Pediatrics Exam 1 Practice Questions
A nurse is providing education for the family of six month old infant about the ways to stimulate language development. Which of the following instructions should the nurse include?
"Explain what you are doing to the infant while providing care."
A nurse is teaching the guardian of a preschooler. The guardian states that the preschooler has had an imaginary playmates for about three months. Which of the following pieces of information should the nurse give to the guardian?
"Have your child take responsibility for your actions if he tries to blame the imaginary friend."
The nurse is providing teaching to the parent of a four year old child who stutters. Which of the following statements by the parent indicates an understanding of the teaching?
"I should ignore the stuttering and not interrupt her."
A nurse is teaching the parent of an infant about injury prevention. Which of the following statements by the parent indicates an understanding of the teaching?
"I should make sure my baby's clothing does not have buttons."
A nurse is teaching a parent of a toddler about home safety. Which of the following statements by the parent indicates an understanding of the teaching?
"I will lock my medication in the medicine cabinet."
A nurse is talking with the parents of a four month old infant about growth and development. Which of the following statements indicates that the parent needs further teaching?
"My baby loves to play with pillows in her crib."
A nurse is teaching a group of parents of adolescence about developmental needs. Which of the following statements by a parent should the nurse investigate further?
"My child spends four hours per day using online chat rooms."
A nurse is teaching the parent of a 12 month old infant about nutrition. Which of the following statements by the parent indicates a need for further teaching?
"My infant drinks, at least 2 quarts of skim milk each day."
A nurse is providing teaching about poisoning prevention to a group of parents with toddlers. Which of the following statements should the nurse make?
"Put all cleaning supplies in a locked cabinet."
A nurse is performing a developmental assessment on a three year old child. Which of the following command should the nurse expect a child to complete successfully?
"Put your shoes on."
The mother of a 6-month-old states that she has started her infant on 2% milk. Which of the following would be the nurse's best response?
"The baby should be switched to whole milk."
A nurse is teaching a group of parents of toddlers about growth and development. A parent asked why their child's abdomen sticks out which of the following replies should the nurse reply?
"Toddlers do not have a well developed abdominal muscles."
A nurse is teaching the parent of a 12 month old infant about the development during toddler years. Which of the following statements should the nurse include?
"Your child should be able to scribble spontaneously using a crayon at 15 months of age."
A nurse is performing an annual physical assessment of a preschooler. The parent expresses concern about the child's 1.8 kg weight gain over the past year. Which of the following responses to the nurse make?
"Your child's wait change is expected for this age group."
A nurse is providing teaching about disease management strategies to a nine-year-old client who has cystic fibrosis. Which of the following statements should the nurse include?
"Your mucus is stick because cystic fibrosis interferes with how your glands work."
A nurse is caring for a toddler. Which of the following objects should the nurse Alex from the playroom for this child during the hospitalization?
10 piece wooden puzzle
A parent seems concerned about the fact that the infant's soft spot is still open. Which of the following ages is the usual closure time of the soft spot near the front of the infant's head?
12 to 18 months
When planning a 15-month-old toddler's daily diet with the parents, which of the following amounts of milk should the nurse include?
2 to 3 cups
The nurse notes that an infant stares at an object placed in her hand and takes it into her mouth, coos, and gurgles when talked to, and sustains part of her own weight when held in a standing position. The nurse interprets these findings as characteristics of which of the following ages?
4 months
Nurse is assessing an infant who is born at 32 weeks gestation and is now eight months old. Which of the following developmental ages should the nurse expect an infant to demonstrate?
6 months
After teaching a group of parents of preschoolers attending a well-child clinic about oral hygiene and teeth brushing, the nurse determines that the teach is successful when the parents state that children can begin to brush their own teeth at which of the following ages?
7 years
A nurse is assessing a one week old infant at a well child visit. The nurse should notify the provider by which of the following assessment findings?
A blue coloring of the sclera
A nurse on a pediatric unit has just received reports for newly admitted clients. For which of the following children, should the nurse plan to initiate droplet precautions?
A child who has pertussis
A nurse in providers office is reviewing the medical records of a group of clients. Which of the following clients is at risk for iron deficiency?
A client who is vegetarian or pregnant
A mother who brings her 4-month-old infant to the clinic for a regular checkup is concerned that her infant is not developing appropriately. When assessing the infant, which of the following would the nurse expect to find?
Ability to sit up with support
A 15-year-old is admitted to the hospital for acute appendicitis, and an appendectomy is performed. Which of the following nursing interventions is most appropriate to facilitate normal growth and development?
Allow the child to participate in activities with other individuals in the same age group when the condition permits
A maternity nurse is providing instruction to a new mother regarding the psychosocial development of the newborn infant. Using Erikson's psychosocial development theory, the nurse would instruct the mother to:
Allow the infant to signal a need
A nurse is providing teaching to the guardians of a four month old infant on how to play with them. Which of the following play activities should the nurse suggest for this infant?
Allow the infant to splash in the bathtub
A nurse is providing anticipatory, nutritional guidance for the caregivers a five month year old infant. Which of the following points should the nurse include in the teaching?
Allow the infant to try finger foods, such as crackers after six months of age
A 2.5-year-old brought to the clinic by her parents is uncooperative when the nurse tries to look in her ears. Which of the following should the nurse try first?
Allow the parent to assist
While giving nursing care to a hospitalized adolescent, the nurse should be aware that the major threat felt by the hospitalized adolescent is:
Altered body image
A mother brings her 18-month-old to the clinic because the child eats ashes, crayons, and paper. Which of the following would the nurse assess first?
Any changes in the home environment
A nurse is instructing a group of parents and guardians about child development. Which of the following recommendations should the nurse make to promote the developmental task of industry in the school age child?
Assign the child several small chores
A nurse is providing teaching to the parents of an infant who is breast-feeding. When should the nurse instruct the parents to introduce solid foods in the infant's diet?
At 4 to 6 months of age
A nurse is performing a physical assessment on a six month old infant. Which of the following reflexes should the nurse expect to find?
Babinski
A nurse is providing education about the introduction of solid foods for the parent of an infant. Which of the following instructions should the nurse include?
Begin, after the extrusion reflex has been diminished
A nurse is caring for a two year old child who has cystic fibrosis. The nurse is planning to take the child to the play room which of the following activities would be appropriate for the child?
Building towers with blocks
A nurse is providing anticipatory guidance about the accidental ingestion of a toxic substance to the parents of a toddler. The nurse should instruct her parents to take which of the following actions first if the child ingests a hazardous substance?
Call the poison control center
A nurse is caring for a seven year old child, who is in skeletal traction, following a complete fraction of the femur. Which of the following diversional activities should the nurse offer the child?
Chapter books
A nurse is caring for three-year-old child on a pediatric unit. The nurse should identify which of the following is an appropriate toy for the child?
Coloring book and crayons
A nurse is providing teaching to the parents of a four year old child about fine motor development. Which of the following tasks should the nurse include as an expected finding for this age group?
Copying a circle
A nurse is assessing the fine motor skill development of a four-year-old child. The nurse should expect a child to be able to perform which of the following activities?
Copying a square
A nurse is creating a plan of care for six month old infant requires continuous pulse oximetry monitoring. Which of the following intervention should the nurse include?
Cover the oximetry sensor with clothing
A nurse is preparing to care for a 5-year-old who has been placed in traction following a fracture of the femur. The nurse plans care, knowing that which of the following is the most appropriate activity for this child?
Crayons and coloring book
The parents of a 9-month-old bring the infant to the clinic for a regular checkup. The infant has received no immunizations. Which of the following would be appropriate for the nurse to administer at this visit?
DTaP, IPV, Hib, PPD
A nurse is assessing a four-year-old child's cognitive development during a visit. Which of the following should the nurse expect the child to display?
Development of the super ego
When observing the parent installing prescribed ear drops ordered twice a day for a toddler, the nurse decides that the teaching about positioning of the pinna for installation of drops is effective when the parent pull's the pinna in which of the following directions?
Down and backwards
A nurse is planning care for a child has meningococcal meningitis. Which of the following isolation precaution should the nurse plan to implement?
Droplet precautions
A nurse is assessing a nine month year old infant. Which of the following findings should the nurse report to the provider as a possible developmental delay?
Dropping a cute one, passing from one hand to the other
A nurse is caring for a toddler who has asthma. The parents are concerned about the toddler's reaction to the hospitalization. Which of the following action should the nurse take to decrease the child's anxiety?
Encourage rooming-in
The nurse is planning care for an 18-month-old child. Which of the following should be included in the child's plan?
Encourage the child to feed himself finger food
A nurse is observing the behavior of a two-year-old child. Which of the following actions should the nurse expect to observe when the child is in an activity room with other toddlers?
Engaging in play near other children
The mother of the preschooler reports that her child creates a scene every night at bedtime. The nurse and the mother decide that the best course of action is to do which of the following?
Establish a set bedtime and keep a set routine
A nurse is preparing to assess and 11 month old and fed her a well child examination. Which of the following actions to the nurse make?
Examine the infant's throat at the end of examination
The mother of a 4-year-old child expresses concern that her child may be hyperactive. She describes the child as always in motion, constantly dropping and spilling things. Which of the following actions would be appropriate at this time?
Explain that this is not unusual behavior
A nurse is planning, preoperative teaching for a five year old child. Which of the following intervention should the nurse include?
Explain the procedure, in terms of what the child will feel, see, hear, and taste
While teaching a 10-year-old child about their impending heart surgery, the nurse should:
Explain the surgery using a model of the heart
A nurse is assessing a four-year-old child. The nurse should expect the child to be able to perform which of the following activities?
Fastening buttons on a shirt
A nurse is preparing to administer a liquid medication to a infant. Which of the following action should the nurse take?
Give the medication at the side of the infant's mouth
A female child, age 2, is brought to the emergency departmentafter ingesting an unknown number of aspirin tablets about 30minutes earlier. On entering the examination room, the child is crying and clinging to the mother. Which data should the nurse obtain first?
HR, RR, BP
A nurse at a pediatric clinic is assessing a 5 month old infant. Which of the following findings should the nurse report to the provider?
Head lagging when the infant is pulled from a lying to sitting position
A nurse is assessing a 12 month old infant vital signs. The infant is in the 90th percentile for height. Which of the following findings should the nurse report to the provider?
Heart rate 175/min
The nurse is assessing a newborn (10days old). Which of the following findings is least likely to be observed in a normal newborn?
Heart rate is 80 bpm
In addition to immunizing for diphtheria, tetanus, and acellular pertussis (DTaP) during the first 6 months of life, the nurse should administer which of the following immunizations?
Hepatitis B
The nurse is assessing a four-month-old infant. The nurse would anticipate finding that the infant would be able to
Hold a rattle
A nurse is assessing the gross motor skills of a four-year-old preschooler. The nurse should expect a preschooler to perform which of the following activities?
Hopping on 1 foot
A nurse is assessing a 12 year old child during a visit. Which of the following physical findings should the nurse report to the provider?
Hyperopia (farsightedness)
The parents of a 2-year-old tell the nurse that they are concerned because the toddler has started to use "baby talk" since the arrival of their new baby. The nurse should recommend that the parents:
Ignore the "baby talk"
A nurse is assessing a nine month old infant. Which of the following findings indicates that the infant has a developmental delay?
Inability to vocalize vowel sounds
A nurse is caring for a four-year-old child who has pneumonia. The child's mother left two hours ago and he is currently experiencing the separation anxiety stage of despair. Which of the following findings should the nurse expect?
Inactivity and thumbsucking
A nurse is performing an assessment on a seven-year-old client who takes great pride in bringing school papers home. The nurse recognizes that this behavior demonstrates which of the following Erickson's stages of psychosocial development?
Industry vs Inferiority
A nurse is planning to teach a nine-year-old child who has a new diagnosis of diabetes, mellitus. The nurse should identify that the school age children are attempting to master which of the following developmental tasks?
Industry vs Inferiority
After having a blood sample drawn, a 5-year-old child insists that the site be covered with an adhesive bandage strip. When the mother tries to remove the bandage before leaving the office, the child screams that all the blood will come out. The nurse interprets this behavior as indicating a fear of which of the following?
Injury
When assessing a 2-year-old child brought by his mother to the clinic for a routine checkup, which of the following would the nurse expect the child to be able to do?
Kick a ball forward
The mother tells the nurse that her 8-year-old child is continually telling jokes and riddles to the point of driving other family members crazy. The nurse explains that this behavior is a sign of which of the following?
Master of language ambiguities
A nurse is caring for an 18-year-old adolescent, who is up-to-date on immunizations, and is planning to attend college. The nurse should recommend which of the following immunizations prior to moving into a campus dormitory?
Meningococcal polysaccharide
A nurse is assessing a six month old infant. The guardian reports that the infant does not appear interested in the brightly colored mobile hanging above the crib at home which of the following technique should the nurse use to check the infants, visual acuity?
Move a brightly colored toy from side to side in front of the infants face
While examining a 2-year-old child, Nurse Victoria sees that the anterior fontanel is open. She should:
Notify the provider
A nurse is observing a mother who is playing peekaboo with her eight month old child. The mother asked if this game has any developmental significance. The nurse should reply that peekaboo helps develop which of the following concepts in the child?
Object permanence
When assessing for pain in a toddler, which of the following methods would be the most appropriate?
Observe the child for restlessness
Nurse is caring for a four month old child who is hospitalized. Which of the following toys should the nurse provide for the child?
Plastic mirror
A nurse on a pediatric unit is admitting a four-year-old child. Which of the following toys should the nurse plan to provide for the child to engage in independent play?
Plastic stethoscope
When developing a plan of care for a hospitalized child, nurse Mary knows that children in which age group is most likely to view illness as a punishment for misdeeds?
Preschool age
A nurse is assessing a six year old client. Which of the following findings require further assessment by the nurse?
Presence of sparse, fine pubic hair
When developing the teaching plan for the mother of a preschooler about illness, which of the following would the nurse expect to include about how a preschooler perceives illness?
Punishment for wrongdoing
A nurse is discussing play activities with a group of parents of toddlers. Which of the following activities should the nurse recommend for this age group?
Pushing a toy lawnmower
A nurse is planning to implement relaxation strategies with a young child prior to a painful procedure. Which of the following action should the nurse take?
Rock the child using long and rhythmic movements
What is the most common death in infants
SIDS
A nurse is preparing a school age child for a tonsillectomy. Which of the following actions should the nurse take?
Schedule the child for a pre-operative visit to the facility
What represents the major stressor of hospitalization for children from middle infancy throughout the preschool years?
Separation anxiety
A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. The nurse most appropriately tells the mother to:
Set limits on the child's behavior
A 10-year-old child proudly tells the nurse that brushing and flossing her teeth is her responsibility. The nurse interprets this statement as indicating which of the following?
She is most likely capable of this responsibility
The nurse is assessing a six-month-old child. Which developmental skills are normal and should be expected?
Sits alone
A nurse in a pediatric clinic is talking with a parent of a toddler who states that their child will not sit at the table and eat with the family. She asked the nurse for recommendations for finger foods for the child. Which of the following foods should the nurse suggest?
Slices of ripe banana
The nurse asks a 9-year-old child and mother about the child's best friend to assess which of the following about the child?
Social development
A nurse is providing teaching to the guardian of a school age child who has hearing loss. Which of the following techniques should the nurse recommend to facilitate communication with the child?
Speak at the child's eye level
A nurse is assessing a four year old child for growth and development milestones during a well child visit. Which of the following findings suggest a possible delay in development?
Speaking using two or three word sentences
A nurse is assessing the development of a three year old child. Which of the following gross motor skills should the nurse expect the child to be able to perform?
Standing on 1 foot
A nurse is assessing the gross and fine motor behaviors of a toddler. Which of the following behaviors should the nurse identify as an expected achievement for a three-year-old child?
Standing on 1 foot for several seconds
A nurse is caring for a two-year-old child who has frequent urinary tract infections. When educating the parents about the prevention of urinary tract infections, which of the following instruction should the nurse include?
Teach a child to wipe from front to back
A 16-year-old child is hospitalized, according to Erik Erikson, what is an appropriate intervention?
Tell the friends to visit the child
A nurse is assessing a seven year old child's psychosocial development. Which of the following findings should the nurse recognize as an indicator for further evaluation?
The child complains daily about going to school
A nurse is performing in assessment on a four year old child. Which of the following findings should the nurse expect?
The child is able to hop on 1 foot
A nurse in an acute pediatric unit is caring for a two-year-old child who has separation anxiety when her parents leave for work. The nurse should identify which of the following behaviors as a manifestation of the stage of despair?
The child is withdrawn and refuses to talk
The mother asks the nurse about her 9-year-old child's apparent need for in-between meal snacks, especially after school. When developing a sound nutritional plan for the child with the mother, which of the following would the nurse need to keep in mind?
The child should help with preparing their own snacks
A mother is concerned because her 5-year-old son seems prone to minor accidents skinning his elbows and knees and falling. The nurse explains to the mother that childhood accidents are more likely to occur in which of the following situations?
The family is experiencing changes
A nurse in a providers office enters an examination room to assess an 8 month old infant for the first time. Which of the following reactions by the infant should the nurse expect?
The infant turns away when the nurse approaches
A nurse is performing a physical assessment on a 12 month old infant. Which of the following findings should the nurse report to the provider?
The infant's current weight is double his birthweight
A nurse is assessing a six month old infant. Which of the following findings indicates the need for further assessment?
The infant's legs remain crossed an extended when supine
A nurse is assessing a school age child who is 30 minutes postoperative following a cardiac catheterization using the left femoral artery. Which of the following findings should the nurse identify as a priority to report to the provider?
The pole strength of a child's left popliteal artery site is decreased
A nurse is assessing a 30 month old toddler. Which of the following findings requires further assessment by the nurse?
The toddler's birthweight is tripled
The parents of a 2-year-old arrive at a hospital to visit their child. The child is in the playroom when the parents arrive. When the parents enter the playroom, the child waves and does not immediately approach the parents. The nurse interprets this behavior as indicating that:
This is a normal pattern
A parent of an 18-month-old boy tells the nurse that he says "no" toeverything and has rapid mood swings. If he is scolded, he shows anger and then immediately wants to be held. The nurse's best interpretation of this behavior is that:
This is normal behavior for his age
The mother asks the nurse for advice about discipline for her 18-month-old. Which of the following would the nurse suggest the mother use first?
Time out
A nurse in a providers office is observing children playing in the waiting room. The nurse should expect to identify parallel behavior in which of the following age groups?
Toddlers
A nurse at a community health department is discussing the nutritional needs of children with a group of parents and guardians. Which of the following pieces of information should the nurse include?
Toddlers can be given up to 122-180 mL of juice per day
A nurse is assessing a six month old infant, throwing a well child visit. Which of the following motor activities should the nurse expect the infant to have achieved?
Turning from back to stomach
A mother of a 1-month-old infant states that she is curious as to whether her infant is developing normally. Which of the following developmental milestones would the nurse expect to perform?
Turning the head from side to side
A nurse is providing preoperative education for an eight-year-old child prior to cardiac surgery. Which of the following action should the nurse take?
Use a doll with tubes and an incision to explain the surgery
A nurse on a pediatric unit is caring for a preschooler who is prescribed an IV medication. Which of the following action should the nurse make to prepare the child for the procedure?
Use a role-play activity with the child
A nurse is talking with a parent of a preschooler. The parent reports that she struggles to get her child to go to bed at a consistent time. She explains that the child gets out of bed enters his parent's room and cries when they tell him to stay in his own bed. Which of the following instructions to the nurse get to the parent?
Use a stable, relaxing routine like a bath and story time before bed
The nurse is preparing to administer an oral medication to an eight month old infant. Which of the following action should the nurse take?
Use an oral syringe to place the medication along side the infant's tongue
Nurse is planning preoperative teaching for school age child who is scheduled for cardiac surgery. Which of the following action should the nurse plan to take when teaching the child?
Use photographs to help explain the procedure
A nurse is evaluating the developmental level of a 2-year-old. Which of the following does the nurse expect to observe in this child?
Uses a cup to drink
A clinic nurse assesses the communication patterns of a 5-month-old infant. The nurse determines that the infant is demonstrating the highest level of developmental achievement expected if the infant
Uses monosyllabic babbling
A nurse is providing education for a group of parents about toddler language development during a visit. Which of the following findings should a parent expect in an 18 month old toddler?
Vocabulary of 10 or more words
A mother states that she thinks her 9-month-old is developing slowly. When assessing the infant's development, the nurse is also concerned because the infant should be demonstrating which of the following characteristics?
Vocalizing single syllables
A nurse is caring for 15 month old client who requires droplet precautions. Which of the following action should the nurse make?
Wear a mask when assisting toddler with meals
A nurse is caring for a toddler who has otitis media and a temperature of 39.1°C. Which of the following action should the nurse take first?
administer an antipyretic to the child
