Pediatrics Exam 1-Growth Questions With Answers
// // // // // //
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 //- //CORRECT //ANSWERS(S)✔✔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 //- //CORRECT
//ANSWERS(S)✔✔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."
- CORRECT //ANSWERS(S)✔✔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 //- //CORRECT
//ANSWERS(S)✔✔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 //- //CORRECT //ANSWERS(S)✔✔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 //- //CORRECT
//ANSWERS(S)✔✔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 //-
//CORRECT //ANSWERS(S)✔✔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
// // // // // //
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 //- //CORRECT //ANSWERS(S)✔✔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 //- //CORRECT
//ANSWERS(S)✔✔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."
- CORRECT //ANSWERS(S)✔✔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 //- //CORRECT
//ANSWERS(S)✔✔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 //- //CORRECT //ANSWERS(S)✔✔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 //- //CORRECT
//ANSWERS(S)✔✔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 //-
//CORRECT //ANSWERS(S)✔✔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
