CJE PEDIATRICS COMPREHENSIVE ANSWERS AND
QUESTIONS SET A+
✔✔Which approach would be best to use to ensure a positive response from a toddler?
A. Stand by the toddler, addressing him or her by name
B. Call the toddler's name while picking him or her up
C. Assume an eye-level position and talk quietly
D. Call the toddler's name and say, "I'm your nurse" - ✔✔C. Assume an eye-level
position and talk quietly
✔✔What is the single most important factor to consider when communicating with
children?
A. Presence or absence of the child's parent
B. The child's developmental level
C. The child's physical condition
D. The child's nonverbal behaviors - ✔✔B. The child's developmental level
✔✔An infant gains head control before sitting unassisted. The nurse recognizes that
this is which type of development?
A. Proximodistal
B. Sequential
C. Cephalocaudal
D. Mass to specific - ✔✔C. Cephalocaudal
✔✔A nurse is assessing a family's structure. Which describes a family in which a
mother, her children, and a stepfather live together?
Blended
Nuclear
Extended
Binuclear - ✔✔Blended
,✔✔The nurse demonstrates understanding of family-centered care by?
A. expecting the child to perform self-care in activities of daily living
B. assuming total care for the child
C. limiting visitation to three time periods per day
D. encouraging family visitation - ✔✔D. encouraging family visitation
✔✔Which factor is most important in predisposing toddlers to frequent infections?
A. Toddlers have a short, straight ear canal and large lymph tissue
B. Defense mechanisms are less efficient than those during infancy.
C. Respirations are abdominal
D. Pulse and respiratory rates are slower than those in infancy. - ✔✔A. Toddlers have
a short, straight ear canal and large lymph tissue
✔✔The nurse is caring for a hospitalized 4-year-old boy. His parents tell the nurse that
they will be back to visit at 6 PM. When the child asks the nurse when his parents are
coming, the nurse's best response is?
A. "They will be here soon."
B. "Let me show you on the clock when 6 PM is."
C. "They will come after dinner."
D. "I will tell you every time I see you how much longer it will be." - ✔✔C. "They will
come after dinner."
✔✔Which is the leading cause of death during the toddler period
Injuries
Congenital disorders
Infectious diseases
Childhood diseases - ✔✔Injuries
✔✔Which is the most frequent source of acute childhood lead poisoning?
Unglazed pottery
Lead-based paint
Cigarette butts and ashes
Chewing on lead pencils - ✔✔Lead-based paint
✔✔A 3-month-old infant dies shortly after arrival to the emergency department. The
infant has subdural and retinal hemorrhages but no external signs of trauma. What
should the nurse suspect?
Shaken-baby syndrome
, Unintentional injury
Congenital neurologic problem
Sudden infant death syndrome (SID - ✔✔Shaken-baby syndrome
✔✔Which is probably the most important criterion on which to base the decision to
report suspected child abuse?
A. Inappropriate parental concern for the degree of injury
B. Inappropriate response of child
C. Absence of parents for questioning about child's injuries
D. Incompatibility between the history and injury observed - ✔✔D. Incompatibility
between the history and injury observed
✔✔The father of a 12-year-old child tells the nurse that he is concerned about his son
getting "fat." His son is at the 50th percentile for height and the 75th percentile for
weight on the growth chart. What is the most appropriate nursing action?
A. Explain that this is typical of the growth pattern of boys at this age
B. Reassure the father that his child is not fat
C. Reassure the father that his child is just growing
D. Suggest a low-calorie, low-fat diet - ✔✔A. Explain that this is typical of the growth
pattern of boys at this age
✔✔A 12-year-old male has short stature and appears depressed . What should the
nurse be the most concerned about?
A. Child's self-esteem
B. Proper administration of thyroid hormone
C. Proper administration of human growth hormones
D. Helping child understand that he has not completed growing - ✔✔A. Child's self-
esteem
✔✔Which is descriptive of bulimia during adolescence?
A. Feelings of elation after the binge-purge cycle
B. Profound lack of awareness that the eating pattern is abnormal
C. Weight that can be normal, slightly above normal
D. Strong sense of control over eating behavior - ✔✔C. Weight that can be normal,
slightly above normal
✔✔Which is an important consideration when the nurse is discussing enuresis with the
parents of a young child? Select all that apply
A. Organic causes that may be related to enuresis should be considered first
B. Enuresis is more common in boys than in girls
QUESTIONS SET A+
✔✔Which approach would be best to use to ensure a positive response from a toddler?
A. Stand by the toddler, addressing him or her by name
B. Call the toddler's name while picking him or her up
C. Assume an eye-level position and talk quietly
D. Call the toddler's name and say, "I'm your nurse" - ✔✔C. Assume an eye-level
position and talk quietly
✔✔What is the single most important factor to consider when communicating with
children?
A. Presence or absence of the child's parent
B. The child's developmental level
C. The child's physical condition
D. The child's nonverbal behaviors - ✔✔B. The child's developmental level
✔✔An infant gains head control before sitting unassisted. The nurse recognizes that
this is which type of development?
A. Proximodistal
B. Sequential
C. Cephalocaudal
D. Mass to specific - ✔✔C. Cephalocaudal
✔✔A nurse is assessing a family's structure. Which describes a family in which a
mother, her children, and a stepfather live together?
Blended
Nuclear
Extended
Binuclear - ✔✔Blended
,✔✔The nurse demonstrates understanding of family-centered care by?
A. expecting the child to perform self-care in activities of daily living
B. assuming total care for the child
C. limiting visitation to three time periods per day
D. encouraging family visitation - ✔✔D. encouraging family visitation
✔✔Which factor is most important in predisposing toddlers to frequent infections?
A. Toddlers have a short, straight ear canal and large lymph tissue
B. Defense mechanisms are less efficient than those during infancy.
C. Respirations are abdominal
D. Pulse and respiratory rates are slower than those in infancy. - ✔✔A. Toddlers have
a short, straight ear canal and large lymph tissue
✔✔The nurse is caring for a hospitalized 4-year-old boy. His parents tell the nurse that
they will be back to visit at 6 PM. When the child asks the nurse when his parents are
coming, the nurse's best response is?
A. "They will be here soon."
B. "Let me show you on the clock when 6 PM is."
C. "They will come after dinner."
D. "I will tell you every time I see you how much longer it will be." - ✔✔C. "They will
come after dinner."
✔✔Which is the leading cause of death during the toddler period
Injuries
Congenital disorders
Infectious diseases
Childhood diseases - ✔✔Injuries
✔✔Which is the most frequent source of acute childhood lead poisoning?
Unglazed pottery
Lead-based paint
Cigarette butts and ashes
Chewing on lead pencils - ✔✔Lead-based paint
✔✔A 3-month-old infant dies shortly after arrival to the emergency department. The
infant has subdural and retinal hemorrhages but no external signs of trauma. What
should the nurse suspect?
Shaken-baby syndrome
, Unintentional injury
Congenital neurologic problem
Sudden infant death syndrome (SID - ✔✔Shaken-baby syndrome
✔✔Which is probably the most important criterion on which to base the decision to
report suspected child abuse?
A. Inappropriate parental concern for the degree of injury
B. Inappropriate response of child
C. Absence of parents for questioning about child's injuries
D. Incompatibility between the history and injury observed - ✔✔D. Incompatibility
between the history and injury observed
✔✔The father of a 12-year-old child tells the nurse that he is concerned about his son
getting "fat." His son is at the 50th percentile for height and the 75th percentile for
weight on the growth chart. What is the most appropriate nursing action?
A. Explain that this is typical of the growth pattern of boys at this age
B. Reassure the father that his child is not fat
C. Reassure the father that his child is just growing
D. Suggest a low-calorie, low-fat diet - ✔✔A. Explain that this is typical of the growth
pattern of boys at this age
✔✔A 12-year-old male has short stature and appears depressed . What should the
nurse be the most concerned about?
A. Child's self-esteem
B. Proper administration of thyroid hormone
C. Proper administration of human growth hormones
D. Helping child understand that he has not completed growing - ✔✔A. Child's self-
esteem
✔✔Which is descriptive of bulimia during adolescence?
A. Feelings of elation after the binge-purge cycle
B. Profound lack of awareness that the eating pattern is abnormal
C. Weight that can be normal, slightly above normal
D. Strong sense of control over eating behavior - ✔✔C. Weight that can be normal,
slightly above normal
✔✔Which is an important consideration when the nurse is discussing enuresis with the
parents of a young child? Select all that apply
A. Organic causes that may be related to enuresis should be considered first
B. Enuresis is more common in boys than in girls
