Pediatrics Examination Practice Questions
A 9-year-old girl is to receive amoxicillin/clavulanate. Which statement by the nurse is most likely to elicit
cooperation from the child?
1. You can play after you take your medicine.
2. Would you like to take this medicine with juice?
3. This medicine tastes good.
4. Amoxicillin is antibiotic which will help you get well. - ans4. Amoxicillin is an antibiotic which will help you get
well.
Rationale: Discussion of facts is correct with school-age child. Medication should not be described as food or
candy. Associating medication with food may cause the child to develop an aversion to that specific food.
A mother brings her 7-year-old daughter to the clinic after several nights of bedwetting. The mother explains
that her daughter never wet the bed until her baby brother was born. The nurse explains that this situation is
considered the use of which ego defense mechanism?
1. Dissociation
2. Projection
3. Regression
4. Repression - ans3. Regression
Rationale: Regression is the reversion to an earlier stage of development that may have felt like a less
demanding or safer time, or a time they received care and attention. This is common in children when exposed
to new stressors, such as a new sibling.
A nurse is leading a class about immunizations? Which statement by the student is correct?
1. Vaccinations do decrease hospitalizations.
2. Pneumococcal vaccine prevents all complications from lung disease.
3. Pneumococcal and influenza vaccine can be given together.
4. Influenza vaccine is contraindicated if the patient is allergic to eggs. - ans3. Pneumococcal and influenza
vaccine can be given together.
Rationale: Vaccines can be given simultaneously at different sites. The influenza vaccine can be given to
, persons with an allergy to eggs. Vaccines may decrease complications but it will not prevent complications.
Immunizations decrease the rate of hospitalizations.
A nurse is performing a developmental age assessment on a 10-month-old. Which will the nurse document as
consistent with the infant's age?
1. Infant discriminates between pictures of objects.
2. Infant stands without support.
3. Infant builds a tower of 3 cubes.
4. Infant eats with fingers. - ans4. Infant eats with fingers
Eating with fingers typically occurs between 10 and 12 months. The baby can build a tower of 3 cubes occurs
between 16 and 18 months. Standing occurs at 15 months. Discrimination of pictures typically begins by 24
months.
A nurse is performing a developmental assessment on a 4-and-a-half-year-old. Which of the following findings
is of the most concern?
1. The child is unable to balance on each foot for 4 seconds.
2. The child is unable to brush teeth without help.
3. The child is unable to prepare cereal.
4. The child's speech is not completely understandable. - ans4. The child's speech is not completely
understandable.
According to the Denver II Developmental Screen: Speech should be completely understandable by age 4 and a
half years. The child may be developmentally delayed, but further assessment is needed. All other
developmental tasks should be achieved by age 5.
A nurse is performing a developmental assessment on an 11-month-old. Which of the following findings is of
the most concern?
1. Able to stand up alone.
2. Double the birth weight.
3. Head circumference greater than chest circumference.
4. Unable to walk alone. - ans2. Double the birth weight.
A 9-year-old girl is to receive amoxicillin/clavulanate. Which statement by the nurse is most likely to elicit
cooperation from the child?
1. You can play after you take your medicine.
2. Would you like to take this medicine with juice?
3. This medicine tastes good.
4. Amoxicillin is antibiotic which will help you get well. - ans4. Amoxicillin is an antibiotic which will help you get
well.
Rationale: Discussion of facts is correct with school-age child. Medication should not be described as food or
candy. Associating medication with food may cause the child to develop an aversion to that specific food.
A mother brings her 7-year-old daughter to the clinic after several nights of bedwetting. The mother explains
that her daughter never wet the bed until her baby brother was born. The nurse explains that this situation is
considered the use of which ego defense mechanism?
1. Dissociation
2. Projection
3. Regression
4. Repression - ans3. Regression
Rationale: Regression is the reversion to an earlier stage of development that may have felt like a less
demanding or safer time, or a time they received care and attention. This is common in children when exposed
to new stressors, such as a new sibling.
A nurse is leading a class about immunizations? Which statement by the student is correct?
1. Vaccinations do decrease hospitalizations.
2. Pneumococcal vaccine prevents all complications from lung disease.
3. Pneumococcal and influenza vaccine can be given together.
4. Influenza vaccine is contraindicated if the patient is allergic to eggs. - ans3. Pneumococcal and influenza
vaccine can be given together.
Rationale: Vaccines can be given simultaneously at different sites. The influenza vaccine can be given to
, persons with an allergy to eggs. Vaccines may decrease complications but it will not prevent complications.
Immunizations decrease the rate of hospitalizations.
A nurse is performing a developmental age assessment on a 10-month-old. Which will the nurse document as
consistent with the infant's age?
1. Infant discriminates between pictures of objects.
2. Infant stands without support.
3. Infant builds a tower of 3 cubes.
4. Infant eats with fingers. - ans4. Infant eats with fingers
Eating with fingers typically occurs between 10 and 12 months. The baby can build a tower of 3 cubes occurs
between 16 and 18 months. Standing occurs at 15 months. Discrimination of pictures typically begins by 24
months.
A nurse is performing a developmental assessment on a 4-and-a-half-year-old. Which of the following findings
is of the most concern?
1. The child is unable to balance on each foot for 4 seconds.
2. The child is unable to brush teeth without help.
3. The child is unable to prepare cereal.
4. The child's speech is not completely understandable. - ans4. The child's speech is not completely
understandable.
According to the Denver II Developmental Screen: Speech should be completely understandable by age 4 and a
half years. The child may be developmentally delayed, but further assessment is needed. All other
developmental tasks should be achieved by age 5.
A nurse is performing a developmental assessment on an 11-month-old. Which of the following findings is of
the most concern?
1. Able to stand up alone.
2. Double the birth weight.
3. Head circumference greater than chest circumference.
4. Unable to walk alone. - ans2. Double the birth weight.
