Exam 1 - 3600 Peds questions and answers 2025-
2026 update
CH. 20 The pediatric nurse assesses the toddler's fine motor skills by observing which task?
A. Buttoning a shirt
B. Writing with a pencil
C. Holding a spoon to eat
D. Using the pincer grasp - ANS >c
CH. 20 According to Piaget, an infant uses his or her senses to learn and explore the environment. Whic
action is the most appropriate for the nurse to implement to determine object permanence?
A. Playing the game of peek-a-boo
B. Encouraging the infant to shake a rattle
C. Pushing a button on an overhead mobile
D. Placing the child in a stroller and going for a walk - ANS >A
CH. 20 The pediatric nurse is promoting anticipatory guidance about safety to the mother of a 10-month
old infant. Which statement is not appropriate for the nurse to include in the teaching session?
A. "Do not leave small objects on the floor because your baby will be crawling soon."
B. "Keep the side rails up to prevent your baby from falling out of the crib."
C. "Put safety locks on all cabinets to prevent accidents."
D. "Allow your baby to stay alone for short periods of time to promote independence." - ANS >D
CH. 20The mother of a 26-month-old toddler tells the pediatric nurse that she is having trouble disciplinin
her daughter. The mother states, "She really knows how to push me to my limit. I don't know what to d
with her!" Which response by the nurse is the most therapeutic?
A. "The terrible twos are a difficult time. You have to show her that you are the boss!"
B. "When she does something wrong, tell her she is a bad girl and has to be punished for her actions."
C. "A 2-minute time-out combined with praise for good behavior is very effective for this age group."
D. "Take away her favorite doll and tell her that she cannot have it back until she changes her behavior
- ANS >C
,CH. 20 The parents of a toddler ask the nurse how to best prepare the toddler for a planned medica
procedure. What should the nurse recognize when ANS >ing the toddler's parents? A. The toddler is to
young to understand what will happen and does not need an explanation.
B. The use of short explanations can best help the toddler understand the planned procedure.
C. Allowing the toddler to explore the procedure room may be helpful.
D. It is beneficial for the nurse to demonstrate the upcoming procedure to the toddler. - ANS >B
CH. 20 The father of a 4-year-old is concerned about his son's reaction to an injury of his friend. He tol
the nurse that the child stayed in his room over the weekend and cried himself to sleep. When the pediatri
nurse questioned the child, he described an argument that he and his friend had about a week prior to hi
friend's injury. Based on the assessment, what is this preschool child exhibiting?
A. Magical thinking
B. Inferiority
C. Guilt complex
D. A morality issue - ANS >A
CH. 20 What is not a key aspect in a teen's environment that helps when making good decisions?
A. Ability to think abstractly
B. Ability to use deductive reasoning
C. Ability to make long-term plans
D. Ability to use logical thinking - ANS >D
CH. 20 A nurse is planning an educational class for new families based on Duvall's family developmen
theory. Based on the theory, how are family stages determined? A. Number of children in the family
B. The oldest child in the family
C. The youngest child in the family
D. Years the couple has been married - ANS >B
CH. 20 A mother is complaining to the nurse that her 3-year-old child often has difficulty falling and stayin
asleep. The following day, the child is cranky and uncooperative. Which action by the nurse is the mos
appropriate?
A. Assess the child's usual nighttime routine.
B. Assure mom that sleep and behavior are not related. C. Encourage active play before bedtime.
D. Have mom put the child to bed only when sleepy. - ANS >A
CH. 20 A nurse is providing anticipatory guidance to the parents of a preschool-aged child regardin
discipline. Which information is most beneficial?
A. Children at this age lie frequently and without reason.
B. Consequences should be natural and fit the behavior.
,C. Explaining the rules is not as important as discipline.
D. Taking away privileges is a powerful tool for this age group. - ANS >B
CH. 21 When preparing a 4-year-old child for a procedure, the pediatric nurse must be aware of the child
developmental status. Which nursing action demon-strates awareness of the child's developmenta
status? A. Demonstrating the procedure on the child's teddy bear.
B. Providing a peer video of the procedure for the child to view.
C. Explaining the procedure to the child the day before the actual procedure occurs.
D. Discussing the procedure at length with the child. - ANS >A
CH. 21 The 10-year-old child is receiving preoperative teaching prior to a tonsillectomy. Which respons
by the nurse uses a developmentally appropriate explanation of the operation? A. "Don't worry; the docto
will cut your tonsils out while you are asleep."
B. "The shot that you will receive in your arm will only help the pain a little bit."
C. "Don't worry about the operation; it is really not a big deal."
D. "The doctor will give you special sleeping medicine before she operates." - ANS >D
CH. 21 There are many myths regarding children and pain levels. Which statement regarding pai
management in pediatrics is true?
A. Children cannot tell where they hurt.
B. The child who is neurologically impaired does not feel pain.
C. Children should not receive narcotics because they will become addicts.
D. The use of special pain scales allows children to better express their level of pain - ANS >D
CH. 21 The pediatric nurse uses the head-to-toe approach when conducting a physical assessment on a
infant. Which sequence represents correct technique? A. Heart rate, urine output, respiratory rate, an
presence of bowel sounds
B. Head circumference, lung sounds, presence of bowel sounds, urine output
C. Presence of eye drainage, abdominal pain, lung sounds, and urine output
D. Urine output, skin color, skin turgor, heart rate, and bowel sounds - ANS >B
CH. 21 During a well-baby visit, the pediatric nurse initiates teaching related to health promotion an
prevention of illness. Which nursing statement is appropriate to include in the teaching session? A. "Ca
the pediatrician if the baby has a temperature of 99°F (37.2°C)."
B. "If you smoke, be sure to blow the smoke away from the baby's face."
C. "Call the pediatrician if you notice a change in the baby's activity level or feedings."
D. "We want to watch the baby's weight gain, so feed the baby when she cries." - ANS >C
, CH. 21 The nurse is caring for a toddler hospitalized after a motor vehicle accident. Based on Erikson's
developmental model, which behavior would you anticipate can occur as a result of the hospitalization
A. Regression to a previous behavior
B. The belief that they are being punished
C. Fear of bodily mutilation D. Loss of independence - ANS >A
CH. 21 What is the nurse's responsibility in educating families about how to care for their child at home
after minor surgery?
A. Taking the child's rectal temperature
B. Assessing their child's level of consciousness
C. Teaching about the signs and symptoms of infection
D. Teaching about the signs of poor air exchange - ANS >C
CH. 21 A parent in the pediatric clinic states that she has been giving her 1-year-old aspirin (ASA) for hi
fever. What response by the nurse is best?
A. Ensure the parent knows the normal dose of 10 mg/kg.
B. Teach the parent to only use 5 doses per day.
C. Instruct the parent not to use aspirin on a child.
D. Make sure the parent can take the child's temperature. - ANS >C
CH. 21 A child with special needs has moved into the community. Which health-care resource should th
school nurse direct the child's family toward?
A. Medical home
B. Pediatric clinic
C. Home health care
D. Community center - ANS >A
CH. 21 A nurse is providing anticipatory guidance to the parents of an infant. The nurse explains that, fo
children of this age, the most common fatal injury is which of the following?
A. Drowning
B. Suffocation
C. Electrocution
D. Heavy metal poisoning - ANS >B
CH. 25 The nursing faculty explains to a group of students about the body's immune response. Wha
action by the immune response is most important for its functioning? A. Creating and maintainin
immunoglobulins B. Inducing a febrile response to an invading organism C. Producing a mechanica
barrier against infection D. Recognizing non-self material and reacting to it - ANS >D
2026 update
CH. 20 The pediatric nurse assesses the toddler's fine motor skills by observing which task?
A. Buttoning a shirt
B. Writing with a pencil
C. Holding a spoon to eat
D. Using the pincer grasp - ANS >c
CH. 20 According to Piaget, an infant uses his or her senses to learn and explore the environment. Whic
action is the most appropriate for the nurse to implement to determine object permanence?
A. Playing the game of peek-a-boo
B. Encouraging the infant to shake a rattle
C. Pushing a button on an overhead mobile
D. Placing the child in a stroller and going for a walk - ANS >A
CH. 20 The pediatric nurse is promoting anticipatory guidance about safety to the mother of a 10-month
old infant. Which statement is not appropriate for the nurse to include in the teaching session?
A. "Do not leave small objects on the floor because your baby will be crawling soon."
B. "Keep the side rails up to prevent your baby from falling out of the crib."
C. "Put safety locks on all cabinets to prevent accidents."
D. "Allow your baby to stay alone for short periods of time to promote independence." - ANS >D
CH. 20The mother of a 26-month-old toddler tells the pediatric nurse that she is having trouble disciplinin
her daughter. The mother states, "She really knows how to push me to my limit. I don't know what to d
with her!" Which response by the nurse is the most therapeutic?
A. "The terrible twos are a difficult time. You have to show her that you are the boss!"
B. "When she does something wrong, tell her she is a bad girl and has to be punished for her actions."
C. "A 2-minute time-out combined with praise for good behavior is very effective for this age group."
D. "Take away her favorite doll and tell her that she cannot have it back until she changes her behavior
- ANS >C
,CH. 20 The parents of a toddler ask the nurse how to best prepare the toddler for a planned medica
procedure. What should the nurse recognize when ANS >ing the toddler's parents? A. The toddler is to
young to understand what will happen and does not need an explanation.
B. The use of short explanations can best help the toddler understand the planned procedure.
C. Allowing the toddler to explore the procedure room may be helpful.
D. It is beneficial for the nurse to demonstrate the upcoming procedure to the toddler. - ANS >B
CH. 20 The father of a 4-year-old is concerned about his son's reaction to an injury of his friend. He tol
the nurse that the child stayed in his room over the weekend and cried himself to sleep. When the pediatri
nurse questioned the child, he described an argument that he and his friend had about a week prior to hi
friend's injury. Based on the assessment, what is this preschool child exhibiting?
A. Magical thinking
B. Inferiority
C. Guilt complex
D. A morality issue - ANS >A
CH. 20 What is not a key aspect in a teen's environment that helps when making good decisions?
A. Ability to think abstractly
B. Ability to use deductive reasoning
C. Ability to make long-term plans
D. Ability to use logical thinking - ANS >D
CH. 20 A nurse is planning an educational class for new families based on Duvall's family developmen
theory. Based on the theory, how are family stages determined? A. Number of children in the family
B. The oldest child in the family
C. The youngest child in the family
D. Years the couple has been married - ANS >B
CH. 20 A mother is complaining to the nurse that her 3-year-old child often has difficulty falling and stayin
asleep. The following day, the child is cranky and uncooperative. Which action by the nurse is the mos
appropriate?
A. Assess the child's usual nighttime routine.
B. Assure mom that sleep and behavior are not related. C. Encourage active play before bedtime.
D. Have mom put the child to bed only when sleepy. - ANS >A
CH. 20 A nurse is providing anticipatory guidance to the parents of a preschool-aged child regardin
discipline. Which information is most beneficial?
A. Children at this age lie frequently and without reason.
B. Consequences should be natural and fit the behavior.
,C. Explaining the rules is not as important as discipline.
D. Taking away privileges is a powerful tool for this age group. - ANS >B
CH. 21 When preparing a 4-year-old child for a procedure, the pediatric nurse must be aware of the child
developmental status. Which nursing action demon-strates awareness of the child's developmenta
status? A. Demonstrating the procedure on the child's teddy bear.
B. Providing a peer video of the procedure for the child to view.
C. Explaining the procedure to the child the day before the actual procedure occurs.
D. Discussing the procedure at length with the child. - ANS >A
CH. 21 The 10-year-old child is receiving preoperative teaching prior to a tonsillectomy. Which respons
by the nurse uses a developmentally appropriate explanation of the operation? A. "Don't worry; the docto
will cut your tonsils out while you are asleep."
B. "The shot that you will receive in your arm will only help the pain a little bit."
C. "Don't worry about the operation; it is really not a big deal."
D. "The doctor will give you special sleeping medicine before she operates." - ANS >D
CH. 21 There are many myths regarding children and pain levels. Which statement regarding pai
management in pediatrics is true?
A. Children cannot tell where they hurt.
B. The child who is neurologically impaired does not feel pain.
C. Children should not receive narcotics because they will become addicts.
D. The use of special pain scales allows children to better express their level of pain - ANS >D
CH. 21 The pediatric nurse uses the head-to-toe approach when conducting a physical assessment on a
infant. Which sequence represents correct technique? A. Heart rate, urine output, respiratory rate, an
presence of bowel sounds
B. Head circumference, lung sounds, presence of bowel sounds, urine output
C. Presence of eye drainage, abdominal pain, lung sounds, and urine output
D. Urine output, skin color, skin turgor, heart rate, and bowel sounds - ANS >B
CH. 21 During a well-baby visit, the pediatric nurse initiates teaching related to health promotion an
prevention of illness. Which nursing statement is appropriate to include in the teaching session? A. "Ca
the pediatrician if the baby has a temperature of 99°F (37.2°C)."
B. "If you smoke, be sure to blow the smoke away from the baby's face."
C. "Call the pediatrician if you notice a change in the baby's activity level or feedings."
D. "We want to watch the baby's weight gain, so feed the baby when she cries." - ANS >C
, CH. 21 The nurse is caring for a toddler hospitalized after a motor vehicle accident. Based on Erikson's
developmental model, which behavior would you anticipate can occur as a result of the hospitalization
A. Regression to a previous behavior
B. The belief that they are being punished
C. Fear of bodily mutilation D. Loss of independence - ANS >A
CH. 21 What is the nurse's responsibility in educating families about how to care for their child at home
after minor surgery?
A. Taking the child's rectal temperature
B. Assessing their child's level of consciousness
C. Teaching about the signs and symptoms of infection
D. Teaching about the signs of poor air exchange - ANS >C
CH. 21 A parent in the pediatric clinic states that she has been giving her 1-year-old aspirin (ASA) for hi
fever. What response by the nurse is best?
A. Ensure the parent knows the normal dose of 10 mg/kg.
B. Teach the parent to only use 5 doses per day.
C. Instruct the parent not to use aspirin on a child.
D. Make sure the parent can take the child's temperature. - ANS >C
CH. 21 A child with special needs has moved into the community. Which health-care resource should th
school nurse direct the child's family toward?
A. Medical home
B. Pediatric clinic
C. Home health care
D. Community center - ANS >A
CH. 21 A nurse is providing anticipatory guidance to the parents of an infant. The nurse explains that, fo
children of this age, the most common fatal injury is which of the following?
A. Drowning
B. Suffocation
C. Electrocution
D. Heavy metal poisoning - ANS >B
CH. 25 The nursing faculty explains to a group of students about the body's immune response. Wha
action by the immune response is most important for its functioning? A. Creating and maintainin
immunoglobulins B. Inducing a febrile response to an invading organism C. Producing a mechanica
barrier against infection D. Recognizing non-self material and reacting to it - ANS >D
