,NSG 2530 Final Exam Pediatric Nursing Care Care Questions And
Answers 2026/2027 South College
Q1. A ten-month-old infant is admitted for intravenous antibiotic
therapy. Whenever an unfamiliar healthcare worker approaches, the
infant cries and reaches toward the mother. The mother worries that
the behavior indicates abnormal social development. Which nursing
response is most appropriate?
A) "The behavior suggests that your infant has not developed secure
attachment."
B) "Your infant should be comfortable with unfamiliar adults by this age."
C) "This response is consistent with stranger anxiety, which commonly
develops during later infancy."
D) "Your infant needs prolonged separation from you to improve social
independence."
Correct Answer: C) This response is consistent with stranger anxiety, which
commonly develops during later infancy.
Rationale: Stranger anxiety commonly emerges during the second half of
infancy as recognition and attachment abilities develop. The infant
increasingly distinguishes familiar caregivers from unfamiliar individuals.
Encouraging caregiver presence and maintaining familiar routines can
reduce hospitalization-related distress without interfering with healthy
development.
Q2. A four-year-old child requires a magnetic resonance imaging
examination. The child believes the scanner might swallow the
entire body and refuses to enter the room. Which intervention best
supports developmentally appropriate preparation?
A) Use simple explanations, demonstrate the process with a toy or pictures,
and allow the child to practice remaining still.
B) Explain the detailed physics of magnetic resonance imaging.
C) Tell the child that imaginary concerns should not be discussed.
D) Restrict parental involvement until the examination is completed.
Correct Answer: A) Use simple explanations, demonstrate the process with a
toy or pictures, and allow the child to practice remaining still.
,Rationale: Preschool children often interpret unfamiliar experiences literally
and use imagination to explain events they do not understand. Concrete
language, medical play, visual demonstrations, and reassurance help correct
misconceptions. Preparation should also address noise, positioning, and the
need to remain still.
Q3. A nine-year-old child with a chronic kidney condition expresses
frustration about missing school activities and falling behind
classmates. The child states, "I'm not good at anything anymore."
Which nursing intervention best addresses the child's
developmental needs?
A) Avoid discussions about school to prevent emotional distress.
B) Encourage dependence on caregivers for all age-appropriate tasks.
C) Explain that academic achievement is unimportant during childhood.
D) Provide opportunities for achievable responsibilities, school participation,
and recognition of the child's accomplishments.
Correct Answer: D) Provide opportunities for achievable responsibilities,
school participation, and recognition of the child's accomplishments.
Rationale: School-age children develop a sense of competence through
achievement and productive activities. Chronic illness can disrupt
opportunities to demonstrate skills and maintain peer relationships.
Supporting manageable accomplishments promotes self-esteem and
addresses the developmental conflict of industry versus inferiority.
Q4. A fifteen-year-old adolescent receiving long-term treatment for
inflammatory bowel disease asks whether the healthcare team can
discuss medication concerns privately before meeting with the
parents. Which nursing response is most appropriate?
A) Refuse because parents must participate in every conversation.
B) Provide an opportunity for private discussion while explaining
confidentiality and applicable consent and safety requirements.
C) Promise absolute secrecy regardless of the information disclosed.
D) Delay the discussion until the adolescent reaches adulthood.
Correct Answer: B) Provide an opportunity for private discussion while
explaining confidentiality and applicable consent and safety requirements.
, Rationale: Adolescents benefit from opportunities to participate
independently in healthcare discussions. Confidential communication can
improve disclosure, treatment adherence, and trust. The nurse must clarify
confidentiality limits, including relevant laws and situations involving serious
safety concerns.
Q5. A twenty-month-old toddler is hospitalized with a respiratory
infection. The child insists on holding the pulse oximeter probe and
repeatedly says "Mine!" when the nurse attempts to place it. Which
approach is most appropriate?
A) Remove every object from the child's reach.
B) Explain that refusal indicates a behavioral disorder.
C) Allow the toddler to explore the equipment briefly and offer two
acceptable choices for probe placement.
D) Delay essential monitoring until the toddler develops adult-level
understanding.
Correct Answer: C) Allow the toddler to explore the equipment briefly and
offer two acceptable choices for probe placement.
Rationale: Toddlers are developing autonomy and often resist unfamiliar
procedures that reduce their sense of control. Allowing safe exploration and
offering limited choices can improve cooperation. The nurse remains
responsible for completing essential monitoring despite resistance.
Q6. A six-month-old infant has been hospitalized for several weeks.
The parent asks how to support normal developmental progress
during recovery. Which intervention is most appropriate when the
infant is medically stable?
A) Provide supervised, developmentally appropriate play and movement
opportunities while maintaining responsive caregiver interaction.
B) Restrict all movement until discharge.
C) Keep the infant continuously in a dark room.
D) Avoid toys because stimulation interferes with neurological development.
Correct Answer: A) Provide supervised, developmentally appropriate play and
movement opportunities while maintaining responsive caregiver interaction.
Answers 2026/2027 South College
Q1. A ten-month-old infant is admitted for intravenous antibiotic
therapy. Whenever an unfamiliar healthcare worker approaches, the
infant cries and reaches toward the mother. The mother worries that
the behavior indicates abnormal social development. Which nursing
response is most appropriate?
A) "The behavior suggests that your infant has not developed secure
attachment."
B) "Your infant should be comfortable with unfamiliar adults by this age."
C) "This response is consistent with stranger anxiety, which commonly
develops during later infancy."
D) "Your infant needs prolonged separation from you to improve social
independence."
Correct Answer: C) This response is consistent with stranger anxiety, which
commonly develops during later infancy.
Rationale: Stranger anxiety commonly emerges during the second half of
infancy as recognition and attachment abilities develop. The infant
increasingly distinguishes familiar caregivers from unfamiliar individuals.
Encouraging caregiver presence and maintaining familiar routines can
reduce hospitalization-related distress without interfering with healthy
development.
Q2. A four-year-old child requires a magnetic resonance imaging
examination. The child believes the scanner might swallow the
entire body and refuses to enter the room. Which intervention best
supports developmentally appropriate preparation?
A) Use simple explanations, demonstrate the process with a toy or pictures,
and allow the child to practice remaining still.
B) Explain the detailed physics of magnetic resonance imaging.
C) Tell the child that imaginary concerns should not be discussed.
D) Restrict parental involvement until the examination is completed.
Correct Answer: A) Use simple explanations, demonstrate the process with a
toy or pictures, and allow the child to practice remaining still.
,Rationale: Preschool children often interpret unfamiliar experiences literally
and use imagination to explain events they do not understand. Concrete
language, medical play, visual demonstrations, and reassurance help correct
misconceptions. Preparation should also address noise, positioning, and the
need to remain still.
Q3. A nine-year-old child with a chronic kidney condition expresses
frustration about missing school activities and falling behind
classmates. The child states, "I'm not good at anything anymore."
Which nursing intervention best addresses the child's
developmental needs?
A) Avoid discussions about school to prevent emotional distress.
B) Encourage dependence on caregivers for all age-appropriate tasks.
C) Explain that academic achievement is unimportant during childhood.
D) Provide opportunities for achievable responsibilities, school participation,
and recognition of the child's accomplishments.
Correct Answer: D) Provide opportunities for achievable responsibilities,
school participation, and recognition of the child's accomplishments.
Rationale: School-age children develop a sense of competence through
achievement and productive activities. Chronic illness can disrupt
opportunities to demonstrate skills and maintain peer relationships.
Supporting manageable accomplishments promotes self-esteem and
addresses the developmental conflict of industry versus inferiority.
Q4. A fifteen-year-old adolescent receiving long-term treatment for
inflammatory bowel disease asks whether the healthcare team can
discuss medication concerns privately before meeting with the
parents. Which nursing response is most appropriate?
A) Refuse because parents must participate in every conversation.
B) Provide an opportunity for private discussion while explaining
confidentiality and applicable consent and safety requirements.
C) Promise absolute secrecy regardless of the information disclosed.
D) Delay the discussion until the adolescent reaches adulthood.
Correct Answer: B) Provide an opportunity for private discussion while
explaining confidentiality and applicable consent and safety requirements.
, Rationale: Adolescents benefit from opportunities to participate
independently in healthcare discussions. Confidential communication can
improve disclosure, treatment adherence, and trust. The nurse must clarify
confidentiality limits, including relevant laws and situations involving serious
safety concerns.
Q5. A twenty-month-old toddler is hospitalized with a respiratory
infection. The child insists on holding the pulse oximeter probe and
repeatedly says "Mine!" when the nurse attempts to place it. Which
approach is most appropriate?
A) Remove every object from the child's reach.
B) Explain that refusal indicates a behavioral disorder.
C) Allow the toddler to explore the equipment briefly and offer two
acceptable choices for probe placement.
D) Delay essential monitoring until the toddler develops adult-level
understanding.
Correct Answer: C) Allow the toddler to explore the equipment briefly and
offer two acceptable choices for probe placement.
Rationale: Toddlers are developing autonomy and often resist unfamiliar
procedures that reduce their sense of control. Allowing safe exploration and
offering limited choices can improve cooperation. The nurse remains
responsible for completing essential monitoring despite resistance.
Q6. A six-month-old infant has been hospitalized for several weeks.
The parent asks how to support normal developmental progress
during recovery. Which intervention is most appropriate when the
infant is medically stable?
A) Provide supervised, developmentally appropriate play and movement
opportunities while maintaining responsive caregiver interaction.
B) Restrict all movement until discharge.
C) Keep the infant continuously in a dark room.
D) Avoid toys because stimulation interferes with neurological development.
Correct Answer: A) Provide supervised, developmentally appropriate play and
movement opportunities while maintaining responsive caregiver interaction.
