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N307 Quiz 1 – Pediatrics –50 Actual Questions & Answers (WCU) (Updated PDF)

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N307 Quiz 1 – Pediatrics –50 Actual Questions & Answers (WCU) (Updated PDF)

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N307 Quiz 1 – Pediatrics –50 Actual Questions &
Answers (WCU) (Updated PDF)



CORE DOMAINS
Growth and Development Milestones
Family-Centered Care
Pediatric Health Assessment
Evidence-Based Practice
Cultural Competence
Fluid and Electrolyte Balance
Common Childhood Conditions
Immunizations and Safety
Therapeutic Communication
Professionalism and Documentation
INTRODUCTION
This examination assesses the foundational pediatric nursing knowledge
required for safe, effective practice. It evaluates understanding of growth
and development principles, family-centered care, pediatric assessment
techniques, and common childhood conditions. The quiz employs multiple-
choice questions grounded in real-world clinical scenarios to test critical
thinking and decision-making. Emphasis is placed on developmental
milestones, atraumatic care, cultural competence, and evidence-based
interventions. This assessment prepares nursing students for the rigor of
pediatric clinical practice and subsequent course examinations.
SECTION ONE: QUESTIONS 1–50
1. A nurse is preparing a presentation on evidence-based practice
(EBP) for a group of nursing students. Which statement best defines
EBP in pediatric nursing?

,A. Following a strict set of rules and protocols without deviation
B. Using clinical experience as the sole basis for decision-making
C. Integrating the best available research evidence with clinical expertise
and patient values
D. Relying primarily on textbooks and traditional practices

C. Integrating the best available research evidence with clinical
expertise and patient values
RATIONALE: Evidence-based practice is a problem-solving approach
that integrates the best research evidence with a healthcare professional's
clinical expertise and the client's values or preferences.
2. A nurse is planning care for a child in an acute care setting. What is
the primary purpose of performing a general survey prior to the
physical assessment?
A. To allow the client to relax before the examination begins
B. To obtain vital signs before starting the exam
C. To gather initial information that will guide the focus of the physical
assessment
D. To provide enough information to establish a medical diagnosis

C. To gather initial information that will guide the focus of the physical
assessment
RATIONALE: The general survey yields information that guides the
physical assessment by providing initial observations about the client's
overall appearance, behavior, and health status.
3. The nurse is preparing to assess a 6-year-old child's mental status
during a general survey. Which data should the nurse use for this
assessment?
A. Observation of the child's ambulation and gait
B. Asking the child to describe elements of their health history
C. Observation of the child's clothing selection
D. Observation of the child's eye contact during the examination

, B. Asking the child to describe elements of their health history
RATIONALE: For a school-age child, mental status assessment
includes evaluating their ability to provide a coherent health history, which
reflects cognitive and developmental appropriateness.
4. A nurse is preparing to perform a physical assessment on a 2-year-
old child. Which approach is most appropriate for this age group?
A. Performing the assessment from head to toe without interruption
B. Using a distractor (toy) and performing the assessment in a sequential
manner
C. Asking the child to sit still and cooperate
D. Performing the assessment while the child is sleeping

B. Using a distractor (toy) and performing the assessment in a
sequential manner
RATIONALE: Toddlers benefit from distractions and a sequential
approach to physical assessment. Invasive parts of the assessment should
be saved for last.
5. A nurse is assessing a child's pain level. Which pain assessment
tool is most appropriate for a 4-year-old child?
A. Numeric rating scale (0-10)
B. Visual analog scale
C. Wong-Baker FACES scale
D. FLACC scale

C. Wong-Baker FACES scale
RATIONALE: The Wong-Baker FACES scale is appropriate for children
ages 3 and older who can self-report pain.
6. A nurse is providing education to a family about the importance of
developmental screening. Which statement by the parent indicates
understanding?
A. "Developmental screening is only needed if my child has a known
condition."

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