Pediatrics Exam One Practice Questions And
Verified Answers
1. The nurse in a pediatric clinic is performing well-baby checks. The nurse is
checking an infant who is 7 months old for developmental milestones. Which
finding is of greatest concern to the nurse?
1. The infant remains flat when in a supine position.
2. The infant exhibits a Babinski reflex.
3. The infant opens and closes her hands to grasp objects.
4. The infant exhibits a lack of startle reflex to sound.: 1. The infant remains flat when in a
supine position.
2. The nurse in a pediatric clinic is checking the developmental milestones for
a 3-year-old patient. Which finding causes the nurse to perform additional
assessments?
1. The patient's tee-shirt is on backward.
2. The patient loses balance when kicking a ball.
3. The patient draws a circle that is closed but oblong.
4. The patient jumps with both feet about 2 inches high.: 2. The patient loses balance when
kicking a ball.
3. A mother of a 9-month-old infant asks the nurse about what toys are age
appropriate. Using Piaget's theory of development, which toy does the nurse
recommend?
1. Building blocks
2. Colorful mobiles
3. Picture books
4. Musical rattles: 4. Musical rattles
4. During a well-baby checkup, the mother of an infant states, "Even if he is
occupied with a toy, he cries as soon as he notices I have left the room." Which
explanation by the nurse is best?
1. "Your baby does not know you exist if he cannot see you."
2. "Babies learn very quickly how to get an adult's attention."
3. "You should move the baby with you if you leave the room."
,4. "Just ignore him; he will soon learn that you are still present.": 1. "Your baby does
not know you exist if he cannot see you."
,5. The nurse is visiting the home of a new mother and a 2-month-old infant.
The nurse notices the infant vigorously sucking on the fist and whining but not
crying. The mother validates that the behavior is common. Which information
does the nurse need to obtain from the mother?
1. If the mother is breast or bottle feeding
2. How long the infant sleeps at night
3. What type of feeding schedule is followed
4. If the infant draws up the legs when crying: 3. What type of feeding schedule is followed
6. The nurse works in an elementary school with students ranging from 6 to 11
years of age. The nurse uses knowledge related to Freud's psychosocial theory
to identify which behavior in this pediatric population?
1. Oedipal or Electra conflicts
2. Energy focused on socialization
3. Curiosity about anatomical differences
4. Mild struggles with sexuality: 2. Energy focused on socialization
7. The nurse in a pediatric clinic is counseling a parent who expresses concern
about a toddler who plays alone at daycare and does not interact with the
other children who are present. Which information does the nurse provide to
alleviate the parent's concern?
1. Parallel play is being exhibited and is normal at this age.
2. The toddler is likely to grow into a shy, introverted adult.
3. It is important for the child to learn to be alone at this age.
4. The toddler is exhibiting the normal behavior of solitary play.: 1. Parallel play is being
exhibited and is normal at this age.
8. The school nurse in a high school setting expresses concern to school admin-
istration regarding the increase in student complaints about bullying, physical
violence, and rejection. Which concern related to psychosocial development
does the nurse share as being most important?
1. Students are preoccupied with how they are seen in the eyes of others.
2. Students who are bullied will develop issues related to sexual orientation.
3. Students may be unable to provide a meaningful definition of self.
, 4. Students who are aggressive will develop a strong sense of guilt as adults.: 3.
Students may be unable to provide a meaningful definition of self.
9. The nurse is counseling parents about management of their children who are
2, 4, and 6 years of age. One of the parents states, "We believe in Kohlberg's
theory of social-moral development." The nurse is aware that the preconven-
tional stage of this theory involves which characteristic?
1. Behavior is adjusted according to good/bad and right/wrong thinking.
2. A personal and functional value system is constructed by the child.
3. The focus of the child is on following rules and maintaining social order.
4. Value systems are independent of authority figures and peers.: 1. Behavior is
adjusted according to good/bad and right/wrong thinking.
10. The nurse is teaching a parenting class being held in a community clinic.
The nurse is focusing on behaviors that will assist in increasing the number of
children who score well in kindergarten readiness screening. Which comment
by a parent indicates the need for additional information?
1. "I am not athletic, but the kids would love an outdoor play area."
2. "Practicing counting with the kids while traveling is a good idea."
3. "I like the suggestion to label basic items for word recognition."
4. "In our family we watch TV; books are a waste of money.": 4. "In our family we watch
TV; books are a waste of money."
11. The nurse in a pediatric clinic is performing an assessment on an infant in the
presence of both parents. The parents are short and moderately overweight.
The father states, "We are going to do everything we can to raise a strong, tall,
athletic child." How does the nurse respond?
1. Provides materials about healthy diets and lifestyles for families
2. Shares the impact of genetics on environmental conditions
3. Suggests to the parents how to alter their lifestyles
4. Recognizes the parents for having positive attitudes and goals: 2. Shares the impact
of genetics on environmental conditions
12. The pediatric home-care nurse is visiting a toddler born with a genetically
related illness. Which comment by the parent is the greatest cause for the nurse
to assess for additional information?
Verified Answers
1. The nurse in a pediatric clinic is performing well-baby checks. The nurse is
checking an infant who is 7 months old for developmental milestones. Which
finding is of greatest concern to the nurse?
1. The infant remains flat when in a supine position.
2. The infant exhibits a Babinski reflex.
3. The infant opens and closes her hands to grasp objects.
4. The infant exhibits a lack of startle reflex to sound.: 1. The infant remains flat when in a
supine position.
2. The nurse in a pediatric clinic is checking the developmental milestones for
a 3-year-old patient. Which finding causes the nurse to perform additional
assessments?
1. The patient's tee-shirt is on backward.
2. The patient loses balance when kicking a ball.
3. The patient draws a circle that is closed but oblong.
4. The patient jumps with both feet about 2 inches high.: 2. The patient loses balance when
kicking a ball.
3. A mother of a 9-month-old infant asks the nurse about what toys are age
appropriate. Using Piaget's theory of development, which toy does the nurse
recommend?
1. Building blocks
2. Colorful mobiles
3. Picture books
4. Musical rattles: 4. Musical rattles
4. During a well-baby checkup, the mother of an infant states, "Even if he is
occupied with a toy, he cries as soon as he notices I have left the room." Which
explanation by the nurse is best?
1. "Your baby does not know you exist if he cannot see you."
2. "Babies learn very quickly how to get an adult's attention."
3. "You should move the baby with you if you leave the room."
,4. "Just ignore him; he will soon learn that you are still present.": 1. "Your baby does
not know you exist if he cannot see you."
,5. The nurse is visiting the home of a new mother and a 2-month-old infant.
The nurse notices the infant vigorously sucking on the fist and whining but not
crying. The mother validates that the behavior is common. Which information
does the nurse need to obtain from the mother?
1. If the mother is breast or bottle feeding
2. How long the infant sleeps at night
3. What type of feeding schedule is followed
4. If the infant draws up the legs when crying: 3. What type of feeding schedule is followed
6. The nurse works in an elementary school with students ranging from 6 to 11
years of age. The nurse uses knowledge related to Freud's psychosocial theory
to identify which behavior in this pediatric population?
1. Oedipal or Electra conflicts
2. Energy focused on socialization
3. Curiosity about anatomical differences
4. Mild struggles with sexuality: 2. Energy focused on socialization
7. The nurse in a pediatric clinic is counseling a parent who expresses concern
about a toddler who plays alone at daycare and does not interact with the
other children who are present. Which information does the nurse provide to
alleviate the parent's concern?
1. Parallel play is being exhibited and is normal at this age.
2. The toddler is likely to grow into a shy, introverted adult.
3. It is important for the child to learn to be alone at this age.
4. The toddler is exhibiting the normal behavior of solitary play.: 1. Parallel play is being
exhibited and is normal at this age.
8. The school nurse in a high school setting expresses concern to school admin-
istration regarding the increase in student complaints about bullying, physical
violence, and rejection. Which concern related to psychosocial development
does the nurse share as being most important?
1. Students are preoccupied with how they are seen in the eyes of others.
2. Students who are bullied will develop issues related to sexual orientation.
3. Students may be unable to provide a meaningful definition of self.
, 4. Students who are aggressive will develop a strong sense of guilt as adults.: 3.
Students may be unable to provide a meaningful definition of self.
9. The nurse is counseling parents about management of their children who are
2, 4, and 6 years of age. One of the parents states, "We believe in Kohlberg's
theory of social-moral development." The nurse is aware that the preconven-
tional stage of this theory involves which characteristic?
1. Behavior is adjusted according to good/bad and right/wrong thinking.
2. A personal and functional value system is constructed by the child.
3. The focus of the child is on following rules and maintaining social order.
4. Value systems are independent of authority figures and peers.: 1. Behavior is
adjusted according to good/bad and right/wrong thinking.
10. The nurse is teaching a parenting class being held in a community clinic.
The nurse is focusing on behaviors that will assist in increasing the number of
children who score well in kindergarten readiness screening. Which comment
by a parent indicates the need for additional information?
1. "I am not athletic, but the kids would love an outdoor play area."
2. "Practicing counting with the kids while traveling is a good idea."
3. "I like the suggestion to label basic items for word recognition."
4. "In our family we watch TV; books are a waste of money.": 4. "In our family we watch
TV; books are a waste of money."
11. The nurse in a pediatric clinic is performing an assessment on an infant in the
presence of both parents. The parents are short and moderately overweight.
The father states, "We are going to do everything we can to raise a strong, tall,
athletic child." How does the nurse respond?
1. Provides materials about healthy diets and lifestyles for families
2. Shares the impact of genetics on environmental conditions
3. Suggests to the parents how to alter their lifestyles
4. Recognizes the parents for having positive attitudes and goals: 2. Shares the impact
of genetics on environmental conditions
12. The pediatric home-care nurse is visiting a toddler born with a genetically
related illness. Which comment by the parent is the greatest cause for the nurse
to assess for additional information?
