NUR 230 Exam 3 (Peds Exam 1) 2026 | Galen College of
Nursing | Latest Update | Questions & Answers | Graded A+
1. What viral infections are commonly associated with the onset of bacterial
otitis media?
HIV or hepatitis
Chickenpox or measles
RSV or flu
Common cold or strep throat
2. A 3-year-old child presents with a high fever, nasal mucus, and sneezing.
Based on these symptoms, what condition might the child be experiencing,
and what initial nursing intervention would be appropriate?
Pharyngitis; recommend throat lozenges.
Asthma attack; use a bronchodilator.
Nasopharyngitis; provide supportive care and monitor fever.
Otitis media; administer antibiotics immediately.
3. In a scenario where a child is hospitalized for a respiratory condition and
shows signs of anxiety, how might a pediatric nurse utilize play therapy to
assist the child?
By engaging the child in play activities that allow them to express
their fears and understand their treatment.
By isolating the child to minimize stress.
By explaining the medical procedures in detail to the child.
By providing the child with medication to reduce anxiety.
,4. Which of the following statements about cultural influences on self-esteem is
true?
Asian children score lower in self-esteem than U.S. children.
Boys' overall self-worth is much higher than girls'.
In academic self-judgments, boys have higher language arts self-
esteem than girls.
Boys exceed girls in self-esteem dimensions of close friendship and
social acceptance.
5. A pediatric nurse observes that a 3-year-old child is not speaking in full
sentences as expected. What should the nurse consider based on
developmental milestones?
The child is perfectly normal for their age.
The child may have a physical disability.
The child may be experiencing a delay in language development.
The child is likely advanced in cognitive skills.
6. Describe how play therapy can facilitate emotional healing in children within
a pediatric nursing context.
Play therapy allows children to express their feelings and cope with
stress, which can lead to emotional healing.
Play therapy is only effective for younger children.
Play therapy focuses on teaching children about their illness.
Play therapy is primarily used to distract children from pain.
,7. Describe how family involvement can influence the care provided to a
pediatric patient.
Family involvement can lead to better emotional support for the
child, improved communication between caregivers and healthcare
providers, and a more collaborative approach to treatment
decisions.
Family involvement often complicates care and can lead to
misunderstandings.
Family involvement has no significant impact on the treatment
outcomes.
Family involvement is primarily beneficial for the parents, not the child.
8. If a child frequently experiences laryngitis due to secondhand smoke
exposure, what intervention should a pediatric nurse recommend to the
family?
Increase the child's vocal activity.
Reduce exposure to secondhand smoke.
Use humidifiers in the child's room.
Encourage the child to drink more cold beverages.
9. What is the primary goal of atraumatic care in pediatric nursing?
To conduct all assessments in the presence of multiple caregivers.
To maximize the use of restraints during procedures.
To minimize physical and psychological distress for the child.
To ensure all procedures are performed in the child's home.
, 10. If a 16-year-old exhibits increased self-centeredness and conflicts over
independence, what nursing intervention might be most effective in
addressing these behaviors?
Implementing strict rules to limit independence.
Ignoring the behavior to avoid conflict.
Providing constant supervision to prevent withdrawal.
Encouraging open communication about feelings and
independence.
11. What is the primary goal of atraumatic care in pediatric nursing?
To minimize physical and psychological distress for children during
healthcare experiences.
To ensure children receive the maximum amount of medication.
To focus solely on the medical needs of the child.
To promote aggressive treatment methods for pediatric conditions.
12. Describe the relationship between viral respiratory infections and bacterial
otitis media.
Bacterial otitis media is unrelated to viral infections and occurs
independently.
Bacterial otitis media is a primary cause of viral respiratory infections.
Viral infections prevent the occurrence of bacterial otitis media.
Bacterial otitis media often follows a viral respiratory infection,
indicating that the viral infection can create conditions that lead to
bacterial growth.
Nursing | Latest Update | Questions & Answers | Graded A+
1. What viral infections are commonly associated with the onset of bacterial
otitis media?
HIV or hepatitis
Chickenpox or measles
RSV or flu
Common cold or strep throat
2. A 3-year-old child presents with a high fever, nasal mucus, and sneezing.
Based on these symptoms, what condition might the child be experiencing,
and what initial nursing intervention would be appropriate?
Pharyngitis; recommend throat lozenges.
Asthma attack; use a bronchodilator.
Nasopharyngitis; provide supportive care and monitor fever.
Otitis media; administer antibiotics immediately.
3. In a scenario where a child is hospitalized for a respiratory condition and
shows signs of anxiety, how might a pediatric nurse utilize play therapy to
assist the child?
By engaging the child in play activities that allow them to express
their fears and understand their treatment.
By isolating the child to minimize stress.
By explaining the medical procedures in detail to the child.
By providing the child with medication to reduce anxiety.
,4. Which of the following statements about cultural influences on self-esteem is
true?
Asian children score lower in self-esteem than U.S. children.
Boys' overall self-worth is much higher than girls'.
In academic self-judgments, boys have higher language arts self-
esteem than girls.
Boys exceed girls in self-esteem dimensions of close friendship and
social acceptance.
5. A pediatric nurse observes that a 3-year-old child is not speaking in full
sentences as expected. What should the nurse consider based on
developmental milestones?
The child is perfectly normal for their age.
The child may have a physical disability.
The child may be experiencing a delay in language development.
The child is likely advanced in cognitive skills.
6. Describe how play therapy can facilitate emotional healing in children within
a pediatric nursing context.
Play therapy allows children to express their feelings and cope with
stress, which can lead to emotional healing.
Play therapy is only effective for younger children.
Play therapy focuses on teaching children about their illness.
Play therapy is primarily used to distract children from pain.
,7. Describe how family involvement can influence the care provided to a
pediatric patient.
Family involvement can lead to better emotional support for the
child, improved communication between caregivers and healthcare
providers, and a more collaborative approach to treatment
decisions.
Family involvement often complicates care and can lead to
misunderstandings.
Family involvement has no significant impact on the treatment
outcomes.
Family involvement is primarily beneficial for the parents, not the child.
8. If a child frequently experiences laryngitis due to secondhand smoke
exposure, what intervention should a pediatric nurse recommend to the
family?
Increase the child's vocal activity.
Reduce exposure to secondhand smoke.
Use humidifiers in the child's room.
Encourage the child to drink more cold beverages.
9. What is the primary goal of atraumatic care in pediatric nursing?
To conduct all assessments in the presence of multiple caregivers.
To maximize the use of restraints during procedures.
To minimize physical and psychological distress for the child.
To ensure all procedures are performed in the child's home.
, 10. If a 16-year-old exhibits increased self-centeredness and conflicts over
independence, what nursing intervention might be most effective in
addressing these behaviors?
Implementing strict rules to limit independence.
Ignoring the behavior to avoid conflict.
Providing constant supervision to prevent withdrawal.
Encouraging open communication about feelings and
independence.
11. What is the primary goal of atraumatic care in pediatric nursing?
To minimize physical and psychological distress for children during
healthcare experiences.
To ensure children receive the maximum amount of medication.
To focus solely on the medical needs of the child.
To promote aggressive treatment methods for pediatric conditions.
12. Describe the relationship between viral respiratory infections and bacterial
otitis media.
Bacterial otitis media is unrelated to viral infections and occurs
independently.
Bacterial otitis media is a primary cause of viral respiratory infections.
Viral infections prevent the occurrence of bacterial otitis media.
Bacterial otitis media often follows a viral respiratory infection,
indicating that the viral infection can create conditions that lead to
bacterial growth.
