Peds Exam 1 NCLEX Style Final Exam Questions and
Answers Rated A+ 2025
According to Erikson's psychosocial theory of development, an 8-year-old child would be in which stage?
1. Trust versus mistrust
2. Initiative versus guilt
3. Industry versus inferiority
4. Identity versus role confusion
3. Industry versus inferiority
RATIONALE: In middle childhood, the 6- to 12-year-old child is mastering the task of industry versus
inferiority. The trust versus mistrust task is in infancy (birth to 1 year). In early childhood, the 1- to 3-
year-old child is in the stage of initiative versus guilt. Identity versus role confusion occurs during
adolescence.
A nurse is preparing a child, age 4, for cardiac catheterization. Which explanation of the procedure is
appropriate?
1. "Don't worry. It won't hurt."
2. "The test usually takes an hour."
3. "You must sleep the whole time that the test is being done."
4. "The special medicine will feel warm when it's put in the tubing."
4. "The special medicine will feel warm when it's put in the tubing."
RATIONALE: To prepare a 4-year-old child without increasing anxiety, the nurse should provide concrete
information in small amounts about nonthreatening aspects of the procedure. Therefore, saying the
special medicine will feel warm is most appropriate. Saying that it won't hurt may prevent the child from
trusting the nurse in the future. Explaining the time needed for the procedure wouldn't provide
sufficient information. Stating that the child will need to sleep isn't true and could provoke anxiety.
,A child has just been admitted to the facility and is displaying fear related to separation from his parents,
the room being too dark, being hurt while in the hospital, and having many different staff members
come into the room. Based on the nurse's knowledge of growth and development, the child is likely:
1. 7 to 12 months old (an infant).
2. 1 to 3 years old (a toddler).
3. 6 to 12 years old (a school-age child).
4. 12 to 18 years old (an adolescent
2. 1 to 3 years old (a toddler).
RATIONALE: Toddlers show fear of separation from their parents, the dark, loud or sudden noises, injury,
strangers, certain persons, certain situations, animals, large objects or machines, and change in
environment. Infants show fear of strangers, the sudden appearance of unexpected and looming objects
(including people), animals, and heights. School-age children show fear of supernatural beings, injury,
storms, the dark, staying alone, separation from parents, things seen on television and in the movies,
injury, tests and failure in school, consequences related to unattractive physical appearance, and death.
Adolescents show fear of inept social performance, social isolation, sexuality, drugs, war, divorce,
crowds, gossip, public speaking, plane and car crashes, and death.
A toddler is in the hospital. The parents tell the nurse they're concerned about the seriousness of the
child's illness. Which response to the parents is most appropriate?
1. "Please try not to worry. Your child will be fine."
2. "If you look around, you'll see other children who are much sicker."
3. "What seems to concern you about your child being hospitalized?"
4. "It must be difficult for you when your child is ill and hospitalized."
4. "It must be difficult for you when your child is ill and hospitalized."
RATIONALE: Expressing concern is the most appropriate response because it acknowledges the parents'
feelings. False reassurance, such as telling parents not to worry, isn't helpful because it doesn't
, acknowledge their feelings. Encouraging parents to look at how ill other children are also isn't helpful
because the focus of the parents is on their own child. Asking what the concern is merely reinforces the
parents' concern without addressing it.
A mother of a 4-year-old child asks the nurse how to talk with her daughter about strangers. The little
girl is very friendly and her mother is concerned that her child could be abducted. The nurse should tell
the mother:
1. to talk with her daughter about what she should do if a stranger talks to her.
2. that she lives in a safe town and shouldn't worry.
3. to talk with her daughter about bad people and remind her to tell Mommy if someone she doesn't
know talks to her.
4. contact social services, which is better equipped to respond to her questions
1. to talk with her daughter about what she should do if a stranger talks to her.
RATIONALE: Preschoolers can begin to take a role in their own safety. They must be taught what a
stranger is and what to do if a stranger approaches them. Living in a safe town doesn't eliminate the
need to warn a child about talking to strangers. Although it's appropriate for the mother to talk with her
daughter about strangers and have the daughter tell her if a stranger approaches her, the child needs to
be aware of what to do at the time that the situation occurs, not only afterward. Contacting social
services isn't appropriate because the nurse is capable of answering the mother's questions.
An 8-month-old infant is admitted with a febrile seizure. The infant weighs 17 lb (7.7 kg). The physician
orders ceftriaxone (Rocephin), 270 mg I.M. every 12 hours. (The safe dosage range is 50 to 75 mg/kg
daily.) The pharmacy sends a vial containing 500 mg, to which the nurse adds 2 ml of preservative-free
normal saline solution. The nurse should administer how many milliliters?
1. None because this isn't a safe dosage
2. 0.08 ml
3. 1.08 ml
Answers Rated A+ 2025
According to Erikson's psychosocial theory of development, an 8-year-old child would be in which stage?
1. Trust versus mistrust
2. Initiative versus guilt
3. Industry versus inferiority
4. Identity versus role confusion
3. Industry versus inferiority
RATIONALE: In middle childhood, the 6- to 12-year-old child is mastering the task of industry versus
inferiority. The trust versus mistrust task is in infancy (birth to 1 year). In early childhood, the 1- to 3-
year-old child is in the stage of initiative versus guilt. Identity versus role confusion occurs during
adolescence.
A nurse is preparing a child, age 4, for cardiac catheterization. Which explanation of the procedure is
appropriate?
1. "Don't worry. It won't hurt."
2. "The test usually takes an hour."
3. "You must sleep the whole time that the test is being done."
4. "The special medicine will feel warm when it's put in the tubing."
4. "The special medicine will feel warm when it's put in the tubing."
RATIONALE: To prepare a 4-year-old child without increasing anxiety, the nurse should provide concrete
information in small amounts about nonthreatening aspects of the procedure. Therefore, saying the
special medicine will feel warm is most appropriate. Saying that it won't hurt may prevent the child from
trusting the nurse in the future. Explaining the time needed for the procedure wouldn't provide
sufficient information. Stating that the child will need to sleep isn't true and could provoke anxiety.
,A child has just been admitted to the facility and is displaying fear related to separation from his parents,
the room being too dark, being hurt while in the hospital, and having many different staff members
come into the room. Based on the nurse's knowledge of growth and development, the child is likely:
1. 7 to 12 months old (an infant).
2. 1 to 3 years old (a toddler).
3. 6 to 12 years old (a school-age child).
4. 12 to 18 years old (an adolescent
2. 1 to 3 years old (a toddler).
RATIONALE: Toddlers show fear of separation from their parents, the dark, loud or sudden noises, injury,
strangers, certain persons, certain situations, animals, large objects or machines, and change in
environment. Infants show fear of strangers, the sudden appearance of unexpected and looming objects
(including people), animals, and heights. School-age children show fear of supernatural beings, injury,
storms, the dark, staying alone, separation from parents, things seen on television and in the movies,
injury, tests and failure in school, consequences related to unattractive physical appearance, and death.
Adolescents show fear of inept social performance, social isolation, sexuality, drugs, war, divorce,
crowds, gossip, public speaking, plane and car crashes, and death.
A toddler is in the hospital. The parents tell the nurse they're concerned about the seriousness of the
child's illness. Which response to the parents is most appropriate?
1. "Please try not to worry. Your child will be fine."
2. "If you look around, you'll see other children who are much sicker."
3. "What seems to concern you about your child being hospitalized?"
4. "It must be difficult for you when your child is ill and hospitalized."
4. "It must be difficult for you when your child is ill and hospitalized."
RATIONALE: Expressing concern is the most appropriate response because it acknowledges the parents'
feelings. False reassurance, such as telling parents not to worry, isn't helpful because it doesn't
, acknowledge their feelings. Encouraging parents to look at how ill other children are also isn't helpful
because the focus of the parents is on their own child. Asking what the concern is merely reinforces the
parents' concern without addressing it.
A mother of a 4-year-old child asks the nurse how to talk with her daughter about strangers. The little
girl is very friendly and her mother is concerned that her child could be abducted. The nurse should tell
the mother:
1. to talk with her daughter about what she should do if a stranger talks to her.
2. that she lives in a safe town and shouldn't worry.
3. to talk with her daughter about bad people and remind her to tell Mommy if someone she doesn't
know talks to her.
4. contact social services, which is better equipped to respond to her questions
1. to talk with her daughter about what she should do if a stranger talks to her.
RATIONALE: Preschoolers can begin to take a role in their own safety. They must be taught what a
stranger is and what to do if a stranger approaches them. Living in a safe town doesn't eliminate the
need to warn a child about talking to strangers. Although it's appropriate for the mother to talk with her
daughter about strangers and have the daughter tell her if a stranger approaches her, the child needs to
be aware of what to do at the time that the situation occurs, not only afterward. Contacting social
services isn't appropriate because the nurse is capable of answering the mother's questions.
An 8-month-old infant is admitted with a febrile seizure. The infant weighs 17 lb (7.7 kg). The physician
orders ceftriaxone (Rocephin), 270 mg I.M. every 12 hours. (The safe dosage range is 50 to 75 mg/kg
daily.) The pharmacy sends a vial containing 500 mg, to which the nurse adds 2 ml of preservative-free
normal saline solution. The nurse should administer how many milliliters?
1. None because this isn't a safe dosage
2. 0.08 ml
3. 1.08 ml
