Prepare for your exams
Get points
Guidelines and tips

Prepare for your exams

Study with the several resources on Docsity

Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips

Sell on Docsity

Log in Sign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources

Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents

20 Points

For each uploaded document

Answer questions

5 Points

For each given answer (max 1 per day)

All the ways to get free points

Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study

Go to the blog

Pediatric Nursing Practice Test Part 1 and 2, Exams of Pediatrics

Cambridge Technical Institute Pediatrics

Pediatric Nursing Practice Test Part 1 and 2

Typology: Exams

2024/2025

Available from 07/08/2025

mariebless0 🇺🇸

3.4

(5)

2K documents

1 / 33

This page cannot be seen from the preview

Don't miss anything!

1

Pediatric Nursing

Practice Test Part 1 and

2

1.

While performing physical assessment of a

12 month-old, the nurse notes that the infant’s

anterior fontanel is still slightly open. Which of

the following is the nurse’s most appropriate

action?

a.

Notify the physician immediately because there

is a problem.

b.

Perform an intensive neurologic examination.

c.

Perform an intensive developmental

examination.

d.

Do nothing because this is a normal finding for

the age.

2.

When teaching a mother about introducing

solid foods to her child, which of the following

indicates the earliest age at which this should

be done?

a.

1 month

b.

2 months

c.

3 months

d.

4 months

3.

The infant of a substance-abusing mother is

at risk for developing a sense of which of the

following?

a.

Mistrust

b.

Shame

c.

Guilt

d.

Inferiority

4.

Which of the following toys should

the nurse recommend for a 5-month-

old?

a.

A big red balloon

b.

A teddy bear with button eyes

c.

A push-pull wooden truck

d.

A colorful busy box

5.

The mother of a 2-month-old is concerned

that she may be spoiling her baby by picking her

up when she cries. Which of the following would

be the nurse’s best response?

a.

“ Let her cry for a while before picking her

up, so you don’t spoil her”

b.

“Babies need to be held and cuddled; you

won’t spoil her this way”

c.

“Crying at this age means the baby is hungry;

give her a bottle”

d.

“If you leave her alone she will learn how to cry

herself to sleep”

Partial preview of the text

Download Pediatric Nursing Practice Test Part 1 and 2 and more Exams Pediatrics in PDF only on Docsity!

Pediatric Nursing

Practice Test Part 1 and

While performing physical assessment of a 12 month-old, the nurse notes that the infant’s anterior fontanel is still slightly open. Which of the following is the nurse’s most appropriate action? a. Notify the physician immediately because there is a problem. b. Perform an intensive neurologic examination. c. Perform an intensive developmental examination. d. Do nothing because this is a normal finding for the age.
When teaching a mother about introducing solid foods to her child, which of the following indicates the earliest age at which this should be done? a. 1 month b. 2 months c. 3 months d. 4 months
The infant of a substance-abusing mother is at risk for developing a sense of which of the following? a. Mistrust b. Shame c. Guilt d. Inferiority
Which of the following toys should the nurse recommend for a 5-month- old? a. A big red balloon b. A teddy bear with button eyes c. A push-pull wooden truck d. A colorful busy box
The mother of a 2-month-old is concerned that she may be spoiling her baby by picking her up when she cries. Which of the following would be the nurse’s best response? a. “ Let her cry for a while before picking her up, so you don’t spoil her” b. “Babies need to be held and cuddled; you won’t spoil her this way” c. “Crying at this age means the baby is hungry; give her a bottle” d. “If you leave her alone she will learn how to cry herself to sleep”

When assessing an 18-month-old, the nurse notes a characteristic protruding abdomen. Which of the following would explain the rationale for this finding? a. Increased food intake owing to age b. Underdeveloped abdominal muscles c. Bowlegged posture d. Linear growth curve
If parents keep a toddler dependent in areas where he is capable of using skills, the toddle will develop a sense of which of the following? a. Mistrust b. Shame c. Guilt d. Inferiority
Which of the following is an appropriate toy for an 18-month-old? a. Multiple-piece puzzle b. Miniature cars c. Finger paints d. Comic book
When teaching parents about the child’s readiness for toilet training, which of the following signs should the nurse instruct them to watch for in the toddler? a. Demonstrates dryness for 4 hours b. Demonstrates ability to sit and walk c. Has a new sibling for stimulation d. Verbalizes desire to go to the bathroom
When teaching parents about typical toddler eating patterns, which of the following should be included? a. Food “jags” b. Preference to eat alone c. Consistent table manners d. Increase in appetite
Which of the following suggestions should the nurse offer the parents of a 4- year-old boy who resists going to bed at night? a. “Allow him to fall asleep in your room, then move him to his own bed.” b. “Tell him that you will lock him in his room if he gets out of bed one more time.”

c. Reading d. Sorting

A child age 7 was unable to receive the measles, mumps, and rubella (MMR) vaccine at the recommended scheduled time. When would the nurse expect to administer MMR vaccine? a. In a month from now b. In a year from now c. At age 10 d. At age 13
The adolescent’s inability to develop a sense of who he is and what he can become results in a sense of which of the following? a. Shame b. Guilt c. Inferiority d. Role diffusion
Which of the following would be most appropriate for a nurse to use when describing menarche to a 13- year-old? a. A female’s first menstruation or menstrual “periods” b. The first year of menstruation or “period” c. The entire menstrual cycle or from one “period” to another d. The onset of uterine maturation or peak growth
A 14-year-old boy has acne and according to his parents, dominates the bathroom by using the mirror all the time. Which of the following remarks by the nurse would be least helpful in talking to the boy and his parents? a. “This is probably the only concern he has about his body. So don’t worry about it or the time he spends on it.” b. “Teenagers are anxious about how their peers perceive them. So they spend a lot of time grooming.”

c. “A teen may develop a poor self-image when experiencing acne. Do you feel this way sometimes?” d. “You appear to be keeping your face well washed. Would you feel comfortable discussing your cleansing method?”

Which of the following should the nurse suspect when noting that a 3-year-old is engaging in explicit sexual behavior during doll play? a. The child is exhibiting normal pre- school curiosity b. The child is acting out personal experiences c. The child does not know how to play with dolls d. The child is probably developmentally delayed.
Which of the following statements by the parents of a child with school phobia would indicate the need for further teaching? a. “We’ll keep him at home until phobia subsides.” b. “We’ll work with his teachers and counselors at school.” c. “We’ll try to encourage him to talk about his problem.” d. “We’ll discuss possible solutions with him and his counselor.”
When developing a teaching plan for a group of high school students about teenage pregnancy, the nurse would keep in mind which of the following? a. The incidence of teenage pregnancies is increasing. b. Most teenage pregnancies are planned. c. Denial of the pregnancy is common early on. d. The risk for complications during pregnancy is rare.
When assessing a child with a cleft palate, the nurse is aware that the child is at risk for more frequent episodes of otitis media due to which of the following? a. Lowered resistance from malnutrition b. Ineffective functioning of the Eustachian tubes c. Plugging of the Eustachian tubes with food particles

b. Schedule a follow-up visit to check for more bruises. c. Notify the child’s physician immediately. d. Do nothing because this is a normal finding in a toddler.

Which of the following is being used when the mother of a hospitalized child calls the student nurse and states, “You idiot, you have no idea how to care for my sick child”? a. Displacement b. Projection c. Repression d. Psychosis
Which of the following should the nurse expect to note as a frequent complication for a child with congenital heart disease? a. Susceptibility to respiratory infection
1. Which of the following should the nurse do first for a 15-year-old boy with a full leg cast who is screaming in unrelenting pain and exhibiting right foot pallor signifying compartment syndrome? a. Medicate him with acetaminophen. b. Notify the physician immediately c. Release the traction d. Monitor him every 5 minutes
2. At which of the following ages would the nurse expect to administer the varicella zoster vaccine to child? a. At birth b. 2 months c. 6 months d. 12 months
3. When discussing normal infant growth and b. Bleeding tendencies development with parents, which of the following c. Frequent vomiting and diarrhea toys would the nurse suggest as most appropriate d. Seizure disorder for an 8-month-old? a. Push-pull toys b. Rattle c. Large blocks d. Mobile
Which of the following would the nurse do first 38. Which of the following aspects of psychosocial for a 3-year-old boy who arrives in the emergency development is necessary for the nurse to keep in room with a temperature of 105 degrees F, mind when providing care for the preschool child? inspiratory stridor, and restlessness, who is a. The child can use complex reasoning to think learning forward and drooling? out situations. a. Auscultate his lungs and place him in a mist b. Fear of body mutilation is a common preschool tent. fear b. Have him lie down and rest after encouraging c. The child engages in competitive types of play fluids. d. Immediate gratification is necessary to c. Examine his throat and perform a throat develop initiative. culture 39. Which of the following is characteristic of a d. Notify the physician immediately and prepare preschooler with mid mental retardation? for intubation. a. Slow to feed self
Which of the following would the nurse need b. Lack of speech to keep in mind as a predisposing factor when c. Marked motor delays formulating a teaching plan for child with a urinary d. Gait disability tract infection? 40. Which of the following assessment findings a. A shorter urethra in females would lead the nurse to suspect Down syndrome

b. Frequent emptying of the bladder in an infant? c. Increased fluid intake a. Small tongue d. Ingestion of acidic juices b. Transverse palmar crease

c. Wheat d. Chicken

Which of the following would the nurse expect to assess in a child with celiac disease having a celiac crisis secondary to an upper respiratory infection? a. Respiratory distress b. Lethargy c. Watery diarrhea d. Weight gain
Which of the following should the nurse do first after noting that a child with Hirschsprung disease has a fever and watery explosive diarrhea? a. Notify the physician immediately b. Administer antidiarrheal medications c. Monitor child ever 30 minutes d. Nothing, this is characteristic of Hirschsprung disease
A newborn’s failure to pass meconium within the first 24 hours after birth may indicate which of the following? a. Hirschsprung disease b. Celiac disease c. Intussusception d. Abdominal wall defect
When assessing a child for possible intussusception, which of the following would be least likely to provide valuable information? a. Stool inspection b. Pain pattern c. Family history d. Abdominal palpation Answers and Rationale
D. The anterior fontanel typically closes anywhere between 12 to 18 months of age. Thus, assessing the anterior fontanel as still being slightly open is a normal finding requiring no further action. Because it is normal finding for this age, notifying he physician or performing additional examinations are inappropriate.

D. Solid foods are not recommended before age 4 to 6 months because of the sucking reflex and the immaturity of the gastrointestinal tract and immune system. Therefore, the earliest age at which to introduce foods is 4 months. Any time earlier would be inappropriate.
A. According to Erikson, infants need to have their needs met consistently and effectively to develop a sense of trust. An infant whose needs are consistently unmet or who experiences significant delays in having them met, such as in the case of the infant of a substance-abusing mother, will develop a sense of uncertainty, leading to mistrust of caregivers and the environment. Toddlers develop a sense of shame when their autonomy needs are not met consistently. Preschoolers develop a sense of guilt when their sense of initiative is thwarted. Schoolagers develop a sense of inferiority when they do not develop a sense of industry.
D. A busy box facilitates the fine motor development that occurs between 4 and 6 months. Balloons are contraindicated because small children may aspirate balloons. Because the button eyes of a teddy bear may detach and be aspirated, this toy is unsafe for children younger than 3 years. A 5-month-old is too young to use a push-pull toy.
B. Infants need to have their security needs met by being held and cuddled. At 2 months of age, they are unable to make the connection between crying and attention. This association does not occur until late infancy or early toddlerhood. Letting the infant cry for a time before picking up the infant or leaving the infant alone to cry herself to sleep interferes with meeting the infant’s need for security at this very young age. Infants cry for many reasons. Assuming that the child s hungry may cause overfeeding problems such as obesity.
B. Underdeveloped abdominal musculature gives the toddler a characteristically protruding abdomen. During toddlerhood, food intake

D. Preschoolers commonly have fears of the dark, being left alone especially at bedtime, and ghosts, which may affect the child’s going to bed at night. Quiet play and time with parents is a positive bedtime routine that provides security and also readies the child for sleep. The child should sleep in his own bed. Telling the child about locking him in his room will viewed by the child as a threat. Additionally, a locked door is frightening and potentially hazardous. Vigorous activity at bedtime stirs up the child and makes more difficult to fall asleep.
B. Dress-up clothes enhance imaginative play and imagination, allowing preschoolers to engage in rich fantasy play. Building blocks and wooden puzzles are appropriate for encouraging finemotor development. Big wheels and tricycles encourage gross motor development.
D. The school-aged child is in the stage of concrete operations, marked by inductive reasoning, logical operations, and reversible concrete thought. The ability to consider the future requires formal thought operations, which are not developed until adolescence. Collecting baseball cards and marbles, ordering dolls by size, and simple problem-solving options are examples of the concrete operational thinking of the schoolager.
C. Reaction formation is the schoolager’s typical defensive response when hospitalized. In reaction formation, expression of unacceptable thoughts or behaviors is prevented (or overridden) by the exaggerated expression of opposite thoughts or types of behaviors. Regression is seen in toddlers and preshcoolers when they retreat or return to an earlier level of development. Repression refers to the involuntary blocking of unpleasant feelings and experiences from one’s awareness. Rationalization is the attempt to make excuses to justify unacceptable feelings or behaviors.
C. The schoolager’s cognitive level is sufficiently developed to enable good understanding of and

adherence to rules. Thus, schoolagers should be able to understand the potential dangers around them. With growth comes greater freedom and children become more adventurous and daring. The school- aged child is also still prone to accidents and home hazards, especially because of increased motor abilities and independence. Plus the home hazards differ from other age groups. These hazards, which are potentially lethal but tempting, may include firearms, alcohol, and medications. School-age children begin to internalize their own controls and need less outside direction. Plus the child is away from home more often. Some parental or caregiver assistance is still needed to answer questions and provide guidance for decisions and responsibilities.

C. The most significant skill learned during the school-age period is reading. During this time the child develops formal adult articulation patterns and learns that words can be arranged in structure. Collective, ordering, and sorting, although important, are not most significant skills learned.
C. Based on the recommendations of the American Academy of Family Physicians and the American Academy of Pediatrics, the MMR vaccine should be given at the age of 10 if the child did not receive it between the ages of 4 to 6 years as recommended. Immunization for diphtheria and tetanus is required at age
D. According to Erikson, role diffusion develops when the adolescent does not develop a sense of identity and a sense or where he fits in. Toddlers develop a sense of shame when they do not achieve autonomy. Preschoolers develop a sense of guilt when they do not develop a sense of initiative. School-age children develop a sense of inferiority when they do not develop a sense of industry.
A. Menarche refers to the onset of the first menstruation or menstrual period and refers only

recognition by a parent or health care provider may be crucial to timely initiation of prenatal care. The incidence of adolescent pregnancy has declined since 1991, yet morbidity remains high. Most teenage pregnancies are unplanned and occur out of wedlock. The pregnant adolescent is at high risk for physical complications including premature labor and low-birth-weight infants, high neonatal mortality, iron deficiency anemia, prolonged labor, and fetopelvic disproportion as well as numerous psychological crises.

B. Because of the structural defect, children with cleft palate may have ineffective functioning of their Eustachian tubes creating frequent bouts of otitis media. Most children with cleft palate remain well-nourished and maintain adequate nutrition through the use of proper feeding techniques. Food particles do not pass through the cleft and into the Eustachian tubes. There is no association between cleft palate and congenial ear deformities.
D. A 3-month-old infant should be able to lift the head and chest when prone. The Moro reflex typically diminishes or subsides by 3 months. The parachute reflex appears at 9 months. Rolling from front to back usually is accomplished at about 5 months.
D. A child’s birth weight usually triples by 12 months and doubles by 4 months. No specific birth weight parameters are established for 7 or 9 months.
C. Toddlers engaging in parallel play will play near each other, but not with each other. Thus, when two toddlers sit near each other but play with separate dolls, they are exhibiting parallel play. Sharing crayons, playing a board game with a nurse, or sharing dolls with two different nurses are all examples of cooperative play.
A. Acute lymphocytic leukemia (ALL) causes leukopenia, resulting in immunosuppression and increasing the risk of infection, a leading cause of death in children with ALL. Therefore, the initial

priority nursing intervention would be to institute infection control precautions to decrease the risk of infection. Iron-rich foods help with anemia, but dietary iron is not an initial intervention. The prognosis of ALL usually is good. However, later on, the nurse may need to assist the child and family with coping since death and dying may still be an issue in need of discussion. Injections should be discouraged, owing to increased risk from bleeding due to thrombocytopenia.

A. The pertusis component may result in fever and the tetanus component may result in injection soreness. Therefore, the mother’s verbalization of information about measures to reduce fever indicates understanding. No dietary restrictions are necessary after this injection is given. A subsequent rash is more likely to be seen 5 to 10 days after receiving the MMR vaccine, not the diphtheria, pertussis, and tetanus vaccine. Diarrhea is not associated with this vaccine.
A. Multiple bruises and burns on a toddler are signs child abuse. Therefore, the nurse is responsible for reporting the case to Protective Services immediately to protect the child from further harm. Scheduling a follow-up visit is inappropriate because additional harm may come to the child if the nurse waits for further assessment data. Although the nurse should notify the physician, the goal is to initiate measures to protect the child’s safety. Notifying the physician immediately does not initiate the removal of the child from harm nor does it absolve the nurse from responsibility. Multiple bruises and burns are not normal toddler injuries.
B. The mother is using projection, the defense mechanism used when a person attributes his or her own undesirable traits to another. Displacement is the transfer of emotion onto an unrelated object, such as when the mother would kick a chair or bang the door shut. Repression is the submerging of painful ideas into the

D. The varicella zoster vaccine (VZV) is a live vaccine given after age 12 months. The first dose of hepatitis B vaccine is given at birth to 2 months, then at 1 to 4 months, and then again at 6 to 18 months. DtaP is routinely given at 2, 4, 6, and 15 to 18 months and a booster at 4 to 6 years.
C. Because the 8-month-old is refining his gross motor skills, being able to sit unsupported and also improving his fine motor skills, probably capable of making hand-to-hand transfers, large blocks would be the most appropriate toy selection. Push-pull toys would be more appropriate for the 10 to 12-month-old as he or she begins to cruise the environment. Rattles and mobiles are more appropriate for infants in the 1 to 3 month age range. Mobiles pose a danger to older infants because of possible strangulation.
B. During the preschool period, the child has mastered a sense of autonomy and goes on to master a sense of initiative. During this period, the child commonly experiences more fears than at any other time. One common fear is fear of the body mutilation, especially associated with painful experiences. The preschool child uses simple, not complex, reasoning, engages in associative, not competitive, play (interactive and cooperative play with sharing), and is able to tolerate longer periods of delayed gratification.
A. Mild mental retardation refers to development disability involving an IQ 50 to 70. Typically, the child is not noted as being retarded, but exhibits slowness in performing tasks, such as self- feeding, walking, and taking. Little or no speech, marked motor delays, and gait disabilities would be seen in more severe forms mental retardation.
B. Down syndrome is characterized by the following a transverse palmar crease (simian crease), separated sagittal suture, oblique palpebral fissures, small nose, depressed nasal bridge, high- arched palate, excess and lax skin, wide spacing and plantar crease between the

second and big toes, hyperextensible and lax joints, large protruding tongue, and muscle weakness.

A. Because of the defect, the child will be unable to from the mouth adequately around nipple, thereby requiring special devices to allow for feeding and sucking gratification. Respiratory status may be compromised if the child is fed improperly or during postoperative period, Locomotion would be a problem for the older infant because of the use of restraints. GI functioning is not compromised in the child with a cleft lip.
B. Postoperatively children with cleft palate should be placed on their abdomens to facilitate drainage. If the child is placed in the supine position, he or she may aspirate. Using an infant seat does not facilitate drainage. Side-lying does not facilitate drainage only prone can.
C. Projectile vomiting is a key symptom of pyloric stenosis. Regurgitation is seen more commonly with GER. Steatorrhea occurs in malabsorption disorders such as celiac disease. “Currant jelly” stools are characteristic of intussusception.
D. GER is the backflow of gastric contents into the esophagus resulting from relaxation or incompetence of the lower esophageal (cardiac) sphincter. No alteration in the oral mucous membranes occurs with this disorder. Fluid volume deficit, risk for aspiration, and altered nutrition are appropriate nursing diagnoses.
A. Thickened feedings are used with GER to stop the vomiting. Therefore, the nurse would monitor the child’s vomiting to evaluate the effectiveness of using the thickened feedings. No relationship exists between feedings and characteristics of stools and uterine. If feedings are ineffective, this should be noted before there is any change in the child’s weight.
C. Children with celiac disease cannot tolerate or digest gluten. Therefore, because of its gluten content, wheat and wheat-containing products

Pediatric Nursing Practice Test Part 1 and 2, Exams of Pediatrics

Related documents

Partial preview of the text

Download Pediatric Nursing Practice Test Part 1 and 2 and more Exams Pediatrics in PDF only on Docsity!

Pediatric Nursing

Practice Test Part 1 and