Peds Exam 1 NCLEX style questions with
A+ Guide Answers 2024-2025
To establish a good interview relationship with an adolescent,
which strategy is most appropriate?
1. Asking personal questions unrelated to the situation
2. Writing down everything the teen says
3. Asking open-ended questions
4. Discussing the nurse's own thoughts and feelings about the
situation - correct answer ✅✅3. Asking open-ended questions
RATIONALE: Open-ended questions allow the adolescent to share
information and feelings. Asking personal questions not related to
the situation jeopardizes the trust that must be established
because the adolescent may feel as though he's being
interrogated with unnecessary questions. Writing everything down
during the interview can be a distraction and doesn't allow the
nurse to observe how the adolescent behaves. Discussing the
nurse's thoughts and feelings may bias the assessment and is
inappropriate when interviewing any client
A chronically ill school-age child is most vulnerable to which
stressor?
1. Mutilation anxiety
2. Anticipatory grief
3. Anxiety over school absences
,Peds Exam 1 NCLEX style questions with
A+ Guide Answers 2024-2025
4. Fear of hospital procedures - correct answer ✅✅3. Anxiety
over school absences
RATIONALE: The school-age child is becoming industrious and
attempts to master school-related activities. Therefore, school
absences are likely to cause extreme anxiety for a school-age
child who's chronically ill. Mutilation anxiety is more common in
adolescents. Anticipatory grief is rare in a school-age child. Fear
of hospital procedures is most pronounced in preschool-age
children.
When developing a care plan for an adolescent, the nurse
considers the child's psychosocial needs. During adolescence,
psychosocial development focuses on:
1. becoming industrious.
2. establishing an identity.
3. achieving intimacy.
4. developing initiative. - correct answer ✅✅2. establishing an
identity.
RATIONALE: According to Erikson, the primary psychosocial task
during adolescence is to establish a personal identity while
overcoming role or identity confusion. The adolescent attempts to
establish a group identity by seeking acceptance and approval
from peers, and strives to attain a personal identity by becoming
more independent from his family. Becoming industrious is the
developmental task of the school-age child; achieving intimacy is
, Peds Exam 1 NCLEX style questions with
A+ Guide Answers 2024-2025
the task of the young adult; and developing initiative is the task of
the preschooler.
A nurse notes that an infant develops arm movement before fine-
motor finger skills and interprets this as an example of which
pattern of development?
1. Cephalocaudal
2. Proximodistal
3. Differentiation
4. Mass-to-specific - correct answer ✅✅2. Proximodistal
RATIONALE: Proximodistal development progresses from the
center of the body to the extremities, such as from the arm to the
fingers. Cephalocaudal development occurs along the body's long
axis; for example, the infant develops control over the head,
mouth, and eye movements before the upper body, torso, and
legs. Mass-to-specific development, sometimes called
differentiation, occurs as the child masters simple operations
before complex functions and moves from broad, general patterns
of behavior to more refined ones.
A teenage mother brings her 1-year-old child to the pediatrician's
office for a well-baby checkup. She says that her infant can't sit
alone or roll over. An appropriate response by the nurse would be:
1. "This is very abnormal. Your child must be sick."
A+ Guide Answers 2024-2025
To establish a good interview relationship with an adolescent,
which strategy is most appropriate?
1. Asking personal questions unrelated to the situation
2. Writing down everything the teen says
3. Asking open-ended questions
4. Discussing the nurse's own thoughts and feelings about the
situation - correct answer ✅✅3. Asking open-ended questions
RATIONALE: Open-ended questions allow the adolescent to share
information and feelings. Asking personal questions not related to
the situation jeopardizes the trust that must be established
because the adolescent may feel as though he's being
interrogated with unnecessary questions. Writing everything down
during the interview can be a distraction and doesn't allow the
nurse to observe how the adolescent behaves. Discussing the
nurse's thoughts and feelings may bias the assessment and is
inappropriate when interviewing any client
A chronically ill school-age child is most vulnerable to which
stressor?
1. Mutilation anxiety
2. Anticipatory grief
3. Anxiety over school absences
,Peds Exam 1 NCLEX style questions with
A+ Guide Answers 2024-2025
4. Fear of hospital procedures - correct answer ✅✅3. Anxiety
over school absences
RATIONALE: The school-age child is becoming industrious and
attempts to master school-related activities. Therefore, school
absences are likely to cause extreme anxiety for a school-age
child who's chronically ill. Mutilation anxiety is more common in
adolescents. Anticipatory grief is rare in a school-age child. Fear
of hospital procedures is most pronounced in preschool-age
children.
When developing a care plan for an adolescent, the nurse
considers the child's psychosocial needs. During adolescence,
psychosocial development focuses on:
1. becoming industrious.
2. establishing an identity.
3. achieving intimacy.
4. developing initiative. - correct answer ✅✅2. establishing an
identity.
RATIONALE: According to Erikson, the primary psychosocial task
during adolescence is to establish a personal identity while
overcoming role or identity confusion. The adolescent attempts to
establish a group identity by seeking acceptance and approval
from peers, and strives to attain a personal identity by becoming
more independent from his family. Becoming industrious is the
developmental task of the school-age child; achieving intimacy is
, Peds Exam 1 NCLEX style questions with
A+ Guide Answers 2024-2025
the task of the young adult; and developing initiative is the task of
the preschooler.
A nurse notes that an infant develops arm movement before fine-
motor finger skills and interprets this as an example of which
pattern of development?
1. Cephalocaudal
2. Proximodistal
3. Differentiation
4. Mass-to-specific - correct answer ✅✅2. Proximodistal
RATIONALE: Proximodistal development progresses from the
center of the body to the extremities, such as from the arm to the
fingers. Cephalocaudal development occurs along the body's long
axis; for example, the infant develops control over the head,
mouth, and eye movements before the upper body, torso, and
legs. Mass-to-specific development, sometimes called
differentiation, occurs as the child masters simple operations
before complex functions and moves from broad, general patterns
of behavior to more refined ones.
A teenage mother brings her 1-year-old child to the pediatrician's
office for a well-baby checkup. She says that her infant can't sit
alone or roll over. An appropriate response by the nurse would be:
1. "This is very abnormal. Your child must be sick."
