PEDIATRICS EXAM 1-GROWTH 2024
A 3-year-old female is hospitalized for a femur fracture. As her nurse, what nursing action would help
foster the child's sense of autonomy?
1. Allow the child to choose what time to take her oral antibiotics
2. Allow the child to have a doll for medical play
3. Allow the child to administer her own dose of Keflex (cephalexin) via oral syringe
4. Allow the child to watch age-appropriate videos - Answer 3. Allowing toddlers to participate in
actions of which they are capable is an excellent way to enhance their autonomy.
A 16-year-old male is hospitalized for cystic fibrosis. He will be an inpatient for 2 weeks while he receives
IV antibiotics. As the nurse caring for this patient, what action can you take that will most enhance his
psychosocial development?
1. Fax the teen's teacher, and have her send in his homework
2. Encourage the teen's friends to visit him in the hospital
3. Encourage the teen's grandparent's to visit frequently
4. Tell the teen he is free to use his phone to call friends - Answer 2. Teens are most concerned about
being like their peers. Having the teen's friends visit will help him feel he is still part of the school and
social environment.
A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight
is normal for his age. The nurse's response is:
1. "At 6 months his weight should be approximately three times his birth weight."
2. "Each child gains weight at his or her own pace."
3. "At 6 months his weight should be approximately twice his birth weight."
4. "At 6 months a child should weigh about 10 lb. more than his or her birth weight." - Answer 3.
Children should double their birth weight by 4 to 6 months of age.
,The nurse caring for a 4-year-old female in the ER is about to start a peripheral IV. The nurse's best
method for explaining the procedure to the child is to:
1. Show the child a pamphlet with pictures showing the IV placement procedure
2. Have the 5-year-old patient next door tell the 4-year-old about her experience with her IV placement
3. Show the child the IV placement equipment, and demonstrate the procedure on a doll
4. Tell the child that if she remains still, the procedure will be over quickly - Answer 3. A 4-year-old
child understands things in very concrete and simple terms. Therefore, medical play is an excellent
method for helping her understand the procedure.
A 17-year-old male is being seen in the E.R. In order to obtain the adolescent's health information, his
nurse should:
1. Interview the adolescent using direct questions
2. Gather information during a casual conversation
3. Interview the adolescent only in the presence of his parents
4. Gather information only from the parents - Answer 2. Frequently adolescents will share more
information when it is gathered during a casual conversation.
A 7-year-old female is being admitted to the hospital for a diagnosis of acute lymphocytic leukemia. The
nurse wants to gather information from the child regarding her feelings about her diagnosis. Which
nursing action is most appropriate to gain information about how the child is feeling?
1. The nurse should actively attempt to make friends with the child before asking her about her feelings
2. The nurse should ask the child's parents what feelings she has expressed in regard to her diagnosis
3. The nurse should provide the child with some paper to draw a picture of how she is feeling
4. The nurse should ask the child direct questions about how she is feeling - Answer 3. Often children
will include much more detail of their feelings in drawings. They will often express things in pictures they
are unable to verbalize.
How can the nurse best facilitate the trust relationship between infant and parent while the infant is
hospitalized?
, 1. The nurse should encourage the parents to remain at their child's bedside as much as possible
2. The nurse should keep the parents informed about all aspects of their child's condition
3. The nurse should encourage the parents to hold their child as much as possible
4. The nurse should encourage the parents to participate actively in their child's care - Answer 3.
Having the parents hold their child while in the hospital is an excellent means of building the trust
relationship. Infants are most secure when they are being held, patted, and spoken to.
The nurse is caring for a 7-year-old female on the school-age unit. Her mother is concerned that she may
have some developmental delays. Which of the following statements would indicate to the nurse that
the child is not developmentally on track for her age:
1. The child is able to follow a four-to-five-step command
2. The child started wetting the bed on this admission to the hospital
3. The child has an imaginary friend named Kelly
4. The child enjoys playing board games with her sister - Answer 3. Most school-age children do not
have imaginary friends. This is much more common for children of 3 to 4 years of age.
The nurse is caring for a 6-month-old in the ER. The physician orders the nurse to give the child a dose of
Rocephin IM. The 1.5-mL dose arrives from the pharmacy. The nurse must do which of the following?
1. Administer the injection in the deltoid muscle
2. Split the dose into two injections
3. Administer the injection in the dorsogluteal muscle
4. Administer the dose as a single injection to the vests lateralis muscle - Answer 2. A nurse should not
deliver more than 1 mL per IM injection to a child of 6 months.
A 3-year-old female is hospitalized for an ASD repair. Her parents have decided to go home for a few
hours to spend time with her siblings. The child asks when her mommy and daddy will be back. The
nurse's best response is:
1. "Your mommy and daddy will be back after your nap."
2. "Your mommy and daddy will be back at 6 p.m."
A 3-year-old female is hospitalized for a femur fracture. As her nurse, what nursing action would help
foster the child's sense of autonomy?
1. Allow the child to choose what time to take her oral antibiotics
2. Allow the child to have a doll for medical play
3. Allow the child to administer her own dose of Keflex (cephalexin) via oral syringe
4. Allow the child to watch age-appropriate videos - Answer 3. Allowing toddlers to participate in
actions of which they are capable is an excellent way to enhance their autonomy.
A 16-year-old male is hospitalized for cystic fibrosis. He will be an inpatient for 2 weeks while he receives
IV antibiotics. As the nurse caring for this patient, what action can you take that will most enhance his
psychosocial development?
1. Fax the teen's teacher, and have her send in his homework
2. Encourage the teen's friends to visit him in the hospital
3. Encourage the teen's grandparent's to visit frequently
4. Tell the teen he is free to use his phone to call friends - Answer 2. Teens are most concerned about
being like their peers. Having the teen's friends visit will help him feel he is still part of the school and
social environment.
A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight
is normal for his age. The nurse's response is:
1. "At 6 months his weight should be approximately three times his birth weight."
2. "Each child gains weight at his or her own pace."
3. "At 6 months his weight should be approximately twice his birth weight."
4. "At 6 months a child should weigh about 10 lb. more than his or her birth weight." - Answer 3.
Children should double their birth weight by 4 to 6 months of age.
,The nurse caring for a 4-year-old female in the ER is about to start a peripheral IV. The nurse's best
method for explaining the procedure to the child is to:
1. Show the child a pamphlet with pictures showing the IV placement procedure
2. Have the 5-year-old patient next door tell the 4-year-old about her experience with her IV placement
3. Show the child the IV placement equipment, and demonstrate the procedure on a doll
4. Tell the child that if she remains still, the procedure will be over quickly - Answer 3. A 4-year-old
child understands things in very concrete and simple terms. Therefore, medical play is an excellent
method for helping her understand the procedure.
A 17-year-old male is being seen in the E.R. In order to obtain the adolescent's health information, his
nurse should:
1. Interview the adolescent using direct questions
2. Gather information during a casual conversation
3. Interview the adolescent only in the presence of his parents
4. Gather information only from the parents - Answer 2. Frequently adolescents will share more
information when it is gathered during a casual conversation.
A 7-year-old female is being admitted to the hospital for a diagnosis of acute lymphocytic leukemia. The
nurse wants to gather information from the child regarding her feelings about her diagnosis. Which
nursing action is most appropriate to gain information about how the child is feeling?
1. The nurse should actively attempt to make friends with the child before asking her about her feelings
2. The nurse should ask the child's parents what feelings she has expressed in regard to her diagnosis
3. The nurse should provide the child with some paper to draw a picture of how she is feeling
4. The nurse should ask the child direct questions about how she is feeling - Answer 3. Often children
will include much more detail of their feelings in drawings. They will often express things in pictures they
are unable to verbalize.
How can the nurse best facilitate the trust relationship between infant and parent while the infant is
hospitalized?
, 1. The nurse should encourage the parents to remain at their child's bedside as much as possible
2. The nurse should keep the parents informed about all aspects of their child's condition
3. The nurse should encourage the parents to hold their child as much as possible
4. The nurse should encourage the parents to participate actively in their child's care - Answer 3.
Having the parents hold their child while in the hospital is an excellent means of building the trust
relationship. Infants are most secure when they are being held, patted, and spoken to.
The nurse is caring for a 7-year-old female on the school-age unit. Her mother is concerned that she may
have some developmental delays. Which of the following statements would indicate to the nurse that
the child is not developmentally on track for her age:
1. The child is able to follow a four-to-five-step command
2. The child started wetting the bed on this admission to the hospital
3. The child has an imaginary friend named Kelly
4. The child enjoys playing board games with her sister - Answer 3. Most school-age children do not
have imaginary friends. This is much more common for children of 3 to 4 years of age.
The nurse is caring for a 6-month-old in the ER. The physician orders the nurse to give the child a dose of
Rocephin IM. The 1.5-mL dose arrives from the pharmacy. The nurse must do which of the following?
1. Administer the injection in the deltoid muscle
2. Split the dose into two injections
3. Administer the injection in the dorsogluteal muscle
4. Administer the dose as a single injection to the vests lateralis muscle - Answer 2. A nurse should not
deliver more than 1 mL per IM injection to a child of 6 months.
A 3-year-old female is hospitalized for an ASD repair. Her parents have decided to go home for a few
hours to spend time with her siblings. The child asks when her mommy and daddy will be back. The
nurse's best response is:
1. "Your mommy and daddy will be back after your nap."
2. "Your mommy and daddy will be back at 6 p.m."
