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NURS 307 Peds Quiz 1 – Group Performance Profile
| Fall 2025/2026 | West Coast University | 100% Verified Questions & Answers Plus
Rationales | Already Graded A+ (BRAND NEW!!!)
Exam Overview
This guide covers Quiz 1 for West Coast University's NURS 307 Pediatrics course, reflecting the
Fall 2025/26 updates. The quiz focuses on foundational pediatric nursing concepts including family-
centered care, growth and development, atraumatic care, and evidence-based practice.
Comprehensive Question Bank with Answers and Rationales
Topic: Assessment and General Survey
1. The nurse is preparing to assess a client's mental status within the general survey. Which data should
the nurse use to assess this status?
A) Observation of the client ambulating
B) Asking the client to describe elements of his health history
C) Observation of the client's clothing selections
D) Observation of eye contact during the examination
Answer: B
Asking the client to describe elements of their health history assesses mental status by evaluating
memory, orientation, and thought processes. Observation of ambulation, clothing, and eye contact
provides data on physical function, self-care, and social behavior, but these are not the primary indicators
of mental status in a general survey.
2. The nurse is preparing to conduct a general survey. Which should the nurse recognize is the purpose of
performing the general survey prior to the physical assessment?
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A) Allows for vital signs prior to starting exam
B) Provides an opportunity for the client to relax before the exam
C) Yields information to guide the physical assessment
D) Provides the information necessary for the diagnosis
Answer: C
The general survey yields information that guides the physical assessment by providing initial
observations about the client's overall appearance, behavior, and health status. This helps the nurse focus
the examination and identify areas requiring more detailed assessment.
3. The nurse is planning to perform a physical assessment on an adult client. Prior to the assessment,
which should be the nurse's first action?
A) Provide a gown for the client to change into
B) Explain to the client what will happen during the examination
C) Obtain a written consent
D) Wash hands in the presence of the client
Answer: B
Explaining the examination procedure to the client is the first action as it establishes trust, reduces
anxiety, and promotes cooperation. This is a fundamental component of patient-centered care and
informed participation in the assessment process .
4. While auscultating a client's lungs, the nurse identifies more than one sound. Which action by the nurse
is the most appropriate?
A) Obtain a stethoscope with longer tubing
B) Ask another nurse to listen to the lung sounds
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C) Hold the stethoscope tubing while listening to the lung sounds
D) Close the eyes and focus on one sound at a time
Answer: D
Closing the eyes and focusing on one sound at a time helps the nurse differentiate between multiple
sounds and enhances auscultation accuracy. This technique minimizes distractions and allows the nurse to
concentrate on specific breath sounds .
5. The nurse auscultating heart sounds suspects the client has a murmur. Which action should the nurse
take?
A) Inform the client of "the abnormality"
B) Stop the assessment and refer the client to the healthcare provider
C) Request another examiner to assess the finding
D) Document the finding with a plan to reassess the patient on the next visit
Answer: C
Requesting another examiner to assess the finding is the most appropriate action when a murmur is
suspected. This confirms the finding, reduces the risk of error, and supports accurate clinical decision-
making. Informing the client prematurely without confirmation may cause unnecessary anxiety .
6. The nurse is assessing a client who is recovering from open-heart surgery. Which assessment data is
most reflective of a client's status?
A) Vital signs within normal limits
B) Client reports feeling "tired but okay"
C) Clear lung sounds bilaterally
D) Urine output of 30 mL/hour
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Answer: C
Clear lung sounds bilaterally indicate adequate gas exchange and the absence of pulmonary complications
such as atelectasis or fluid overload. This is a critical indicator of recovery following open-heart surgery
and reflects effective cardiac and respiratory function .
7. The nurse is preparing to assess a client's abdomen. Place the sequence for an abdominal assessment in
the correct order.
A) Inspection, Palpation, Percussion, Auscultation
B) Inspection, Auscultation, Palpation, Percussion
C) Inspection, Auscultation, Percussion, Palpation
D) Inspection, Palpation, Auscultation, Percussion
Answer: C
The correct sequence for abdominal assessment is Inspection, Auscultation, Percussion, then Palpation.
This order prevents altering bowel sounds, which is crucial because palpation and percussion can
stimulate peristalsis and produce false findings .
8. The nurse is incorporating Dunn's model of wellness in the care of the clients in clinic. Which should
the nurse focus treatment on?
A) Relieving signs and symptoms of disease
B) Assisting the client in restoring harmony to their life
C) Maximizing the function of the client
D) Promoting flexibility for environmental adaptation
Answer: C
NURS 307 Peds Quiz 1 – Group Performance Profile
| Fall 2025/2026 | West Coast University | 100% Verified Questions & Answers Plus
Rationales | Already Graded A+ (BRAND NEW!!!)
Exam Overview
This guide covers Quiz 1 for West Coast University's NURS 307 Pediatrics course, reflecting the
Fall 2025/26 updates. The quiz focuses on foundational pediatric nursing concepts including family-
centered care, growth and development, atraumatic care, and evidence-based practice.
Comprehensive Question Bank with Answers and Rationales
Topic: Assessment and General Survey
1. The nurse is preparing to assess a client's mental status within the general survey. Which data should
the nurse use to assess this status?
A) Observation of the client ambulating
B) Asking the client to describe elements of his health history
C) Observation of the client's clothing selections
D) Observation of eye contact during the examination
Answer: B
Asking the client to describe elements of their health history assesses mental status by evaluating
memory, orientation, and thought processes. Observation of ambulation, clothing, and eye contact
provides data on physical function, self-care, and social behavior, but these are not the primary indicators
of mental status in a general survey.
2. The nurse is preparing to conduct a general survey. Which should the nurse recognize is the purpose of
performing the general survey prior to the physical assessment?
,2|Page
A) Allows for vital signs prior to starting exam
B) Provides an opportunity for the client to relax before the exam
C) Yields information to guide the physical assessment
D) Provides the information necessary for the diagnosis
Answer: C
The general survey yields information that guides the physical assessment by providing initial
observations about the client's overall appearance, behavior, and health status. This helps the nurse focus
the examination and identify areas requiring more detailed assessment.
3. The nurse is planning to perform a physical assessment on an adult client. Prior to the assessment,
which should be the nurse's first action?
A) Provide a gown for the client to change into
B) Explain to the client what will happen during the examination
C) Obtain a written consent
D) Wash hands in the presence of the client
Answer: B
Explaining the examination procedure to the client is the first action as it establishes trust, reduces
anxiety, and promotes cooperation. This is a fundamental component of patient-centered care and
informed participation in the assessment process .
4. While auscultating a client's lungs, the nurse identifies more than one sound. Which action by the nurse
is the most appropriate?
A) Obtain a stethoscope with longer tubing
B) Ask another nurse to listen to the lung sounds
,3|Page
C) Hold the stethoscope tubing while listening to the lung sounds
D) Close the eyes and focus on one sound at a time
Answer: D
Closing the eyes and focusing on one sound at a time helps the nurse differentiate between multiple
sounds and enhances auscultation accuracy. This technique minimizes distractions and allows the nurse to
concentrate on specific breath sounds .
5. The nurse auscultating heart sounds suspects the client has a murmur. Which action should the nurse
take?
A) Inform the client of "the abnormality"
B) Stop the assessment and refer the client to the healthcare provider
C) Request another examiner to assess the finding
D) Document the finding with a plan to reassess the patient on the next visit
Answer: C
Requesting another examiner to assess the finding is the most appropriate action when a murmur is
suspected. This confirms the finding, reduces the risk of error, and supports accurate clinical decision-
making. Informing the client prematurely without confirmation may cause unnecessary anxiety .
6. The nurse is assessing a client who is recovering from open-heart surgery. Which assessment data is
most reflective of a client's status?
A) Vital signs within normal limits
B) Client reports feeling "tired but okay"
C) Clear lung sounds bilaterally
D) Urine output of 30 mL/hour
, 4|Page
Answer: C
Clear lung sounds bilaterally indicate adequate gas exchange and the absence of pulmonary complications
such as atelectasis or fluid overload. This is a critical indicator of recovery following open-heart surgery
and reflects effective cardiac and respiratory function .
7. The nurse is preparing to assess a client's abdomen. Place the sequence for an abdominal assessment in
the correct order.
A) Inspection, Palpation, Percussion, Auscultation
B) Inspection, Auscultation, Palpation, Percussion
C) Inspection, Auscultation, Percussion, Palpation
D) Inspection, Palpation, Auscultation, Percussion
Answer: C
The correct sequence for abdominal assessment is Inspection, Auscultation, Percussion, then Palpation.
This order prevents altering bowel sounds, which is crucial because palpation and percussion can
stimulate peristalsis and produce false findings .
8. The nurse is incorporating Dunn's model of wellness in the care of the clients in clinic. Which should
the nurse focus treatment on?
A) Relieving signs and symptoms of disease
B) Assisting the client in restoring harmony to their life
C) Maximizing the function of the client
D) Promoting flexibility for environmental adaptation
Answer: C
