NUR 230
EXAM 3
OB/Peds
50 Actual Questions w/Correct Answers
Galen College of Nursing
What you Will Get:
• 50 verified questions
• Correct answers with Rationales.
• Ideal for exam preparation and concept
reinforcement.
,1. The nurse is performing an assessment on an adolescent client. Which
behavior suggests appropriate psychosocial development in this client?
A. Shows excessive dependence on parents
B. Avoids discussing feelings or thoughts
C. Thinks about peers’ opinions of them
D. Prefers to spend time alone
Correct Answer:
C. Thinks about peers’ opinions of them
Expert Rationale:
Adolescents are developing identity and are highly influenced by peer acceptance.
Concern about peers’ opinions is developmentally expected and reflects normal
psychosocial growth during adolescence.
2. The nurse is performing a nutritional assessment on an adolescent client.
Which statement best indicates that the client’s diet is healthy?
A. “I rarely eat breakfast because I’m not hungry.”
B. “My parents make sure I drink 8 glasses of water daily.”
C. “I avoid vegetables because I don’t like them.”
D. “I drink four glasses of water daily.”
Correct Answer:
B. “My parents make sure I drink 8 glasses of water daily.”
Expert Rationale:
Adequate hydration is an important component of adolescent nutrition. Skipping
breakfast and avoiding vegetables suggest poor nutritional habits. Four glasses of
water may be inadequate depending on activity level and health status.
3. The nurse is educating new parents about immunizations and immunity.
Which statement indicates the need for additional teaching?
,A. “Passive immunity provides immediate but temporary protection.”
B. “Some immunizations require multiple doses to be effective.”
C. “Active immunity is what my child gets from me and is short-term protection.”
D. “Vaccines help my child develop immunity by stimulating their own immune
system.”
Correct Answer:
C. “Active immunity is what my child gets from me and is short-term
protection.”
Expert Rationale:
Active immunity occurs when the child’s own immune system responds to an
antigen, such as through vaccination or infection. Passive immunity is transferred
from another source, such as maternal antibodies, and provides temporary
protection.
4. The nurse has administered a prescribed analgesic to a preschool child. Which
action should the nurse take to assess the effectiveness of the medication?
A. Wait 3 hours before reassessing comfort
B. Use the Wong-Baker FACES Pain Rating Scale
C. Observe changes in vital signs only
D. Ask the child to describe the exact pain pathway
Correct Answer:
B. Use the Wong-Baker FACES Pain Rating Scale
Expert Rationale:
The Wong-Baker FACES scale is appropriate for preschool children because it
allows them to identify pain intensity using facial expressions. Vital signs alone are
not reliable enough to evaluate pain relief.
,5. A parent brings a child to emergency triage and states, “I think she got into
my mother’s medicine.” After determining the medication ingested, which
action should the nurse take next?
A. Induce vomiting
B. Administer activated charcoal immediately
C. Contact the poison control center
D. Observe the child for symptoms only
Correct Answer:
C. Contact the poison control center
Expert Rationale:
Poison control provides specific recommendations based on the substance,
amount, time of ingestion, and child’s condition. Vomiting and activated charcoal
should not be initiated unless specifically recommended.
6. The nurse has attended a conference on immunizations. Which statement
indicates that teaching has been effective?
A. “Children who have a common cold may still receive an immunization.”
B. “Children should not receive immunizations if they have a mild cold.”
C. “Only children over age five can receive immunizations safely.”
D. “Immunizations can cause all the diseases they are meant to prevent.”
Correct Answer:
A. “Children who have a common cold may still receive an immunization.”
Expert Rationale:
Mild illness, such as a common cold without moderate or severe fever, is not
usually a contraindication to immunization. Vaccines should be delayed for
moderate or severe illness according to provider guidance.
, 7. The nurse provides discharge teaching to the parents of a 3-year-old who had
a cardiac catheterization. Which statement indicates correct understanding?
A. “We should apply lotion to the catheter site twice daily.”
B. “If the site bleeds, we will soak it in warm water.”
C. “We will remove the adhesive bandage as soon as we get home.”
D. “We will keep the adhesive bandage dry and intact until advised otherwise.”
Correct Answer:
D. “We will keep the adhesive bandage dry and intact until advised otherwise.”
Expert Rationale:
The catheterization site should remain clean, dry, and protected to reduce
infection and bleeding risk. Parents should monitor for bleeding, swelling,
drainage, fever, or changes in extremity color or temperature.
8. The nurse is performing a respiratory assessment on an infant. Which finding
requires notification of the primary healthcare provider?
A. Nasal flaring at rest
B. Smiling intermittently during assessment
C. Occasional nasal flaring after crying
D. Brief head bobbing while crying
Correct Answer:
A. Nasal flaring at rest
Expert Rationale:
Nasal flaring at rest indicates increased work of breathing and possible respiratory
distress. This finding requires prompt assessment and provider notification.
9. The nurse in the pediatric cardiac unit is reviewing telemetry monitors. Which
client should the nurse assess first?
A. A 6-year-old running with a pulse of 140/min
EXAM 3
OB/Peds
50 Actual Questions w/Correct Answers
Galen College of Nursing
What you Will Get:
• 50 verified questions
• Correct answers with Rationales.
• Ideal for exam preparation and concept
reinforcement.
,1. The nurse is performing an assessment on an adolescent client. Which
behavior suggests appropriate psychosocial development in this client?
A. Shows excessive dependence on parents
B. Avoids discussing feelings or thoughts
C. Thinks about peers’ opinions of them
D. Prefers to spend time alone
Correct Answer:
C. Thinks about peers’ opinions of them
Expert Rationale:
Adolescents are developing identity and are highly influenced by peer acceptance.
Concern about peers’ opinions is developmentally expected and reflects normal
psychosocial growth during adolescence.
2. The nurse is performing a nutritional assessment on an adolescent client.
Which statement best indicates that the client’s diet is healthy?
A. “I rarely eat breakfast because I’m not hungry.”
B. “My parents make sure I drink 8 glasses of water daily.”
C. “I avoid vegetables because I don’t like them.”
D. “I drink four glasses of water daily.”
Correct Answer:
B. “My parents make sure I drink 8 glasses of water daily.”
Expert Rationale:
Adequate hydration is an important component of adolescent nutrition. Skipping
breakfast and avoiding vegetables suggest poor nutritional habits. Four glasses of
water may be inadequate depending on activity level and health status.
3. The nurse is educating new parents about immunizations and immunity.
Which statement indicates the need for additional teaching?
,A. “Passive immunity provides immediate but temporary protection.”
B. “Some immunizations require multiple doses to be effective.”
C. “Active immunity is what my child gets from me and is short-term protection.”
D. “Vaccines help my child develop immunity by stimulating their own immune
system.”
Correct Answer:
C. “Active immunity is what my child gets from me and is short-term
protection.”
Expert Rationale:
Active immunity occurs when the child’s own immune system responds to an
antigen, such as through vaccination or infection. Passive immunity is transferred
from another source, such as maternal antibodies, and provides temporary
protection.
4. The nurse has administered a prescribed analgesic to a preschool child. Which
action should the nurse take to assess the effectiveness of the medication?
A. Wait 3 hours before reassessing comfort
B. Use the Wong-Baker FACES Pain Rating Scale
C. Observe changes in vital signs only
D. Ask the child to describe the exact pain pathway
Correct Answer:
B. Use the Wong-Baker FACES Pain Rating Scale
Expert Rationale:
The Wong-Baker FACES scale is appropriate for preschool children because it
allows them to identify pain intensity using facial expressions. Vital signs alone are
not reliable enough to evaluate pain relief.
,5. A parent brings a child to emergency triage and states, “I think she got into
my mother’s medicine.” After determining the medication ingested, which
action should the nurse take next?
A. Induce vomiting
B. Administer activated charcoal immediately
C. Contact the poison control center
D. Observe the child for symptoms only
Correct Answer:
C. Contact the poison control center
Expert Rationale:
Poison control provides specific recommendations based on the substance,
amount, time of ingestion, and child’s condition. Vomiting and activated charcoal
should not be initiated unless specifically recommended.
6. The nurse has attended a conference on immunizations. Which statement
indicates that teaching has been effective?
A. “Children who have a common cold may still receive an immunization.”
B. “Children should not receive immunizations if they have a mild cold.”
C. “Only children over age five can receive immunizations safely.”
D. “Immunizations can cause all the diseases they are meant to prevent.”
Correct Answer:
A. “Children who have a common cold may still receive an immunization.”
Expert Rationale:
Mild illness, such as a common cold without moderate or severe fever, is not
usually a contraindication to immunization. Vaccines should be delayed for
moderate or severe illness according to provider guidance.
, 7. The nurse provides discharge teaching to the parents of a 3-year-old who had
a cardiac catheterization. Which statement indicates correct understanding?
A. “We should apply lotion to the catheter site twice daily.”
B. “If the site bleeds, we will soak it in warm water.”
C. “We will remove the adhesive bandage as soon as we get home.”
D. “We will keep the adhesive bandage dry and intact until advised otherwise.”
Correct Answer:
D. “We will keep the adhesive bandage dry and intact until advised otherwise.”
Expert Rationale:
The catheterization site should remain clean, dry, and protected to reduce
infection and bleeding risk. Parents should monitor for bleeding, swelling,
drainage, fever, or changes in extremity color or temperature.
8. The nurse is performing a respiratory assessment on an infant. Which finding
requires notification of the primary healthcare provider?
A. Nasal flaring at rest
B. Smiling intermittently during assessment
C. Occasional nasal flaring after crying
D. Brief head bobbing while crying
Correct Answer:
A. Nasal flaring at rest
Expert Rationale:
Nasal flaring at rest indicates increased work of breathing and possible respiratory
distress. This finding requires prompt assessment and provider notification.
9. The nurse in the pediatric cardiac unit is reviewing telemetry monitors. Which
client should the nurse assess first?
A. A 6-year-old running with a pulse of 140/min
