PEDIATRICS EXAM ONE WITH
CORRECT ANSWERS
2025
The nurse in a pediatric clinic is performing well-baby checks. The nurse is
infant
checkingwhoanis 7 months old for developmental milestones. Which finding is
of greatest
concern to the
nurse?
1. The infant remains flat when in a supine
position.
2. The infant exhibits a Babinski
reflex.
3. The infant opens and closes her hands to grasp
objects.
4. The infant exhibits a lack of startle reflex to sound. ( Correct answers )
1. The infant
remains flat when in a supine
position.
The nurse in a pediatric clinic is checking the developmental milestones for a
3-year-old
patient. Which finding causes the nurse to perform additional
assessments?
1. The patient's tee-shirt is on
backward.
2. The patient loses balance when kicking
a ball.
3. The patient draws a circle that is closed but
oblong.
4. The patient jumps with both feet about 2 inches high. ( Correct
answersloses
patient ) 2. The
balance when kicking
a ball.
A mother of a 9-month-old infant asks the nurse about what toys are age
appropriate.
Using Piaget's theory of development, which toy does the nurse
recommend?
1. Building
blocks
2. Colorful
mobiles
3. Picture
books
4. Musical rattles ( Correct answers ) 4.
Musical rattles
During a well-baby checkup, the mother of an infant states, "Even if he is
occupied
a with as soon as he notices I have left the room." Which
toy, he cries
explanation
nurse is by the
best?
1. "Your baby does not know you exist if he cannot
see you." learn very quickly how to get an adult's
2. "Babies
attention."
3. "You should move the baby with you if you leave the
room."
4. "Just ignore him; he will soon learn that you are still present." ( Correct
answers
"Your baby) 1.
does not know you exist if he cannot
see you."
The nurse is visiting the home of a new mother and a 2-month-old infant.
The nurse
notices the infant vigorously sucking on the fist and whining but not crying.
The mother
validates that the behavior is common. Which information does the
nurse need
obtain from tothe
mother?
,1. If the mother is breast or bottle
2. How long the infant sleeps at
feeding
night
3. What type of feeding schedule is
followed
4. If the infant draws up the legs when crying ( Correct answers ) 3.
What type
feeding of
schedule is followed
The nurse works in an elementary school with students ranging from 6 to
age. The of
11 years nurse uses knowledge related to Freud's psychosocial theory to
identify which
behavior in this pediatric
population?
1. Oedipal or Electra
conflicts
2. Energy focused on
socialization
3. Curiosity about anatomical
differences
4. Mild struggles with sexuality ( Correct answers ) 2. Energy focused on
socialization
The nurse
toddler whoin plays
a pediatric
alone clinic is counseling
at daycare and doesa not
parent who expresses
interact with the other
children
are
concern who Which
present.
about a information does the nurse provide to alleviate the
parent's
1. Parallelconcern?
play is being exhibited and is normal at
this
2. Theage.
toddler is likely to grow into a shy,
introverted adult.for the child to learn to be alone at
3. It is important
this
4. Theage.
toddler is exhibiting the normal behavior of solitary play. ( Correct
answersplay
Parallel ) 1. is being exhibited and is normal at this age.
The school nurse in a high school setting expresses concern to school
administration
regarding the increase in student complaints about bullying, physical
violence, and
rejection. Which concern related to psychosocial development does the
nurse most
being share as
important?
1. Students are preoccupied with how they are seen in the eyes
of Students
2. others. who are bullied will develop issues related to sexual
orientation.
3. Students may be unable to provide a meaningful
definition
4. Studentsof who
self. are aggressive will develop a strong sense of guilt as
adults. ( Correct
answers ) 3. Students may be unable to provide a meaningful definition of
self.
The nurse is counseling parents about management of their children who are
2, 4, and 6 years of age. One of the parents states, "We believe in Kohlberg's
theory of social-moral development." The nurse is aware that the
preconventional stage of this theory involves which characteristic?
1.Behavior is adjusted according to good/bad and right/wrong thinking.
2.A personal and functional value system is constructed by the child.
3.The focus of the child is on following rules and maintaining social order.
4.Value systems are independent of authority figures and peers. ( Correct
answers ) 1. Behavior is adjusted according to good/bad and right/wrong
thinking.
The nurse is teaching a parenting class being held in a community clinic.
The nurse is focusing on behaviors that will assist in increasing the
number of children who score
, well in kindergarten readiness screening. Which comment by a parent
indicates
need for additional
the
information?
1. "I am not athletic, but the kids would love an outdoor
play
2. area."
"Practicing counting with the kids while traveling is a
good
3. idea."
"I like the suggestion to label basic items for word
recognition."
4. "In our family we watch TV; books are a waste of money." ( Correct
answers
our family ) we
4. "In
watch TV; books are a waste of
money."
The nurse in a pediatric clinic is performing an assessment on an infant in
theboth
of presence
parents. The parents are short and moderately overweight. The
father
"We arestates,
going to do everything we can to raise a strong, tall, athletic child."
Hownurse
the does
respond?
1. Provides materials about healthy diets and lifestyles
forShares
2. families the impact of genetics on environmental
conditions
3. Suggests to the parents how to alter their
lifestyles
4. Recognizes the parents for having positive attitudes and goals ( Correct
answersthe
Shares ) 2.
impact of genetics on environmental conditions
The pediatric home-care nurse is visiting a toddler born with a
genetically
illness. related
Which comment by the parent is the greatest cause for the nurse
to assess for
additional
information?
1. "I am having more difficulty keeping her
confined."
2. "A chronically ill child affects the entire
family."
3. "The other children seem so accepting of the
illness."
4. "Hospitalization would cause some severe stress." ( Correct answers ) 1.
"I am difficulty
more having keeping her confined."
The nurse is performing a development assessment on a 3-month-old infant
who was
weeks 6
premature. The nurse states the infant's development is normal.
The parentthat the baby seems behind what other babies the same age are
expresses
doing. Whichdoes the nurse share to provide reassurance to
information
the parent?
1. The infant will catch up developmentally by
age
2. 1 year.
Developmental milestones vary from infant
to The
3. infant.
infant's age is adjusted because of
prematurity.
4. Each infant is an individual with unique development. ( Correct
answersage
infant's ) 3.isThe
adjusted because of prematurity.
The pediatric nurse is providing care for a 14-year-old female patient. After
the patient's
parents leave the hospital, the patient begins to cry. The nurse explores
the patient's
feelings using therapeutic communication. Which information causes
the nurse
report to
suspected sexual
abuse?
1. The patient is frequently denied access to needed
health
2. care. reports frequent episodes of genital
The patient
irritation.
3. The patient admits to multiple incidences of skipping
school.
CORRECT ANSWERS
2025
The nurse in a pediatric clinic is performing well-baby checks. The nurse is
infant
checkingwhoanis 7 months old for developmental milestones. Which finding is
of greatest
concern to the
nurse?
1. The infant remains flat when in a supine
position.
2. The infant exhibits a Babinski
reflex.
3. The infant opens and closes her hands to grasp
objects.
4. The infant exhibits a lack of startle reflex to sound. ( Correct answers )
1. The infant
remains flat when in a supine
position.
The nurse in a pediatric clinic is checking the developmental milestones for a
3-year-old
patient. Which finding causes the nurse to perform additional
assessments?
1. The patient's tee-shirt is on
backward.
2. The patient loses balance when kicking
a ball.
3. The patient draws a circle that is closed but
oblong.
4. The patient jumps with both feet about 2 inches high. ( Correct
answersloses
patient ) 2. The
balance when kicking
a ball.
A mother of a 9-month-old infant asks the nurse about what toys are age
appropriate.
Using Piaget's theory of development, which toy does the nurse
recommend?
1. Building
blocks
2. Colorful
mobiles
3. Picture
books
4. Musical rattles ( Correct answers ) 4.
Musical rattles
During a well-baby checkup, the mother of an infant states, "Even if he is
occupied
a with as soon as he notices I have left the room." Which
toy, he cries
explanation
nurse is by the
best?
1. "Your baby does not know you exist if he cannot
see you." learn very quickly how to get an adult's
2. "Babies
attention."
3. "You should move the baby with you if you leave the
room."
4. "Just ignore him; he will soon learn that you are still present." ( Correct
answers
"Your baby) 1.
does not know you exist if he cannot
see you."
The nurse is visiting the home of a new mother and a 2-month-old infant.
The nurse
notices the infant vigorously sucking on the fist and whining but not crying.
The mother
validates that the behavior is common. Which information does the
nurse need
obtain from tothe
mother?
,1. If the mother is breast or bottle
2. How long the infant sleeps at
feeding
night
3. What type of feeding schedule is
followed
4. If the infant draws up the legs when crying ( Correct answers ) 3.
What type
feeding of
schedule is followed
The nurse works in an elementary school with students ranging from 6 to
age. The of
11 years nurse uses knowledge related to Freud's psychosocial theory to
identify which
behavior in this pediatric
population?
1. Oedipal or Electra
conflicts
2. Energy focused on
socialization
3. Curiosity about anatomical
differences
4. Mild struggles with sexuality ( Correct answers ) 2. Energy focused on
socialization
The nurse
toddler whoin plays
a pediatric
alone clinic is counseling
at daycare and doesa not
parent who expresses
interact with the other
children
are
concern who Which
present.
about a information does the nurse provide to alleviate the
parent's
1. Parallelconcern?
play is being exhibited and is normal at
this
2. Theage.
toddler is likely to grow into a shy,
introverted adult.for the child to learn to be alone at
3. It is important
this
4. Theage.
toddler is exhibiting the normal behavior of solitary play. ( Correct
answersplay
Parallel ) 1. is being exhibited and is normal at this age.
The school nurse in a high school setting expresses concern to school
administration
regarding the increase in student complaints about bullying, physical
violence, and
rejection. Which concern related to psychosocial development does the
nurse most
being share as
important?
1. Students are preoccupied with how they are seen in the eyes
of Students
2. others. who are bullied will develop issues related to sexual
orientation.
3. Students may be unable to provide a meaningful
definition
4. Studentsof who
self. are aggressive will develop a strong sense of guilt as
adults. ( Correct
answers ) 3. Students may be unable to provide a meaningful definition of
self.
The nurse is counseling parents about management of their children who are
2, 4, and 6 years of age. One of the parents states, "We believe in Kohlberg's
theory of social-moral development." The nurse is aware that the
preconventional stage of this theory involves which characteristic?
1.Behavior is adjusted according to good/bad and right/wrong thinking.
2.A personal and functional value system is constructed by the child.
3.The focus of the child is on following rules and maintaining social order.
4.Value systems are independent of authority figures and peers. ( Correct
answers ) 1. Behavior is adjusted according to good/bad and right/wrong
thinking.
The nurse is teaching a parenting class being held in a community clinic.
The nurse is focusing on behaviors that will assist in increasing the
number of children who score
, well in kindergarten readiness screening. Which comment by a parent
indicates
need for additional
the
information?
1. "I am not athletic, but the kids would love an outdoor
play
2. area."
"Practicing counting with the kids while traveling is a
good
3. idea."
"I like the suggestion to label basic items for word
recognition."
4. "In our family we watch TV; books are a waste of money." ( Correct
answers
our family ) we
4. "In
watch TV; books are a waste of
money."
The nurse in a pediatric clinic is performing an assessment on an infant in
theboth
of presence
parents. The parents are short and moderately overweight. The
father
"We arestates,
going to do everything we can to raise a strong, tall, athletic child."
Hownurse
the does
respond?
1. Provides materials about healthy diets and lifestyles
forShares
2. families the impact of genetics on environmental
conditions
3. Suggests to the parents how to alter their
lifestyles
4. Recognizes the parents for having positive attitudes and goals ( Correct
answersthe
Shares ) 2.
impact of genetics on environmental conditions
The pediatric home-care nurse is visiting a toddler born with a
genetically
illness. related
Which comment by the parent is the greatest cause for the nurse
to assess for
additional
information?
1. "I am having more difficulty keeping her
confined."
2. "A chronically ill child affects the entire
family."
3. "The other children seem so accepting of the
illness."
4. "Hospitalization would cause some severe stress." ( Correct answers ) 1.
"I am difficulty
more having keeping her confined."
The nurse is performing a development assessment on a 3-month-old infant
who was
weeks 6
premature. The nurse states the infant's development is normal.
The parentthat the baby seems behind what other babies the same age are
expresses
doing. Whichdoes the nurse share to provide reassurance to
information
the parent?
1. The infant will catch up developmentally by
age
2. 1 year.
Developmental milestones vary from infant
to The
3. infant.
infant's age is adjusted because of
prematurity.
4. Each infant is an individual with unique development. ( Correct
answersage
infant's ) 3.isThe
adjusted because of prematurity.
The pediatric nurse is providing care for a 14-year-old female patient. After
the patient's
parents leave the hospital, the patient begins to cry. The nurse explores
the patient's
feelings using therapeutic communication. Which information causes
the nurse
report to
suspected sexual
abuse?
1. The patient is frequently denied access to needed
health
2. care. reports frequent episodes of genital
The patient
irritation.
3. The patient admits to multiple incidences of skipping
school.
