PEDIATRIC NURSING EXAM SCRIPT FINAL
PAPER 2026 SOLVED QUESTIONS AND
ANSWERS
◉ Paula Smith
Answer: Alteration in nutrition, less than body requirements
Ineffectual health management
Alteration in self esteem
Ineffectual coping
◉ Paula Smith Scenario 1
Answer: Introduce self, ask Paula to tell you about herself, including
self-esteem and body image
Perform a basic physical assessment and document findings
Ask Paula to write down a 24-hour food recall, and exercise routine
Talk with Paula about the findings and the need for counseling and
nutritional support
Refer Paula to a nutritionist and psychiatrist
◉ Paula Smith Scenario 2
Answer: Perform a baseline physical assessment including weight,
height, and BMI
,Inform Paula that all meals and snacks will be supervised
Talk with Paula about the need for continuous supervision for 30
minutes after each meal.
Talk with Paula about the routine of the unit, and the schedule for
meals
Document findings and teaching in Paula's chart
◉ Paula Smith Scenario 3
Answer: Provide Paula with a menu to choose foods
Sit with Paula as she eats her food
Directly observe for 30 minutes after eating
Talk with Paula about her feelings, including self-esteem and body
image
Document Results
◉ Paula Smith Scenario 4
Answer: Ask Paula why she felt the need to exercise in her room
unsupervised
Talk with Paula about the need for supervised exercising, and the
rules of the unit
Encourage Paula to notify you when she has an urge to exercise
Reassure Paula that the staff are there to help her get better
Document the behavior for the psychiatrist's review
, ◉ Paula Smith Scenario 5
Answer: Ensure the safety of Paula and others present in the day
room
With assistance from staff, take Paula to the treatment room to clean
and dress her wounds
Ask Paula if she can identify the trigger for this self-destructive
event
Conduct debriefing with other patients in day room who witnessed
event.
Take Paula back to the day room and stay with her
◉ Zoe Glover
Answer: Educational- increased
Health- increased
LOC- normal
Pain- increased
Psych- normal
Safety- increased
◉ Zoe Glover
Answer: Acute discomfort
Potential for falls
PAPER 2026 SOLVED QUESTIONS AND
ANSWERS
◉ Paula Smith
Answer: Alteration in nutrition, less than body requirements
Ineffectual health management
Alteration in self esteem
Ineffectual coping
◉ Paula Smith Scenario 1
Answer: Introduce self, ask Paula to tell you about herself, including
self-esteem and body image
Perform a basic physical assessment and document findings
Ask Paula to write down a 24-hour food recall, and exercise routine
Talk with Paula about the findings and the need for counseling and
nutritional support
Refer Paula to a nutritionist and psychiatrist
◉ Paula Smith Scenario 2
Answer: Perform a baseline physical assessment including weight,
height, and BMI
,Inform Paula that all meals and snacks will be supervised
Talk with Paula about the need for continuous supervision for 30
minutes after each meal.
Talk with Paula about the routine of the unit, and the schedule for
meals
Document findings and teaching in Paula's chart
◉ Paula Smith Scenario 3
Answer: Provide Paula with a menu to choose foods
Sit with Paula as she eats her food
Directly observe for 30 minutes after eating
Talk with Paula about her feelings, including self-esteem and body
image
Document Results
◉ Paula Smith Scenario 4
Answer: Ask Paula why she felt the need to exercise in her room
unsupervised
Talk with Paula about the need for supervised exercising, and the
rules of the unit
Encourage Paula to notify you when she has an urge to exercise
Reassure Paula that the staff are there to help her get better
Document the behavior for the psychiatrist's review
, ◉ Paula Smith Scenario 5
Answer: Ensure the safety of Paula and others present in the day
room
With assistance from staff, take Paula to the treatment room to clean
and dress her wounds
Ask Paula if she can identify the trigger for this self-destructive
event
Conduct debriefing with other patients in day room who witnessed
event.
Take Paula back to the day room and stay with her
◉ Zoe Glover
Answer: Educational- increased
Health- increased
LOC- normal
Pain- increased
Psych- normal
Safety- increased
◉ Zoe Glover
Answer: Acute discomfort
Potential for falls
