Pediatric Nurse Exam – Pediatric Nursing Certification – Comprehensive Practice Questions and Exam Preparation Material

Pediatric Nurse Exam With Verified Question and
Answer

To establish a good interview relationship with an adolescent, which
strategy is most appropriate?

1. Asking personal questions unrelated to the situation
2. Writing down everything the teen says
3. Asking open-ended questions
4. Discussing the nurse's own thoughts and feelings about the situation -
Correct Answer -3. Asking open-ended questions

RATIONALE: Open-ended questions allow the adolescent to share
information and feelings. Asking personal questions not related to the
situation jeopardizes the trust that must be established because the
adolescent may feel as though he's being interrogated with unnecessary
questions. Writing everything down during the interview can be a
distraction and doesn't allow the nurse to observe how the adolescent
behaves. Discussing the nurse's thoughts and feelings may bias the
assessment and is inappropriate when interviewing any client

A chronically ill school-age child is most vulnerable to which stressor?

1. Mutilation anxiety
2. Anticipatory grief
3. Anxiety over school absences
4. Fear of hospital procedures - Correct Answer -3. Anxiety over school
absences

RATIONALE: The school-age child is becoming industrious and
attempts to master school-related activities. Therefore, school absences
are likely to cause extreme anxiety for a school-age child who's
chronically ill. Mutilation anxiety is more common in adolescents.
Anticipatory grief is rare in a school-age child. Fear of hospital
procedures is most pronounced in preschool-age children.

When developing a care plan for an adolescent, the nurse considers the
child's psychosocial needs. During adolescence, psychosocial
development focuses on:


1

, 1. becoming industrious.
2. establishing an identity.
3. achieving intimacy.
4. developing initiative. - Correct Answer -2. establishing an identity.

RATIONALE: According to Erikson, the primary psychosocial task during
adolescence is to establish a personal identity while overcoming role or
identity confusion. The adolescent attempts to establish a group identity
by seeking acceptance and approval from peers, and strives to attain a
personal identity by becoming more independent from his family.
Becoming industrious is the developmental task of the school-age child;
achieving intimacy is the task of the young adult; and developing
initiative is the task of the preschooler.

A nurse notes that an infant develops arm movement before fine-motor
finger skills and interprets this as an example of which pattern of
development?

1. Cephalocaudal
2. Proximodistal
3. Differentiation
4. Mass-to-specific - Correct Answer -2. Proximodistal

RATIONALE: Proximodistal development progresses from the center of
the body to the extremities, such as from the arm to the fingers.
Cephalocaudal development occurs along the body's long axis; for
example, the infant develops control over the head, mouth, and eye
movements before the upper body, torso, and legs. Mass-to-specific
development, sometimes called differentiation, occurs as the child
masters simple operations before complex functions and moves from
broad, general patterns of behavior to more refined ones.

A teenage mother brings her 1-year-old child to the pediatrician's office
for a well-baby checkup. She says that her infant can't sit alone or roll
over. An appropriate response by the nurse would be:

1. "This is very abnormal. Your child must be sick."
2. "Let's see about further developmental testing."
3. "Don't worry, this is normal for her age."
4. "Maybe you just haven't seen her do it." - Correct Answer -. "Let's see
about further developmental testing."



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