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Nur 230 Nclex Peds Exam Practice Questions

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Galen College of Nursing NUR 230 NCLEX PEDS Exam
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1. The nurse is preparing to administer an oral medication to a 4-year-old. The nurse's best approach to involve
the child's cooperation is reflected in which statement?
a. Do you want to take this medicine now? It tastes yummy.
b. It's time for your medicine. Would you like water or juice to drink with it?
c. Here's your medicine. Do you want me to give it to you, or your mom?
d. Here's your medicine. Please take it or you will have lots of pain.

2. Which of the following reactions to surgery is most typical of an adolescent's reaction to fear of bodily injury?
a. Concern about the pain
b. Concern about the procedure
c. Concern about the scar
d. Understanding explanations literally

3. If a child needs support during an invasive procedure, what should the nurse do?
a. Inform the parents about how the child did after the procedure
b. Ask the parents to stay in the room, where they can have eye contact with the child
c. Decide whether parental presence will be beneficial, and try to let the parent choose
d. Insist that parents leave to reduce their own anxiety

4. A group of toddlers are playing alongside each other with no organized rules, showing little direct interaction.
This type of play is:
a. Associative play
b. Solitary play
c. Parallel play
d. Cooperative play

5. According to Erikson, which psychosocial stage is associated with the toddler age group (1-3 years)?
a. Trust vs mistrust
b. Autonomy vs shame and doubt
c. Initiative vs guilt
d. Industry vs inferiority

6. Which toy is most appropriate for a 7-month-old infant?
a. Building blocks
b. A soft rattle
c. Crayons and paper
d. A small board game

7. According to Piaget, a 4-year-old child is in which stage of cognitive development?
a. Sensorimotor
b. Preoperational
c. Concrete operational
d. Formal operational

, 8. Which characteristic is typical of school-age children (6-12 years) per Erikson's stages?
a. Trust vs mistrust
b. Industry vs inferiority
c. Identity vs role confusion
d. Autonomy vs shame and doubt

9. The nurse is assessing developmental milestones in a 9-month-old. Which finding would be expected?
a. Walking independently
b. Sitting without support and beginning to crawl
c. Running and climbing stairs
d. Saying full sentences

10. Object permanence typically develops during which age range?
a. Birth to 4 months
b. 4 to 8 months
c. 8 to 12 months
d. 18 to 24 months

11. The preschool-age child (3-6 years) is most likely to fear which of the following during hospitalization?
a. Death
b. Separation from parents
c. Loss of independence
d. Peer rejection

12. Which behavior is characteristic of parallel play in toddlers?
a. Playing cooperatively with rules
b. Playing alone, uninterested in others
c. Playing alongside other children without direct interaction
d. Playing competitively with peers

13. Regression is a common coping mechanism seen in which age group during hospitalization?
a. Infants
b. Toddlers and preschoolers
c. School-age children
d. Adolescents

14. Which statement by an adolescent patient reflects a normal developmental concern during hospitalization?
a. I'm worried I won't grow taller.
b. I'm worried about missing time with my friends and looking different.
c. I'm worried my mom won't stay with me.
d. I don't understand what's happening to me.

15. Which nursing approach is most appropriate when preparing a school-age child for a procedure?
a. Use simple, vague explanations to avoid causing fear
b. Provide honest, concrete explanations shortly before the procedure
c. Avoid explaining the procedure at all
d. Explain the procedure using only medical terminology

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