Essentials of Pediatric Nursing, 5th Edition: The Ultimate NCLEX-Style Test Bank Companion | 100+ Verified Q&As with Detailed Rationales for RN/BSN Success

Essentials of Pediatric Nursing, 5th
Edition: The Ultimate NCLEX-Style
Test Bank Companion | 100+ Verified
Q&As with Detailed Rationales for
RN/BSN Success

1. A preschool child is admitted to the hospital and clings to the
parent, crying loudly and refusing to interact with staff. The nurse
recognizes this as which phase of separation anxiety?

 A. Detachment
 B. Despair
 C. Protest
 D. Regression
 Correct Answer: C
 Rationale: The protest phase is characterized by crying, screaming,
and resistance to separation from the parent.




2. A nurse is assessing a 6-month-old infant and notes the absence of
the Moro reflex. What is the most appropriate interpretation?

 A. Normal developmental finding
 B. Possible neurological impairment
 C. Sign of dehydration

,  D. Indicator of infection
 Correct Answer: B
 Rationale: The Moro reflex should disappear around 4–6 months;
persistence or abnormal absence may indicate neurological issues.




3. A child with tetralogy of Fallot becomes cyanotic during play. What
is the nurse's priority intervention?

 A. Place the child in a supine position
 B. Administer fluids
 C. Place the child in a knee-chest position
 D. Encourage activity
 Correct Answer: C
 Rationale: The knee-chest position increases systemic vascular
resistance, decreases right-to-left shunting, and improves oxygenation
in a "tet spell".




4. A nurse is planning a teaching session for parents of preschool
children. Which statement explains why the nurse should include
information about morbidity and mortality?

 A. Life-span statistics are included in the data.
 B. It explains effectiveness of treatment.
 C. Cost-effective treatment is detailed for the general population.
 D. High-risk age groups for certain disorders or hazards are identified.
 Correct Answer: D

,  Rationale: Analysis of morbidity and mortality data provides parents
with information about which groups are at risk for which health
problems.




5. A clinic nurse is planning a teaching session about childhood obesity
prevention for parents of school-age children. The nurse should
include which associated risk of obesity in the teaching plan?

 A. Type I diabetes
 B. Respiratory disease
 C. Celiac disease
 D. Type II diabetes
 Correct Answer: D
 Rationale: Childhood obesity has been strongly associated with the
rise of type II diabetes in children.




6. Which is the leading cause of death in infants younger than 1 year?

 A. Cancer
 B. Heart disease
 C. Unintentional injuries
 D. Congenital anomalies
 Correct Answer: D
 Rationale: Congenital anomalies are the leading cause of death in
those younger than 1 year.

, 7. Which leading cause of death topic should the nurse emphasize to a
group of African-American boys ages 15–19 years?

 A. Suicide
 B. Cancer
 C. Firearm homicide
 D. Occupational injuries
 Correct Answer: C
 Rationale: Firearm homicide is the leading cause of death in African-
American males aged 15–19 years.




8. Which factor most impacts the type of injury a child is susceptible
to, according to the child's age?

 A. Discoveries of new therapies to treat health problems
 B. Behavioral, social, and educational problems that alter health
 C. The child's developmental level and associated risk-taking
behaviors
 D. The family's socioeconomic status
 Correct Answer: C
 Rationale: A child's developmental stage and corresponding
behaviors are the primary determinants of injury susceptibility.