+GALEN
SIMULATION HOSPITAL
NUR254 PEDIATRIC DEVELOPMENTAL ASSESSMENT S
COMMUNICATION SIMULATION
PREP QUESTIONS
& VERIFIED ANSWERS | 100% CORRECT | 2026
KNOWLEDGE
Instructions: Complete the questions below. Answers may be typed or handwritten; bullet points are acceptable.
The purpose of this knowledge is to provide a resource to use during the SBEs. Complete drug sheet/drug card(s)
for all medications listed for the patient; this information can be used during the SBE.
Review the following topics from the references and additional resources to answer the following:
1. Describe assessment and communication strategies for:
a. Aninfant presenting with poor feeding.
Ask parents about feeding habits, symptoms such as vomiting, difficulty breathing,
lethargy, onset, and duration
Check weight and growth
Look for signs of dehydration. Dry mucous membranes, reduced skin turgur, fewer wet
diapers
Asses muscle tone and alertness
Assess mouth for abnormalities like cleft lip
Asses lung sounds and heart sounds
Observe feeding session and asses sucking, swallowing, coordination, for poor
latching, difficulty swallowing
Provide emotional support, acknowledge their concerns, encourage to share concerns
Teach parents how signs of poor feeding, how to properly feed
Refer to lactation consultant
Discuss care about feeding pattems, weight gain and development
b. Apreschool child admitted with dehydration after tonsillectomy.
Assess fluid intake since surgery
Assess urine output, frequency, color
Discuss if pt has had any diarrhea or vomiting
Assess pain status with wong bake scale
Assess for signs of dehydration
Assess vitals
Assess surgical site for signs of infection or pain
CBC
Use age-appropriate language to ask pt about pain, drinking fluids and urination
Teach pt and family about medications, cold fluids, popsicles, soft diet to reduce throat
discomfort
Educate parents on signs of dehydration
ADN Pedi Dev Assess & Comm Prep Work
, c. Anadolescent with type 1 diabetes.
e Discuss how pt and family is managing diabetes. Ask about their insulin regimen, including
types and doses of insulin, frequency of monitoring blood glucose, and whether they use an
insulin pump or multiple daily injections.
e Check A1C, blood glucose levels, and urine for ketones
e Askif they are having any hypoglycemic or hyperglycemic symptoms
* Discuss pt diet add physical activity
e Discuss adherence to diabetic management
e Complete physical assessment and assess skin, feet, eyes, and sensation ensuring diabetes
has not affected these areas from poor manageable
e Use age appropriate and nonjudgmental language
e Encourage pt to be active in diabetic care and discuss their concerns
e Encourage pt to adhere to insulin therapy, diet, exercise
e Teach pt signs of hyperglycemia and hypoglycemia
e Educate family on how to support child with diabetes
2. What would be appropriate teaching strategies for:
a. Aninfant presenting with poor feeding.
e Ask caregivers questions regarding current feeding difficulties
e Acknowledge caregivers’ concems
* Demonstrate proper feeding techniques
e Teach feeding cues like roofing, sucking, hand movements
e Teach burping techniques
* Teach about frequency of feeding and signs of infant being full
* Promote skin to skin
o Offer lactation consultant
* Emphasize going yo pediatrician visit
* Demonstrate hands on care and have caregiver do teach back
* Encourage to track infant growth and feeding patterns
e Teach parents signs of infant discomfort and how to slow feed for infants struggling with
feeding
b. Apreschool child admitted with dehydration after tonsillectomy.
e Reassure dehydration is common after surgery
e Ask caregivers about care and acknowledge concerns
e Use simple terms to teach about dehydration and teach signs of dehydration
o Dry mouth, dark urine/few diapers, lethargy/irritability, sunken eyes or fontanelles, lack of
tears
e Use charts, diagrams, pictures and toys to demonstrate and teach to child snd caregivers
* Encourage smalls frequent sips, teach appropriate liquids. Avoid milk, red fluids, carbonated drinks
e Use positive reinforcement when pt drinks
e Teach ability lain management and use of cool food and drinks, and cool compress
c. Anadolescent with type 1 diabetes.
* Encourage pt to ask questions
* Demonstrate hands on and have pt teach back
* Encourage independence and self management
e Askabout daily routine and teach pt how to incorporate diabetes management into routine
ADN Pedi Dev Assess & Comm Prep Work
SIMULATION HOSPITAL
NUR254 PEDIATRIC DEVELOPMENTAL ASSESSMENT S
COMMUNICATION SIMULATION
PREP QUESTIONS
& VERIFIED ANSWERS | 100% CORRECT | 2026
KNOWLEDGE
Instructions: Complete the questions below. Answers may be typed or handwritten; bullet points are acceptable.
The purpose of this knowledge is to provide a resource to use during the SBEs. Complete drug sheet/drug card(s)
for all medications listed for the patient; this information can be used during the SBE.
Review the following topics from the references and additional resources to answer the following:
1. Describe assessment and communication strategies for:
a. Aninfant presenting with poor feeding.
Ask parents about feeding habits, symptoms such as vomiting, difficulty breathing,
lethargy, onset, and duration
Check weight and growth
Look for signs of dehydration. Dry mucous membranes, reduced skin turgur, fewer wet
diapers
Asses muscle tone and alertness
Assess mouth for abnormalities like cleft lip
Asses lung sounds and heart sounds
Observe feeding session and asses sucking, swallowing, coordination, for poor
latching, difficulty swallowing
Provide emotional support, acknowledge their concerns, encourage to share concerns
Teach parents how signs of poor feeding, how to properly feed
Refer to lactation consultant
Discuss care about feeding pattems, weight gain and development
b. Apreschool child admitted with dehydration after tonsillectomy.
Assess fluid intake since surgery
Assess urine output, frequency, color
Discuss if pt has had any diarrhea or vomiting
Assess pain status with wong bake scale
Assess for signs of dehydration
Assess vitals
Assess surgical site for signs of infection or pain
CBC
Use age-appropriate language to ask pt about pain, drinking fluids and urination
Teach pt and family about medications, cold fluids, popsicles, soft diet to reduce throat
discomfort
Educate parents on signs of dehydration
ADN Pedi Dev Assess & Comm Prep Work
, c. Anadolescent with type 1 diabetes.
e Discuss how pt and family is managing diabetes. Ask about their insulin regimen, including
types and doses of insulin, frequency of monitoring blood glucose, and whether they use an
insulin pump or multiple daily injections.
e Check A1C, blood glucose levels, and urine for ketones
e Askif they are having any hypoglycemic or hyperglycemic symptoms
* Discuss pt diet add physical activity
e Discuss adherence to diabetic management
e Complete physical assessment and assess skin, feet, eyes, and sensation ensuring diabetes
has not affected these areas from poor manageable
e Use age appropriate and nonjudgmental language
e Encourage pt to be active in diabetic care and discuss their concerns
e Encourage pt to adhere to insulin therapy, diet, exercise
e Teach pt signs of hyperglycemia and hypoglycemia
e Educate family on how to support child with diabetes
2. What would be appropriate teaching strategies for:
a. Aninfant presenting with poor feeding.
e Ask caregivers questions regarding current feeding difficulties
e Acknowledge caregivers’ concems
* Demonstrate proper feeding techniques
e Teach feeding cues like roofing, sucking, hand movements
e Teach burping techniques
* Teach about frequency of feeding and signs of infant being full
* Promote skin to skin
o Offer lactation consultant
* Emphasize going yo pediatrician visit
* Demonstrate hands on care and have caregiver do teach back
* Encourage to track infant growth and feeding patterns
e Teach parents signs of infant discomfort and how to slow feed for infants struggling with
feeding
b. Apreschool child admitted with dehydration after tonsillectomy.
e Reassure dehydration is common after surgery
e Ask caregivers about care and acknowledge concerns
e Use simple terms to teach about dehydration and teach signs of dehydration
o Dry mouth, dark urine/few diapers, lethargy/irritability, sunken eyes or fontanelles, lack of
tears
e Use charts, diagrams, pictures and toys to demonstrate and teach to child snd caregivers
* Encourage smalls frequent sips, teach appropriate liquids. Avoid milk, red fluids, carbonated drinks
e Use positive reinforcement when pt drinks
e Teach ability lain management and use of cool food and drinks, and cool compress
c. Anadolescent with type 1 diabetes.
* Encourage pt to ask questions
* Demonstrate hands on and have pt teach back
* Encourage independence and self management
e Askabout daily routine and teach pt how to incorporate diabetes management into routine
ADN Pedi Dev Assess & Comm Prep Work
