, NUR203 Exam 1 (Pediatric Nursing)
Question 1
A nurse is conducting an admission interview with the mother of a 2-year-old child
who has been admitted to the pediatric unit. The nurse wants to gather
information that will help provide age-appropriate care and understand the child’s
daily needs. During the initial assessment, the nurse must determine which aspect
of the child’s life is most important to explore at this time. Which history question
should the nurse ask first?
A. How many children are in the family?
B. What toys are most important to your child?
C. Does your child attend daycare?
D. What is your child's normal routine?
Correct answer: D. What is your child's normal routine?
Understanding the child’s normal routine provides essential information about
typical behaviors, sleep patterns, eating habits, comfort measures, and
developmental expectations. This information helps the nurse plan individualized
care and identify changes caused by hospitalization or illness.
Question 2
A nurse is preparing to complete a shift assessment on a 9-month-old infant who is
sitting comfortably on his father’s lap at the bedside. The infant appears calm and
is interacting with his father while the nurse approaches the room. The nurse wants
to complete the assessment while minimizing stress and promoting a trusting
relationship with the child and family. How should the nurse proceed?
A. Talk with the father for a few minutes before examining the child.
B. Ask the father to place the child in the crib before beginning the assessment.
C. Take the child from the father and proceed with the examination.
D. Begin the assessment by immediately listening to the child’s heart and lungs.
,Correct answer: A. Talk with the father for a few minutes before examining the
child.
Talking with the parent before beginning the assessment allows the infant time to
become familiar with the nurse’s presence and helps reduce fear or anxiety. This
approach supports family-centered care and encourages cooperation during the
physical examination.
Question 3
A pediatric nurse is caring for children who require hospitalization and wants to
incorporate principles of atraumatic care into nursing interventions. The nurse
understands that atraumatic care focuses on reducing psychological and physical
distress experienced by children and families during healthcare experiences. Which
intervention best demonstrates the use of atraumatic care?
A. Allowing parents to visit once every shift.
B. Encouraging a 6-year-old child to be brave during an IV insertion.
C. Allowing an adolescent to keep the hospital door closed.
D. Asking the parents of an infant to wait outside the treatment room during a spinal
tap.
Correct answer: C. Allowing an adolescent to keep the hospital door closed.
Allowing an adolescent privacy by keeping the hospital door closed supports
independence, dignity, and control during hospitalization. Atraumatic care promotes
interventions that reduce emotional stress and maintain the child’s sense of security.
Question 4
A 6-year-old child is recovering in the post-anesthesia care unit after undergoing an
appendectomy. The child is not completely awake but opens his eyes when his
name is called by the nurse. The nurse needs to assess the child’s pain level using
an appropriate tool based on the child’s current ability to communicate. Which
pain assessment tool should the nurse use?
, A. 1–10 verbal assessment scale.
B. FLAACC pain assessment tool.
C. Wong’s FACES assessment tool.
D. OUCHER assessment tool.
Correct answer: B. FLAACC pain assessment tool.
The FLAACC (Face, Legs, Activity, Cry, Consolability) scale is appropriate for children
who are unable to provide reliable verbal responses, including those who are not
fully awake after surgery. It allows the nurse to assess pain through observable
behaviors rather than relying on self-report.
Question 5
A nurse enters the room of an 8-year-old child who has been newly admitted with a
diagnosis of type 1 diabetes mellitus. The child’s mother is sitting quietly in a chair
at the bedside while the child rests in bed. The nurse wants to establish a
therapeutic relationship and begin the admission process appropriately. What
should the nurse do first?
A. Explain how the child should use the call light.
B. Approach the bedside and introduce himself or herself to the child.
C. Ask the mother what brought the child into the hospital today.
D. Stand at the doorway and state, “I am the assigned nurse today.”
Correct answer: B. Approach the bedside and introduce himself or herself to the
child.
The nurse should first acknowledge and establish a relationship with the child, who is
the primary focus of care. Introducing oneself directly to the child promotes trust,
respect, and therapeutic communication while supporting the child’s involvement in
care.
Question 6
Question 1
A nurse is conducting an admission interview with the mother of a 2-year-old child
who has been admitted to the pediatric unit. The nurse wants to gather
information that will help provide age-appropriate care and understand the child’s
daily needs. During the initial assessment, the nurse must determine which aspect
of the child’s life is most important to explore at this time. Which history question
should the nurse ask first?
A. How many children are in the family?
B. What toys are most important to your child?
C. Does your child attend daycare?
D. What is your child's normal routine?
Correct answer: D. What is your child's normal routine?
Understanding the child’s normal routine provides essential information about
typical behaviors, sleep patterns, eating habits, comfort measures, and
developmental expectations. This information helps the nurse plan individualized
care and identify changes caused by hospitalization or illness.
Question 2
A nurse is preparing to complete a shift assessment on a 9-month-old infant who is
sitting comfortably on his father’s lap at the bedside. The infant appears calm and
is interacting with his father while the nurse approaches the room. The nurse wants
to complete the assessment while minimizing stress and promoting a trusting
relationship with the child and family. How should the nurse proceed?
A. Talk with the father for a few minutes before examining the child.
B. Ask the father to place the child in the crib before beginning the assessment.
C. Take the child from the father and proceed with the examination.
D. Begin the assessment by immediately listening to the child’s heart and lungs.
,Correct answer: A. Talk with the father for a few minutes before examining the
child.
Talking with the parent before beginning the assessment allows the infant time to
become familiar with the nurse’s presence and helps reduce fear or anxiety. This
approach supports family-centered care and encourages cooperation during the
physical examination.
Question 3
A pediatric nurse is caring for children who require hospitalization and wants to
incorporate principles of atraumatic care into nursing interventions. The nurse
understands that atraumatic care focuses on reducing psychological and physical
distress experienced by children and families during healthcare experiences. Which
intervention best demonstrates the use of atraumatic care?
A. Allowing parents to visit once every shift.
B. Encouraging a 6-year-old child to be brave during an IV insertion.
C. Allowing an adolescent to keep the hospital door closed.
D. Asking the parents of an infant to wait outside the treatment room during a spinal
tap.
Correct answer: C. Allowing an adolescent to keep the hospital door closed.
Allowing an adolescent privacy by keeping the hospital door closed supports
independence, dignity, and control during hospitalization. Atraumatic care promotes
interventions that reduce emotional stress and maintain the child’s sense of security.
Question 4
A 6-year-old child is recovering in the post-anesthesia care unit after undergoing an
appendectomy. The child is not completely awake but opens his eyes when his
name is called by the nurse. The nurse needs to assess the child’s pain level using
an appropriate tool based on the child’s current ability to communicate. Which
pain assessment tool should the nurse use?
, A. 1–10 verbal assessment scale.
B. FLAACC pain assessment tool.
C. Wong’s FACES assessment tool.
D. OUCHER assessment tool.
Correct answer: B. FLAACC pain assessment tool.
The FLAACC (Face, Legs, Activity, Cry, Consolability) scale is appropriate for children
who are unable to provide reliable verbal responses, including those who are not
fully awake after surgery. It allows the nurse to assess pain through observable
behaviors rather than relying on self-report.
Question 5
A nurse enters the room of an 8-year-old child who has been newly admitted with a
diagnosis of type 1 diabetes mellitus. The child’s mother is sitting quietly in a chair
at the bedside while the child rests in bed. The nurse wants to establish a
therapeutic relationship and begin the admission process appropriately. What
should the nurse do first?
A. Explain how the child should use the call light.
B. Approach the bedside and introduce himself or herself to the child.
C. Ask the mother what brought the child into the hospital today.
D. Stand at the doorway and state, “I am the assigned nurse today.”
Correct answer: B. Approach the bedside and introduce himself or herself to the
child.
The nurse should first acknowledge and establish a relationship with the child, who is
the primary focus of care. Introducing oneself directly to the child promotes trust,
respect, and therapeutic communication while supporting the child’s involvement in
care.
Question 6
