Genuine ANCC-PED-BC Nursing Certification Exam Pdf Dumps Questions and Answers
                      
  
 
 
 Nursing
  
ANCC-PED-BC
 Pediatric Nursing Certification
 
 
 
 
 
 
 
 
 
 
Questions And Answers PDF Format:  
 
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Question: 1 
   
A 16-year-old female is undergoing an evaluation for possible juvenile rheumatoid arthritis. What lab test serves 
as a marker for general inflammation? 
 
A. Monospot. 
B. Erythrocyte sedimentation rate. 
C. White blood count (WBC). 
D. Mean corpuscular volume (MCV), 
 
Answer: B     
 
Explanation: 
The erythrocyte sedimentation rate is a non-specific marker for inflammation and would be elevated 
with rheumatoid arthritis. Monospot tests for the Epstein-Barr virus, which causes mononucleosis. WBC tests 
for infection, and MCV assesses the average volume of red blood cells. 
Question: 2 
   
A 7-year-old female is evaluated for possible leukemi 
a. She is scheduled for a bone marrow biopsy the next morning. What part of the body should be listed on the 
consent form for the biopsy? 
A. Radius. 
B. Skull 
C. Posterior pelvis. 
D. Calcaneus (heel). 
 
Answer: C     
 
Explanation: 
The posterior superior pelvic area is the preferred choice for bone marrow biopsy site because it is a 
large flat bone. The skull is too thin and the radius and calcaneus too small. 
Question: 3 
   
While performing trauma resuscitation on a 5-year-old male, neither peripheral nor central IV access can be 
obtained. The physician orders an intraosseous line. What is the best site on the body for this line? 
 
A. Radius. 
B. Proximal anterior tibia. 
C. Skull. 
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D. Medial malleolus. 
 
Answer: B     
 
Explanation: 
An intraosseous line is inserted into the proximal anterior tibia in infants and children to 5 years old for 
rapid infusion of fluids and medications if another IV site is not accessible. The medial malleolus is used for 
older children and adults. Other possible sites include the distal femur, clavicle, humerus. and ileum. 
Question: 4 
   
A 5-year-old is diagnosed with probable "Fifth's disease" caused by Parvovirus B19 although she does not yet 
have a rash. Which of the following should the child avoid? 
 
A. Contact sports. 
B. Tylenol. 
C. Pregnant women. 
D. Spicy food. 
 
Answer: C     
 
Explanation: 
Parvovirus B19 can cause birth defects if contracted by a pregnant mother, so the child should be 
counseled to avoid anyone pregnant until the disease resolves. Parvovirus BIP is contagious in the time from 
onset until the bright red rash occurs on the cheeks and a lacy rash on the body. Once the rash appears, the 
child is probably no longer contagious and can resume normal contacts and activity. 
Question: 5 
   
A 13-year-old female is diagnosed with Clostridium difficile colitis. What is the most probable cause of this 
infection? 
 
A. Recent antibiotic use. 
B. Travel to Central America. 
C. Drinking from a stream. 
D. Eating undercooked pork 
 
Answer: A     
 
Explanation: 
The most common cause for C. difficile colitis is recent antibiotic use that disrupts the normal colonic 
flora, allowing overgrowth of the offending bacteria. C. difficile produces a lethal cytotoxin (Toxin B) and an 
endotoxin with cytotoxic action CToxin A), which cause fluid to accumulate in the colon and severe damage to 
mucous membranes. 
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Question: 6 
   
A 14-year-old male is suspected of having infectious mononucleosis. What Point of Care Testing (POCT) device 
can be used to confirm this diagnosis? 
 
A. Urine dip. 
B. Monospot. 
C. Rapid strep test. 
D. Rapid influenza test. 
 
Answer: B     
 
Explanation: 
A Monospot test for Epstein-Barr virus is used to confirm infectious mononucleosis. The test requires 
one drop of serum mixed with a special solution. The test can confirm mononucleosis between 2 and 9 weeks 
after infection. It is not accurate during the incubation period. 
Question: 7 
   
A 12-year-old female immigrant from the Philippines has a positive PPD (Mantoux) skin test. What vaccine given 
routinely in her native country can cause false positive PPD tests? 
 
A. Varicella. 
B. Yellow fever. 
C. Influenza. 
D. BCG. 
 
Answer: D     
 
Explanation: 
BCG (Bacille Calmette-Guérin) is a tuberculosis vaccine routinely administered to children in countries 
with high incidences of childhood tuberculous meningitis. PPD can show false positive although PPD may still 
be used. Gold test is not affected by prior BCG vaccination. 
Question: 8 
   
Which of the following congenital hernias is more commonly seen in African-American children? 
 
A. Umbilical hernia. 
B. Inguinal hernia. 
C. Hiatal hernia. 
D. Femoral hernia. 
 
Answer: A     
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Explanation: 
Umbilical hernias are more common in African-American children. They usually resolve with growth of 
the child by age 4 and do not require surgical correction. 
Question: 9 
   
A 13-year-old female has the development of breast buds and sparse long, downy pubic hair. What Tanner stage 
does this development suggest? 
 
A. Tanner 1. 
B. Tanner 2, 
C. Tanner 3, 
D. Tanner 4. 
 
Answer: B     
 
Explanation: 
Breast buds and sparse downy pubic hair are characteristics of Tanner stage 2. Tanners 5 stages assess 
maturity of both males and females based on direct observation of breasts and genitals. Females are evaluated 
on breast development, onset of menses, and pubic hair distribution. Males are evaluation on penis and testes 
development and pubic hair distribution. 
Question: 10 
   
Apocrine sweat glands develop during onset of puberty. In which part of the body are these glands most 
commonly located? 
 
A. Scalp. 
B. Feet. 
C. Hands. 
D. Axilla. 
 
Answer: D     
 
Explanation: 
Apocrine sweat glands develop with the increase in hormones during the onset of puberty and are 
located primarily in the axilla and pubic area, opening into hair follicles. These sweat glands cause body odor. 
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