NUR 230 MATERNAL EXAM 3 | QUESTIONS AND
ANSWERS | 2026/2027 LATEST UPDATE
1. The nurse has administered a prescribed analgesic to a
preschool child. Which action should the nurse take to
assess the effectiveness of this medication?
a. Ask the mother if she thinks the analgesic is working
b. Use the Wong-Baker pain scale ✅
c. Assess for changes in the child's V/S
d. Ask the child to point to a numeric pain scale
Rationale: Preschoolers can understand and use the Wong-Baker
FACES pain scale, which uses faces to depict pain levels. A
numeric scale is too abstract for this age group.
2. The nurse is caring for a child in middle school who is
hospitalized. When developing a plan of care, the nurse
should consider that children in this age group:
a. Are increasingly aware of disappointments in life
b. Are unable to see things from any perspective other than their
own
c. Are anxious about missing interactions with friends ✅
d. Think in abstract terms & can deal with uncertainty
Rationale: School-age children (middle school) are developing a
sense of industry and peer relationships become very important.
They are often anxious about missing school and social
interactions with friends.
3. The nurse is caring for a group of toddlers & is
developing a plan for age-appropriate play activities
during hospitalization. Which play activity should the
nurse include?
a. Allowing the toddlers to complete a puzzle together
b. Let the toddlers race toy cars against each other
c. Offering each toddler a ball to roll around ✅
d. Giving the toddlers dress-up clothes for a play
Rationale: Toddlers engage in parallel play and are developing
, gross motor skills. Rolling a ball is an appropriate activity for their
developmental stage.
4. The nurse is working in an emergency triage area where
a parent brings in a child & states, "I think she got into my
mother's medicine." After determining the medication the
child ingested, which action should the nurse perform
next?
a. Notify authorities of child neglect
b. Determine medication allergies
c. Contact poison control ✅
d. Induce vomiting
Rationale: In the event of a poisoning, contacting Poison Control is
the priority after determining the substance ingested. Inducing
vomiting is no longer recommended unless specifically instructed
by Poison Control.
5. The nurse is performing an assessment on an
adolescent client. Which behavior suggests appropriate
psychosocial development in this client?
a. Gets along well with others in authority
b. Thinks about peers' opinions of them ✅
c. Navigates away from peers & enjoy spending time with family
members
d. Validation for socially acceptable behavior from older adults
Rationale: Adolescents are in Erikson's stage of Identity vs. Role
Confusion. Peer opinion is highly influential during this
developmental stage.
6. The nurse is performing a nutritional assessment on an
adolescent client. Which client statement best indicates
that the client's diet is healthy?
a. "I eat a lot of fast food because it's quick."
b. "I usually skip breakfast but eat a big dinner."
c. "I try to eat a variety of foods from all the food groups."
✅
d. "I drink mostly soda instead of water."
ANSWERS | 2026/2027 LATEST UPDATE
1. The nurse has administered a prescribed analgesic to a
preschool child. Which action should the nurse take to
assess the effectiveness of this medication?
a. Ask the mother if she thinks the analgesic is working
b. Use the Wong-Baker pain scale ✅
c. Assess for changes in the child's V/S
d. Ask the child to point to a numeric pain scale
Rationale: Preschoolers can understand and use the Wong-Baker
FACES pain scale, which uses faces to depict pain levels. A
numeric scale is too abstract for this age group.
2. The nurse is caring for a child in middle school who is
hospitalized. When developing a plan of care, the nurse
should consider that children in this age group:
a. Are increasingly aware of disappointments in life
b. Are unable to see things from any perspective other than their
own
c. Are anxious about missing interactions with friends ✅
d. Think in abstract terms & can deal with uncertainty
Rationale: School-age children (middle school) are developing a
sense of industry and peer relationships become very important.
They are often anxious about missing school and social
interactions with friends.
3. The nurse is caring for a group of toddlers & is
developing a plan for age-appropriate play activities
during hospitalization. Which play activity should the
nurse include?
a. Allowing the toddlers to complete a puzzle together
b. Let the toddlers race toy cars against each other
c. Offering each toddler a ball to roll around ✅
d. Giving the toddlers dress-up clothes for a play
Rationale: Toddlers engage in parallel play and are developing
, gross motor skills. Rolling a ball is an appropriate activity for their
developmental stage.
4. The nurse is working in an emergency triage area where
a parent brings in a child & states, "I think she got into my
mother's medicine." After determining the medication the
child ingested, which action should the nurse perform
next?
a. Notify authorities of child neglect
b. Determine medication allergies
c. Contact poison control ✅
d. Induce vomiting
Rationale: In the event of a poisoning, contacting Poison Control is
the priority after determining the substance ingested. Inducing
vomiting is no longer recommended unless specifically instructed
by Poison Control.
5. The nurse is performing an assessment on an
adolescent client. Which behavior suggests appropriate
psychosocial development in this client?
a. Gets along well with others in authority
b. Thinks about peers' opinions of them ✅
c. Navigates away from peers & enjoy spending time with family
members
d. Validation for socially acceptable behavior from older adults
Rationale: Adolescents are in Erikson's stage of Identity vs. Role
Confusion. Peer opinion is highly influential during this
developmental stage.
6. The nurse is performing a nutritional assessment on an
adolescent client. Which client statement best indicates
that the client's diet is healthy?
a. "I eat a lot of fast food because it's quick."
b. "I usually skip breakfast but eat a big dinner."
c. "I try to eat a variety of foods from all the food groups."
✅
d. "I drink mostly soda instead of water."
