CENTERED NURSING FOR THE PRACTICAL NURSING NEWEST 2025/2026 ACTUAL EXAM
COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+
When admitting a child to the inpatient pediatric unit, the nurse should assess
for which risk factors that can increase the child's stress level associated with
hospitalization? Select all that apply.
1
Mild temperament 2
Lack of fit between parent and child 3
Below-average intelligence 4
Age 5
Gender - CORRECT ANSWER -✓✓2, 3, 4, 5
Risk factors for increased stress level of a child to illness or hospitalization:
"Difficult" temperament; Lack of fit between child and parent; Age (especially
between 6 months and 5
ADMIN 1
years old); Male gender; Below-average intelligence; Multiple and continuing
stresses (e.g., frequent hospitalizations).
A child is scheduled for a tonsillectomy and is afraid of the surgery. The child
asks the nurse, "Will I need another operation when I have a sore throat again?"
Which response should the nurse give to the child?
,1
"Once your tonsils are taken out, you will not need the surgery again." 2
"You will need to repeat the surgery when you have another infection." 3
"You will need to have another surgery when you turn 14 years old." 4
"Once your tonsils are fixed, you will not have any more sore throats." -
CORRECT ANSWER -✓✓1
The child does not have enough knowledge about the tonsillectomy. Therefore
the child may have fear about the surgery. The nurse should explain to the child
that once the tonsils are removed, they do not need "fixing" again. It helps
relieve the child's fear about the operation, and the child may feel comfortable.
Once the tonsillectomy has been done in the child, a
second operation is not required after another throat infection. There will
actually not be a need for repeating the operation at any age. The child needs to
be instructed that there may be other sore throats in the future. However, the
child needs to be reassured that future sore throats will not require surgery.
The nurse is discharging a young child from the hospital. The nurse should
instruct the parents to look for which posthospital child behaviors? Select all the
apply.
1
ADMIN
Nur166 Exam 1 Hondros 2025/2026
/Nur 166 Exam
Tendency to cling to parents 2
,Jealousy toward others 3
Demands for parents' attention 4
Anger toward parents 5
New fears such as nightmares - CORRECT ANSWER -✓✓1, 3, 5
Young children's posthospital behaviors include: They show initial aloofness
toward parents; this may last from a few minutes (most common) to a few days.
This is frequently followed by
dependency behaviors: tendency to cling to parents; demands for parents'
attention; vigorous opposition to any separation (e.g., staying at preschool or
with a babysitter). Other negative behaviors include: new fears (e.g.,
nightmares); resistance to going to bed, night waking; withdrawal and shyness;
hyperactivity; temper tantrums; food peculiarities; attachment to blanket or toy;
regression in newly learned skills (e.g., self-toileting). Posthospital behaviors
for older children include negative behaviors: emotional coldness followed by
intense, demanding dependence on parents; anger toward parents; jealousy
toward others (e.g.,
siblings).
A child has recently been admitted to the hospital. The child's parents have not
yet arrived at the hospital. What behavior is the child exhibiting that leads the
nurse to believe the child is exhibiting the stage of protest? The child:
1
Screams and hits the nurse. 2
ADMIN 3
Is withdrawn from others. 3
Has the habit of bed-wetting. 4
, Sits in a corner with a toy. - CORRECT ANSWER -✓✓1
Children often undergo separation anxiety when they are separated from their
parents. This separation anxiety manifests in different stages such as protest,
despair, and detachment.
Protest is the first stage of separation anxiety, during which the child screams,
cries, or hits
the other person for separating him or her from the parents. After this stage, the
child enters the stage of despair, where the child begins to withdraw from others
and stay depressed.
During this stage, the child starts wetting the bed and sucking the thumb
because of fear and anxiety. After the stage of despair, the child enters the stage
of detachment. The child starts interacting with strangers and takes an increased
interest in the surroundings or sits in a corner and plays with a toy.
A child is hospitalized for treatment of the flu. Once the child's parents leave,
the child starts crying, looks for parents, attempts to leave, refuses to take
medicine, hits other children, and breaks toys. What should the nurse conclude
from the child's behavior? The child is in the:
1
Protest stage. 2
Despair stage. 3
Denial stage. 4
Detachment stage. - CORRECT ANSWER -✓✓1
The child's behavior indicates that the child is in the protest stage of separation
anxiety. The child is less able to cope with separation because of stress from the