The nurse employed in a well-baby clinic is collecting data regarding the motor development of
an 18 month old child. what would the nurse expect at the highest level of development in this
child?
A. The child build a tower of two blocks
B. The child pups on simple clothes independently
C. The child build a tower of three or four blocks
D. The child snaps large snaps
The nurse is doing a routine assessment on a 14-month-old Infant and notes that the anterior
fontanelle is closed. How should the nurse interpret this finding
A. Normal finding but requires your checking in one month
B. Normal finding
C. Finding or requiring a referral
D. Normal finding
The nurse is planning to teach a teenage client about sexuality. What would the nurse first do?
A. Advised the teenager to maintain sexual abstinence Until marriage
B. Provide written information about sexually transmitted infections
C. Informed the teenager about the dangers of pregnancy
D. Establish a relationship and determine prior knowledge
A 16-year-old client diagnosed with Crohn’s disease was hospitalized. Which statement by the
client would alert the nurse to potential developmental problems?
A. “I'd like my hair washed before my friends get here”
B. Is it okay if I have a couple of friends in to visit me this evening?
C. Please tell my friends not to visit, since I'll see them back at school next week.
D. When my friends get here, I would like to play some computer games with them.
While sharing for a critically ill child, the nurse observes that respirations are gradually
increasing in rate and depth, with periods of apnea. What pattern of inspiration will the nurse
document?
A. Dyspnea
B. Tachypnea
C. Seesaw (paradoxical) respirations
D. Cheyne-Stokes Respirations
With family. Explain how families react to stressful events and suggest factors that promote
adaptation to leave events?
A. Family stress Theory
B. Duvall's developmental Theory
C. Developmental systems theory
D. Interactional Theory
A 10-month-old infant is hospitalized for respiratory syncytial virus (RSV). On the basis of the
developmental stage of the infant, what intervention should the nurse include in the plan of
care?
A. Restrain the infant with a total body restraint to prevent any tubes from being
dislodged.
B. Wash hands, wear a mask when caring for the infant, and keep the infant as quiet as
possible.
C. Provide a consistent routine, and touch, rock, and cuddle the infant throughout
the hospitalization
D. Follow the home feeding schedule, and allow the infant to be held only when the
parents visit
The nurse observes yellow staining in the sclera, soles of the feet, and Palms of the hands. How
should the nurse do to make his findings?
A. Normal
B. Erythema
C. Ecchymosis
D. jaundice
And mother tells the nurse that she is discontinuing breastfeeding for her 5-month-old infant.
What should the nurse recommend the infant a given?
A. Skin Note
B. Whole cow's milk
C. Commercial iron-fortified formula
D. Commercial formula without iron
A nurse is caring for 1 12-month-old is going to administer the MMR vaccine. Which route
should the nurse administer this vaccine?
A. Intramuscular with 1 inch 25 gauge needle
B. Subcutaneous with 1 inch 23 gauge needle
C. Subcutaneous fluids 5/8 in 25 gauge needle
D. inhalation
The nurse is taking a heart rate of a 3-year-old child admitted to the hospital for mild
dehydration vomiting and diarrhea. The nurse obtains a reading of 162 beats per minute. The
child's mother asked the nurse for an evaluation of his child's heart rate. How would the nurse
respond?
A. The child’s heart rate is normal. No need for concern.
B. The child’s heart rate is high due to dehydration.
C. the child's heart rate is low due to dehydration.
D. The child’s heart rate is abnormal, however, it's not due to dehydration. Let us do some
further investigation.
The nurse is assessing a 36-month-old child during a wellness visit to the pediatrician. After
plotÝng the measurements on the standardized growth chart for a 36-month-old child and
evaluating the curve from birth to this appointment. The nurse notices the children above the
85th percentile. What would the nurse do first?
A. Counsel the parent on appropriate physical activities and exercise
B. Refer the child and the parents for nutritional counseling related to obesity
C. Access the parent’s body shape and statue
D. Document do use of expected findings for a three-year-old child
During an examination of a toddler's extremities, the nurse notes that the child is Bowlegged.
what should the nurse recognize regarding this finding?
A. Abnormal unless it occurs in conjunction with knock knee
B. Abnormal and requires further investigation
C. normal if the condition is unilateral or asymmetric
D. Normal because the lower back and leg muscles are not well developed
The nurse recommends to the parents that peanuts are not a good snack food for toddlers.
What is the nurse’s rationale for this action?
A. Low in nutritive value
B. Can be easily aspirated
C. Cannot be entirely digested
D. High in sodium
The nurse is completing a pan assessment on a four-year-old child. Which of the depicted Pain
Scale tools should the nurse use with a child this age?
A B
CD
A nurse is assessing a family structure. Which describes a family in which a mother, her child,
and a stepfather live together?
A. Extended
B. Binuclear
C. Nuclear
D. Blended
And mother tells the nurse that her child does not want anything to do with toilet training and
yells “no!” Consistently when she tries to toilet train the child is 2 years old according to Erikson,
the newer interpreted that the child is experiencing which psychosocial crisis?
A. Industry versus inferiority
B. Autonomy vs Shame and doubt
C. Initiative versus guilt
D. Trust versus mistrust
Based on the growth chart provided. What percentile is the best patient at the age of 12
months for weight?
A. 90th
B. 60th
C. 95th
D. 75th
Which behavior is most characteristic of the concrete operations stage of cognitive
development?
A. increasingly logical and coherent thought processes
B. Progression from reflex activity to imitative Behavior
C. Inability to put oneself in another's place
D. Ability to think and abstract terms and draw logical conclusions
The nurse is caring for a school-age child who has just had an appendectomy. Which
information does the nurse need to know about pain in the child to plan effective care?
A. Pain is diminished because of the immaturity of the nervous system
B. Pain is Unmeasurable
C. Pain is expressed differently according to the developmental stage
D. Pain is easily forgotten
How does the nurse describe a person who is bulimic?
A. Introverted perfectionist
B. Severely underweight
C. Alternates binge eating with purging
D. Has extremely close family relationships
A nurse on a pediatric unit is practicing family-centered care. which is most descriptive of the
care the nurse is delivering?
A. Taking over total care of the child to reduce stress on the Family
B. Recognizing that the family is constant in the child's life
C. Excluding families from the decision-making process
D. Encouraging family dependence on Healthcare System
What is the major cause of death for children older than 1 years old?
A. Congenital abnormalities
B. Heart disease
C. Unintentional injuries
D. Cancer
Which drug is usually the best choice for the patient-controlled analgesia (PCA) for a child in the
intermediate postoperative period?
A. Meperidine
B. Methadone
C. Codeine
D. Morphine
Which information should the nurse give to the mother regarding the introduction of solid
foods during infancy?
A. Fruits and vegetables should be introduced into the diet first
B. Solid foods should not be introduced until 8 to 10 months, when the Extrusion reflex
begins to disappear.
C. Solid foods can be mixed in a bottle to make the transition easier for infants.
D. It should be introduced one at a time, at intervals of 4 to 7 days.
And Adolescent boy tells the nurse that he has recently had homosexual feelings. What
knowledge should the nurse respond be based on?
A. This indicates that adolescence is homosexual.
B. This indicates that adolescent will become homosexual as an adult.
C. The Adolescent should be referred for psychotherapy.
D. The Adolescent should be encouraged to share his feelings and experiences.
What is the appropriate nursing intervention to minimize separation anxiety in a hospitalized
toddler?
A. Encourage contact with children the same age
B. Encourage parents to room in
C. Explain procedure and routines
D. Provide privacy
The nurse is observing the parents playing with their 10-month-old child. Which should the
nurse recognize as evidence that the child is developing object permanence?
A. Looks for the toy that parents hide under the blanket
B. Return to the blocks to the same spot on the table
C. Recognizes that a ball of clay is the same when flattened out
D. Bangs 2 cubes held in her hand
The nurse is preparing to administer an IM injection to a 10 month old child. Which location
would the nurse select to administer the medication?
A. Vastus lateralis muscle
B. Dorsogluteal muscle
C. Ventrogluteal muscle
D. Deltoid muscle
A mother of a toddler who is hospitalized with mild dehydration must leave her child to go to
work. Which behavior with the nurse expect to observe in the child immediately after the
mother's departure?
A. Playing quietly with a favorite toy
B. Sucking his thumb and rocking back and forth
C. silently curled in bed with a blanket
D. Loudly crying and kicking both legs
A nurse is planning a class on accident prevention for parents of toddlers. Which safety topic is
the priority for this class?
A. Safely crossing the street
B. Poison control number
C. Helmet use for riding a bicycle
D. Appropriate use of car seats and booster seats
Which is most likely to encourage parents to talk about their feelings related to their child
illness?
A. Be sympathetic
B. Use direct questions
C. Avoid periods of Silence
D. Use opened ended questions
Bullying can be a common problem during school ages years. The nurse should recognize that
which applies to bullying?
A. Is rarely based on anything that is concrete
B. Is usually ignored by the child who is being bullied
C. Can have a lasting effect on the child
D. Is not a significant threat to self-concept
At about what age does the Babinski sign disappear?
A. 3 years old
B. 6 months
C. 1 year
D. 4 months
An infant who weighs 7 pounds at birth would be expected to weigh how many pounds at 1
year?
A. 18
B. 14
C. 16
D. 21
The nurse employed in a well-baby clinic is providing nutrition Instructions to the mother of a
nine-month-old infant. Which instructions are appropriate?
A. Begin to offer rice cereal mixed with breastmilk or formula
B. Introduce strained first one at a time
C. Introduced row and vegetables one at a time
D. Begin to initiate self-feeding
What is an appropriate method for administering oral medications that are bitter to an infant or
small child?
A. Mix with any food that the child is going to eat.
B. Mix in a bottle of formula or milk
C. Mix with a spoonful of Applesauce, pudding, or jelly
D. Mix with large amounts of water to dilute medications sufÏciently
The clinic is lending in federally approved car-seat to an infant's family. The nurse should explain
that the safest place to put the car seat is:
A. Front-facing in the back seat
B. Front-facing in the front seat with an airbag on the passenger side.
C. Rear-facing in the front seat if an airbag is on the passenger side.
D. Rear-facing in the back seat.
A nurse is preparing to test a school-age child’s Vision. With eye chart should the nurse use?
A. Snellen letter chart
B. Ishihara vision test
C. Allen picture card test
D. Denver eye screening test
At what age can most infants sit steadily unsupported?
A. 2 months
B. 4 months
C. 8 months
D. 12 months
The nurse observes and children in the playroom. Which play situation exhibits the
characteristics of parallel play?
A. Danielle playing with music blocks on her mother's lap
B. Brian playing with his truck next to Kristina playing with her truck
C. Kimberly and Amanda sharing clay to each make things
D. Adam playing board games with kyle, steven, and Erich
The nurse is caring for a child who just died. The parents asked to be left alone so that they can
rock the child one more time. What is the nurse’s most appropriate response?
A. Kindly explain that they need to say goodbye to the \child now and leave
B. Discourage list because it only prolongs their grief
C. Grant the request
D. Assess why they feel this is necessary
The nurse is in the well-baby Clinic has provided instructions regarding Dental Care for the
mother of a 10-month-old child which statement by the mother indicates that need for further
instructions?
A. I need to limit the amount of concentrated sweets
B. I can coat a pacifier with honey during the day as long as I do not give my child a bottle
during a nap.
C. I need to use fluoride supplements if the water is not fluorinated
D. I need to start dental hygiene as soon as the primary teeth erupt
Parents expressed concern that their pubertal daughter is taller than the boys in her class. The
nurse should respond with which statement regarding how the onset of pubertal growth spurt
compared to boys and girls?
A. In both boys and girls, the pubertal growth spurt depends on growth in infancy
B. It occurs earlier in boys
C. It is about the same in both girls and boys
D. It occurs earlier in girls
A toddler's parents ask the nurse for suggestions on dealing with temper tantrums. Which is the
most appropriate recommendation?
A. Remains closed by the child but without eye contact
B. Punish the child
C. Leave the child alone until the Tantrum is over
D. Explain to the child that this is wrong
During a routine, well-child check-up for a two-and-a-half-year-old child the nurse plan to teach
the mother proper nutrition and weight gain expectations for her child. The nurse reviews the
chart and finds that the toddler's birth weight is 7 lb 15 oz. What would the nurse expect the
child's way to be at this time?
A. 15 lbs 14 oz
B. 44 lb 2 ounces
C. 23 lb 13 Oz
D. 31 lb 12 oz (3x birth weight for 1st year, 4x by 2 ½)
A young child on the Pediatric unit cannot express himself well. What therapeutic intervention
might the nurse Implement that allows the child to act out their feelings?
A. Music therapy
B. Art therapy
C. Play therapy
D. Bibliotherapy
The nurse determines that which is age-appropriate play activity for a hospitalized school-age
Child?
A. Playing peekaboo
B. Arts and crafts
C. Playing with a push-pull toy
D. Listening to music
A five-year-old sibling of a nine-year-old child with cystic fibrosis tells the nurse, “ wish I had a
breathing disease too”. The nurse knows the parents drive to spend quality time with each child
and with both children together. What is the sibling currently experiencing?
A. Jealousy
B. Anxiety
C. Anger
D. Behavioral problems
A parent asks the nurse about negativity ISM in the toddler. Which is the most appropriate
recommendation?
A. Punish the Child
B. Ask the child not to always say “no”
C. Provide more attention
D. Reduce the opportunities for a “no” answer
A preschool child is placed in traction for a femur fracture. The child has started bed wetÝng
even though the child has been toilet-trained for a year. The mother is very upset by this
situation. The nurse explains to the mother that this Behavior should be recognized as which
psychosocial of adaptation?
A. A body image disturbance
B. Regressing to earlier developmental Behavior
C. Attention-seeking Behavior
D. Opposition to authority figures
When assessing a family, the nurse determines that the parent exerts little to no control over
their children what is the style of parenting called?
A. Dictatorial
B. Permissive
C. Democratic
D. Authoritarian
The clinic nurse is performing an assessment on a 12-month-old infant. The nurse determines
that the infant is demonstrating the highest level of Developmental achievement is the 12-
month-old is able to do which task?
A. Obey simple commands like waving bye-bye
B. Produce babbling Sounds
C. Produce cooing sound
D. Begin to say 3- 5 words
Which best describes how preschoolers react to the death of a loved one?
A. A preschooler is too young to have a concept of death
B. A preschooler may feel guilty and responsible for the death
C. Grief is usually expressed in the same way in which of the adults in the preschooler’s life
are expressing grief
D. Greif is acute but does not last long for this age
The nurse performs an assessment on a nine-month-old infant. Which finding indicates a
psychological problem and need for a follow-up?
A. Inability to stand without support
B. Absence of rooting reflex
C. Creeping or crawling along the floor
D. Head lag noted when pulled to sitÝng
A nurse is preparing to perform a physical assessment on a toddler which approach should the
nurse use for this child?
A. Always proceed in head-to-toe direction
B. Use minimal physical contact initially
C. Demonstrate you some equipment
D. Perform traumatic procedures first
What should the nurse expect of a healthy 3-year-old child?
A. Balance on one foot for a few seconds
B. Ride a two-wheel bicycle
C. Jump rope
D. Skip on Alternate feet
The nurse is caring for a child who has been physically assaulted. When evaluating for acute
pain, the nurse should assess which sign? Select all that apply.
A. Increase blood pressure
B. Sweating
C. Increase respiratory rate
D. Pinpoint pupils
E. Decrease heart rate
The nurse is assessing a 16 year old female for characteristics of anorexia nervosa. Which
assessment finding would lead the nurse to suspect possibility of this diagnosis? select all that
apply.
A. Oily skin.
B. hypertension
C. amenorrhea
D. Lanugo on back
E. Severe weight loss
A nurse is planning to administer recommended immunizations for a 4 year old child. Which is
the following vaccinations should the nurse plan to give? Select all that apply.
A. Haemophilus infuenza type B (Hib)
B. Diphtheria, tetanus, acellular pertussis (DTap)
C. Inactivated polio virus (IVP)
D. Measles, mumps, rubella (MMR)
E. Hepatitis B (HepB)
F. Varicella (VAR)
A child has been admitted to the Intensive Care Unit (ICU) and the parents are with the child.
Which creates stress for the child and parents in the ICU? Select all that apply.
A. Sleep deprivation
B. Equipment noise
C. unfamiliar smells
D. Privacy
E. Caring Behavior by the nurse
The nurses in a well-baby Clinic is providing safety instructions to the mother of a one-month-
old infant. Which safety instructions are most appropriate to include at the same? Select all that
apply.
A. Remove hazardous objects from the low places.
B. Cover electrical outlets
C. Lock up all poisons
D. Never shake the infant's head
E. Place the infant on the back to sleep
The nurse is counseling the family of a terminally ill patient about how potatoes care. The nurse
identifies which goals as being those of palpitate of care? Select all that apply
A. Offering a caring supporting system
B. Addressing the express spiritual needs of the client and the family
C. The delay of the impending death
D. Expanding the focus of care to both the client and the family
E. Introducing the interventions that enhance the quality of life
F. Providing measures focused on pain management
The nurse working in the ofÏce setÝng. Every day when she comes to work she ensures that she
has the appropriate pediatric Emergency Equipment in case of a pediatric emergency. Which
equipment with the nurse ensure is available? Select all that apply.
A. Emergency medication to include epinephrine Albuteril naloxone atropine
B. length-based resuscitation tape
C. Airway equipment to include oral and nasal pharyngeal Airway, suction, laryngoscope
handle and Blades, ET tube, CO2 detector
D. Intravenous and intraosseous needles, fluid, and tubing
E. Automated external defibrillator
F. pulse oximeter
G. Oxygen delivery equipment to include bag valve mask and non-rebreather mask
A nurse is preparing to administer routine immunization to a four-month-old infant. the infant
is currently up to date on all previously recommended immunizations. Which immunization will
the nurse prepare to administer? Select all that apply.
A. Varicella (VAR)
B. Diphtheria tetanus, Pertussis (Dtap)
C. Rotavirus (RV)
D. Measles, mumps, and rubella (MMR)
E. Haemophilus influenza type B (Hib)
F. Inactivated poliovirus (IPV)
what sources are examples of active immunity?
A. Immune globulin
B. Gamma globulin
C. The disease
D. The vaccine
E. Maternal antibodies
A pediatric patient who weighs 16.5 kg mg has an order to receive IV maintenance therapy of
lactated ringers for the next 24 hours. What is the total fluid requirement for this patient, using
the Pediatric IV Administration weight-based formula? (only write the number)
0 - 10 kg - 100 ml/kilogram
> 10 -20 kilograms - 50 mL/kg
> 20-30 kg - 20 mL/kg
1325
A child with congestive heart failure is placed on a maintenance dosage of digoxin (Lanoxin).
The dosage is 0.07 milligrams/kilograms/day check, and the child weight is 7.2 kg. The physician
prescribes the digoxin to be given once a day by mouth. Each dose will be given ____
milligrams. (Record your answer to the tenths place, number only)
0.5
The nurse is using the
FLACC scale to evaluate
pain in a previous verbal
child. The nurse makes
the following
assessment: paste:
occasional Grimace; legs:
relaxed; activity:
squirming, tense; Cry: No
Cry; consolability:
content, relax. The nurse
records the FLACC
assessment as which
number? (Record your
answer as a whole
number.)
2
Place in order the expected sequence of fine motor development milestones for an infant
beginning with the first Milestone achieved and ending with the last Milestone achieved. Right
answer using lowercase letters separated by commas.
A. Voluntary plantar grasp
B. Reflex Palmar grasp
C. Build a tower of two blocks but fails
D. Neat pincer grasp
B, A, D, C
