Pediatric Nursing Exam 1
Practice Questions 2026 |
Answers, Rationales &
Comprehensive Pediatric
Nursing Review
| Complete Ethics Study
Guide
Updated 2026 Questions and Answers
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Rationales
Included
, The nurse is seeing an adolescent and the parents in the ANS: A
clinic for the first time. Which should the nurse do first? The first thing that nurses must do is to introduce themselves to the patient and
a. Introduce him- or herself. family. Parents and other adults should be addressed with appropriate titles unless
b. Make the family comfortable. they specify a preferred name. Clarification of the purpose of the interview and the
c. Give assurance of privacy. nurse's role is the second thing that should be done. During the initial part of the
d. Explain the purpose of the interview. interview, the nurse should include general conversation to help make the family
feel at ease. The interview also should take place in an environment as free of
distraction as possible. In addition, the nurse should clarify which information will be
shared with other members of the health care team and any limits to the
confidentiality.
Which is considered a block to effective communication? ANS: B
a. Using silence Using stereotyped comments or clichés can block effective communication. After
b. Using clichés the nurse uses such trite phrases, parents often do not respond. Silence can be an
c. Directing the focus effective interviewing tool. Silence permits the interviewee to sort out thoughts and
d. Defining the problem feelings and search for responses to questions. To be effective, the nurse must be
able to direct the focus of the interview while allowing maximum freedom of
expression. By using open-ended questions and guiding questions, the nurse can
obtain the necessary information and maintain a relationship with the family. The
nurse and parent must collaborate and define the problem that will be the focus of
the nursing intervention.
Which is the single most important factor to consider when ANS: C
communicating with children? The nurse must be aware of the child's developmental stage to engage in effective
a. Presence of the child's parent communication. The use of both verbal and nonverbal communication should be
b. Child's physical condition appropriate to the developmental level. Nonverbal behaviors vary in importance
c. Child's developmental level based on the child's developmental level and physical condition. Although the child's
d. Child's nonverbal behaviors physical condition is a consideration, developmental level is much more important.
The presence of parents is important when communicating with young children but
may be detrimental when speaking with adolescents.
Because children younger than 5 years are egocentric, the ANS: A
nurse should do which when communicating with them? Because children of this age are able to see things only in terms of themselves, the
a. Focus communication on the child. best approach is to focus communication directly on them. Children should be
b. Use easy analogies when possible. provided with information about what they can do and how they will feel. With
c. Explain experiences of others to the child. children who are egocentric, analogies, experiences, and assurances that
d. Assure the child that communication is private communication is private will not be effective because the child is not capable of
understanding.
The nurse's approach when introducing hospital ANS: A
equipment to a preschooler who seems afraid should be Young children attribute human characteristics to inanimate objects. They often fear
based on which principle?a. The child may think the that the objects may jump, bite, cut, or pinch all by themselves without human
equipment is alive. direction. Equipment should be kept out of sight until needed. Simple, concrete
b. Explaining the equipment will only increase the child's explanations about what the equipment does and how it will feel will help alleviate
fear. the child's fear. Preschoolers need repeated explanations as reassurance.
c. One brief explanation will be enough to reduce the
child's fear.
d. The child is too young to understand what the
equipment does.
When the nurse interviews an adolescent, which is ANS: B
especially important? Adolescents, like all children, need opportunities to express their feelings. Often
a. Focus the discussion on the peer group. they interject feelings into their words. The nurse must be alert to the words and
b. Allow an opportunity to express feelings. feelings expressed. The nurse should maintain a professional relationship with
c. Use the same type of language as the adolescent. adolescents. To avoid misunderstanding or misinterpretation of words and phrases
d. Emphasize that confidentiality will always be used, the nurse should clarify the terms used, what information will be shared with
maintained. other members of the health care team, and any limits to confidentiality. Although
the peer group is important to this age group, the interview should focus on the
adolescent.
The nurse is preparing to assess a 10-month-old infant. He ANS: A
is sitting on his father's lap and appears to be afraid of the Peek-a-boo is an excellent means of initiating communication with infants while
nurse and of what might happen next. Which initial actions maintaining a safe, nonthreatening distance. The child will most likely become upset
by the nurse should be most appropriate? if separated from his father. As much of the assessment as possible should be done
a. Initiate a game of peek-a-boo. with the child on the father's lap. The nurse should have the father undress the child
b. Ask the infant's father to place the infant on the as needed during the examination.
examination table.
c. Talk softly to the infant while taking him from his father.
d. Undress the infant while he is still sitting on his father's
lap.
Practice Questions 2026 |
Answers, Rationales &
Comprehensive Pediatric
Nursing Review
| Complete Ethics Study
Guide
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
, The nurse is seeing an adolescent and the parents in the ANS: A
clinic for the first time. Which should the nurse do first? The first thing that nurses must do is to introduce themselves to the patient and
a. Introduce him- or herself. family. Parents and other adults should be addressed with appropriate titles unless
b. Make the family comfortable. they specify a preferred name. Clarification of the purpose of the interview and the
c. Give assurance of privacy. nurse's role is the second thing that should be done. During the initial part of the
d. Explain the purpose of the interview. interview, the nurse should include general conversation to help make the family
feel at ease. The interview also should take place in an environment as free of
distraction as possible. In addition, the nurse should clarify which information will be
shared with other members of the health care team and any limits to the
confidentiality.
Which is considered a block to effective communication? ANS: B
a. Using silence Using stereotyped comments or clichés can block effective communication. After
b. Using clichés the nurse uses such trite phrases, parents often do not respond. Silence can be an
c. Directing the focus effective interviewing tool. Silence permits the interviewee to sort out thoughts and
d. Defining the problem feelings and search for responses to questions. To be effective, the nurse must be
able to direct the focus of the interview while allowing maximum freedom of
expression. By using open-ended questions and guiding questions, the nurse can
obtain the necessary information and maintain a relationship with the family. The
nurse and parent must collaborate and define the problem that will be the focus of
the nursing intervention.
Which is the single most important factor to consider when ANS: C
communicating with children? The nurse must be aware of the child's developmental stage to engage in effective
a. Presence of the child's parent communication. The use of both verbal and nonverbal communication should be
b. Child's physical condition appropriate to the developmental level. Nonverbal behaviors vary in importance
c. Child's developmental level based on the child's developmental level and physical condition. Although the child's
d. Child's nonverbal behaviors physical condition is a consideration, developmental level is much more important.
The presence of parents is important when communicating with young children but
may be detrimental when speaking with adolescents.
Because children younger than 5 years are egocentric, the ANS: A
nurse should do which when communicating with them? Because children of this age are able to see things only in terms of themselves, the
a. Focus communication on the child. best approach is to focus communication directly on them. Children should be
b. Use easy analogies when possible. provided with information about what they can do and how they will feel. With
c. Explain experiences of others to the child. children who are egocentric, analogies, experiences, and assurances that
d. Assure the child that communication is private communication is private will not be effective because the child is not capable of
understanding.
The nurse's approach when introducing hospital ANS: A
equipment to a preschooler who seems afraid should be Young children attribute human characteristics to inanimate objects. They often fear
based on which principle?a. The child may think the that the objects may jump, bite, cut, or pinch all by themselves without human
equipment is alive. direction. Equipment should be kept out of sight until needed. Simple, concrete
b. Explaining the equipment will only increase the child's explanations about what the equipment does and how it will feel will help alleviate
fear. the child's fear. Preschoolers need repeated explanations as reassurance.
c. One brief explanation will be enough to reduce the
child's fear.
d. The child is too young to understand what the
equipment does.
When the nurse interviews an adolescent, which is ANS: B
especially important? Adolescents, like all children, need opportunities to express their feelings. Often
a. Focus the discussion on the peer group. they interject feelings into their words. The nurse must be alert to the words and
b. Allow an opportunity to express feelings. feelings expressed. The nurse should maintain a professional relationship with
c. Use the same type of language as the adolescent. adolescents. To avoid misunderstanding or misinterpretation of words and phrases
d. Emphasize that confidentiality will always be used, the nurse should clarify the terms used, what information will be shared with
maintained. other members of the health care team, and any limits to confidentiality. Although
the peer group is important to this age group, the interview should focus on the
adolescent.
The nurse is preparing to assess a 10-month-old infant. He ANS: A
is sitting on his father's lap and appears to be afraid of the Peek-a-boo is an excellent means of initiating communication with infants while
nurse and of what might happen next. Which initial actions maintaining a safe, nonthreatening distance. The child will most likely become upset
by the nurse should be most appropriate? if separated from his father. As much of the assessment as possible should be done
a. Initiate a game of peek-a-boo. with the child on the father's lap. The nurse should have the father undress the child
b. Ask the infant's father to place the infant on the as needed during the examination.
examination table.
c. Talk softly to the infant while taking him from his father.
d. Undress the infant while he is still sitting on his father's
lap.
