LPN pediatrics nursing EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

EXAM

Exam Solution +t




Peds Exam 1 NCLEX style questions 2026 A+ GRADE ASS
+t +t +t +t +t +t +t +t +t




URED COMPLETE SOLUTIONS AND VERIFIED ANSWERS +t +t +t +t +t +t




(65048)




QUESTION 1 +t




To establish a good interview relationship with an adolescent, which strategy is most ap
+t +t +t +t +t +t +t +t +t +t +t +t +t



propriate? 1. Asking personal questions unrelated to the situation 2. Writing down every
+t +t +t +t +t +t +t +t +t +t +t +t



thing the teen says 3. Asking open-
+t +t +t +t +t +t



ended questions 4. Discussing the nurse's own thoughts and feelings about the situation
+t +t +t +t +t +t +t +t +t +t +t +t




ANSWER

3. Asking open-ended questions RATIONALE: Open-
+t +t +t +t +t



ended questions allow the adolescent to share information and feelings. Asking personal questions not r
+t +t +t +t +t +t +t +t +t +t +t +t +t +t



elated to the situation jeopardizes the trust that must be established because the adolescent may feel as
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t



though he's being interrogated with unnecessary questions. Writing everything down during the interv
+t +t +t +t +t +t +t +t +t +t +t +t +t



iew can be a distraction and doesn't allow the nurse to observe how the adolescent behaves. Discussing
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t



the nurse's thoughts and feelings may bias the assessment and is inappropriate when interviewing any
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +



client
t




QUESTION 2 +t




A chronically ill school-
+t +t +t



age child is most vulnerable to which stressor? 1. Mutilation anxiety 2. Anticipatory grief
+t +t +t +t +t +t +t +t +t +t +t +t +t



3. Anxiety over school absences 4. Fear of hospital procedures
+t +t +t +t +t +t +t +t +t +t




ANSWER

3. Anxiety over school absences RATIONALE: The school-
+t +t +t +t +t +t +t



age child is becoming industrious and attempts to master school-
+t +t +t +t +t +t +t +t +t



related activities. Therefore, school absences are likely to cause extreme anxiety for a school-
+t +t +t +t +t +t +t +t +t +t +t +t +t



age child who's chronically ill. Mutilation anxiety is more common in adolescents. Anticipatory grief is r
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t



are in a school-age child. Fear of hospital procedures is most pronounced in preschool-age children.
+t +t +t +t +t +t +t +t +t +t +t +t +t +t




QUESTION 3 +t

, When developing a care plan for an adolescent, the nurse considers the child's psychoso
+t +t +t +t +t +t +t +t +t +t +t +t +t



cial needs. During adolescence, psychosocial development focuses on: 1. becoming indus
+t +t +t +t +t +t +t +t +t +t



trious. 2. establishing an identity. 3. achieving intimacy. 4. developing initiative.
+t +t +t +t +t +t +t +t +t +t




ANSWER

2. establishing an identity. RATIONALE: According to Erikson, the primary psychosocial task during adol
+t +t +t +t +t +t +t +t +t +t +t +t +t



escence is to establish a personal identity while overcoming role or identity confusion. The adolescent a
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t



ttempts to establish a group identity by seeking acceptance and approval from peers, and strives to atta
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t



in a personal identity by becoming more independent from his family. Becoming industrious is the deve
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t



lopmental task of the school- +t +t +t +t



age child; achieving intimacy is the task of the young adult; and developing initiative is the task of the p
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t



reschooler.



QUESTION 4 +t




A nurse notes that an infant develops arm movement before fine-
+t +t +t +t +t +t +t +t +t +t



motor finger skills and interprets this as an example of which pattern of development? 1
+t +t +t +t +t +t +t +t +t +t +t +t +t +t



. Cephalocaudal 2. Proximodistal 3. Differentiation 4. Mass-to-specific
+t +t +t +t +t +t +t




ANSWER

2. Proximodistal RATIONALE: Proximodistal development progresses from the center of the body to the
+t +t +t +t +t +t +t +t +t +t +t +t +t +



extremities, such as from the arm to the fingers. Cephalocaudal development occurs along the body's lo
t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t



ng axis; for example, the infant develops control over the head, mouth, and eye movements before the u
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t



pper body, torso, and legs. Mass-to-
+t +t +t +t +t



specific development, sometimes called differentiation, occurs as the child masters simple operations be
+t +t +t +t +t +t +t +t +t +t +t +t



fore complex functions and moves from broad, general patterns of behavior to more refined ones.
+t +t +t +t +t +t +t +t +t +t +t +t +t +t




QUESTION 5 +t




A teenage mother brings her 1-year-old child to the pediatrician's office for a well-
+t +t +t +t +t +t +t +t +t +t +t +t +t



baby checkup. She says that her infant can't sit alone or roll over. An appropriate respon
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t



se by the nurse would be: 1. "This is very abnormal. Your child must be sick." 2. "Let's se
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t



e about further developmental testing." 3. "Don't worry, this is normal for her age." 4. "M
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t



aybe you just haven't seen her do it."
+t +t +t +t +t +t +t




ANSWER

. "Let's see about further developmental testing." RATIONALE: Stating that further developmental testin
+t +t +t +t +t +t +t +t +t +t +t +t



g is necessary is appropriate because at age 12 months a child should be sitting up and rolling over. Th
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t



erefore, this child may have developmental problems. Saying the infant's behavior is abnormal or sugge
+t +t +t +t +t +t +t +t +t +t +t +t +t +t



sting that the mother hasn't seen her infant do these milestones isn't therapeutic and can cut off comm
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t



unication with the mother. Telling the mother that the infant's behavior is normal misleads the mother
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t



with false reassurance. +t +t




QUESTION 6 +t