NUR 3270 NURSING CARE OF
CHILDREN AND FAMILIES EXAM V1
QUESTIONS WITH VERIFIED ANSWERS
AND DETAILED EXPLANATIONS
1. A 6-month-old infant is brought to the clinic for a well-child visit. Which developmental
milestone should the nurse expect the infant to have achieved?
A. Turning from back to abdomen
B. Sitting independently without support
C. Using a pincer grasp to pick up small objects
D. Creeping on hands and knees
Answer: A
Conceptual Explanation: At 6 months, an infant typically can roll from back to abdomen.
Independent sitting usually occurs at 7-8 months, and pincer grasp and creeping occur
later (9-10 months).
2. A nurse is assessing a child with suspected epiglottitis. Which action is the priority?
A. Obtain a throat culture immediately
B. Examine the throat using a tongue blade
C. Place the child in a supine position
,D. Ensure emergency airway equipment is at the bedside
Answer: D
Conceptual Explanation: Epiglottitis is a medical emergency. Attempting to visualize the
throat or obtain a culture can trigger laryngospasm and airway obstruction. Airway
management is the priority.
3. According to Erikson, which developmental task is primary for a school-age child (6 to 12
years)?
A. Industry vs. Inferiority
B. Identity vs. Role Confusion
C. Autonomy vs. Shame and Doubt
D. Initiative vs. Guilt
Answer: A
Conceptual Explanation: The school-age child focuses on mastering skills and competing
with others, representing the Industry vs. Inferiority stage.
4. A child is admitted with Tetralogy of Fallot and experiences a ‘tet spell.’ What is the
immediate nursing intervention?
A. Administer 100% oxygen via face mask
B. Place the child in a knee-chest position
C. Administer Morphine Sulfate intravenously
, D. Increase intravenous fluid rate
Answer: B
Conceptual Explanation: The knee-chest position increases systemic vascular resistance,
which reduces the right-to-left shunt and improves oxygenation during a hypercyanotic
spell.
5. A 4-year-old child is scheduled for surgery. How should the nurse best prepare the child for
the procedure?
A. Explain the surgery using detailed anatomical diagrams
B. Use play therapy and dolls to demonstrate the procedure
C. Inform the child about the surgery one week in advance
D. Tell the child there will be no pain after the operation
Answer: B
Conceptual Explanation: Preschoolers learn best through play and concrete experiences.
Using dolls allows them to visualize and process the upcoming events without excessive
fear.
6. A nurse is caring for an infant with pyloric stenosis. Which clinical manifestation is most
characteristic of this condition?
A. Projectile vomiting after feedings
B. Bile-stained emesis
CHILDREN AND FAMILIES EXAM V1
QUESTIONS WITH VERIFIED ANSWERS
AND DETAILED EXPLANATIONS
1. A 6-month-old infant is brought to the clinic for a well-child visit. Which developmental
milestone should the nurse expect the infant to have achieved?
A. Turning from back to abdomen
B. Sitting independently without support
C. Using a pincer grasp to pick up small objects
D. Creeping on hands and knees
Answer: A
Conceptual Explanation: At 6 months, an infant typically can roll from back to abdomen.
Independent sitting usually occurs at 7-8 months, and pincer grasp and creeping occur
later (9-10 months).
2. A nurse is assessing a child with suspected epiglottitis. Which action is the priority?
A. Obtain a throat culture immediately
B. Examine the throat using a tongue blade
C. Place the child in a supine position
,D. Ensure emergency airway equipment is at the bedside
Answer: D
Conceptual Explanation: Epiglottitis is a medical emergency. Attempting to visualize the
throat or obtain a culture can trigger laryngospasm and airway obstruction. Airway
management is the priority.
3. According to Erikson, which developmental task is primary for a school-age child (6 to 12
years)?
A. Industry vs. Inferiority
B. Identity vs. Role Confusion
C. Autonomy vs. Shame and Doubt
D. Initiative vs. Guilt
Answer: A
Conceptual Explanation: The school-age child focuses on mastering skills and competing
with others, representing the Industry vs. Inferiority stage.
4. A child is admitted with Tetralogy of Fallot and experiences a ‘tet spell.’ What is the
immediate nursing intervention?
A. Administer 100% oxygen via face mask
B. Place the child in a knee-chest position
C. Administer Morphine Sulfate intravenously
, D. Increase intravenous fluid rate
Answer: B
Conceptual Explanation: The knee-chest position increases systemic vascular resistance,
which reduces the right-to-left shunt and improves oxygenation during a hypercyanotic
spell.
5. A 4-year-old child is scheduled for surgery. How should the nurse best prepare the child for
the procedure?
A. Explain the surgery using detailed anatomical diagrams
B. Use play therapy and dolls to demonstrate the procedure
C. Inform the child about the surgery one week in advance
D. Tell the child there will be no pain after the operation
Answer: B
Conceptual Explanation: Preschoolers learn best through play and concrete experiences.
Using dolls allows them to visualize and process the upcoming events without excessive
fear.
6. A nurse is caring for an infant with pyloric stenosis. Which clinical manifestation is most
characteristic of this condition?
A. Projectile vomiting after feedings
B. Bile-stained emesis
