Nurs 1230 Peds Exam 1 Nclex Styled
UPDATED ACTUAL Questions and CORRECT Answers
Question: A nurse preparing to use SBAR when calling a physician is most likely to in- clude which
information in the "B" (Back- ground) section? A. The reason for the current call (e.g.,
change in status) B. Relevant medical history and recent treatments C. The nurse's
recommendation for what to do next D. The patient's current vital signs
Correct Answer: B. Rationale: Background includes relevant his- tory and recent treatments; Situation
is reason for call, Recommendation is what you want, Assessment is current findings
(vitals).
Question: Which statement best describes atrau- matic care? A. Care that focuses only on pain control
with medications B. Interventions that minimize physical and psychological stress to the
child and family C. Care delivered only by child life spe- cialists D. Procedures done without
parental presence to avoid distress
Correct Answer: B. Rationale: Atraumatic care seeks to minimize both physical and psychological
stress, pre- serve parent-child relationships, and use in- terventions (like child life) to
reduce trauma.
Question: Which element is not a principle of fami- ly-centered care? A. Information sharing B.
Participation of family in care plan- ning C. Placing institutional rules above family
preferences D. Collaboration between providers and family
Correct Answer: C. Rationale: Family-centered care emphasizes dignity/respect, information sharing,
partici- pation, and collaboration — not rigidly prior- itizing institutional rules.
Question: A 2-year-old is admitted for a painful procedure. Which approach most aligns with
atraumatic care? A. Separate the child from parents dur- ing procedure to reduce distraction
B. Use therapeutic hugging and involve the parent for comfort C. Avoid explaining the
procedure to the child to reduce fear D. Restrain the child tightly to ensure the procedure
goes quickly
,Correct Answer: B. Rationale: Atraumatic care uses comforting measures, parental involvement, and
minimiz- ing invasive/traumatic measures when possi- ble.
Question: Which pain assessment tool is most ap- propriate for a nonverbal 6-month-old infant? A.
Numeric 0-10 scale B. Wong-Baker FACES C. FLACC (Face, Legs, Activity, Cry, Con-
solability) D. Visual analogue scale
Correct Answer: C. Rationale: FLACC is observational and appro- priate for infants and children who
cannot self-report.
Question: An infant <3 months has a rectal tem- perature of 38.1°C (100.6°F). What is the nurse's
priority? A. Give ibuprofen at home as needed and observe B. Call the provider or bring the
infant for medical evaluation C. Offer fluids and light clothing at home only D. Give
acetaminophen and wait 48 hours
Correct Answer: B. Rationale: Infants <3 months with fever >38°C should be evaluated due to risk of
serious infection.
Question: Which dose of acetaminophen is with- in recommended pediatric dosing for fever? (Choose
best) A. 5 mg/kg/dose every 4-6 hours B. 10-15 mg/kg/dose every 4-6 hours as needed C.
20-25 mg/kg/dose every 4 hours D. 50 mg/kg/dose every 6 hours
Correct Answer: B. Rationale: Pediatric acetaminophen dosing is 10-15 mg/kg per dose every 4-6
hours (max dosing frequency and cumulative limits ap- ply).
Question: Which medication is contraindicated for routine fever reduction in children under 6 months?
A. Acetaminophen B. Ibuprofen C. Topical cooling gel D. Oral electrolyte solution
Correct Answer: B. Rationale: Ibuprofen is usually recommended only for children older than 6
months; aceta- minophen may be used earlier with caution per provider.
Question: A nurse is teaching anticipatory guid- ance for a toddlers. Which topic is most appropriate?
A. Sexuality education and contracep- tion B. Water safety around deep water for
unsupervised teens C. Poison prevention and use of booster seats D. Transition to
work/school stress man- agement
,Correct Answer: C. Rationale: Anticipatory guidance for toddlers includes poison prevention, car
booster seats, and home safety.
Question: Which is the best example of evi- dence-based practice (EBP)? A. Doing what was always
done on the unit because it's comfortable B. Using recent high-quality research combined
with clinical expertise and family preference to select care C. Following a single textbook
chapter without considering new studies D. Repeating a pilot project's method re- gardless of
outcomes
Correct Answer: B. Rationale: EBP integrates current research, clinician expertise, and patient/family
values.
Question: A nurse assessing a preschooler (age 4) who lost a loved one should expect which
understanding of death? A. Believes death is permanent and in- evitable like an adult B.
Views death as reversible and may ex- pect the person to return C. Has no awareness of
death at all D. Understands organ donation and le- gal implications fully
Correct Answer: B. Rationale: Preschoolers often view death as temporary/reversible and may expect
return; explanations should be concrete and develop- mentally appropriate.
Question: Which of the following behaviors in a hospitalized toddler indicates regression due to stress?
A. Increased independent play with peers B. Requesting more parental presence, bedwetting
after being toilet trained C. Developing new motor skills D. Improved appetite and sleeping
through the night
Correct Answer: B. Rationale: Regression (e.g., toileting setbacks, clinging) is common during stress
and illness.
Question: Which assessment finding in a neonate would the nurse use when scoring the NIPS? A. Limb
movement only (no facial cues) B. Vocalizations, facial grimace, respira- tory changes —
combined for pain scor- ing C. Numeric self-report pain score D. Ongoing 24-hour pain
diary from in- fant
Correct Answer: B. Rationale: NIPS uses facial expression, cry, breathing patterns, arms/legs
movement, and state of arousal — observational measures.
, Question: A teen expresses concern about confi- dentiality. The nurse should respond by: A. Tell the
teen you will never tell anyone anything under any circumstances B. Explain limits of
confidentiality and in- volve teen in decision-making C. Ignore concerns because parents are
responsible for teens D. Immediately inform parents about all teen disclosures
Correct Answer: B. Rationale: Nurses should be honest: explain confidentiality and its limits (e.g.,
safety con- cerns), and respect adolescent autonomy when appropriate.
Question: Which is the most appropriate way to communicate with a school-age child (7 years) before
a painful procedure? A. Give a lengthy, detailed physiological explanation B. Use concrete,
simple explanations and allow child to ask questions C. Perform the procedure without
expla- nation to avoid fear D. Tell the child it will be painless and quick
Correct Answer: B. Rationale: School-age children benefit from simple, concrete explanations and
involve- ment in care.
Question: A child presents with bruises of different ages and vague explanation inconsistent with
injuries. The nurse's best action is to: A. Document findings and continue care; assume
parent will explain later B. Report to child protective ser- vices/mandated reporter per local
law af- ter assessment C. Confront the parent aggressively at bedside D. Send the child home
with the parent immediately
Correct Answer: B. Rationale: Nurses are mandatory reporters; suspicious injuries should be
documented and reported for investigation.
Question: Which statement about chronic illness in children is true? A. Chronic illness is defined as
lasting less than 3 months B. It often requires ongoing care, af- fects daily functioning, and
persists >12 months C. It always has a complete cure with time D. Families are seldom
affected emotion- ally or socially
Correct Answer: B. Rationale: Chronic illness persists >12 months, limits activities, and impacts
family dynamics.
UPDATED ACTUAL Questions and CORRECT Answers
Question: A nurse preparing to use SBAR when calling a physician is most likely to in- clude which
information in the "B" (Back- ground) section? A. The reason for the current call (e.g.,
change in status) B. Relevant medical history and recent treatments C. The nurse's
recommendation for what to do next D. The patient's current vital signs
Correct Answer: B. Rationale: Background includes relevant his- tory and recent treatments; Situation
is reason for call, Recommendation is what you want, Assessment is current findings
(vitals).
Question: Which statement best describes atrau- matic care? A. Care that focuses only on pain control
with medications B. Interventions that minimize physical and psychological stress to the
child and family C. Care delivered only by child life spe- cialists D. Procedures done without
parental presence to avoid distress
Correct Answer: B. Rationale: Atraumatic care seeks to minimize both physical and psychological
stress, pre- serve parent-child relationships, and use in- terventions (like child life) to
reduce trauma.
Question: Which element is not a principle of fami- ly-centered care? A. Information sharing B.
Participation of family in care plan- ning C. Placing institutional rules above family
preferences D. Collaboration between providers and family
Correct Answer: C. Rationale: Family-centered care emphasizes dignity/respect, information sharing,
partici- pation, and collaboration — not rigidly prior- itizing institutional rules.
Question: A 2-year-old is admitted for a painful procedure. Which approach most aligns with
atraumatic care? A. Separate the child from parents dur- ing procedure to reduce distraction
B. Use therapeutic hugging and involve the parent for comfort C. Avoid explaining the
procedure to the child to reduce fear D. Restrain the child tightly to ensure the procedure
goes quickly
,Correct Answer: B. Rationale: Atraumatic care uses comforting measures, parental involvement, and
minimiz- ing invasive/traumatic measures when possi- ble.
Question: Which pain assessment tool is most ap- propriate for a nonverbal 6-month-old infant? A.
Numeric 0-10 scale B. Wong-Baker FACES C. FLACC (Face, Legs, Activity, Cry, Con-
solability) D. Visual analogue scale
Correct Answer: C. Rationale: FLACC is observational and appro- priate for infants and children who
cannot self-report.
Question: An infant <3 months has a rectal tem- perature of 38.1°C (100.6°F). What is the nurse's
priority? A. Give ibuprofen at home as needed and observe B. Call the provider or bring the
infant for medical evaluation C. Offer fluids and light clothing at home only D. Give
acetaminophen and wait 48 hours
Correct Answer: B. Rationale: Infants <3 months with fever >38°C should be evaluated due to risk of
serious infection.
Question: Which dose of acetaminophen is with- in recommended pediatric dosing for fever? (Choose
best) A. 5 mg/kg/dose every 4-6 hours B. 10-15 mg/kg/dose every 4-6 hours as needed C.
20-25 mg/kg/dose every 4 hours D. 50 mg/kg/dose every 6 hours
Correct Answer: B. Rationale: Pediatric acetaminophen dosing is 10-15 mg/kg per dose every 4-6
hours (max dosing frequency and cumulative limits ap- ply).
Question: Which medication is contraindicated for routine fever reduction in children under 6 months?
A. Acetaminophen B. Ibuprofen C. Topical cooling gel D. Oral electrolyte solution
Correct Answer: B. Rationale: Ibuprofen is usually recommended only for children older than 6
months; aceta- minophen may be used earlier with caution per provider.
Question: A nurse is teaching anticipatory guid- ance for a toddlers. Which topic is most appropriate?
A. Sexuality education and contracep- tion B. Water safety around deep water for
unsupervised teens C. Poison prevention and use of booster seats D. Transition to
work/school stress man- agement
,Correct Answer: C. Rationale: Anticipatory guidance for toddlers includes poison prevention, car
booster seats, and home safety.
Question: Which is the best example of evi- dence-based practice (EBP)? A. Doing what was always
done on the unit because it's comfortable B. Using recent high-quality research combined
with clinical expertise and family preference to select care C. Following a single textbook
chapter without considering new studies D. Repeating a pilot project's method re- gardless of
outcomes
Correct Answer: B. Rationale: EBP integrates current research, clinician expertise, and patient/family
values.
Question: A nurse assessing a preschooler (age 4) who lost a loved one should expect which
understanding of death? A. Believes death is permanent and in- evitable like an adult B.
Views death as reversible and may ex- pect the person to return C. Has no awareness of
death at all D. Understands organ donation and le- gal implications fully
Correct Answer: B. Rationale: Preschoolers often view death as temporary/reversible and may expect
return; explanations should be concrete and develop- mentally appropriate.
Question: Which of the following behaviors in a hospitalized toddler indicates regression due to stress?
A. Increased independent play with peers B. Requesting more parental presence, bedwetting
after being toilet trained C. Developing new motor skills D. Improved appetite and sleeping
through the night
Correct Answer: B. Rationale: Regression (e.g., toileting setbacks, clinging) is common during stress
and illness.
Question: Which assessment finding in a neonate would the nurse use when scoring the NIPS? A. Limb
movement only (no facial cues) B. Vocalizations, facial grimace, respira- tory changes —
combined for pain scor- ing C. Numeric self-report pain score D. Ongoing 24-hour pain
diary from in- fant
Correct Answer: B. Rationale: NIPS uses facial expression, cry, breathing patterns, arms/legs
movement, and state of arousal — observational measures.
, Question: A teen expresses concern about confi- dentiality. The nurse should respond by: A. Tell the
teen you will never tell anyone anything under any circumstances B. Explain limits of
confidentiality and in- volve teen in decision-making C. Ignore concerns because parents are
responsible for teens D. Immediately inform parents about all teen disclosures
Correct Answer: B. Rationale: Nurses should be honest: explain confidentiality and its limits (e.g.,
safety con- cerns), and respect adolescent autonomy when appropriate.
Question: Which is the most appropriate way to communicate with a school-age child (7 years) before
a painful procedure? A. Give a lengthy, detailed physiological explanation B. Use concrete,
simple explanations and allow child to ask questions C. Perform the procedure without
expla- nation to avoid fear D. Tell the child it will be painless and quick
Correct Answer: B. Rationale: School-age children benefit from simple, concrete explanations and
involve- ment in care.
Question: A child presents with bruises of different ages and vague explanation inconsistent with
injuries. The nurse's best action is to: A. Document findings and continue care; assume
parent will explain later B. Report to child protective ser- vices/mandated reporter per local
law af- ter assessment C. Confront the parent aggressively at bedside D. Send the child home
with the parent immediately
Correct Answer: B. Rationale: Nurses are mandatory reporters; suspicious injuries should be
documented and reported for investigation.
Question: Which statement about chronic illness in children is true? A. Chronic illness is defined as
lasting less than 3 months B. It often requires ongoing care, af- fects daily functioning, and
persists >12 months C. It always has a complete cure with time D. Families are seldom
affected emotion- ally or socially
Correct Answer: B. Rationale: Chronic illness persists >12 months, limits activities, and impacts
family dynamics.
