Peds (2026) Q&A
1. A nurse is caring for a 2-year-old child who has been hospitalized for 12 hours.
Which situation would most affect the child's behavior?
A) The presence of other children
B) A lack of familiar toys
C) The presence of nurses
D) Separation from parents
Correct Answer: Separation from parents
Rationale: Between the ages of 6 months and 2.5 years, separation anxiety is very
common. Separation from parents should be avoided when possible, due to the
distress it causes. The presence of other children and nurses or a lack of toys can
cause stress, but parental separation is the most significant factor affecting behavior
in this age group.
2. A nurse is performing a developmental assessment on a 15-month-old child.
Which finding is of the most concern?
A) Unable to stand for 2 seconds
B) Unable to run
C) Unable to say 3 words
D) Unable to put on clothing
Correct Answer: Unable to stand for 2 seconds
,Rationale: By 15 months, most children can stand alone and take a few steps. The
inability to stand for 2 seconds may indicate a gross motor delay requiring further
evaluation. Running is a skill expected around 18 months, and saying 3 words or
putting on clothing are not typical milestones for 15 months.
3. A nurse is providing anticipatory guidance to the parents of a 4-year-old client.
Which teaching points should the nurse include? (Select all that apply.)
A) Telling lies is normal in this age group.
B) Give Syrup of Ipecac for accidental ingestions.
C) Avoid giving raw carrots and grapes.
D) Nightmares and night terrors are common.
E) Ensure helmet use when riding a tricycle.
Correct Answer: Telling lies is normal in this age group., Nightmares and night
terrors are common., Ensure helmet use when riding a tricycle.
Rationale: Preschoolers are concrete and magical thinkers and often are not able to
differentiate fantasy from reality. Syrup of Ipecac is not routinely recommended;
parents should call Poison Control first. Raw carrots and whole grapes are choking
hazards only for children under 3 years of age.
4. According to Erikson's psychosocial development theory, which stage is associated
with the greatest challenge in developing a personal identity?
A) Infancy
B) Toddlerhood
C) Childhood
D) Adolescence
Correct Answer: Adolescence
, Rationale: According to Erikson, the adolescent stage (Identity vs. Role Confusion) is
the most unstable and challenging period for development of personal identity.
During this stage, adolescents explore different roles and attempt to develop a stable
sense of self.
5. Which age group has the greatest potential to demonstrate regression when they
are sick?
A) Adolescent
B) Young Adult
C) Toddler
D) Infant
Correct Answer: Toddler
Rationale: Toddlers are in a stage where they are striving for autonomy and control.
When ill or stressed, they often regress to an earlier stage of development (e.g.,
wanting a bottle or using diapers). This is a common coping mechanism in this age
group.
6. Which of the following is a normal heart rate range for a school-age child (6-12
years)?
A) 60-100 beats/min
B) 70-110 beats/min
C) 80-130 beats/min
D) 100-160 beats/min
Correct Answer: 70-110 beats/min