1. Priority Question
The nurse is performing health screenings at a community pediatric clinic.
Which child should the nurse assess first?
A. A 4-year-old whose parent reports the child has not visited a dentist
B. A 10-year-old with a body mass index at the 96th percentile
C. A 15-year-old who states, “Sometimes I think my family would be better
without me”
D. A 6-month-old whose parent reports introducing pureed vegetables
Correct answer: C
Rationale: The adolescent’s statement suggests possible suicidal ideation
and requires immediate assessment for intent, plan, means, and safety.
Mental health concerns and potential self-harm take priority over obesity,
delayed dental care, or routine nutrition practices. Pediatric nurses should
recognize symptoms of mental illness and promptly assess children and
adolescents for suicidal thoughts.
2. Need for Further Teaching
The nurse provides anticipatory guidance to the parents of an 8-month-old
infant. Which parent statement indicates a need for further teaching?
A. “We keep medications in a locked cabinet.”
B. “We lower the crib mattress as our baby becomes more mobile.”
C. “We place our baby on the changing table while we gather supplies.”
D. “We check the floor for small objects before allowing floor play.”
Correct answer: C
Rationale: A mobile infant may roll unexpectedly and fall from an
unprotected surface. The caregiver should gather supplies before placing
the infant on the changing table and maintain contact with the infant
throughout the diaper change. Locking medications, lowering the crib
mattress, and removing choking hazards are appropriate safety measures.
3. Select All That Apply
The nurse is teaching parents about family-centered pediatric care. Which
actions reflect this philosophy? Select all that apply.
, A. Recognizing the family as a constant in the child’s life
B. Including parents in decisions regarding the child’s care
C. Completing care independently to reduce the parents’ anxiety
D. Building on the family’s existing strengths
E. Respecting cultural and spiritual preferences
F. Limiting information until the healthcare team reaches a final decision
Correct answers: A, B, D, E
Rationale: Family-centered care recognizes the family as the consistent
influence in the child’s life and promotes collaboration, shared decision-
making, respect, and empowerment. Completing care without parental
participation may increase dependency. Families should receive complete,
understandable, and unbiased information rather than having information
withheld.
4. Correct Understanding
The nurse teaches parents about reducing the risk of childhood obesity.
Which parent statement demonstrates correct understanding?
A. “We will discuss healthy eating when our child reaches school age.”
B. “We will use food as a reward when our child follows directions.”
C. “We will introduce healthy family eating habits during early childhood.”
D. “We will prevent weight gain by restricting most dietary fats.”
Correct answer: C
Rationale: Eating preferences and attitudes begin developing during the
first few years of life. Healthy family meals, appropriate portions, nutritious
choices, and positive role modeling should begin early. Using food as a
reward may promote unhealthy eating patterns, and excessive restriction
can interfere with growth.
5. Priority Question
A 3-year-old is brought to the emergency department after swallowing
several unidentified pills. Which action should the nurse take first?
A. Ask the caregiver to estimate how many pills were swallowed
B. Assess the child’s airway, breathing, and circulation
The nurse is performing health screenings at a community pediatric clinic.
Which child should the nurse assess first?
A. A 4-year-old whose parent reports the child has not visited a dentist
B. A 10-year-old with a body mass index at the 96th percentile
C. A 15-year-old who states, “Sometimes I think my family would be better
without me”
D. A 6-month-old whose parent reports introducing pureed vegetables
Correct answer: C
Rationale: The adolescent’s statement suggests possible suicidal ideation
and requires immediate assessment for intent, plan, means, and safety.
Mental health concerns and potential self-harm take priority over obesity,
delayed dental care, or routine nutrition practices. Pediatric nurses should
recognize symptoms of mental illness and promptly assess children and
adolescents for suicidal thoughts.
2. Need for Further Teaching
The nurse provides anticipatory guidance to the parents of an 8-month-old
infant. Which parent statement indicates a need for further teaching?
A. “We keep medications in a locked cabinet.”
B. “We lower the crib mattress as our baby becomes more mobile.”
C. “We place our baby on the changing table while we gather supplies.”
D. “We check the floor for small objects before allowing floor play.”
Correct answer: C
Rationale: A mobile infant may roll unexpectedly and fall from an
unprotected surface. The caregiver should gather supplies before placing
the infant on the changing table and maintain contact with the infant
throughout the diaper change. Locking medications, lowering the crib
mattress, and removing choking hazards are appropriate safety measures.
3. Select All That Apply
The nurse is teaching parents about family-centered pediatric care. Which
actions reflect this philosophy? Select all that apply.
, A. Recognizing the family as a constant in the child’s life
B. Including parents in decisions regarding the child’s care
C. Completing care independently to reduce the parents’ anxiety
D. Building on the family’s existing strengths
E. Respecting cultural and spiritual preferences
F. Limiting information until the healthcare team reaches a final decision
Correct answers: A, B, D, E
Rationale: Family-centered care recognizes the family as the consistent
influence in the child’s life and promotes collaboration, shared decision-
making, respect, and empowerment. Completing care without parental
participation may increase dependency. Families should receive complete,
understandable, and unbiased information rather than having information
withheld.
4. Correct Understanding
The nurse teaches parents about reducing the risk of childhood obesity.
Which parent statement demonstrates correct understanding?
A. “We will discuss healthy eating when our child reaches school age.”
B. “We will use food as a reward when our child follows directions.”
C. “We will introduce healthy family eating habits during early childhood.”
D. “We will prevent weight gain by restricting most dietary fats.”
Correct answer: C
Rationale: Eating preferences and attitudes begin developing during the
first few years of life. Healthy family meals, appropriate portions, nutritious
choices, and positive role modeling should begin early. Using food as a
reward may promote unhealthy eating patterns, and excessive restriction
can interfere with growth.
5. Priority Question
A 3-year-old is brought to the emergency department after swallowing
several unidentified pills. Which action should the nurse take first?
A. Ask the caregiver to estimate how many pills were swallowed
B. Assess the child’s airway, breathing, and circulation
