NUR 230 Exam 3 – OB/Peds (2026 update )
Galen 70 Multiple Choice Questions with
Answers & Rationales
1.The nurse is performing an assessment on an adolescent
client. Which behavior suggests appropriate psychosocial
development in this client?
A. Shows excessive dependence on parents
B. Avoids discussing feelings or thoughts
C. Thinks about peers’ opinions of them
D. Prefers to spend time alone
Correct Answer: C. Thinks about peers’ opinions of them
Rationale: Adolescents are developing identity and are highly
influenced by peer acceptance. Con-cern about peers’ opinions is
developmentally expected and reflects normal psychosocial growth
during adolescence (Erikson: Identity vs. Role Confusion).
2.The nurse is performing a nutritional assessment on an
adolescent client. Which state-ment best indicates that the
client’s diet is healthy?
A. “I rarely eat breakfast because I’m not hungry.”
B. “My parents make sure I drink 8 glasses of water daily.”
C. “I avoid vegetables because I don’t like them.”
D. “I drink four glasses of water daily.”
Correct Answer: B. “My parents make sure I drink 8 glasses of
water daily.”
Rationale: Adequate hydration is an important component of
adolescent nutrition. Skipping break-fast and avoiding vegetables suggest
poor nutritional habits. Four glasses of water may be inadequate
depending on activity level and health status.
,3.The nurse is educating new parents about immunizations
and immunity. Which state-ment indicates the need for
additional teaching?
A. “Vaccines help my child’s body build protection against diseases.”
B. “My child can still get sick from a disease even after being vaccinated.”
C. “Natural immunity is always safer than vaccine-induced immunity.”
D. “Some vaccines require booster doses to maintain protection.”
Correct Answer: C. “Natural immunity is always safer than
vaccine-induced immunity.”
Rationale: Natural immunity from actual disease exposure carries
significant risks of severe illness, complications, and death. Vaccine-
induced immunity provides protection without the risks of natural
infection. This statement requires correction.
4.A parent brings a child to emergency triage and states, “I
think she got into my mother’s medicine.” After determining
the medication ingested, which action should the nurse take
next?
,A. Induce vomiting
B. Administer activated charcoal immediately
C. Contact the poison control center
D. Observe the child for symptoms only
Correct Answer: C. Contact the poison control center
Rationale: Poison control provides specific recommendations based on
the substance, amount, time of ingestion, and child’s condition. Vomiting
and activated charcoal should not be initiated unless specifically
recommended by poison control or the provider.
The nurse has attended a conference on immunizations.
5.
Which statement indicates that teaching has been effective?
A. “Children who have a common cold may still receive an immunization.”
B. “Children should not receive immunizations if they have a mild cold.”
C. “Only children over age five can receive immunizations safely.”
D. “Immunizations can cause all the diseases they are meant to prevent.”
Correct Answer: A. “Children who have a common cold may still
receive an immunization.”
Rationale: Mild illness, such as a common cold without moderate or
severe fever, is not usually a contraindication to immunization. Vaccines
should be delayed for moderate or severe illness according to provider
guidance.
6.The nurse provides discharge teaching to the parents of a 3-
year-old who had a cardiac catheterization. Which statement
indicates correct understanding?
A. “We should apply lotion to the catheter site twice daily.”
B. “If the site bleeds, we will soak it in warm water.”
C. “We will remove the adhesive bandage as soon as we get home.”
D. “We will keep the adhesive bandage dry and intact until advised
otherwise.”
, Correct Answer: D. “We will keep the adhesive bandage dry
and intact until advised otherwise.”
Rationale: The catheterization site should remain clean, dry, and
protected to reduce infection and bleeding risk. Parents should monitor
for bleeding, swelling, drainage, fever, or changes in extremity color or
temperature.
7.The nurse is performing a respiratory assessment on an
infant. Which finding requires notification of the primary
healthcare provider?
A. Nasal flaring at rest
B. Smiling intermittently during assessment
C. Occasional nasal flaring after crying
D. Brief head bobbing while crying
Correct Answer: A. Nasal flaring at rest
Galen 70 Multiple Choice Questions with
Answers & Rationales
1.The nurse is performing an assessment on an adolescent
client. Which behavior suggests appropriate psychosocial
development in this client?
A. Shows excessive dependence on parents
B. Avoids discussing feelings or thoughts
C. Thinks about peers’ opinions of them
D. Prefers to spend time alone
Correct Answer: C. Thinks about peers’ opinions of them
Rationale: Adolescents are developing identity and are highly
influenced by peer acceptance. Con-cern about peers’ opinions is
developmentally expected and reflects normal psychosocial growth
during adolescence (Erikson: Identity vs. Role Confusion).
2.The nurse is performing a nutritional assessment on an
adolescent client. Which state-ment best indicates that the
client’s diet is healthy?
A. “I rarely eat breakfast because I’m not hungry.”
B. “My parents make sure I drink 8 glasses of water daily.”
C. “I avoid vegetables because I don’t like them.”
D. “I drink four glasses of water daily.”
Correct Answer: B. “My parents make sure I drink 8 glasses of
water daily.”
Rationale: Adequate hydration is an important component of
adolescent nutrition. Skipping break-fast and avoiding vegetables suggest
poor nutritional habits. Four glasses of water may be inadequate
depending on activity level and health status.
,3.The nurse is educating new parents about immunizations
and immunity. Which state-ment indicates the need for
additional teaching?
A. “Vaccines help my child’s body build protection against diseases.”
B. “My child can still get sick from a disease even after being vaccinated.”
C. “Natural immunity is always safer than vaccine-induced immunity.”
D. “Some vaccines require booster doses to maintain protection.”
Correct Answer: C. “Natural immunity is always safer than
vaccine-induced immunity.”
Rationale: Natural immunity from actual disease exposure carries
significant risks of severe illness, complications, and death. Vaccine-
induced immunity provides protection without the risks of natural
infection. This statement requires correction.
4.A parent brings a child to emergency triage and states, “I
think she got into my mother’s medicine.” After determining
the medication ingested, which action should the nurse take
next?
,A. Induce vomiting
B. Administer activated charcoal immediately
C. Contact the poison control center
D. Observe the child for symptoms only
Correct Answer: C. Contact the poison control center
Rationale: Poison control provides specific recommendations based on
the substance, amount, time of ingestion, and child’s condition. Vomiting
and activated charcoal should not be initiated unless specifically
recommended by poison control or the provider.
The nurse has attended a conference on immunizations.
5.
Which statement indicates that teaching has been effective?
A. “Children who have a common cold may still receive an immunization.”
B. “Children should not receive immunizations if they have a mild cold.”
C. “Only children over age five can receive immunizations safely.”
D. “Immunizations can cause all the diseases they are meant to prevent.”
Correct Answer: A. “Children who have a common cold may still
receive an immunization.”
Rationale: Mild illness, such as a common cold without moderate or
severe fever, is not usually a contraindication to immunization. Vaccines
should be delayed for moderate or severe illness according to provider
guidance.
6.The nurse provides discharge teaching to the parents of a 3-
year-old who had a cardiac catheterization. Which statement
indicates correct understanding?
A. “We should apply lotion to the catheter site twice daily.”
B. “If the site bleeds, we will soak it in warm water.”
C. “We will remove the adhesive bandage as soon as we get home.”
D. “We will keep the adhesive bandage dry and intact until advised
otherwise.”
, Correct Answer: D. “We will keep the adhesive bandage dry
and intact until advised otherwise.”
Rationale: The catheterization site should remain clean, dry, and
protected to reduce infection and bleeding risk. Parents should monitor
for bleeding, swelling, drainage, fever, or changes in extremity color or
temperature.
7.The nurse is performing a respiratory assessment on an
infant. Which finding requires notification of the primary
healthcare provider?
A. Nasal flaring at rest
B. Smiling intermittently during assessment
C. Occasional nasal flaring after crying
D. Brief head bobbing while crying
Correct Answer: A. Nasal flaring at rest
