PEDIATRIC NURSING EXAM 1 PRACTICE QUESTIONS AND
ANSWERS GRADED A+ 100% VERIFIED.
1. The nurse is seeing an adolescent and the parents in the clinic for the first
time. Which should the nurse do first?
a. Introduce him- or herself.
b. Make the family comfortable.
c. Give assurance of privacy.
d. Explain the purpose of the interview.: ANS: A
The first thing that nurses must do is to introduce themselves to the patient and family. Parents and other adults should
be addressed with appropriate titles unless they specify a preferred name. Clarification of the purpose of the interview
and the nurse's role is the second thing that should be done. During the initial part of the interview, the nurse should
include general conversation to help make the family feel at ease. The interview also should take place in an environment
as free of distraction as possible. In addition, the nurse should clarify which information will be shared with other
members of the health care team and any limits to the confidentiality.
,2. Which is considered a block to effective communication?
a. Using silence
b. Using clichés
c. Directing the focus
d. Defining the problem: ANS: B
Using stereotyped comments or clichés can block ettective communication. After the nurse uses such trite phrases,
parents often do not respond. Silence can be an ettective interviewing tool. Silence permits the interviewee to sort
out thoughts and feelings and search for responses to questions. To be ettective, the nurse must be able to direct the
focus of the interview while allowing maximum freedom of expression. By using open-ended questions and guiding
questions, the nurse can obtain the necessary information and maintain a relationship with the family. The nurse and
parent must collaborate and define the problem that will be the focus of the nursing intervention.
3. Which is the single most important factor to consider when communicating
with children?
a. Presence of the child's parent
b. Child's physical condition
c. Child's developmental level
d. Child's nonverbal behaviors: ANS: C
The nurse must be aware of the child's developmental stage to engage in ettective communication. The use of both
verbal and nonverbal communication should be appropriate to the developmental level. Nonverbal behaviors vary in
,importance based on the child's developmental level and physical condition. Although the child's physical condition is a
, consideration, developmental level is much more important. The presence of parents is important when communicating
with young children but may be detrimental when speaking with adolescents.
4. Because children younger than 5 years are egocentric, the nurse should do
which when communicating with them?
a. Focus communication on the child.
b. Use easy analogies when possible.
c. Explain experiences of others to the child.
d. Assure the child that communication is private: ANS: A
Because children of this age are able to see things only in terms of themselves, the best approach is to focus
communication directly on them. Children should be provided with information about what they can do and how they
will feel. With children who are egocentric, analogies, experiences, and assurances that communication is private will
not be ettective because the child is not capable of understanding.
5. The nurse's approach when introducing hospital equipment to a preschooler
who seems afraid should be based on which principle?a. The child may think
the equipment is alive.
b. Explaining the equipment will only increase the child's fear.
c. One brief explanation will be enough to reduce the child's fear.
ANSWERS GRADED A+ 100% VERIFIED.
1. The nurse is seeing an adolescent and the parents in the clinic for the first
time. Which should the nurse do first?
a. Introduce him- or herself.
b. Make the family comfortable.
c. Give assurance of privacy.
d. Explain the purpose of the interview.: ANS: A
The first thing that nurses must do is to introduce themselves to the patient and family. Parents and other adults should
be addressed with appropriate titles unless they specify a preferred name. Clarification of the purpose of the interview
and the nurse's role is the second thing that should be done. During the initial part of the interview, the nurse should
include general conversation to help make the family feel at ease. The interview also should take place in an environment
as free of distraction as possible. In addition, the nurse should clarify which information will be shared with other
members of the health care team and any limits to the confidentiality.
,2. Which is considered a block to effective communication?
a. Using silence
b. Using clichés
c. Directing the focus
d. Defining the problem: ANS: B
Using stereotyped comments or clichés can block ettective communication. After the nurse uses such trite phrases,
parents often do not respond. Silence can be an ettective interviewing tool. Silence permits the interviewee to sort
out thoughts and feelings and search for responses to questions. To be ettective, the nurse must be able to direct the
focus of the interview while allowing maximum freedom of expression. By using open-ended questions and guiding
questions, the nurse can obtain the necessary information and maintain a relationship with the family. The nurse and
parent must collaborate and define the problem that will be the focus of the nursing intervention.
3. Which is the single most important factor to consider when communicating
with children?
a. Presence of the child's parent
b. Child's physical condition
c. Child's developmental level
d. Child's nonverbal behaviors: ANS: C
The nurse must be aware of the child's developmental stage to engage in ettective communication. The use of both
verbal and nonverbal communication should be appropriate to the developmental level. Nonverbal behaviors vary in
,importance based on the child's developmental level and physical condition. Although the child's physical condition is a
, consideration, developmental level is much more important. The presence of parents is important when communicating
with young children but may be detrimental when speaking with adolescents.
4. Because children younger than 5 years are egocentric, the nurse should do
which when communicating with them?
a. Focus communication on the child.
b. Use easy analogies when possible.
c. Explain experiences of others to the child.
d. Assure the child that communication is private: ANS: A
Because children of this age are able to see things only in terms of themselves, the best approach is to focus
communication directly on them. Children should be provided with information about what they can do and how they
will feel. With children who are egocentric, analogies, experiences, and assurances that communication is private will
not be ettective because the child is not capable of understanding.
5. The nurse's approach when introducing hospital equipment to a preschooler
who seems afraid should be based on which principle?a. The child may think
the equipment is alive.
b. Explaining the equipment will only increase the child's fear.
c. One brief explanation will be enough to reduce the child's fear.
