NSG222 Family Nursing Pediatrics (2025)
Actual Exam Questions and Answers A+
Graded
Principles .of .Atraumatic .Care .- .CORRECT .ANSWER-Prevent .or .minimize
.physical .stressors, .including, .pain, .discomfort, .immobility, .sleep .deprivation,
.inability .to .eat .or .drink, .and .changes .in .elimination .
Prevent .or .minimize .parent- .child .separation .
Promote .family .centered .care, .treating .the .family .as .the .patient .
Promote .a .sense .of .control
Atraumatic .Care .- .CORRECT .ANSWER-therapeutic .care .that .minimizes .or
.eliminates .the .psychological .and .physical .distress .experienced .by .children .and
.their .families .in .the .health .care .system
Techniques .For .Providing .Atraumatic .Care .- .CORRECT .ANSWER-•Therapeutic
.communication .(Goal .directed, .Focused .and .purposeful)
•Therapeutic .play .(Provides .emotional .outlet .or .coping .devices)
•Child .education .(Helps .child .understand .the .reason .for .the
.hospitalization/procedures)
•Parental .education .(engages .parents .as .active .participants .in .health .care .team
Role .of .Child .Life .Specialists .In .Atraumatic .Care .- .CORRECT .ANSWER-Provide
.programs .to .prepare .children .for .hospitalization .and .painful .procedures
Provide .support .during .medical .procedures
Therapeutic .play .and .activities .to .support .normal .growth .and .development
Sibling .support; .advocacy .for .the .child .and .family .(allow .siblings .to .be .with
.them) .
,Grief .and .bereavement .support
How .To .Minimize .Physical .Stressors .Of .The .Child .During .Hospitalization/During
.Procedure .- .CORRECT .ANSWER-Engage .the .child .in .identifying .what .would
.make .him .or .her .comfortable .
Use .positions .that .are .comfortable .to .the .child .(sitting .on .parents .lap) .
Therapeutic .hugging .
Use .distraction .methods .(music, .conversation)
Specific .Learning .Principles .Related .To .Children .- .CORRECT .ANSWER-
•Establishing .rapport .with .the .child .is .the .first .step
•The .age .and .developmental .level .of .the .child .will .determine .the .amount,
.format, .and .timing .of .the .information .given
•Create .a .teaching .plan .that .addresses .the .developmental .stage .of .the .child
•Adolescents .are .particularly .sensitive .about .maintaining .body .image .and
.feelings .of .control .and .autonomy
Health .supervision .- .CORRECT .ANSWER-The .process .of .health .promotion
.services, .growth .and .development .monitoring, .and .disease .and .injury
.prevention .throughout .the .child's .life.
Three .Components .Of .Health .Supervision .- .CORRECT .ANSWER-1.
.Developmental .surveillance .and .screening
2. .Injury .and .disease .prevention
3. .Health .promotion
Components .of .Developmental .Surveillance .- .CORRECT .ANSWER-Noting .and
.addressing .parental .concerns
Obtaining .a .developmental .history .(obtain .developmental .questionnaire .from
.parent)
Perform .a .physical .assessment .(recognize .normal .growth .and .development)
Making .accurate .observations .(observe .the .child, .communicate .with .the .child)
Consulting .with .relevant .professionals
Developmental .Surveillance .- .CORRECT .ANSWER-is .an .ongoing .collection .of
.skilled .observations .made .over .time .during .health .care .visits.
Setting .Where .Health .Supervision .Is .Observed .- .CORRECT .ANSWER-Private
.physician .offices .
Freestanding .clinics .in .retail .stores
, Community .health .department .clinics .
Non .profit .community-based .clinics .with .sliding .scale .payments .
Daycare .centers .
Schools
What .Should .Be .Done .During .Health .Supervision .Visit? .- .CORRECT .ANSWER-
History .and .physical .assessment .
Developmental/behavioral .assessment .
Sensory .screening .(vision .and .hearing) .
Appropriate .at .risk .screening .
Immunizations .
Health .Promotion .
*** .nurse .will .examine .child .and .do .physical .exam, .have .patient .fill .out
.questionnaire, .different .screening .include .metabolic .screening, .monitor .vs,
.check .lab .values, .provide .immunizations .based .on .age.
***educate .parents .on .preventing .drowning, .poisoning, .and .eating .(weight, .foot
.intake, .dental .care)
Vaccination .Schedule .From .Newborn .- .CORRECT .ANSWER-Birth: .Hep .B .
1-2: .Hep .B .
2-4: .RV, .DTaP, .Hib, .PCV13, .IPV .
6: .Hep .B
Anticipatory .Guidance .- .CORRECT .ANSWER-Patient/family .counseling .which
.includes .information, .advice, .and .suggestions .about .expected .health-related
.life .occurrences, .health .maintenance, .and .preventive .plans.
Topics .for .Anticipatory .Guidance .- .CORRECT .ANSWER-•Promoting .oral .health
.care
•Promoting .healthy .weight
•Promoting .healthy .activity
•Promoting .personal .hygiene
•Promoting .safe .sun .exposure
Steps .of .the .Admission .Process .- .CORRECT .ANSWER-•Introduce .self .and
.smile; .explain .the .different .roles .of .the .nurse.
•Let .the .child .and .family .know .what .will .happen .and .what .is .expected .of .them.
•Communicate .at .age-appropriate .levels.
•Orient .child .and .family .to .hospital .unit.
•Allow .time .for .questions .or .concerns.
•Perform .nursing .interview.
*** .Try .to .figure .out .the .needs .of .the .child .to .address .the .concerns
Actual Exam Questions and Answers A+
Graded
Principles .of .Atraumatic .Care .- .CORRECT .ANSWER-Prevent .or .minimize
.physical .stressors, .including, .pain, .discomfort, .immobility, .sleep .deprivation,
.inability .to .eat .or .drink, .and .changes .in .elimination .
Prevent .or .minimize .parent- .child .separation .
Promote .family .centered .care, .treating .the .family .as .the .patient .
Promote .a .sense .of .control
Atraumatic .Care .- .CORRECT .ANSWER-therapeutic .care .that .minimizes .or
.eliminates .the .psychological .and .physical .distress .experienced .by .children .and
.their .families .in .the .health .care .system
Techniques .For .Providing .Atraumatic .Care .- .CORRECT .ANSWER-•Therapeutic
.communication .(Goal .directed, .Focused .and .purposeful)
•Therapeutic .play .(Provides .emotional .outlet .or .coping .devices)
•Child .education .(Helps .child .understand .the .reason .for .the
.hospitalization/procedures)
•Parental .education .(engages .parents .as .active .participants .in .health .care .team
Role .of .Child .Life .Specialists .In .Atraumatic .Care .- .CORRECT .ANSWER-Provide
.programs .to .prepare .children .for .hospitalization .and .painful .procedures
Provide .support .during .medical .procedures
Therapeutic .play .and .activities .to .support .normal .growth .and .development
Sibling .support; .advocacy .for .the .child .and .family .(allow .siblings .to .be .with
.them) .
,Grief .and .bereavement .support
How .To .Minimize .Physical .Stressors .Of .The .Child .During .Hospitalization/During
.Procedure .- .CORRECT .ANSWER-Engage .the .child .in .identifying .what .would
.make .him .or .her .comfortable .
Use .positions .that .are .comfortable .to .the .child .(sitting .on .parents .lap) .
Therapeutic .hugging .
Use .distraction .methods .(music, .conversation)
Specific .Learning .Principles .Related .To .Children .- .CORRECT .ANSWER-
•Establishing .rapport .with .the .child .is .the .first .step
•The .age .and .developmental .level .of .the .child .will .determine .the .amount,
.format, .and .timing .of .the .information .given
•Create .a .teaching .plan .that .addresses .the .developmental .stage .of .the .child
•Adolescents .are .particularly .sensitive .about .maintaining .body .image .and
.feelings .of .control .and .autonomy
Health .supervision .- .CORRECT .ANSWER-The .process .of .health .promotion
.services, .growth .and .development .monitoring, .and .disease .and .injury
.prevention .throughout .the .child's .life.
Three .Components .Of .Health .Supervision .- .CORRECT .ANSWER-1.
.Developmental .surveillance .and .screening
2. .Injury .and .disease .prevention
3. .Health .promotion
Components .of .Developmental .Surveillance .- .CORRECT .ANSWER-Noting .and
.addressing .parental .concerns
Obtaining .a .developmental .history .(obtain .developmental .questionnaire .from
.parent)
Perform .a .physical .assessment .(recognize .normal .growth .and .development)
Making .accurate .observations .(observe .the .child, .communicate .with .the .child)
Consulting .with .relevant .professionals
Developmental .Surveillance .- .CORRECT .ANSWER-is .an .ongoing .collection .of
.skilled .observations .made .over .time .during .health .care .visits.
Setting .Where .Health .Supervision .Is .Observed .- .CORRECT .ANSWER-Private
.physician .offices .
Freestanding .clinics .in .retail .stores
, Community .health .department .clinics .
Non .profit .community-based .clinics .with .sliding .scale .payments .
Daycare .centers .
Schools
What .Should .Be .Done .During .Health .Supervision .Visit? .- .CORRECT .ANSWER-
History .and .physical .assessment .
Developmental/behavioral .assessment .
Sensory .screening .(vision .and .hearing) .
Appropriate .at .risk .screening .
Immunizations .
Health .Promotion .
*** .nurse .will .examine .child .and .do .physical .exam, .have .patient .fill .out
.questionnaire, .different .screening .include .metabolic .screening, .monitor .vs,
.check .lab .values, .provide .immunizations .based .on .age.
***educate .parents .on .preventing .drowning, .poisoning, .and .eating .(weight, .foot
.intake, .dental .care)
Vaccination .Schedule .From .Newborn .- .CORRECT .ANSWER-Birth: .Hep .B .
1-2: .Hep .B .
2-4: .RV, .DTaP, .Hib, .PCV13, .IPV .
6: .Hep .B
Anticipatory .Guidance .- .CORRECT .ANSWER-Patient/family .counseling .which
.includes .information, .advice, .and .suggestions .about .expected .health-related
.life .occurrences, .health .maintenance, .and .preventive .plans.
Topics .for .Anticipatory .Guidance .- .CORRECT .ANSWER-•Promoting .oral .health
.care
•Promoting .healthy .weight
•Promoting .healthy .activity
•Promoting .personal .hygiene
•Promoting .safe .sun .exposure
Steps .of .the .Admission .Process .- .CORRECT .ANSWER-•Introduce .self .and
.smile; .explain .the .different .roles .of .the .nurse.
•Let .the .child .and .family .know .what .will .happen .and .what .is .expected .of .them.
•Communicate .at .age-appropriate .levels.
•Orient .child .and .family .to .hospital .unit.
•Allow .time .for .questions .or .concerns.
•Perform .nursing .interview.
*** .Try .to .figure .out .the .needs .of .the .child .to .address .the .concerns
