Peds Exam 1 NCLEX style questions and Answers Updated 2026

Peds Exam 1 NCLEX
style questions and
Answers Updated 2026
ToBestablishBaBgoodBinterviewBrelationshipBwithBanBadolescent,BwhichBstrategyBisBmostBappro
priate?



1.BAskingBpersonalBquestionsBunrelatedBtoBtheBsituation

2.BWritingBdownBeverythingBtheBteenBsays

3.BAskingBopen-endedBquestions

4.BDiscussingBtheBnurse'sBownBthoughtsBandBfeelingsBaboutBtheBsituationB-
BAnswer3.BAskingBopen-endedBquestions



RATIONALE:BOpen-
endedBquestionsBallowBtheBadolescentBtoBshareBinformationBandBfeelings.BAskingBpersonalBqu
estionsBnotBrelatedBtoBtheBsituationBjeopardizesBtheBtrustBthatBmustBbeBestablishedBbecause
BtheBadolescentBmayBfeelBasBthoughBhe'sBbeingBinterrogatedBwithBunnecessaryBquestions.BWr
itingBeverythingBdownBduringBtheBinterviewBcanBbeBaBdistractionBandBdoesn'tBallowBtheBnurs
eBtoBobserveBhowBtheBadolescentBbehaves.BDiscussingBtheBnurse'sBthoughtsBandBfeelingsBma
yBbiasBtheBassessmentBandBisBinappropriateBwhenBinterviewingBanyBclient



ABchronicallyBillBschool-ageBchildBisBmostBvulnerableBtoBwhichBstressor?



1.BMutilationBanxiety

2.BAnticipatoryBgrief

3.BAnxietyBoverBschoolBabsences

4.BFearBofBhospitalBproceduresB-BAnswer3.BAnxietyBoverBschoolBabsences



RATIONALE:BTheBschool-ageBchildBisBbecomingBindustriousBandBattemptsBtoBmasterBschool-
relatedBactivities.BTherefore,BschoolBabsencesBareBlikelyBtoBcauseBextremeBanxietyBforBaBscho
ol-
ageBchildBwho'sBchronicallyBill.BMutilationBanxietyBisBmoreBcommonBinBadolescents.BAnticipat
oryBgriefBisBrareBinBaBschool-
ageBchild.BFearBofBhospitalBproceduresBisBmostBpronouncedBinBpreschool-ageBchildren.

,WhenBdevelopingBaBcareBplanBforBanBadolescent,BtheBnurseBconsidersBtheBchild'sBpsychosocia
lBneeds.BDuringBadolescence,BpsychosocialBdevelopmentBfocusesBon:



1.BbecomingBindustrious.

2.BestablishingBanBidentity.

3.BachievingBintimacy.

4.BdevelopingBinitiative.B-BAnswer2.BestablishingBanBidentity.



RATIONALE:BAccordingBtoBErikson,BtheBprimaryBpsychosocialBtaskBduringBadolescenceBisBtoBest
ablishBaBpersonalBidentityBwhileBovercomingBroleBorBidentityBconfusion.BTheBadolescentBatte
mptsBtoBestablishBaBgroupBidentityBbyBseekingBacceptanceBandBapprovalBfromBpeers,BandBstri
vesBtoBattainBaBpersonalBidentityBbyBbecomingBmoreBindependentBfromBhisBfamily.BBecoming
BindustriousBisBtheBdevelopmentalBtaskBofBtheBschool-
ageBchild;BachievingBintimacyBisBtheBtaskBofBtheByoungBadult;BandBdevelopingBinitiativeBisBth
eBtaskBofBtheBpreschooler.



ABnurseBnotesBthatBanBinfantBdevelopsBarmBmovementBbeforeBfine-
motorBfingerBskillsBandBinterpretsBthisBasBanBexampleBofBwhichBpatternBofBdevelopment?



1.BCephalocaudal

2.BProximodistal

3.BDifferentiation

4.BMass-to-specificB-BAnswer2.BProximodistal



RATIONALE:BProximodistalBdevelopmentBprogressesBfromBtheBcenterBofBtheBbodyBtoBtheBextr
emities,BsuchBasBfromBtheBarmBtoBtheBfingers.BCephalocaudalBdevelopmentBoccursBalongBthe
Bbody'sBlongBaxis;BforBexample,BtheBinfantBdevelopsBcontrolBoverBtheBhead,Bmouth,BandBeye
BmovementsBbeforeBtheBupperBbody,Btorso,BandBlegs.BMass-to-
specificBdevelopment,BsometimesBcalledBdifferentiation,BoccursBasBtheBchildBmastersBsimpleBo
perationsBbeforeBcomplexBfunctionsBandBmovesBfromBbroad,BgeneralBpatternsBofBbehaviorBto
BmoreBrefinedBones.



ABteenageBmotherBbringsBherB1-year-oldBchildBtoBtheBpediatrician'sBofficeBforBaBwell-
babyBcheckup.BSheBsaysBthatBherBinfantBcan'tBsitBaloneBorBrollBover.BAnBappropriateBrespons
eBbyBtheBnurseBwouldBbe:

, 1.B"ThisBisBveryBabnormal.BYourBchildBmustBbeBsick."

2.B"Let'sBseeBaboutBfurtherBdevelopmentalBtesting."

3.B"Don'tBworry,BthisBisBnormalBforBherBage."

4.B"MaybeByouBjustBhaven'tBseenBherBdoBit."B-
BAnswer.B"Let'sBseeBaboutBfurtherBdevelopmentalBtesting."



RATIONALE:BStatingBthatBfurtherBdevelopmentalBtestingBisBnecessaryBisBappropriateBbecauseBa
tBageB12BmonthsBaBchildBshouldBbeBsittingBupBandBrollingBover.BTherefore,BthisBchildBmayBh
aveBdevelopmentalBproblems.BSayingBtheBinfant'sBbehaviorBisBabnormalBorBsuggestingBthatBth
eBmotherBhasn'tBseenBherBinfantBdoBtheseBmilestonesBisn'tBtherapeuticBandBcanBcutBoffBcom
municationBwithBtheBmother.BTellingBtheBmotherBthatBtheBinfant'sBbehaviorBisBnormalBmislea
dsBtheBmotherBwithBfalseBreassurance.



TheBmotherBofBanB11-month-
oldBinfantBreportsBtoBtheBnurseBthatBherBinfantBsleepsBmuchBlessBthanBotherBchildren.BTheB
motherBasksBtheBnurseBwhetherBherBinfantBisBgettingBsufficientBsleep.BWhatBshouldBbeBtheB
nurse'sBinitialBresponse?



1.BReassureBtheBmotherBthatBeachBinfant'sBsleepBneedsBareBindividual.

2.BAskBtheBmotherBforBmoreBinformationBaboutBtheBinfant'sBsleepBpatterns.

3.BInstructBtheBmotherBtoBdecreaseBtheBinfant'sBdaytimeBsleepBtoBincreaseBhisBnighttimeBslee
p.

4.BInformBtheBmotherBthatBherBinfant'sBgrowthBandBdevelopmentBareBappropriateBforBhisBag
e,BsoBsleepBisn'tBaBconcern.B-
BAnswer2.BAskBtheBmotherBforBmoreBinformationBaboutBtheBinfant'sBsleepBpatterns.



RATIONALE:BTheBnurseBneedsBmoreBinformationBaboutBtheBinfant'sBsleepBpatternsBtoBruleBou
tBpotentialBproblemsBbeforeBdeterminingBwhetherBtheBinfantBisBgettingBenoughBsleep.BTheBn
urseBshouldn'tBofferBadviceBorBreassuranceBwithoutBknowingBmoreBaboutBtheBinfant'sBspecific
BsleepBhabits.



ABnurseBobservesBaB2½-year-
oldBchildBplayingBwithBanotherBchildBofBtheBsameBageBinBtheBplayroomBonBtheBpediatricBuni
t.BWhatBtypeBofBplayBshouldBtheBnurseBexpectBtheBchildrenBtoBengageBin?



1.BAssociativeBplay

2.BParallelBplay