ESSENTIALS OF PEDIATRIC NURSING
EXAM SCRIPT WITH CORRECT
ANSWERS
⩥ The nurse is obtaining the health history for a 9-year-old child who
has been brought to the ambulatory care clinic with reports of a
backache. Which initial action by the nurse is most appropriate?
Ask the child to demonstrate movements involving the back.
Ask the child's parent about when the parent was first made aware of the
discomfort.
Palpate the child's back while asking the severity of discomfort being
experienced.
Ask the child when the pain started. Answer: Ask the child when the
pain started.
⩥ A 12-year-old client is hospitalized. Which finding will the nurse
expect while providing care to this client?
uncomfortable during genital assessment
separation anxiety
,refusal of treatments
inability to understand explanation Answer: uncomfortable during
genital assessment
⩥ A preschooler is admitted to the pediatric floor for dehydration and is
frightened. Which nursing intervention would be least effective in
alleviating the child's anxiety?
Encourage a caregiver to stay with the child when possible.
Explain all procedures using medical terminology.
Assign the child to the same nurse each day.
Allow the child to handle the blood pressure cuff before using it.
Answer: Explain all procedures using medical terminology.
⩥ The nurse is establishing a long-term relationship with a child who
will be seeking treatment for cancer. What is the most important factor
in this relationship?
determining appointment times for meetings
establishing a timeline for the relationship
establishing trust
setting goals for the relationship Answer: establishing trust
,⩥ The nurse is preparing to conduct the cover test with a preschool-age
child. Which body system is the nurse preparing to assess?
Ears
Eyes
Neck
Nose Answer: Eyes
⩥ While at school, the client is called to the school nurse's office. The
school nurse is performing secondary prevention interventions. Which
would the nurse most likely be performing?
assessing vision
checking temperature
asking the client if he or she likes school
asking the client about what he or she usually eats each day Answer:
assessing vision
⩥ The nurse is taking the health history of a 15-year-old client. What
would be an appropriate way for the nurse to ask about the client's drug
use history?
"Have you smoked crack before?"
"Some teens like to smoke. Have you tried this?"
, "Have you had alcohol at parties before?"
"Have you smoked cigarettes?" Answer: "Some teens like to smoke.
Have you tried this?"
⩥ The nurse is caring for a 6-year-old client who is prescribed to cough
and deep breathe following surgery. Which nursing action is best for this
client?
Arrange for respiratory therapy to do coughing and deep breathing
exercises with the child.
Blow a pinwheel and bubbles with the child.
Have the parents encourage the child to cough and deep breathe every 2
hours.
Teach the child to use an incentive spirometer. Answer: Blow a pinwheel
and bubbles with the child.
⩥ A toddler is brought to the pediatric clinic by the caregiver because
the child "doesn't feel well." As the nurse interviews the caregiver about
why the client is there, which goal is the nurse prioritizing at this point?
Obtaining the health history
Determining the chief complaint
Obtaining biographical data
Interviewing the client Answer: Determining the chief complaint
EXAM SCRIPT WITH CORRECT
ANSWERS
⩥ The nurse is obtaining the health history for a 9-year-old child who
has been brought to the ambulatory care clinic with reports of a
backache. Which initial action by the nurse is most appropriate?
Ask the child to demonstrate movements involving the back.
Ask the child's parent about when the parent was first made aware of the
discomfort.
Palpate the child's back while asking the severity of discomfort being
experienced.
Ask the child when the pain started. Answer: Ask the child when the
pain started.
⩥ A 12-year-old client is hospitalized. Which finding will the nurse
expect while providing care to this client?
uncomfortable during genital assessment
separation anxiety
,refusal of treatments
inability to understand explanation Answer: uncomfortable during
genital assessment
⩥ A preschooler is admitted to the pediatric floor for dehydration and is
frightened. Which nursing intervention would be least effective in
alleviating the child's anxiety?
Encourage a caregiver to stay with the child when possible.
Explain all procedures using medical terminology.
Assign the child to the same nurse each day.
Allow the child to handle the blood pressure cuff before using it.
Answer: Explain all procedures using medical terminology.
⩥ The nurse is establishing a long-term relationship with a child who
will be seeking treatment for cancer. What is the most important factor
in this relationship?
determining appointment times for meetings
establishing a timeline for the relationship
establishing trust
setting goals for the relationship Answer: establishing trust
,⩥ The nurse is preparing to conduct the cover test with a preschool-age
child. Which body system is the nurse preparing to assess?
Ears
Eyes
Neck
Nose Answer: Eyes
⩥ While at school, the client is called to the school nurse's office. The
school nurse is performing secondary prevention interventions. Which
would the nurse most likely be performing?
assessing vision
checking temperature
asking the client if he or she likes school
asking the client about what he or she usually eats each day Answer:
assessing vision
⩥ The nurse is taking the health history of a 15-year-old client. What
would be an appropriate way for the nurse to ask about the client's drug
use history?
"Have you smoked crack before?"
"Some teens like to smoke. Have you tried this?"
, "Have you had alcohol at parties before?"
"Have you smoked cigarettes?" Answer: "Some teens like to smoke.
Have you tried this?"
⩥ The nurse is caring for a 6-year-old client who is prescribed to cough
and deep breathe following surgery. Which nursing action is best for this
client?
Arrange for respiratory therapy to do coughing and deep breathing
exercises with the child.
Blow a pinwheel and bubbles with the child.
Have the parents encourage the child to cough and deep breathe every 2
hours.
Teach the child to use an incentive spirometer. Answer: Blow a pinwheel
and bubbles with the child.
⩥ A toddler is brought to the pediatric clinic by the caregiver because
the child "doesn't feel well." As the nurse interviews the caregiver about
why the client is there, which goal is the nurse prioritizing at this point?
Obtaining the health history
Determining the chief complaint
Obtaining biographical data
Interviewing the client Answer: Determining the chief complaint
