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    Exam Review

    1. A 4-year-old child is admitted to the pediatric unit for a minor surgical procedure. The child believes that the surgery is a punishment for being "bad." Which response by the nurse is most appropriate to address the child's magical thinking?
      A)
      "You are a good child. Sometimes we need surgery to stay healthy."
      B)
      “You should not think like that. Surgery is not a punishment."
      C)
      "It's normal that you might feel that way. However, "You are not being punished. The surgery is to help you get better."
      D)
      “I see you are scared. Would you like to play with some toys?
    2. A nurse is assessing a 4-year old preschooler. Which of the following findings should indicate to the nurse a need to refer the child for a possible developmental delay? (Select all that apply.)
      (SATA)
      A)
      The child occasionally reverses letters when writing.
      B)
      The child is unable to follow simple two-step instructions.
      C)
      The child occasionally stutters when excited or nervous.
      D)
      The child has a vocabulary of fewer than 50 words
      E)
      The child has difficulty sharing toys with peers
    3. A nurse is providing health promotion teaching to the parents of an infant. Which of the following conditions should the nurse identify as the leading cause of death among this age group?
      A)
      Respiratory distress
      B)
      Congenital anomalies
      C)
      Sudden infant death syndrome
      D)
      Low birth weight
    4. The parent of a recently readmitted 3-year-old child with a chronic illness tells the nurse, "I am not sure what to do about my other children. Every time she comes back to the hospital, they have to go to the babysitter. They are telling me that it is not fair that their sister gets all my attention." Which is the nurse's best assessment of this situation?
      A)
      The family has ineffective mechanisms to deal with a child with a chronic illness
      B)
      The siblings are immature and need counseling.
      C)
      Jealousy and resentment are common reactions to the illness or hospitalization of a sibling.
      D)
      The siblings need to better understand their sister's illness and needs.
    Page 1 of 17

    Exam Review

    1. A nurse is conducting a health history assessment on a pediatric patient newly admitted to the pediatric floor. Which of the following questions should the nurse include to gather comprehensive information? (Select all that apply.)
      (SATA)
      A)
      "Can you tell me about any allergies your child has?"
      B)
      "What is your child's favorite food?"
      C)
      "Has your child had any recent illnesses or hospitalizations?"
      D)
      "Has your child met all their developmental milestones?"
      E)
      "Does your child have any siblings?"
    2. A nurse is teaching a class about expected developmental milestones in 2-year-old toddlers. The nurse should include which of the following milestones?
      (SATA)
      A)
      Speaks up to 20 words
      B)
      Engages in associative play with other children
      C)
      Drinks from a cup
      D)
      Walks independently
      E)
      Feeds themselves with a spoon
    3. A public health nurse is working with local health care providers on programs to improve the growth and development of children in their community. Which of the following describes a secondary prevention intervention for a developmental delay (ASD)?
      A)
      Early intervention program screening children for developmental delays
      B)
      Environmental policies to decrease the amount of air pollution in the area
      C)
      Well-child preventive health visits
      D)
      Free healthy pregnancy classes for expectant parents
    4. A nurse is teaching a group of parents about accident prevention and safety precautions for preschoolers. Which of the following statements by a parent indicates a need for further teaching?
      A)
      “I will allow my child to play with small toys as long as they are in the same room as me."
      B)
      “I will ensure that my child wears a helmet when riding a tricycle."
      C)
      “I will keep all cleaning supplies locked up and out of reach."
      D)
      “I will teach my child to swim and always supervise them near water."
    Page 2 of 17

    Exam Review

    1. When explaining magical thinking behavior to parents of a preschooler, the nurse should provide examples of behaviors that the parents might see in their child. Select the examples of behaviors associated with magical thinking. (Select All that Apply.)
      (SATA)
      A)
      Believing in imaginary friends or creatures
      B)
      Having a fear of monsters or ghosts
      C)
      Understanding the concept of time and past events
      D)
      Believing that their thoughts can cause something to happen
      E)
      Understanding cause and effect through logical reasoning
      F)
      Believing that their actions can change the outcome of events
    2. A nurse is providing guidance to parents of a toddler who is experiencing physiological anorexia. Which of the following suggestions should the nurse include? (Select all that apply.)
      (SATA)
      A)
      Allow the toddler to eat multiple snacks between meals.
      B)
      Offer small, frequent meals throughout the day.
      C)
      Provide a variety of healthy foods and let the toddler choose what to eat.
      D)
      Avoid forcing the toddler to eat when they are not hungry.
      E)
      Limit the toddler's fluid intake to increase hunger.
      F)
      Encourage the toddler to eat larger portions during meal times.
    3. The parents of a toddler have been away from the bedside for much of the shift to care for siblings. The toddler is tearful and withdrawn. Which intervention should the nurse apply?
      A)
      Engaging the child in art therapy
      B)
      Providing a favorite toy or comfort object
      C)
      Explain that the parents will be back at 3 o'clock.
      D)
      Encouraging the toddler to engage in imaginative play
    4. A nurse is assessing the psychosocial development of a toddler, The nurse should recognize that this stage is characterized by which of the following?
      A)
      Demonstrations of sexual curiosity
      B)
      Imaginary playmates
      C)
      Negative behaviors characterized by the need for autonomy
      D)
      Erikson's stage of initiative versus guilt
    Page 3 of 17

    Exam Review

    1. Which of the following methods is most effective for a nurse to assess pain in a 4-year-old child?
      A)
      Asking the child to rate their pain using descriptive words like 'mild,' 'moderate,' or 'severe
      B)
      Using a faces pain scale to allow the child to point to the face that best represents their pain
      C)
      Observing the child's facial expressions and body movements without any other assessment
      D)
      Asking the child to rate their pain on a scale of one to ten, with ten being the worst
    2. A nurse is Instructing the mother of a toddler who has iron-deficiency anemia to increase iron in the child's diet in addition to the prescribed iron supplement. Which of the following foods should the nurse recommend?
      A)
      Bananas
      B)
      Cucumbers
      C)
      Tuna fish
      D)
      Skim milk
    3. A nurse teaching the parents of a 10-month-old infant about home safety. Which of the following information should the nurse include in the teaching? (Select all that apply.)
      A)
      Install accordion style gates.
      B)
      Fit the mattress so that it is snug against the sides of the crib.
      C)
      Tie plastic bags in knots before discarding them.
      D)
      Set the water heater at 65.6° C (150° F).
      E)
      Serve food in small, non-circular pieces.
    4. The nurse is preparing to give an injection to a 3-year-old child. Which of the actions by the nurse is appropriate? (Select all that apply)
      A)
      Allow the child to wait until later that afternoon after a trip to the playroom to receive the injection.
      B)
      Provide comfort measures after the procedure, such as touching, holding, or providing a favorite toy.
      C)
      Accept aggressive behavior, within reasonable limits, as a normal response, and provide healthy outlets for the child.
      D)
      Offer a brief, concrete explanation of the procedure and then perform it.
    Page 4 of 17

    Exam Review

    1. During the hospital admission process, the child's parent receives information abut the pediatric unit's goals, including the statement that the unit practices "family-centered care." The parent asks why that should be important, The nurse would respond that in the "family-centered care" paradigm, the:
      A)
      Father is the leader in each home; thus, all communications should include him.
      B)
      Child's physician is the key person in assuring the health of a child is maintained.
      C)
      Mother is the principal caregiver in each family.
      D)
      Family serves as the constant influence and continuing support in the child's life.
    2. A nurse is teaching new parents the proper way to use an infant safety seat. Which of the following should indicate to the nurse a need for further teaching?
      A)
      "We will need to go by the weight and height of the child when deciding to change to a booster seat."
      B)
      "I will place the infant safety seat in the middle of the back seat, away from the windows."
      C)
      "When my baby is sick, the car seat can temporarily go in the front seat."
      D)
      "My baby will be able to watch me drive while sitting in the back seat."
    3. Choose the correct immunization given to a child 12-18 months A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply).
      A)
      Human papillomavirus (HPV4)
      B)
      Varicella (VAR)
      C)
      Rotavirus (RV)
      D)
      Measles, mumps, rubella (MMR)
      E)
      Diphtheria, tetanus, and acellular pertussis (DTaP)
    4. A nurse is caring for a 4-year-old child who is hospitalized with a respiratory illness and wet the bed overnight. When the parents visit the next day, the nurse explains the situation and one of the parents says, "She never wets the bed at home. I am so embarrassed." Which of the following responses should the nurse make?
      A)
      "Why does it bother you that your child has wet the bed?"
      B)
      "Your child did not seem upset, so I wouldn't worry about it if I were you."
      C)
      "Is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better."
      D)
      "I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me."
    Page 5 of 17

    Exam Review

    1. A nurse is explaining to a 4-year-old child why they need to be on isolation precautions. Which of the following statements is most appropriate for the nurse to say?
      A)
      “You need to stay in this room because your germs are very bad and scary."
      B)
      "You have to stay in this room because the doctors ordered it
      C)
      "We are keeping you in this room because your germs are very contagious and dangerous to others.”
      D)
      "You need to stay in this room because you have germs that can make other people sick."
    2. A nurse is caring for a 6-month-old infant. Which of the following findings indicates to the nurse that the infant may be experiencing pain?
      A)
      Facial grimace
      B)
      Dry palms and feet
      C)
      Eyes wide open
      D)
      Decreased muscle tone
    3. A nurse is teaching parents about signs of readiness for potty training in their toddler. Which of the following strategies should the nurse include in the teaching? (Select all that apply.)
      A)
      Look for signs such as staying dry for at least 2 hours during the day or waking up dry from naps.
      B)
      Encourage the child to sit on the potty chair for a few minutes several times a day, even if they do not use it.
      C)
      Discipline the child when they wet themselves
      D)
      Wait until the child shows interest in using the toilet and can follow simple instructions.
      E)
      Start potty training as soon as the child turns 18 months old.
    4. Infants develop gross and fine motor functions in precise and predictable patterns. Which words below describe those patterns? (select all that apply)
      A)
      from the top to the bottom
      B)
      functional to nonfunctional
      C)
      from the outside to the inside of the body
      D)
      from the center to the outside of the body
      E)
      from the bottom to the top
      F)
      simple to complex
      G)
      general to specific
    Page 6 of 17