LPN pediatrics nursing EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

EXAM

Exam Solution+t




Pediatric Nursing exam 1 2026 A+ GRADE ASSURED CO +t +t +t +t +t +t +t +t




MPLETE SOLUTIONS AND VERIFIED ANSWERS (9EBEC) +t +t +t +t +t




QUESTION 1 +t




The nurse is seeing an adolescent and the parents in the clinic for the first time. Which s
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hould the nurse do first?
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a. Introduce him- or herself.
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b. Make the family comfortable.
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c. Give assurance of privacy.
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d. Explain the purpose of the interview.
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ANSWER

ANS: A The first thing that nurses must do is to introduce themselves to the patient and family. Parents
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and other adults should be addressed with appropriate titles unless they specify a preferred name. Clari
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fication of the purpose of the interview and the nurse's role is the second thing that should be done. Du
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ring the initial part of the interview, the nurse should include general conversation to help make the fa
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mily feel at ease. The interview also should take place in an environment as free of distraction as possib
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le. In addition, the nurse should clarify which information will be shared with other members of the he
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alth care team and any limits to the confidentiality.
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QUESTION 2 +t




Which is considered a block to effective communication?
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a. Using silence
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b. Using clichés
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c. Directing the focus
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d. Defining the problem
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ANSWER

ANS: B Using stereotyped comments or clichés can block effective communication. After the nurse uses
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such trite phrases, parents often do not respond. Silence can be an effective interviewing tool. Silence p
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ermits the interviewee to sort out thoughts and feelings and search for responses to questions. To be ef
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fective, the nurse must be able to direct the focus of the interview while allowing maximum freedom of
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expression. By using open- +t +t +t



ended questions and guiding questions, the nurse can obtain the necessary information and maintain a
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,relationship with the family. The nurse and parent must collaborate and define the problem that will be
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the focus of the nursing intervention.
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QUESTION 3 +t




Which is the single most important factor to consider when communicating with childre
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n?
a. Presence of the child's parent
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b. Child's physical condition
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c. Child's developmental level
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d. Child's nonverbal behaviors
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ANSWER

ANS: C The nurse must be aware of the child's developmental stage to engage in effective communicatio
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n. The use of both verbal and nonverbal communication should be appropriate to the developmental lev
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el. Nonverbal behaviors vary in importance based on the child's developmental level and physical condi
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tion. Although the child's physical condition is a consideration, developmental level is much more impor
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tant. The presence of parents is important when communicating with young children but may be detrim
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ental when speaking with adolescents.
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QUESTION 4 +t




Because children younger than 5 years are egocentric, the nurse should do which when
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communicating with them? +t +t



a. Focus communication on the child.
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b. Use easy analogies when possible.
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c. Explain experiences of others to the child.
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d. Assure the child that communication is private
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ANSWER

ANS: A Because children of this age are able to see things only in terms of themselves, the best approac
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h is to focus communication directly on them. Children should be provided with information about wha
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t they can do and how they will feel. With children who are egocentric, analogies, experiences, and assu
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rances that communication is private will not be effective because the child is not capable of understan
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ding.



QUESTION 5 +t




The nurse's approach when introducing hospital equipment to a preschooler who seems
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afraid should be based on which principle?
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a. The child may think the equipment is alive.
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b. Explaining the equipment will only increase the child's fear.
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c. One brief explanation will be enough to reduce the child's fear.
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d. The child is too young to understand what the equipment does.
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ANSWER

,ANS: A Young children attribute human characteristics to inanimate objects. They often fear that the obj
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ects may jump, bite, cut, or pinch all by themselves without human direction. Equipment should be kept
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out of sight until needed. Simple, concrete explanations about what the equipment does and how it will
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feel will help alleviate the child's fear. Preschoolers need repeated explanations as reassurance.
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QUESTION 6 +t




When the nurse interviews an adolescent, which is especially important?
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a. Focus the discussion on the peer group.
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b. Allow an opportunity to express feelings.
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c. Use the same type of language as the adolescent.
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d. Emphasize that confidentiality will always be maintained.
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ANSWER

ANS: B Adolescents, like all children, need opportunities to express their feelings. Often they interject fe
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elings into their words. The nurse must be alert to the words and feelings expressed. The nurse should
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maintain a professional relationship with adolescents. To avoid misunderstanding or misinterpretation
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of words and phrases used, the nurse should clarify the terms used, what information will be shared wi
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th other members of the health care team, and any limits to confidentiality. Although the peer group is i
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mportant to this age group, the interview should focus on the adolescent.
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QUESTION 7 +t




An 8-year- +t



old girl asks the nurse how the blood pressure apparatus works. The most appropriate n
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ursing action is which? +t +t +t



a. Ask her why she wants to know.
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b. Determine why she is so anxious.
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c. Explain in simple terms how it works.
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d. Tell her she will see how it works as it is used.
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ANSWER

ANS: C School- +t +t



age children require explanations and reasons for everything. They are interested in the functional aspe
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ct of all procedures, objects, and activities. It is appropriate for the nurse to explain how equipment wo
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rks and what will happen to the child so that the child can then observe during the procedure. The nurs
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e should respond positively for requests for information about procedures and health information. By n
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ot responding, the nurse may be limiting communication with the child. The child is not exhibiting anxi
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ety in asking how the blood pressure apparatus works, just requesting clarification of what will occur.
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QUESTION 8 +t




The nurse is having difficulty communicating with a hospitalized 6-year-
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old child. Which technique should be most helpful?
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a. Recommend that the child keep a diary.
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b. Provide supplies for the child to draw a picture.
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, c. Suggest that the parent read fairy tales to the child.
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d. Ask the parent if the child is always uncommunicative.
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ANSWER

ANS: B Drawing is one of the most valuable forms of communication. Children's drawings tell a great de
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al about them because they are projections of the children's inner self. A diary should be difficult for a
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6-year-
old child, who is most likely learning to read. The parent reading fairy tales to the child is a passive acti
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vity involving the parent and child; it should not facilitate communication with the nurse. The child is in
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a stressful situation and is probably uncomfortable with strangers, not always uncommunicative.
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QUESTION 9 +t




Which data should be included in a health history?
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a. Review of systems
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b. Physical assessment
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c. Growth measurements
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d. Record of vital signs
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ANSWER

ANS: A A review of systems is done to elicit information concerning any potential health problems. This
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further guides the interview process. Physical assessment, growth measurements, and a record of vital
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signs are components of the physical examination.
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QUESTION 10 +t




The nurse is interviewing the mother of an infant. The mother reports, "I had a difficult
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delivery, and my baby was born prematurely." This information should be recorded und
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er which heading?
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a. History
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b. Present illness
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c. Chief complaint
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d. Review of systems
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ANSWER

ANS: A The history refers to information that relates to previous aspects of the child's health, not to the
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current problem. The difficult delivery and prematurity are important parts of the infant's history. The
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history of the present illness is a narrative of the chief complaint from its earliest onset through its pro
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gression to the present. Unless the chief complaint is directly related to the prematurity, this informatio
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n is not included in the history of the present illness. The chief complaint is the specific reason for the c
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hild's visit to the clinic, office, or hospital. It should not include the birth information. The review of sys
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tems is a specific review of each body system. It does not include the premature birth but might include
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sequelae such as pulmonary dysfunction.
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QUESTION 11 +t