401 Final Exam Questions and Already
Passed Answers 2025-2026 Updated.
o What does the nurse need to know when observing a chronically ill child at play? - Answer
children’s play is a form of communication
o An important consideration for the nurse who is communicating with a very young child is to -
Answer use transition objects such as a puppet
o What is the most important consideration for effectively communicating with a child? -
Answer the child’s developmental level
o Which is the most appropriate question to ask when interviewing an adolescent to encourage
conversation? - Answer "how is school going for you"
o When meeting a toddler for the first time, the nurse initiates contact by - Answer kneeling
if front of the toddler and speaking softly to the child
o The theorist who viewed developmental progression as a lifelong series of conflicts that need
resolution is - Answer Erickson
o Which expected outcome is developmentally appropriate for a hospitalized 4-year-old child? -
Answer othe child will independently ask for play materials or other personal needs
o Which milestone is developmentally appropriate for a 2-month-old infant? - Answer o The
infant can lift his or her head from the prone position and briefly hold thehead erect.
o The nurse is performing a routine assessment on a 14-month-old infant and notes that
theanterior fontanel is closed. This should be interpreted as a(n) - Answer normal (closes 12-
18 months)
o Which statement by a mother indicates that her 5-month-old infant is ready for solid food? -
Answer started to sit up without any support
o Frequent developmental assessments are important for which reason? - Answer oCritical
periods of development occur during childhood.
o Which statement best describes development in infants and children? - Answer o
Development, a predictable and orderly process, occurs at varying rates within normal limits.
,o The nurse is planning a teaching session for a young child and her parents. According to
Piaget's theory, the period of cognitive development in which the child is able to distinguish
between concepts related to fact and fantasy, such as human beings are incapable of flying like
birds, is the _______ period of cognitive development - Answer concrete operations
o What does the nurse need to know when observing a chronically ill child at play - Answer o
Children's play is a form of communication
o A type of play that allows children to act out roles and experiences that may have happened
to them, that they fear may happen, or that they have observed in others is known as ______
play. - Answer dramatic
o Which toy is the most developmentally appropriate for an 18- to 24-month-old child? -
Answer push and pull
o Which factor has the greatest influence on child growth and development? - Answer
genetics
o Which play patterns does a 3-year-old child typically display? Select all that apply. - Answer
imaginary, parallel, associative and cooperative
o Which action is appropriate when the nurse is assessing breath sounds of an 18-month-old
crying child? - Answer Let the child play with the stethoscope for distraction
o A nurse is reviewing pediatric physical assessment techniques. Which statement about
performing a pediatric physical assessment is correct? - Answer o Physical examinations
proceed systematically from head to toe unless developmental considerations dictate
otherwise.
o Which strategy is the best approach when initiating the physical examination of a 9-month-old
male infant? - Answer o Have parents hold child on lap
o Which strategy is not always appropriate for pediatric physical examination? - Answer
examining from head to toe
o Which measurement is not indicated for a 4-year-old well-child examination? - Answer
head circumference (stops at 3)
, o Examination of the abdomen is performed correctly by the nurse in which order? - Answer
o Inspection, auscultation, and palpation
A nurse is assessing a 12-month-old baby. What question about growth and development is
most appropriate - Answer is your baby cruising around yet?
o The nurse is ready to begin a physical examination of an 8-month-old infant. The child is sitting
contentedly on his mother's lap, chewing on a toy. What part of the assessment should the
nurse do first? - Answer oauscultate the heart and lungs
o During an otoscopic examination on an infant, in which direction should the nurse gently pull
the pinna? - Answer down and back
o Which action by the nurse indicates that the correct procedure has been used to measure
vital signs in a toddler? - Answer counting apical heart rate for 60 seconds
o Which intervention helps a hospitalized toddler feel a sense of control? - Answer follow
their routines for feeding and bedtime
o The nurse is assessing a 6-month-old infant who smiles, coos, and has a strong head lag. What
assessment should the nurse make about this infant's development? - Answer oa
developmental/neurologic evaluation is needed
o The nurse is doing a neurologic assessment on a 2-month-old infant after a car accident.
Moro, tonic neck, and withdrawal reflexes are present. What evaluation of these reflexes by the
nurse is more accurate? - Answer othe infant's neurological status is appropriate
· What is the best action for the nurse to take when a 5-year-old child who requires another 2
days of IV antibiotics cries, screams, and resists having the IV restarted? - Answer olet the
child decide which color arm board to use with the IV
· Prepare liquid medication in volumes less than 5 mL - Answer ocalibrated syringe
- Which muscle should the nurse select to give a 6-month-old infant an intramuscular injection -
Answer o vastus lateralis
- What is the main purpose for using a volume-control device or an infusion pump to administer
intravenous fluids to children? - Answer to avoid fluid overload
Passed Answers 2025-2026 Updated.
o What does the nurse need to know when observing a chronically ill child at play? - Answer
children’s play is a form of communication
o An important consideration for the nurse who is communicating with a very young child is to -
Answer use transition objects such as a puppet
o What is the most important consideration for effectively communicating with a child? -
Answer the child’s developmental level
o Which is the most appropriate question to ask when interviewing an adolescent to encourage
conversation? - Answer "how is school going for you"
o When meeting a toddler for the first time, the nurse initiates contact by - Answer kneeling
if front of the toddler and speaking softly to the child
o The theorist who viewed developmental progression as a lifelong series of conflicts that need
resolution is - Answer Erickson
o Which expected outcome is developmentally appropriate for a hospitalized 4-year-old child? -
Answer othe child will independently ask for play materials or other personal needs
o Which milestone is developmentally appropriate for a 2-month-old infant? - Answer o The
infant can lift his or her head from the prone position and briefly hold thehead erect.
o The nurse is performing a routine assessment on a 14-month-old infant and notes that
theanterior fontanel is closed. This should be interpreted as a(n) - Answer normal (closes 12-
18 months)
o Which statement by a mother indicates that her 5-month-old infant is ready for solid food? -
Answer started to sit up without any support
o Frequent developmental assessments are important for which reason? - Answer oCritical
periods of development occur during childhood.
o Which statement best describes development in infants and children? - Answer o
Development, a predictable and orderly process, occurs at varying rates within normal limits.
,o The nurse is planning a teaching session for a young child and her parents. According to
Piaget's theory, the period of cognitive development in which the child is able to distinguish
between concepts related to fact and fantasy, such as human beings are incapable of flying like
birds, is the _______ period of cognitive development - Answer concrete operations
o What does the nurse need to know when observing a chronically ill child at play - Answer o
Children's play is a form of communication
o A type of play that allows children to act out roles and experiences that may have happened
to them, that they fear may happen, or that they have observed in others is known as ______
play. - Answer dramatic
o Which toy is the most developmentally appropriate for an 18- to 24-month-old child? -
Answer push and pull
o Which factor has the greatest influence on child growth and development? - Answer
genetics
o Which play patterns does a 3-year-old child typically display? Select all that apply. - Answer
imaginary, parallel, associative and cooperative
o Which action is appropriate when the nurse is assessing breath sounds of an 18-month-old
crying child? - Answer Let the child play with the stethoscope for distraction
o A nurse is reviewing pediatric physical assessment techniques. Which statement about
performing a pediatric physical assessment is correct? - Answer o Physical examinations
proceed systematically from head to toe unless developmental considerations dictate
otherwise.
o Which strategy is the best approach when initiating the physical examination of a 9-month-old
male infant? - Answer o Have parents hold child on lap
o Which strategy is not always appropriate for pediatric physical examination? - Answer
examining from head to toe
o Which measurement is not indicated for a 4-year-old well-child examination? - Answer
head circumference (stops at 3)
, o Examination of the abdomen is performed correctly by the nurse in which order? - Answer
o Inspection, auscultation, and palpation
A nurse is assessing a 12-month-old baby. What question about growth and development is
most appropriate - Answer is your baby cruising around yet?
o The nurse is ready to begin a physical examination of an 8-month-old infant. The child is sitting
contentedly on his mother's lap, chewing on a toy. What part of the assessment should the
nurse do first? - Answer oauscultate the heart and lungs
o During an otoscopic examination on an infant, in which direction should the nurse gently pull
the pinna? - Answer down and back
o Which action by the nurse indicates that the correct procedure has been used to measure
vital signs in a toddler? - Answer counting apical heart rate for 60 seconds
o Which intervention helps a hospitalized toddler feel a sense of control? - Answer follow
their routines for feeding and bedtime
o The nurse is assessing a 6-month-old infant who smiles, coos, and has a strong head lag. What
assessment should the nurse make about this infant's development? - Answer oa
developmental/neurologic evaluation is needed
o The nurse is doing a neurologic assessment on a 2-month-old infant after a car accident.
Moro, tonic neck, and withdrawal reflexes are present. What evaluation of these reflexes by the
nurse is more accurate? - Answer othe infant's neurological status is appropriate
· What is the best action for the nurse to take when a 5-year-old child who requires another 2
days of IV antibiotics cries, screams, and resists having the IV restarted? - Answer olet the
child decide which color arm board to use with the IV
· Prepare liquid medication in volumes less than 5 mL - Answer ocalibrated syringe
- Which muscle should the nurse select to give a 6-month-old infant an intramuscular injection -
Answer o vastus lateralis
- What is the main purpose for using a volume-control device or an infusion pump to administer
intravenous fluids to children? - Answer to avoid fluid overload
