NURS 1230 PEDS EXAM 1 NCLEX STYLED UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS
anticipatory guidance ✔️educating parents and caregivers about what to expect in the next phase of development
3 months ✔️Rolling over
6 months ✔️teething begins, sits upright in a chair, bottom molars. one-syllable words spoken.
9 months ✔️Crawling, pincher fine motor (pick up and drop on floor), object permanence
1 year ✔️Start walking (boys slower) if not walking at 18 months then concern
When do boys and girls potty train ✔️Girls at 2 years and boys at 3 years
How do babies grow ✔️From proximal to distal. Gross motor develops before fine motor
What is the overall cause of injuries in all age groups ✔️Unanticipated accidents
6,7,8 school age safety concerns ✔️Crossing street, helmet on bike, jumping around
10,11,12 safety concern ✔️Seatbelt, driving in back until 13, weight requirements on car seats
When do they start drug education ✔️Middle school and younger
13 and older adolescents safety concerns ✔️Drugs, alcohol, sex, driving (brains not developed so daily use will affect development)
What is the last sense to go when dying ✔️Hearing - encourage parents to talk to child
What happens physiologically to body when dying ✔️Die distal to proximal. Extremities get cold, blueish, mottle, BP and HR decrease, agonal
breathing (gasping for air)
How can nurse assist 13 year old dying ✔️Pain management and allowing some decision making
How do you communicate w child ✔️Address child before parent, get on eye level, listen to teddy bear before child etc
VS and disrepencies ✔️RR, HR, 02, pain, BP, Temp.
BP cuff too large = false low. Too small=false high
What is the FLACC pain scale? ✔️Facial expression, Leg movement, Activity, Cry, Consolability. It measures pain by quantifying pain behaviors
with scores ranging from 0 to 10.
What is the numeric wong baker pain scale ✔️Different faces for preschool age
What is the NIPS pain scale? ✔️neonatal infant pain scale
What is the numeric pain scale ✔️0-10 for age 12 to adults
When do you reassess pain ✔️After administration of med. Grimace or cry=pain. High HR,BP=pain
Hepatotoxicity ✔️liver toxicity. 10-15 mg/kg/dose acetaminophen
What to remember when admin meds and what common mistake is made ✔️Remember 6 rights. Work around is not scanning the barcode.
Know allergies and adverse affects
What should you do if your 3 month old has a fever of 101 ✔️Bring to hospital. Baby should have immune response from mom to protest baby.
Call if ever fever under 6 months
Complications of ibuprofen ✔️GI bleed. Don't give to baby
Boy child is potty trained but peeing his bed ✔️It is just regression. Anticipatory guidance says this is normal and once stress is relieved will go
back to normal
anticipatory guidance ✔️educating parents and caregivers about what to expect in the next phase of development
3 months ✔️Rolling over
6 months ✔️teething begins, sits upright in a chair, bottom molars. one-syllable words spoken.
9 months ✔️Crawling, pincher fine motor (pick up and drop on floor), object permanence
1 year ✔️Start walking (boys slower) if not walking at 18 months then concern
When do boys and girls potty train ✔️Girls at 2 years and boys at 3 years
How do babies grow ✔️From proximal to distal. Gross motor develops before fine motor
What is the overall cause of injuries in all age groups ✔️Unanticipated accidents
6,7,8 school age safety concerns ✔️Crossing street, helmet on bike, jumping around
10,11,12 safety concern ✔️Seatbelt, driving in back until 13, weight requirements on car seats
When do they start drug education ✔️Middle school and younger
13 and older adolescents safety concerns ✔️Drugs, alcohol, sex, driving (brains not developed so daily use will affect development)
What is the last sense to go when dying ✔️Hearing - encourage parents to talk to child
What happens physiologically to body when dying ✔️Die distal to proximal. Extremities get cold, blueish, mottle, BP and HR decrease, agonal
breathing (gasping for air)
How can nurse assist 13 year old dying ✔️Pain management and allowing some decision making
How do you communicate w child ✔️Address child before parent, get on eye level, listen to teddy bear before child etc
VS and disrepencies ✔️RR, HR, 02, pain, BP, Temp.
BP cuff too large = false low. Too small=false high
What is the FLACC pain scale? ✔️Facial expression, Leg movement, Activity, Cry, Consolability. It measures pain by quantifying pain behaviors
with scores ranging from 0 to 10.
What is the numeric wong baker pain scale ✔️Different faces for preschool age
What is the NIPS pain scale? ✔️neonatal infant pain scale
What is the numeric pain scale ✔️0-10 for age 12 to adults
When do you reassess pain ✔️After administration of med. Grimace or cry=pain. High HR,BP=pain
Hepatotoxicity ✔️liver toxicity. 10-15 mg/kg/dose acetaminophen
What to remember when admin meds and what common mistake is made ✔️Remember 6 rights. Work around is not scanning the barcode.
Know allergies and adverse affects
What should you do if your 3 month old has a fever of 101 ✔️Bring to hospital. Baby should have immune response from mom to protest baby.
Call if ever fever under 6 months
Complications of ibuprofen ✔️GI bleed. Don't give to baby
Boy child is potty trained but peeing his bed ✔️It is just regression. Anticipatory guidance says this is normal and once stress is relieved will go
back to normal
