of play would a preschooler typically be involved in? A. Solitary B. Parallel C. Associative D. Competitive 60. The Oedipus or Electra Complex is likely to occur In which period of development according to Freud? A. Oral B. Anal C. Phallic D. Genital 61. While playing Joshua accidentally obtained an inch of scraped skin on the left knee. He cries intensely after seeing the injury, you described it as a manifestation to fear of: A. Dark B. Mutilation C. Separation D. Abandonment 62. A mother shares to the nurse about her preschooler child who is bedwetting. Which of the following would be appropriate to advise? A. “Give less fluid at night.” B. “Allow Robby to wear diapers every night.” C. “Bribe your child as a way of reinforcement.” D. “Threaten him as a way of disciplining.” 63. According to Erikson's theory of development, chronic illness can interfere with which stage of development in an 11- year-old? A. Intimacy versus isolation B. Trust versus mistrust C. Industry versus inferiority D. Identity versus role confusion 64. A mother of a 7-year-old boy ported that he son resist to attend his classes. As a school nurse which of the following is the appropriate action? A. Determine the cause of resistance to school B. Allow the client to take a vacation C. Discipline and punish the child D. Isolate the child 65. On average, the adolescent growth spurt begins: A. Earlier for boys than for girls B. Earlier for girls than for boys C. At approximately the same time for both sexes D. Between the seventh and eighth years 66. According to developmental authorities, the tasks of adolescents include the following except: A. Development of strong family ties B. Acquiring a set of values and ethics C. Acceptance of a new body image D. Achieving a masculine or feminine social role 67. A 14-year-old child must have the capacity for self- awareness to: A. Develop role identity B. Eliminate fear of the dark C. Maintain self-control D. Focus on more than one dimension of an object 68. A post-mature baby will be anticipated for the following problems EXCEPT: A. infection due to meconium aspiration B. metabolic acidosis due to cold stress C. hyperbilirubinemia due to polycythemia D. hyperglycemia due to overstaying inside the uterus 69. Immediate nursing care for a neonate born with a cleft lip is directed primarily toward: A. Modifying feeding methods B. Keeping the baby from crying C. Minimizing handling by parents D. Preventing the occurrence of infection 70. A priority nursing measure for an infant during the immediate post-operative period following a surgical repair of a cleft lip is to: A. Minimize the infant’s crying B. Restraint the infant at all times C. Oxygenate the infant frequently D. Handle the infant as little as possible 71. The characteristic cough of laryngotracheobronchitis will be: A. dry and hacking B. barking and “seal-like” C. moist and productive D. spasmodic with wheezing 72. An infant with tetralogy of Fallot became cyanotic and dyspneic after a crying episode. To relieve the cyanosis and dyspnea, the nurse should place the infant in the: A. Knee-chest position B. Orthopneic position C. Side lying position D. Semi Fowler’s position 73. The mother of a 5-month-old infant with heart failure questions the necessity of weighing the infant every morning. The nurse’s response should be based on the fact that this daily information is important in determining: A. Renal failure B. Fluid retention C. Nutritional status D. Medication dosage 74. The clubbing seen on the fingers of patients with tetralogy of fallot indicates: A. clot formation on the distal extremities B. the body responding to peripheral hypoxia C. the child is dehydrated D. the child is calcium deficient 75. A 1-year-old with postductal coarctation of the aorta is admitted to the acute care unit for treatment. When performing an assessment, you find that the lower extremities are cool. Which finding should you anticipate as the assessment continues? A. Bounding femoral pulse B. Low blood pressure in the arms C. Low blood pressure in the legs D. Bilateral pedal edema 76. When a child with hemophilia complains of joint pains, what should be the immediate management upon noting that the part is swelling? A. apply warm compress to relieve the pain B. give aspirin then apply ice to the area C. immobilize the part then bring to the hospital D. consider this as normal for hemophilic patient 77. Teaching for parents whose baby is undergoing frequent casting to correct a foot deformity should include information on cast care, such as: A. Covering damp cast with adhesive petals B. Applying lotion to the skin at cast edges to keep it soft C. Checking the skin at the edges of the cast daily for redness D. Immersing the cast briefly during the tab bath and wiping it lightly 78. When assessing a newborn for developmental dysplasia of the hip, the nurse would expect to assess which of the following? A. Symmetrical gluteal folds B. Trendelenburg sign C. Ortolani sign D. Characteristic limp 79. A 6-week-old infant is brought to the clinic by her parents. They state that their baby has been vomiting with increasing frequency and force after feeding. Pyloric stenosis is diagnosed. The nurse is aware that the manifestations of pyloric stenosis are: A. Avid hunger and effortless vomitus B. Non-bile stained vomitus and visible peristaltic wavesc C. Vomiting several hours after a feeding and tarry stools D. Bile-stained vomitus and generalized abdominal distention 80. An 8-month-old infant was admitted to the ER from the OPD. The manifestations presented points to a possible Hirschsprung's disease. These would include the following EXCEPT: A. olive-shaped mass B. stool with blood and mucus C. severe abdominal distention D. history of constipation 81. The nurse assessing newborn babies and infants during their hospital stay after birth will notice which of the following