NUR 230 EXAM 3 OB PEDS 50 LATEST REVIEWED
QUESTIONS WITH CORRECT AND VERIFIED ANSWERS
WITH RATIONALES GRADED A+
1. The nurse is performing an assessment on an adolescent client. Which
behavior suggests appropriate psychosocial development in this client?
A. Shows excessive dependence on parents
B. Avoids discussing feelings or thoughts
C. Thinks about peers’ opinions of them
D. Prefers to spend time alone
Correct Answer:
C. Thinks about peers’ opinions of them
Expert Rationale:
Adolescents are developing their identity and are strongly influenced by
peer acceptance and social relationships. Concern about how peers
perceive them is developmentally expected and reflects normal
psychosocial growth during adolescence. Excessive dependence, avoiding
emotional expression, or persistent social isolation would be less consistent
with healthy adolescent development.
2. The nurse is performing a nutritional assessment on an adolescent
client. Which statement best indicates that the client’s diet is healthy?
A. “I rarely eat breakfast because I’m not hungry.”
B. “My parents make sure I drink 8 glasses of water daily.”
C. “I avoid vegetables because I don’t like them.”
D. “I drink four glasses of water daily.”
Correct Answer:
B. “My parents make sure I drink 8 glasses of water daily.”
Expert Rationale:
,Adequate hydration is an important part of healthy adolescent nutrition.
Regular water intake supports normal physiologic functions and helps
maintain hydration. Skipping breakfast and avoiding vegetables may result
in inadequate nutrient intake, while four glasses of water may be
insufficient depending on the adolescent's activity level and individual
needs.
3. The nurse is educating new parents about immunizations and immunity.
Which statement indicates the need for additional teaching?
A. “Passive immunity provides immediate but temporary protection.”
B. “Some immunizations require multiple doses to be effective.”
C. “Active immunity is what my child gets from me and is short-term protection.”
D. “Vaccines help my child develop immunity by stimulating their own
immune system.”
Correct Answer:
C. “Active immunity is what my child gets from me and is short-term protection.”
Expert Rationale:
This statement is incorrect because active immunity develops when the
individual's own immune system responds to an antigen, such as through
vaccination or infection. Active immunity generally provides longer-lasting
protection. Passive immunity, in contrast, occurs when antibodies are
received from another source, such as maternal antibodies, and provides
temporary protection.
4. The nurse has administered a prescribed analgesic to a preschool
child. Which action should the nurse take to assess the effectiveness of
the medication?
A. Wait 3 hours before reassessing comfort
B. Use the Wong-Baker FACES Pain Rating Scale
,C. Observe changes in vital signs only
D. Ask the child to describe the exact pain pathway
Correct Answer:
B. Use the Wong-Baker FACES Pain Rating Scale
Expert Rationale:
The Wong-Baker FACES Pain Rating Scale is appropriate for preschool-
age children because it allows them to communicate pain intensity by
selecting a facial expression that best represents how they feel. Vital signs
alone are not reliable measures of pain because changes may result from
factors other than discomfort. Reassessment should also occur at an
appropriate interval after analgesic administration.
5. A parent brings a child to emergency triage and states, “I think she got
into my mother’s medicine.” After determining the medication ingested,
which action should the nurse take next?
A. Induce vomiting
B. Administer activated charcoal immediately
C. Contact the poison control center
D. Observe the child for symptoms only
Correct Answer:
C. Contact the poison control center
Expert Rationale:
The poison control center can provide specific recommendations based on
the medication or substance involved, amount ingested, time of ingestion,
age and
, weight of the child, and current clinical condition. The nurse should not
induce vomiting or administer activated charcoal automatically because
these interventions are appropriate only for selected poisonings and when
specifically recommended.
6. The nurse has attended a conference on immunizations. Which
statement indicates that teaching has been effective?
A. “Children who have a common cold may still receive an immunization.”
B. “Children should not receive immunizations if they have a mild cold.”
C. “Only children over age five can receive immunizations safely.”
D. “Immunizations can cause all the diseases they are meant to prevent.”
Correct Answer:
A. “Children who have a common cold may still receive an immunization.”
Expert Rationale:
A mild illness, such as a common cold without moderate or severe
symptoms, is generally not a contraindication to routine vaccination.
Immunizations may need to be postponed when a child has a moderate or
severe illness, depending on the clinical situation. Therefore, a mild cold
does not automatically prevent a child from receiving an indicated vaccine.
7. The nurse provides discharge teaching to the parents of a 3-year-old
who had a cardiac catheterization. Which statement indicates correct
understanding?
A. “We should apply lotion to the catheter site twice daily.”
B. “If the site bleeds, we will soak it in warm water.”
C. “We will remove the adhesive bandage as soon as we get home.”
QUESTIONS WITH CORRECT AND VERIFIED ANSWERS
WITH RATIONALES GRADED A+
1. The nurse is performing an assessment on an adolescent client. Which
behavior suggests appropriate psychosocial development in this client?
A. Shows excessive dependence on parents
B. Avoids discussing feelings or thoughts
C. Thinks about peers’ opinions of them
D. Prefers to spend time alone
Correct Answer:
C. Thinks about peers’ opinions of them
Expert Rationale:
Adolescents are developing their identity and are strongly influenced by
peer acceptance and social relationships. Concern about how peers
perceive them is developmentally expected and reflects normal
psychosocial growth during adolescence. Excessive dependence, avoiding
emotional expression, or persistent social isolation would be less consistent
with healthy adolescent development.
2. The nurse is performing a nutritional assessment on an adolescent
client. Which statement best indicates that the client’s diet is healthy?
A. “I rarely eat breakfast because I’m not hungry.”
B. “My parents make sure I drink 8 glasses of water daily.”
C. “I avoid vegetables because I don’t like them.”
D. “I drink four glasses of water daily.”
Correct Answer:
B. “My parents make sure I drink 8 glasses of water daily.”
Expert Rationale:
,Adequate hydration is an important part of healthy adolescent nutrition.
Regular water intake supports normal physiologic functions and helps
maintain hydration. Skipping breakfast and avoiding vegetables may result
in inadequate nutrient intake, while four glasses of water may be
insufficient depending on the adolescent's activity level and individual
needs.
3. The nurse is educating new parents about immunizations and immunity.
Which statement indicates the need for additional teaching?
A. “Passive immunity provides immediate but temporary protection.”
B. “Some immunizations require multiple doses to be effective.”
C. “Active immunity is what my child gets from me and is short-term protection.”
D. “Vaccines help my child develop immunity by stimulating their own
immune system.”
Correct Answer:
C. “Active immunity is what my child gets from me and is short-term protection.”
Expert Rationale:
This statement is incorrect because active immunity develops when the
individual's own immune system responds to an antigen, such as through
vaccination or infection. Active immunity generally provides longer-lasting
protection. Passive immunity, in contrast, occurs when antibodies are
received from another source, such as maternal antibodies, and provides
temporary protection.
4. The nurse has administered a prescribed analgesic to a preschool
child. Which action should the nurse take to assess the effectiveness of
the medication?
A. Wait 3 hours before reassessing comfort
B. Use the Wong-Baker FACES Pain Rating Scale
,C. Observe changes in vital signs only
D. Ask the child to describe the exact pain pathway
Correct Answer:
B. Use the Wong-Baker FACES Pain Rating Scale
Expert Rationale:
The Wong-Baker FACES Pain Rating Scale is appropriate for preschool-
age children because it allows them to communicate pain intensity by
selecting a facial expression that best represents how they feel. Vital signs
alone are not reliable measures of pain because changes may result from
factors other than discomfort. Reassessment should also occur at an
appropriate interval after analgesic administration.
5. A parent brings a child to emergency triage and states, “I think she got
into my mother’s medicine.” After determining the medication ingested,
which action should the nurse take next?
A. Induce vomiting
B. Administer activated charcoal immediately
C. Contact the poison control center
D. Observe the child for symptoms only
Correct Answer:
C. Contact the poison control center
Expert Rationale:
The poison control center can provide specific recommendations based on
the medication or substance involved, amount ingested, time of ingestion,
age and
, weight of the child, and current clinical condition. The nurse should not
induce vomiting or administer activated charcoal automatically because
these interventions are appropriate only for selected poisonings and when
specifically recommended.
6. The nurse has attended a conference on immunizations. Which
statement indicates that teaching has been effective?
A. “Children who have a common cold may still receive an immunization.”
B. “Children should not receive immunizations if they have a mild cold.”
C. “Only children over age five can receive immunizations safely.”
D. “Immunizations can cause all the diseases they are meant to prevent.”
Correct Answer:
A. “Children who have a common cold may still receive an immunization.”
Expert Rationale:
A mild illness, such as a common cold without moderate or severe
symptoms, is generally not a contraindication to routine vaccination.
Immunizations may need to be postponed when a child has a moderate or
severe illness, depending on the clinical situation. Therefore, a mild cold
does not automatically prevent a child from receiving an indicated vaccine.
7. The nurse provides discharge teaching to the parents of a 3-year-old
who had a cardiac catheterization. Which statement indicates correct
understanding?
A. “We should apply lotion to the catheter site twice daily.”
B. “If the site bleeds, we will soak it in warm water.”
C. “We will remove the adhesive bandage as soon as we get home.”
