,NUR 205 Proctored Clinical Judgment Exam Pediatric Nursing
Questions And Answers 2026/2027 Jersey College
Q1. An 8-month-old hospitalized with pneumonia cries whenever the
parent moves toward the door. Which nursing intervention best
addresses the infant's developmental response?
A) Encourage the parent to leave without saying goodbye
B) Use consistent caregivers and support parental presence whenever
possible
C) Rotate staff frequently so the infant adapts to strangers
D) Discourage use of familiar toys
Correct Answer: B) Use consistent caregivers and support parental presence
whenever possible
Rationale: Separation and stranger anxiety are common during later
infancy. Familiar caregivers and consistent routines can reduce distress.
Q2. A 2-year-old needs a painful dressing change and repeatedly
says, “No!” Which nursing approach is most appropriate?
A) Cancel the required procedure
B) Offer the toddler a limited choice, such as which toy to hold during the
procedure
C) Ask whether the toddler wants the dressing changed
D) Threaten a more painful procedure if the child refuses
Correct Answer: B) Offer the toddler a limited choice, such as which toy to
hold during the procedure
Rationale: Toddlers benefit from realistic choices that support autonomy
without making essential treatment optional.
Q3. A preschool child says, “I got sick because I was mad at my
brother.” Which response is most appropriate?
A) “Being angry did not cause your illness.”
B) “Why would you think something like that?”
C) “You need to apologize to your brother.”
D) “Maybe your anger did make you sick.”
Correct Answer: A) “Being angry did not cause your illness.”
Rationale: Preschool children may use magical thinking and believe
thoughts cause events. A simple concrete correction can reduce guilt.
,Q4. A hospitalized 9-year-old says, “Everyone in my class is learning
things while I am stuck here.” Which nursing intervention best
supports development?
A) Remove school materials to reduce stress
B) Explain that school is unimportant during illness
C) Help arrange schoolwork and age-appropriate activities that promote
accomplishment
D) Ask the parent to complete assignments for the child
Correct Answer: C) Help arrange schoolwork and age-appropriate activities
that promote accomplishment
Rationale: School-age children develop confidence through competence,
productivity, and successful completion of tasks.
Q5. An adolescent asks the nurse not to tell a parent about
questions concerning sexual health. Which response is most
appropriate?
A) “Your parent must be present for every discussion.”
B) “We can talk privately, and I will explain any safety-related limits to
confidentiality.”
C) “I cannot discuss sexual health with minors.”
D) “Everything you tell me will remain confidential under every
circumstance.”
Correct Answer: B) “We can talk privately, and I will explain any safety-
related limits to confidentiality.”
Rationale: Developmentally appropriate confidential care can promote
disclosure while acknowledging limits when significant safety concerns exist.
Q6. A 4-year-old is afraid of a scheduled venipuncture. Which
explanation is most appropriate?
A) “A sharp device will penetrate your epidermis.”
B) “Nothing will hurt.”
C) “I will clean your arm, then you may feel a quick pinch while we get a little
blood.”
D) “Your parent can explain it later.”
Correct Answer: C) “I will clean your arm, then you may feel a quick pinch
while we get a little blood.”
, Rationale: Preschool children benefit from short, concrete, honest
descriptions of what they will see and feel.
Q7. Select all that apply. Which findings are useful when assessing
dehydration in an infant?
A) Number of wet diapers
B) Presence of tears
C) Mucous membrane moisture
D) Capillary refill
E) Recent weight change
Correct Answers: A) Number of wet diapers; B) Presence of tears; C) Mucous
membrane moisture; D) Capillary refill; E) Recent weight change
Rationale: Hydration assessment in infants combines urine output,
perfusion, mucosal moisture, tears, weight trends, behavior, and intake.
Q8. The nurse weighs a child at 18 kg. A medication is prescribed at
12 mg/kg/day divided into three equal doses. How many milligrams
should the child receive per dose?
A) 54 mg
B) 72 mg
C) 108 mg
D) 216 mg
Correct Answer: B) 72 mg
Rationale: The total daily dose is 12 mg × 18 kg = 216 mg. Dividing by
three doses gives 72 mg per dose.
Q9. Which assessment approach is most appropriate for a fearful
toddler?
A) Begin with the mouth and ears
B) Separate the child from the caregiver
C) Observe first and perform less threatening assessments before more
invasive ones
D) Restrain the child before beginning
Correct Answer: C) Observe first and perform less threatening assessments
before more invasive ones
Rationale: Beginning with observation and less intrusive assessments
reduces anxiety and improves cooperation.
Questions And Answers 2026/2027 Jersey College
Q1. An 8-month-old hospitalized with pneumonia cries whenever the
parent moves toward the door. Which nursing intervention best
addresses the infant's developmental response?
A) Encourage the parent to leave without saying goodbye
B) Use consistent caregivers and support parental presence whenever
possible
C) Rotate staff frequently so the infant adapts to strangers
D) Discourage use of familiar toys
Correct Answer: B) Use consistent caregivers and support parental presence
whenever possible
Rationale: Separation and stranger anxiety are common during later
infancy. Familiar caregivers and consistent routines can reduce distress.
Q2. A 2-year-old needs a painful dressing change and repeatedly
says, “No!” Which nursing approach is most appropriate?
A) Cancel the required procedure
B) Offer the toddler a limited choice, such as which toy to hold during the
procedure
C) Ask whether the toddler wants the dressing changed
D) Threaten a more painful procedure if the child refuses
Correct Answer: B) Offer the toddler a limited choice, such as which toy to
hold during the procedure
Rationale: Toddlers benefit from realistic choices that support autonomy
without making essential treatment optional.
Q3. A preschool child says, “I got sick because I was mad at my
brother.” Which response is most appropriate?
A) “Being angry did not cause your illness.”
B) “Why would you think something like that?”
C) “You need to apologize to your brother.”
D) “Maybe your anger did make you sick.”
Correct Answer: A) “Being angry did not cause your illness.”
Rationale: Preschool children may use magical thinking and believe
thoughts cause events. A simple concrete correction can reduce guilt.
,Q4. A hospitalized 9-year-old says, “Everyone in my class is learning
things while I am stuck here.” Which nursing intervention best
supports development?
A) Remove school materials to reduce stress
B) Explain that school is unimportant during illness
C) Help arrange schoolwork and age-appropriate activities that promote
accomplishment
D) Ask the parent to complete assignments for the child
Correct Answer: C) Help arrange schoolwork and age-appropriate activities
that promote accomplishment
Rationale: School-age children develop confidence through competence,
productivity, and successful completion of tasks.
Q5. An adolescent asks the nurse not to tell a parent about
questions concerning sexual health. Which response is most
appropriate?
A) “Your parent must be present for every discussion.”
B) “We can talk privately, and I will explain any safety-related limits to
confidentiality.”
C) “I cannot discuss sexual health with minors.”
D) “Everything you tell me will remain confidential under every
circumstance.”
Correct Answer: B) “We can talk privately, and I will explain any safety-
related limits to confidentiality.”
Rationale: Developmentally appropriate confidential care can promote
disclosure while acknowledging limits when significant safety concerns exist.
Q6. A 4-year-old is afraid of a scheduled venipuncture. Which
explanation is most appropriate?
A) “A sharp device will penetrate your epidermis.”
B) “Nothing will hurt.”
C) “I will clean your arm, then you may feel a quick pinch while we get a little
blood.”
D) “Your parent can explain it later.”
Correct Answer: C) “I will clean your arm, then you may feel a quick pinch
while we get a little blood.”
, Rationale: Preschool children benefit from short, concrete, honest
descriptions of what they will see and feel.
Q7. Select all that apply. Which findings are useful when assessing
dehydration in an infant?
A) Number of wet diapers
B) Presence of tears
C) Mucous membrane moisture
D) Capillary refill
E) Recent weight change
Correct Answers: A) Number of wet diapers; B) Presence of tears; C) Mucous
membrane moisture; D) Capillary refill; E) Recent weight change
Rationale: Hydration assessment in infants combines urine output,
perfusion, mucosal moisture, tears, weight trends, behavior, and intake.
Q8. The nurse weighs a child at 18 kg. A medication is prescribed at
12 mg/kg/day divided into three equal doses. How many milligrams
should the child receive per dose?
A) 54 mg
B) 72 mg
C) 108 mg
D) 216 mg
Correct Answer: B) 72 mg
Rationale: The total daily dose is 12 mg × 18 kg = 216 mg. Dividing by
three doses gives 72 mg per dose.
Q9. Which assessment approach is most appropriate for a fearful
toddler?
A) Begin with the mouth and ears
B) Separate the child from the caregiver
C) Observe first and perform less threatening assessments before more
invasive ones
D) Restrain the child before beginning
Correct Answer: C) Observe first and perform less threatening assessments
before more invasive ones
Rationale: Beginning with observation and less intrusive assessments
reduces anxiety and improves cooperation.
