,NUR 203 Exam 2 | Pediatric Nursing (2026) Actual
Q&A PDF | Fortis College
1. A 9-month-old infant is admitted for observation. Which gross motor milestone
should the nurse expect to be present?
A) Sitting without support and beginning to pull to stand
B) Walking independently without support
C) Skipping with alternating feet
D) Riding a bicycle
Correct Answer: Sitting without support and beginning to pull to stand
Rationale: By about 8 to 9 months, most infants sit steadily without support and
begin pulling to stand. Walking independently typically occurs around 12 months,
skipping with alternating feet around 4 to 5 years, and riding a bicycle around 5 to 6
years. Delays in these milestones warrant further evaluation.
2. A toddler is hospitalized for the first time. Which nursing approach best supports
the child's developmental needs?
A) Explain all procedures in detailed medical terms
B) Discourage the parent from staying overnight
C) Allow the toddler to make simple choices when possible and keep routines
consistent
D) Expect the child to share toys willingly with strangers
Correct Answer: Allow the toddler to make simple choices when possible and
keep routines consistent
,Rationale: Toddlers need autonomy and predictability; simple choices and
consistent routines reduce stress. Detailed medical terms are inappropriate for a
toddler's cognitive level. Discouraging parental presence increases separation
anxiety. Toddlers are developmentally egocentric and should not be expected to
share willingly.
3. A preschooler is scheduled for surgery. Which preparation strategy is age-
appropriate?
A) Abstract discussion of surgical risks only
B) Simple explanations, play with medical equipment, and honest reassurance about
what the child will feel
C) Showing graphic surgical videos
D) Avoiding any discussion until the moment of surgery
Correct Answer: Simple explanations, play with medical equipment, and honest
reassurance about what the child will feel
Rationale: Preschoolers benefit from concrete, honest preparation and therapeutic
play. Abstract discussions and graphic videos are inappropriate. Avoiding discussion
until the moment of surgery increases anxiety. Therapeutic play helps children
process medical experiences.
4. When assessing growth, the nurse plots a child's measurements on a growth
chart. A sudden drop across two major percentile lines is concerning because it may
indicate:
A) Normal variation only
B) That the child will certainly be short as an adult
C) That immunization is no longer needed
D) A possible health or nutritional problem requiring further evaluation
, Correct Answer: A possible health or nutritional problem requiring further
evaluation
Rationale: Crossing major percentile lines warrants assessment for underlying
causes such as endocrine disorders, chronic illness, or nutritional deficiencies. It is
not merely normal variation and does not predict adult height. Immunization status is
unrelated to growth patterns.
5. A school-age child is in the hospital. Which activity is most developmentally
appropriate?
A) Opportunities for schoolwork, peer contact when possible, and industry-
supporting activities
B) Only solitary play with infants' toys
C) Expecting the child to remain silent and passive
D) Limiting all information about procedures
Correct Answer: Opportunities for schoolwork, peer contact when possible, and
industry-supporting activities
Rationale: School-age children thrive on competence, learning, and peer
interaction. Solitary infant play, enforced passivity, and withholding information
contradict their developmental needs for industry and mastery. Maintaining
schoolwork and peer contact supports normal development during hospitalization.
6. According to Erikson, the primary psychosocial task of the toddler is:
A) Identity versus role confusion
B) Generativity versus stagnation
C) Autonomy versus shame and doubt
D) Integrity versus despair
Q&A PDF | Fortis College
1. A 9-month-old infant is admitted for observation. Which gross motor milestone
should the nurse expect to be present?
A) Sitting without support and beginning to pull to stand
B) Walking independently without support
C) Skipping with alternating feet
D) Riding a bicycle
Correct Answer: Sitting without support and beginning to pull to stand
Rationale: By about 8 to 9 months, most infants sit steadily without support and
begin pulling to stand. Walking independently typically occurs around 12 months,
skipping with alternating feet around 4 to 5 years, and riding a bicycle around 5 to 6
years. Delays in these milestones warrant further evaluation.
2. A toddler is hospitalized for the first time. Which nursing approach best supports
the child's developmental needs?
A) Explain all procedures in detailed medical terms
B) Discourage the parent from staying overnight
C) Allow the toddler to make simple choices when possible and keep routines
consistent
D) Expect the child to share toys willingly with strangers
Correct Answer: Allow the toddler to make simple choices when possible and
keep routines consistent
,Rationale: Toddlers need autonomy and predictability; simple choices and
consistent routines reduce stress. Detailed medical terms are inappropriate for a
toddler's cognitive level. Discouraging parental presence increases separation
anxiety. Toddlers are developmentally egocentric and should not be expected to
share willingly.
3. A preschooler is scheduled for surgery. Which preparation strategy is age-
appropriate?
A) Abstract discussion of surgical risks only
B) Simple explanations, play with medical equipment, and honest reassurance about
what the child will feel
C) Showing graphic surgical videos
D) Avoiding any discussion until the moment of surgery
Correct Answer: Simple explanations, play with medical equipment, and honest
reassurance about what the child will feel
Rationale: Preschoolers benefit from concrete, honest preparation and therapeutic
play. Abstract discussions and graphic videos are inappropriate. Avoiding discussion
until the moment of surgery increases anxiety. Therapeutic play helps children
process medical experiences.
4. When assessing growth, the nurse plots a child's measurements on a growth
chart. A sudden drop across two major percentile lines is concerning because it may
indicate:
A) Normal variation only
B) That the child will certainly be short as an adult
C) That immunization is no longer needed
D) A possible health or nutritional problem requiring further evaluation
, Correct Answer: A possible health or nutritional problem requiring further
evaluation
Rationale: Crossing major percentile lines warrants assessment for underlying
causes such as endocrine disorders, chronic illness, or nutritional deficiencies. It is
not merely normal variation and does not predict adult height. Immunization status is
unrelated to growth patterns.
5. A school-age child is in the hospital. Which activity is most developmentally
appropriate?
A) Opportunities for schoolwork, peer contact when possible, and industry-
supporting activities
B) Only solitary play with infants' toys
C) Expecting the child to remain silent and passive
D) Limiting all information about procedures
Correct Answer: Opportunities for schoolwork, peer contact when possible, and
industry-supporting activities
Rationale: School-age children thrive on competence, learning, and peer
interaction. Solitary infant play, enforced passivity, and withholding information
contradict their developmental needs for industry and mastery. Maintaining
schoolwork and peer contact supports normal development during hospitalization.
6. According to Erikson, the primary psychosocial task of the toddler is:
A) Identity versus role confusion
B) Generativity versus stagnation
C) Autonomy versus shame and doubt
D) Integrity versus despair
