Peds Exam 1
1. Slipped capital – femoral
a. Less than 2 years
2. ACL
a. pain and instability
3. The nurse is discussing Erikson's Stages of development with the parents of a 16-year-old
child. Which of the following stages of Erikson does the nurse recognize the child is
attempting to master?
a. Identity vs role confusion
4. The nurse is caring for a child who is in the concrete operational stage of Piaget’s cognitive
development. Which of the following behaviors should the nurse expect the child to
demonstrate?
a. Understands space and can solve problems (ages 7-11) pg. 763
i. Logical thoughts
5. The nurse is educating the parents of an 11-month-old infant about language ability. The
nurse understands teaching has been effective if a parent states, “our infant…
a. Can say dada
by 5 6months 11months
6. The nurse is talking with a parent of a 2-year-old about language development. The parent
states “I cant always understand what my child is saying. My friend’s toddler speaks very
clearly.” Which of the following responses by the nurse is appropriate?
a. What the child understands is more important than the words that are used
7. The nurse is assessing the reflexes of a newborn. Which of the following findings should
the nurse immediately report to the PCHP?
a. When checking the Babinski reflex, the toes on the foot curl inward. Toes should
fan out
8. The nurse is discussing with parents the best discipline for an adolescent. The nurse
recognizes that the parents should
a. Ground the adolescent
remove privileges
9. The nurse is assessing the home environment of parents who have a toddler. Which of the
following information should the nurse assess?
a. The parents provide close supervision and make the environment safe related to
poisons and electrical hazards
10. The nurse is caring for. Group of toddlers and is developing a plan for age appropriate play
activities during hospitalization. Which of the following play activities should the nurse
include?
parallel play
a. Providing coloring books and large crayons
i. Washable markers
11. The nurse had administered a prescribed analgesic to a middle school-age child who is
nonverbal. Which action should the nurse take to assess the effectiveness of this
medication verbal
a. Assess the childing using the FLACC pain scale
0
12. The nurse is preparing a 2-year-old child for a procedure and has asked the parents to
provide a distraction. Which of the following techniques is appropriate for the nurse to ask
the parents to use
, a. Help child visualize fun activity
i. Sing a song
13. The nurse is talking with the parents of a 3-year-old child who is being admitted to the
hospital. The parent states to the nurse, “we plan to buy new toys for our child because
she is in the hospital.” Which of the following responses is appropriate for the nurse to
make to the parents?
a. During this age, children often need the comfort and reassurance of familiar toys
from home
0
14. The nurse manager is talking with a newly hired nurse about preparing a 6-year-old child
for a procedure. Which of the following statements by the newly hires nurse indicates need
for a follow up?
wrong
a. I will remind the family and child that a toy may be taken into the procedure
i. Needs to be Sterile
15. The nurse is talking with the parents of a 5-year-old who is diagnosed with sickle cell
anemia. The parents report that during and after hospitalization for the disease, the child
has had voiding accidents. Which of the following responses by the nurse is most
therapeutic?
Regression
i. This type of behavior may occur in children who are hospitalized, and it will
pass after a little bit of time
0
16. The nurse is providing anticipatory guidance about safety to the parents of a preschooler.
Which of the following information should the nurse include in the teaching?
a. Teach about Stranger danger
safety
0
17. The nurse is preparing for a new admission on the pediatric unit. The nurse brings the pain
scale shown in the image below (Wong Baker) to use during the assessment. Which of the
following clients is appropriate to use this pain scale?
a. 6-year-old client
3 12yrs
18. The nurse is providing anticipatory guidance about safety to the parents of an adolescent.
Which of the following information should be included in the teaching?
a. Apply sunscreen before leaving the house
i. Wear protective equipment
Helmet
0
19. The nurse preceptor is working with a newly hired nurse who is providing teaching to the
parents of a toddler about appropriate ways to deal with a temper tantrum when in a
public area. Which of the following information provided by the newly hired nurse requires
follow up by the nurse preceptor?
a. Walk away from the child ignoring the child’s behavior
i. NEVER leave child alone
20. Severe scoliosis
a. Ortho surgeon
40 9
21. 16-year post-op (negative inquiry)
a. Monitor signs and symptoms of infection Q8H Q2
22. 5 year old scoliosis: at home (negative inquiry)
a. My child can bed at 45-degree angle severe needsurgery
23. Who RN sees first?
a. In skeletal traction (signs of infection)
edema pain feverswelling red drainage
1. Slipped capital – femoral
a. Less than 2 years
2. ACL
a. pain and instability
3. The nurse is discussing Erikson's Stages of development with the parents of a 16-year-old
child. Which of the following stages of Erikson does the nurse recognize the child is
attempting to master?
a. Identity vs role confusion
4. The nurse is caring for a child who is in the concrete operational stage of Piaget’s cognitive
development. Which of the following behaviors should the nurse expect the child to
demonstrate?
a. Understands space and can solve problems (ages 7-11) pg. 763
i. Logical thoughts
5. The nurse is educating the parents of an 11-month-old infant about language ability. The
nurse understands teaching has been effective if a parent states, “our infant…
a. Can say dada
by 5 6months 11months
6. The nurse is talking with a parent of a 2-year-old about language development. The parent
states “I cant always understand what my child is saying. My friend’s toddler speaks very
clearly.” Which of the following responses by the nurse is appropriate?
a. What the child understands is more important than the words that are used
7. The nurse is assessing the reflexes of a newborn. Which of the following findings should
the nurse immediately report to the PCHP?
a. When checking the Babinski reflex, the toes on the foot curl inward. Toes should
fan out
8. The nurse is discussing with parents the best discipline for an adolescent. The nurse
recognizes that the parents should
a. Ground the adolescent
remove privileges
9. The nurse is assessing the home environment of parents who have a toddler. Which of the
following information should the nurse assess?
a. The parents provide close supervision and make the environment safe related to
poisons and electrical hazards
10. The nurse is caring for. Group of toddlers and is developing a plan for age appropriate play
activities during hospitalization. Which of the following play activities should the nurse
include?
parallel play
a. Providing coloring books and large crayons
i. Washable markers
11. The nurse had administered a prescribed analgesic to a middle school-age child who is
nonverbal. Which action should the nurse take to assess the effectiveness of this
medication verbal
a. Assess the childing using the FLACC pain scale
0
12. The nurse is preparing a 2-year-old child for a procedure and has asked the parents to
provide a distraction. Which of the following techniques is appropriate for the nurse to ask
the parents to use
, a. Help child visualize fun activity
i. Sing a song
13. The nurse is talking with the parents of a 3-year-old child who is being admitted to the
hospital. The parent states to the nurse, “we plan to buy new toys for our child because
she is in the hospital.” Which of the following responses is appropriate for the nurse to
make to the parents?
a. During this age, children often need the comfort and reassurance of familiar toys
from home
0
14. The nurse manager is talking with a newly hired nurse about preparing a 6-year-old child
for a procedure. Which of the following statements by the newly hires nurse indicates need
for a follow up?
wrong
a. I will remind the family and child that a toy may be taken into the procedure
i. Needs to be Sterile
15. The nurse is talking with the parents of a 5-year-old who is diagnosed with sickle cell
anemia. The parents report that during and after hospitalization for the disease, the child
has had voiding accidents. Which of the following responses by the nurse is most
therapeutic?
Regression
i. This type of behavior may occur in children who are hospitalized, and it will
pass after a little bit of time
0
16. The nurse is providing anticipatory guidance about safety to the parents of a preschooler.
Which of the following information should the nurse include in the teaching?
a. Teach about Stranger danger
safety
0
17. The nurse is preparing for a new admission on the pediatric unit. The nurse brings the pain
scale shown in the image below (Wong Baker) to use during the assessment. Which of the
following clients is appropriate to use this pain scale?
a. 6-year-old client
3 12yrs
18. The nurse is providing anticipatory guidance about safety to the parents of an adolescent.
Which of the following information should be included in the teaching?
a. Apply sunscreen before leaving the house
i. Wear protective equipment
Helmet
0
19. The nurse preceptor is working with a newly hired nurse who is providing teaching to the
parents of a toddler about appropriate ways to deal with a temper tantrum when in a
public area. Which of the following information provided by the newly hired nurse requires
follow up by the nurse preceptor?
a. Walk away from the child ignoring the child’s behavior
i. NEVER leave child alone
20. Severe scoliosis
a. Ortho surgeon
40 9
21. 16-year post-op (negative inquiry)
a. Monitor signs and symptoms of infection Q8H Q2
22. 5 year old scoliosis: at home (negative inquiry)
a. My child can bed at 45-degree angle severe needsurgery
23. Who RN sees first?
a. In skeletal traction (signs of infection)
edema pain feverswelling red drainage
