,NSG 2530 Exam 1 Pediatric Nursing Care Care Questions And
Answers 2026/2027 South College
Q1. A hospitalized four-year-old child becomes distressed when the
parents leave the room. The child begins crying and refuses to
cooperate with nursing care. Which intervention best reflects
family-centered pediatric nursing?
A) Encourage the parents to limit visits so the child becomes independent.
B) Perform all nursing procedures without involving the parents.
C) Explain that parental involvement interferes with hospital routines.
D) Encourage parental presence, involve the family in care planning, and
maintain familiar comforting routines.
Correct Answer: D) Encourage parental presence, involve the family in care
planning, and maintain familiar comforting routines.
Rationale: Family-centered care recognizes the family as an essential partner
in pediatric health and recovery. Parental presence provides emotional
security, decreases separation-related distress, and helps maintain familiar
routines. Involving caregivers supports cooperation, communication, and
individualized care.
Q2. A seven-year-old child requires a blood sample. The child asks
whether the procedure will hurt and becomes visibly anxious. Which
communication approach is most appropriate?
A) Explain that the procedure will be completely painless regardless of
circumstances.
B) Provide a truthful, age-appropriate explanation and offer appropriate
coping choices.
C) Avoid discussing the procedure until the needle is inserted.
D) Explain the procedure using complex medical terminology.
Correct Answer: B) Provide a truthful, age-appropriate explanation and offer
appropriate coping choices.
Rationale: School-age children benefit from honest explanations that match
their developmental understanding. Acknowledging possible discomfort and
offering choices, such as selecting a distraction technique, promotes trust
,and cooperation. False reassurance can increase anxiety during subsequent
procedures.
Q3. A toddler hospitalized for dehydration repeatedly says "No!"
when approached for vital signs. Which nursing interpretation is
most appropriate?
A) The toddler's behavior indicates permanent developmental delay.
B) The toddler is deliberately attempting to disrupt medical treatment.
C) The behavior may reflect a normal developmental need for autonomy and
control.
D) The child should be excluded from all decisions about care.
Correct Answer: C) The behavior may reflect a normal developmental need
for autonomy and control.
Rationale: Toddlers develop independence and frequently assert preferences
through refusal and negativism. Hospitalization can increase their need for
control. Offering limited, appropriate choices supports autonomy while
ensuring essential nursing interventions are completed.
Q4. A nurse is preparing a six-year-old child for an intravenous
catheter insertion. Which intervention is most effective for
promoting developmentally appropriate coping?
A) Use simple explanations, demonstrate the procedure on a doll, and allow
the child to select a distraction activity.
B) Provide a lengthy explanation of vascular anatomy.
C) Tell the child that crying is unacceptable.
D) Avoid all preparatory information to prevent questions.
Correct Answer: A) Use simple explanations, demonstrate the procedure on a
doll, and allow the child to select a distraction activity.
Rationale: Preparation using concrete language and medical play helps
young children understand unfamiliar procedures. Demonstration,
distraction, and manageable choices reduce anxiety and increase
cooperation. Children should be encouraged to express emotions without
punishment.
, Q5. A 13-year-old adolescent is admitted with a chronic medical
condition. The adolescent asks to speak privately with the
healthcare provider about treatment concerns. Which nursing
response is most appropriate?
A) Refuse because adolescents cannot participate in health discussions.
B) Require the parents to answer every question.
C) Tell the adolescent that privacy is never possible in pediatric healthcare.
D) Support private communication while explaining confidentiality and its
legal and safety-related limits.
Correct Answer: D) Support private communication while explaining
confidentiality and its legal and safety-related limits.
Rationale: Adolescents benefit from confidential opportunities to discuss
sensitive health concerns. Privacy supports trust, autonomy, and disclosure.
The nurse must explain applicable consent and confidentiality rules,
including circumstances requiring disclosure to protect safety.
Q6. A hospitalized nine-year-old child states, "I think I got sick
because I was mean to my little brother." Which nursing response is
most therapeutic?
A) "You should apologize so the illness will disappear."
B) "Your illness is not a punishment for your behavior. Can you tell me more
about what worries you?"
C) "Children your age should understand exactly how illness develops."
D) "You must stop talking about your brother."
Correct Answer: B) "Your illness is not a punishment for your behavior. Can
you tell me more about what worries you?"
Rationale: Children may attribute illness to personal behavior because of
incomplete understanding of causation. Addressing misconceptions without
dismissing feelings reduces guilt and supports emotional adjustment. Open-
ended questions help identify the child's specific concerns.
Q7. A five-year-old child is scheduled for surgery. The child asks
whether the surgeon will remove the entire body part and whether
it will grow back. Which explanation is most appropriate?
Answers 2026/2027 South College
Q1. A hospitalized four-year-old child becomes distressed when the
parents leave the room. The child begins crying and refuses to
cooperate with nursing care. Which intervention best reflects
family-centered pediatric nursing?
A) Encourage the parents to limit visits so the child becomes independent.
B) Perform all nursing procedures without involving the parents.
C) Explain that parental involvement interferes with hospital routines.
D) Encourage parental presence, involve the family in care planning, and
maintain familiar comforting routines.
Correct Answer: D) Encourage parental presence, involve the family in care
planning, and maintain familiar comforting routines.
Rationale: Family-centered care recognizes the family as an essential partner
in pediatric health and recovery. Parental presence provides emotional
security, decreases separation-related distress, and helps maintain familiar
routines. Involving caregivers supports cooperation, communication, and
individualized care.
Q2. A seven-year-old child requires a blood sample. The child asks
whether the procedure will hurt and becomes visibly anxious. Which
communication approach is most appropriate?
A) Explain that the procedure will be completely painless regardless of
circumstances.
B) Provide a truthful, age-appropriate explanation and offer appropriate
coping choices.
C) Avoid discussing the procedure until the needle is inserted.
D) Explain the procedure using complex medical terminology.
Correct Answer: B) Provide a truthful, age-appropriate explanation and offer
appropriate coping choices.
Rationale: School-age children benefit from honest explanations that match
their developmental understanding. Acknowledging possible discomfort and
offering choices, such as selecting a distraction technique, promotes trust
,and cooperation. False reassurance can increase anxiety during subsequent
procedures.
Q3. A toddler hospitalized for dehydration repeatedly says "No!"
when approached for vital signs. Which nursing interpretation is
most appropriate?
A) The toddler's behavior indicates permanent developmental delay.
B) The toddler is deliberately attempting to disrupt medical treatment.
C) The behavior may reflect a normal developmental need for autonomy and
control.
D) The child should be excluded from all decisions about care.
Correct Answer: C) The behavior may reflect a normal developmental need
for autonomy and control.
Rationale: Toddlers develop independence and frequently assert preferences
through refusal and negativism. Hospitalization can increase their need for
control. Offering limited, appropriate choices supports autonomy while
ensuring essential nursing interventions are completed.
Q4. A nurse is preparing a six-year-old child for an intravenous
catheter insertion. Which intervention is most effective for
promoting developmentally appropriate coping?
A) Use simple explanations, demonstrate the procedure on a doll, and allow
the child to select a distraction activity.
B) Provide a lengthy explanation of vascular anatomy.
C) Tell the child that crying is unacceptable.
D) Avoid all preparatory information to prevent questions.
Correct Answer: A) Use simple explanations, demonstrate the procedure on a
doll, and allow the child to select a distraction activity.
Rationale: Preparation using concrete language and medical play helps
young children understand unfamiliar procedures. Demonstration,
distraction, and manageable choices reduce anxiety and increase
cooperation. Children should be encouraged to express emotions without
punishment.
, Q5. A 13-year-old adolescent is admitted with a chronic medical
condition. The adolescent asks to speak privately with the
healthcare provider about treatment concerns. Which nursing
response is most appropriate?
A) Refuse because adolescents cannot participate in health discussions.
B) Require the parents to answer every question.
C) Tell the adolescent that privacy is never possible in pediatric healthcare.
D) Support private communication while explaining confidentiality and its
legal and safety-related limits.
Correct Answer: D) Support private communication while explaining
confidentiality and its legal and safety-related limits.
Rationale: Adolescents benefit from confidential opportunities to discuss
sensitive health concerns. Privacy supports trust, autonomy, and disclosure.
The nurse must explain applicable consent and confidentiality rules,
including circumstances requiring disclosure to protect safety.
Q6. A hospitalized nine-year-old child states, "I think I got sick
because I was mean to my little brother." Which nursing response is
most therapeutic?
A) "You should apologize so the illness will disappear."
B) "Your illness is not a punishment for your behavior. Can you tell me more
about what worries you?"
C) "Children your age should understand exactly how illness develops."
D) "You must stop talking about your brother."
Correct Answer: B) "Your illness is not a punishment for your behavior. Can
you tell me more about what worries you?"
Rationale: Children may attribute illness to personal behavior because of
incomplete understanding of causation. Addressing misconceptions without
dismissing feelings reduces guilt and supports emotional adjustment. Open-
ended questions help identify the child's specific concerns.
Q7. A five-year-old child is scheduled for surgery. The child asks
whether the surgeon will remove the entire body part and whether
it will grow back. Which explanation is most appropriate?
