Nur166 Exam 1 Latest Update 2026/2027
Actual Exam Questions and Correct Answers
(Verified Answers) |Already Graded A+ | Hondros
When admitting a child to the inpatient pediatric unit, the nurse should assess for which risk
factors that can increase the child's stress level associated with hospitalization? Select all that
apply.
1
Mild temperament
2
Lack of fit between parent and child
3
Below-average intelligence
4
Age
5
Gender - Answer ✓✓ 2, 3, 4, 5
Risk factors for increased stress level of a child to illness or hospitalization: "Difficult"
temperament; Lack of fit between child and parent; Age (especially between 6 months and 5
ADMIN 1
,years old); Male gender; Below-average intelligence; Multiple and continuing stresses (e.g.,
frequent hospitalizations).
A child is scheduled for a tonsillectomy and is afraid of the surgery. The child asks the nurse,
"Will I need another operation when I have a sore throat again?" Which response should the
nurse give to the child?
1
"Once your tonsils are taken out, you will not need the surgery again."
2
"You will need to repeat the surgery when you have another infection."
3
"You will need to have another surgery when you turn 14 years old."
4
"Once your tonsils are fixed, you will not have any more sore throats." - Answer ✓✓ 1
The child does not have enough knowledge about the tonsillectomy. Therefore the child may
have fear about the surgery. The nurse should explain to the child that once the tonsils are
removed, they do not need "fixing" again. It helps relieve the child's fe ar about the operation,
and the child may feel comfortable. Once the tonsillectomy has been done in the child, a
second operation is not required after another throat infection. There will actually not be a
need for repeating the operation at any age. The child needs to be instructed that there may
be other sore throats in the future. However, the child needs to be reassured that future sore
throats will not require surgery.
The nurse is discharging a young child from the hospital. The nurse should instruct the parents
to look for which posthospital child behaviors? Select all the apply.
1
ADMIN 2
, ADMIN 3
Tendency to cling to parents
2
Jealousy toward others
, Is withdrawn from others.
3
Has the habit of bed-wetting.
4
Sits in a corner with a toy. - Answer ✓✓1
Children often undergo separation anxiety when they are separated from their parents. This
separation anxiety manifests in different stages such as protest, despair, and detachment.
Protest is the first stage of separation anxiety, during which the child s creams, cries, or hits
the other person for separating him or her from the parents. After this stage, the child enters
the stage of despair, where the child begins to withdraw from others and stay depressed.
During this stage, the child starts wetting the bed and sucking the thumb because of fear and
anxiety. After the stage of despair, the child enters the stage of detachment. The child starts
interacting with strangers and takes an increased interest in the surroundings or sits in a
corner and plays with a toy.
A child is hospitalized for treatment of the flu. Once the child's parents leave, the child starts
crying, looks for parents, attempts to leave, refuses to take medicine, hits other children, and
breaks toys. What should the nurse conclude from the child's behavior? The child is in the:
1
Protest stage.
2
Despair stage.
3
Denial stage.
4
Detachment stage. - Answer ✓✓ 1
ADMIN 4
Actual Exam Questions and Correct Answers
(Verified Answers) |Already Graded A+ | Hondros
When admitting a child to the inpatient pediatric unit, the nurse should assess for which risk
factors that can increase the child's stress level associated with hospitalization? Select all that
apply.
1
Mild temperament
2
Lack of fit between parent and child
3
Below-average intelligence
4
Age
5
Gender - Answer ✓✓ 2, 3, 4, 5
Risk factors for increased stress level of a child to illness or hospitalization: "Difficult"
temperament; Lack of fit between child and parent; Age (especially between 6 months and 5
ADMIN 1
,years old); Male gender; Below-average intelligence; Multiple and continuing stresses (e.g.,
frequent hospitalizations).
A child is scheduled for a tonsillectomy and is afraid of the surgery. The child asks the nurse,
"Will I need another operation when I have a sore throat again?" Which response should the
nurse give to the child?
1
"Once your tonsils are taken out, you will not need the surgery again."
2
"You will need to repeat the surgery when you have another infection."
3
"You will need to have another surgery when you turn 14 years old."
4
"Once your tonsils are fixed, you will not have any more sore throats." - Answer ✓✓ 1
The child does not have enough knowledge about the tonsillectomy. Therefore the child may
have fear about the surgery. The nurse should explain to the child that once the tonsils are
removed, they do not need "fixing" again. It helps relieve the child's fe ar about the operation,
and the child may feel comfortable. Once the tonsillectomy has been done in the child, a
second operation is not required after another throat infection. There will actually not be a
need for repeating the operation at any age. The child needs to be instructed that there may
be other sore throats in the future. However, the child needs to be reassured that future sore
throats will not require surgery.
The nurse is discharging a young child from the hospital. The nurse should instruct the parents
to look for which posthospital child behaviors? Select all the apply.
1
ADMIN 2
, ADMIN 3
Tendency to cling to parents
2
Jealousy toward others
, Is withdrawn from others.
3
Has the habit of bed-wetting.
4
Sits in a corner with a toy. - Answer ✓✓1
Children often undergo separation anxiety when they are separated from their parents. This
separation anxiety manifests in different stages such as protest, despair, and detachment.
Protest is the first stage of separation anxiety, during which the child s creams, cries, or hits
the other person for separating him or her from the parents. After this stage, the child enters
the stage of despair, where the child begins to withdraw from others and stay depressed.
During this stage, the child starts wetting the bed and sucking the thumb because of fear and
anxiety. After the stage of despair, the child enters the stage of detachment. The child starts
interacting with strangers and takes an increased interest in the surroundings or sits in a
corner and plays with a toy.
A child is hospitalized for treatment of the flu. Once the child's parents leave, the child starts
crying, looks for parents, attempts to leave, refuses to take medicine, hits other children, and
breaks toys. What should the nurse conclude from the child's behavior? The child is in the:
1
Protest stage.
2
Despair stage.
3
Denial stage.
4
Detachment stage. - Answer ✓✓ 1
ADMIN 4
