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Pediatrics Exam 1-Growth| Actual Key Que
stions With Correct Detailed Solutions
The parents of a 2-year-old boy are concerned about his behavior. Since the child's
admission to the hospital 2 days ago he has been crying much more than usual
and is inconsolable much of the time. The nurse's best response to the child's
parents is:
1. The child is in the detachment phase of separation anxiety, which is normal for
children during hospitalization
2. The child is in the despair stage of separation anxiety, which is normal for
children during hospitalization
3. The child is in the bargaining stage of separation anxiety, which is normal for
children during hospitalization
4. The child is in the protest stage of separation anxiety, which is normal for
children during hospitalization-correct-answer-4. During the protest stage of
separation anxiety, children are often inconsolable, and often cry more than they
do when they are at home. These children also frequently ask to go home.
In order to prevent separation anxiety in a hospitalized toddler, which of the
following should the nurse do?
1. Assume the parental role when the parents are not able to be at the bedside
2. Encourage the parents to remain at the bedside always
3. Establish a routine that is similar to that of the child's home
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4. Rotate nursing staff so the child becomes comfortable with a variety of nurses-
correct-answer-3. It is very important to try to maintain a child's home routine
both when parents are present and when they have to leave the hospital. This will
increase the child's sense of security and decrease anxiety.
A 5-year-old girl has been brought to the ER for suspected child abuse. What
approach should the nurse use to gather information from the child?
1. The nurse should promise the child that her parents will not know what she
tells the nurse
2. The nurse should promise the child that she will not have to see the suspected
abuser again
3. The nurse should use correct anatomical terms to discuss body parts
4. The nurse should tell the child that the abuse is not her fault and that she is a
good person-correct-answer-4. Many young children believe abuse or illness is
their fault, and they should be reminded they are not to blame. Many children of
this age believe they have acquired a disease or have been abused because they
are bad people.
A 5-year-old is at the pediatrician's office for his well-child checkup. The nurse will
be administering three immunizations to the child. The nurse should expect which
reaction from the child when she gives his immunizations?
1. The child will likely remain silent and still
2. The child will likely cry and tell the nurse that it hurts
3. The child will likely try to stall the nurse
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4. The child will likely remain still while telling the nurse that she is hurting him-
correct-answer-2. The common response of a 5-year-old is to cry and protest
during an immunization.
An 8-year-old is NPO while he awaits surgery for central line placement later in the
afternoon. The nurse is trying to engage the child in some form of activity to
distract him from thinking about his upcoming surgery. Which is the best method
of distraction for a child of this age in this situation?
1. Encourage the child to use the telephone to call friends
2. Encourage the child to watch television
3. Encourage the child to play a board game
4. Encourage the child to read the central line pamphlet he was given-correct-
answer-3. A board game is the optimal choice because school-age children enjoy
being engaged in an activity with others that will require some skill and challenge.
According to developmental theories, which important event does the nurse
understand is essential to the development of the toddler?
1. The child learns to feed self
2. The child develops friendships
3. The child learns to walk
4. The child participates in being potty-trained-correct-answer-4. Developmental
theorists like Erickson and Freud believe that toilet training is the essential event
that must be mastered by the toddler.
Pediatrics Exam 1-Growth| Actual Key Que
stions With Correct Detailed Solutions
The parents of a 2-year-old boy are concerned about his behavior. Since the child's
admission to the hospital 2 days ago he has been crying much more than usual
and is inconsolable much of the time. The nurse's best response to the child's
parents is:
1. The child is in the detachment phase of separation anxiety, which is normal for
children during hospitalization
2. The child is in the despair stage of separation anxiety, which is normal for
children during hospitalization
3. The child is in the bargaining stage of separation anxiety, which is normal for
children during hospitalization
4. The child is in the protest stage of separation anxiety, which is normal for
children during hospitalization-correct-answer-4. During the protest stage of
separation anxiety, children are often inconsolable, and often cry more than they
do when they are at home. These children also frequently ask to go home.
In order to prevent separation anxiety in a hospitalized toddler, which of the
following should the nurse do?
1. Assume the parental role when the parents are not able to be at the bedside
2. Encourage the parents to remain at the bedside always
3. Establish a routine that is similar to that of the child's home
,2|Page
4. Rotate nursing staff so the child becomes comfortable with a variety of nurses-
correct-answer-3. It is very important to try to maintain a child's home routine
both when parents are present and when they have to leave the hospital. This will
increase the child's sense of security and decrease anxiety.
A 5-year-old girl has been brought to the ER for suspected child abuse. What
approach should the nurse use to gather information from the child?
1. The nurse should promise the child that her parents will not know what she
tells the nurse
2. The nurse should promise the child that she will not have to see the suspected
abuser again
3. The nurse should use correct anatomical terms to discuss body parts
4. The nurse should tell the child that the abuse is not her fault and that she is a
good person-correct-answer-4. Many young children believe abuse or illness is
their fault, and they should be reminded they are not to blame. Many children of
this age believe they have acquired a disease or have been abused because they
are bad people.
A 5-year-old is at the pediatrician's office for his well-child checkup. The nurse will
be administering three immunizations to the child. The nurse should expect which
reaction from the child when she gives his immunizations?
1. The child will likely remain silent and still
2. The child will likely cry and tell the nurse that it hurts
3. The child will likely try to stall the nurse
, 3|Page
4. The child will likely remain still while telling the nurse that she is hurting him-
correct-answer-2. The common response of a 5-year-old is to cry and protest
during an immunization.
An 8-year-old is NPO while he awaits surgery for central line placement later in the
afternoon. The nurse is trying to engage the child in some form of activity to
distract him from thinking about his upcoming surgery. Which is the best method
of distraction for a child of this age in this situation?
1. Encourage the child to use the telephone to call friends
2. Encourage the child to watch television
3. Encourage the child to play a board game
4. Encourage the child to read the central line pamphlet he was given-correct-
answer-3. A board game is the optimal choice because school-age children enjoy
being engaged in an activity with others that will require some skill and challenge.
According to developmental theories, which important event does the nurse
understand is essential to the development of the toddler?
1. The child learns to feed self
2. The child develops friendships
3. The child learns to walk
4. The child participates in being potty-trained-correct-answer-4. Developmental
theorists like Erickson and Freud believe that toilet training is the essential event
that must be mastered by the toddler.
