NURS 328 Exam #1 UPDATED ACTUAL Questions and
CORRECT Answers
What is the current focus in pediatric care? b. Health promotion and disease prevention
a. Disease management
b. Health promotion and disease prevention
c. Anticipatory guidance and disease prevention
d. Health promotion
An experienced pediatric nurse will understand which c. Provide limited choices for the child.
one of following techniques as the best one to deal with
the negativism of the toddler?
a. Quietly and calmly ask the child to comply.
b. Provide no choices for the child.
c. Provide limited choices for the child.
d. Remain serious and intent.
One of the primary reasons for monitoring the toddler's B. Toddlers do not understand the concept of "cause and effect," so explaining
activities and intervening to prevent accidental injury is that certain actions will result in serious injury is useless
that:
A. Toddlers have oppositional defiant behavior and
negativism
B. Toddlers do not understand the concept of "cause and
effect," so explaining that certain actions will result in
serious injury is useless
C. Toddlers will often listen to reasoning about why an
activity should be avoided
D. Toddlers enjoy making their parents worry about their
safety and like to see the parents' reactions to the
behavior
,One indication that the toddler is ready to begin toilet A. Child recognizes urge to void and is able to communicate this sensation to the
training is: parent
A. Child recognizes urge to void and is able to
communicate this sensation to the parent
B. Child is able to stay dry all night
C. Child demonstrates mastery of dressing and
undresssing self
D. Child asks parent to have wet or soiled diaper
changed
A common cause of accidental death in children ages 1 to A. Placing the child in a rear-facing weight-appropriate car restraint seat until the
19 years involves motor vehicle crashes. Evidence from child has outgrown the car seat manufacturer's height and weight
test crashes indicates that the safest action to prevent recommendations
accidental deaths in toddlers includes:
A. Placing the child in a rear-facing weight-appropriate
car restraint seat until the child has outgrown the car seat
manufacturer's height and weight recommendations
B. Allowing the child to ride in the front seat with a lap-
shoulder seat restraint to avoid emotional outbursts
C. Allowing the child to ride in a forward-facing booster
restraint seat after 12 months of age
D. Placing the child in the regular seat using the lap-
shoulder belt as long as the child weighs at least 45
pounds
A mother brings her 3-year-old daughter to the well- C. The child's behavior is normal for a toddler and may represent frustration with
child clinic and expresses concern that the child's control of her emotions; further exploration of events surrounding temper
behavior is worrisome and possibly requires therapy or tantrums and possible interventions should be explored.
medication at minimum. The mother further explains that
the child constantly responds to the mother's simple
requests with a "no" answer even though the activity has
been a favorite in the recent past. Furthermore, the child
has had an increase in the number of temper tantrums at
bedtime and refuses to go to bed. The mother is afraid
her daughter will hurt herself during a temper tantrum
because she holds her breath until the mother picks her
up and gives in to her request. The nurse's best response
to the mother is that:
A. The child probably would benefit from some
counseling with a trained therapist.
B. The mother and father should evaluate their
childrearing practices.
C. The child's behavior is normal for a toddler and may
represent frustration with control of her emotions; further
exploration of events surrounding temper tantrums and
possible interventions should be explored.
D. The child's behavior is typical of toddlers, and the
parents should just wait for the child to finish this phase
because this will end soon.
, Toddlers are often known to be finicky eaters and may A, B, D, and E
exhibit abnormal eating patterns that may concern
parents. Which of the following actions for feeding
toddlers should be suggested so adequate amounts of
nutrients for growth and development are consumed?
Select all that apply.
A. Avoid placing large food portions on the toddler's
plate
B. Allow the child to graze on nutritious (not "junk" food)
snacks during the day
C. Insist that the child sit at the table until all persons have
completed their meals
D. Allow the child to make certain food choices (within
reasonable limits)—for example, "Would you like a half
peanut butter or ham sandwich?"
E. Provide meals at the same time of day as much as
possible so the toddler has a sense of consistency
F. Make the child eat all of the food provided, and
provide disciplinary actions such as a "time-out" if the
plate is not cleaned
Which instruction is most developmentally appropriate to d. "Remove all crib toys strung across the top of the crib"
the parents of a 7 month old child regarding injury
prevention?
a. "Balloons make wonderful toys since they are colorful
and keep children entertained."
b. "You may give a lollipop for the child to suck on to help
with teething."
c. "The carseat should be facing the front of the car and
in the middle of the backseats."
d. "Remove all crib toys strung across the top of the crib"
A nurse is assessing several children in the clinic. Which of b. Child B is 6 months old and exhibits slight head lag.
the following children requires further assessment?
Rationale: By the age of 4 months old, a head lag should no longer be present.
a. Child A was born weighing 3 kg. and at 7 months
weighs 7 kg.
b. Child B is 6 months old and exhibits slight head lag.
c. Child C still has a Babinski reflex at 13 months
d. Child D is 8 months old and pulls to stand
A nurse is conducting a teaching session for parents of d. Actively searches for a hidden object
infants. The nurse explains that which behavior indicates
that an infant has developed object permanence?
a. Recognizes familiar face, such as mother
b. Recognizes familiar object, such as bottle
c. Secures objects by pulling on a string
d. Actively searches for a hidden object
CORRECT Answers
What is the current focus in pediatric care? b. Health promotion and disease prevention
a. Disease management
b. Health promotion and disease prevention
c. Anticipatory guidance and disease prevention
d. Health promotion
An experienced pediatric nurse will understand which c. Provide limited choices for the child.
one of following techniques as the best one to deal with
the negativism of the toddler?
a. Quietly and calmly ask the child to comply.
b. Provide no choices for the child.
c. Provide limited choices for the child.
d. Remain serious and intent.
One of the primary reasons for monitoring the toddler's B. Toddlers do not understand the concept of "cause and effect," so explaining
activities and intervening to prevent accidental injury is that certain actions will result in serious injury is useless
that:
A. Toddlers have oppositional defiant behavior and
negativism
B. Toddlers do not understand the concept of "cause and
effect," so explaining that certain actions will result in
serious injury is useless
C. Toddlers will often listen to reasoning about why an
activity should be avoided
D. Toddlers enjoy making their parents worry about their
safety and like to see the parents' reactions to the
behavior
,One indication that the toddler is ready to begin toilet A. Child recognizes urge to void and is able to communicate this sensation to the
training is: parent
A. Child recognizes urge to void and is able to
communicate this sensation to the parent
B. Child is able to stay dry all night
C. Child demonstrates mastery of dressing and
undresssing self
D. Child asks parent to have wet or soiled diaper
changed
A common cause of accidental death in children ages 1 to A. Placing the child in a rear-facing weight-appropriate car restraint seat until the
19 years involves motor vehicle crashes. Evidence from child has outgrown the car seat manufacturer's height and weight
test crashes indicates that the safest action to prevent recommendations
accidental deaths in toddlers includes:
A. Placing the child in a rear-facing weight-appropriate
car restraint seat until the child has outgrown the car seat
manufacturer's height and weight recommendations
B. Allowing the child to ride in the front seat with a lap-
shoulder seat restraint to avoid emotional outbursts
C. Allowing the child to ride in a forward-facing booster
restraint seat after 12 months of age
D. Placing the child in the regular seat using the lap-
shoulder belt as long as the child weighs at least 45
pounds
A mother brings her 3-year-old daughter to the well- C. The child's behavior is normal for a toddler and may represent frustration with
child clinic and expresses concern that the child's control of her emotions; further exploration of events surrounding temper
behavior is worrisome and possibly requires therapy or tantrums and possible interventions should be explored.
medication at minimum. The mother further explains that
the child constantly responds to the mother's simple
requests with a "no" answer even though the activity has
been a favorite in the recent past. Furthermore, the child
has had an increase in the number of temper tantrums at
bedtime and refuses to go to bed. The mother is afraid
her daughter will hurt herself during a temper tantrum
because she holds her breath until the mother picks her
up and gives in to her request. The nurse's best response
to the mother is that:
A. The child probably would benefit from some
counseling with a trained therapist.
B. The mother and father should evaluate their
childrearing practices.
C. The child's behavior is normal for a toddler and may
represent frustration with control of her emotions; further
exploration of events surrounding temper tantrums and
possible interventions should be explored.
D. The child's behavior is typical of toddlers, and the
parents should just wait for the child to finish this phase
because this will end soon.
, Toddlers are often known to be finicky eaters and may A, B, D, and E
exhibit abnormal eating patterns that may concern
parents. Which of the following actions for feeding
toddlers should be suggested so adequate amounts of
nutrients for growth and development are consumed?
Select all that apply.
A. Avoid placing large food portions on the toddler's
plate
B. Allow the child to graze on nutritious (not "junk" food)
snacks during the day
C. Insist that the child sit at the table until all persons have
completed their meals
D. Allow the child to make certain food choices (within
reasonable limits)—for example, "Would you like a half
peanut butter or ham sandwich?"
E. Provide meals at the same time of day as much as
possible so the toddler has a sense of consistency
F. Make the child eat all of the food provided, and
provide disciplinary actions such as a "time-out" if the
plate is not cleaned
Which instruction is most developmentally appropriate to d. "Remove all crib toys strung across the top of the crib"
the parents of a 7 month old child regarding injury
prevention?
a. "Balloons make wonderful toys since they are colorful
and keep children entertained."
b. "You may give a lollipop for the child to suck on to help
with teething."
c. "The carseat should be facing the front of the car and
in the middle of the backseats."
d. "Remove all crib toys strung across the top of the crib"
A nurse is assessing several children in the clinic. Which of b. Child B is 6 months old and exhibits slight head lag.
the following children requires further assessment?
Rationale: By the age of 4 months old, a head lag should no longer be present.
a. Child A was born weighing 3 kg. and at 7 months
weighs 7 kg.
b. Child B is 6 months old and exhibits slight head lag.
c. Child C still has a Babinski reflex at 13 months
d. Child D is 8 months old and pulls to stand
A nurse is conducting a teaching session for parents of d. Actively searches for a hidden object
infants. The nurse explains that which behavior indicates
that an infant has developed object permanence?
a. Recognizes familiar face, such as mother
b. Recognizes familiar object, such as bottle
c. Secures objects by pulling on a string
d. Actively searches for a hidden object
