NURS 328 EXAM #1 PRACTICE QUESTIONS
WITH 100% CORRECT ANSWERS
What is the current focus in pediatric care?
a. Disease management
b. Health promotion and disease prevention
c. Anticipatory guidance and disease prevention
d. Health promotion
b. Health promotion and disease prevention
An experienced pediatric nurse will understand which one of following techniques as the
best one to deal with the negativism of the toddler?
a. Quietly and calmly ask the child to comply.
b. Provide no choices for the child.
c. Provide limited choices for the child.
d. Remain serious and intent.
c. Provide limited choices for the child.
One of the primary reasons for monitoring the toddler's activities and intervening to
prevent accidental injury is that:
A. Toddlers have oppositional defiant behavior and negativism
B. Toddlers do not understand the concept of "cause and effect," so explaining that certain
actions will result in serious injury is useless
C. Toddlers will often listen to reasoning about why an activity should be avoided
D. Toddlers enjoy making their parents worry about their safety and like to see the
parents' reactions to the behavior
B. Toddlers do not understand the concept of "cause and effect," so explaining that certain
actions will result in serious injury is useless
One indication that the toddler is ready to begin toilet training is:
A. Child recognizes urge to void and is able to communicate this sensation to the parent
B. Child is able to stay dry all night
C. Child demonstrates mastery of dressing and undresssing self
D. Child asks parent to have wet or soiled diaper changed
A. Child recognizes urge to void and is able to communicate this sensation to the parent
A common cause of accidental death in children ages 1 to 19 years involves motor vehicle
crashes. Evidence from test crashes indicates that the safest action to prevent accidental
,deaths in toddlers includes:
A. Placing the child in a rear-facing weight-appropriate car restraint seat until the child
has outgrown the car seat manufacturer's height and weight recommendations
B. Allowing the child to ride in the front seat with a lap-shoulder seat restraint to avoid
emotional outbursts
C. Allowing the child to ride in a forward-facing booster restraint seat after 12 months of
age
D. Placing the child in the regular seat using the lap-shoulder belt as long as the child
weighs at least 45 pounds
A. Placing the child in a rear-facing weight-appropriate car restraint seat until the child has
outgrown the car seat manufacturer's height and weight recommendations
A mother brings her 3-year-old daughter to the well-child clinic and expresses concern that
the child's behavior is worrisome and possibly requires therapy or medication at minimum.
The mother further explains that the child constantly responds to the mother's simple
requests with a "no" answer even though the activity has been a favorite in the recent past.
Furthermore, the child has had an increase in the number of temper tantrums at bedtime
and refuses to go to bed. The mother is afraid her daughter will hurt herself during a
temper tantrum because she holds her breath until the mother picks her up and gives in to
her request. The nurse's best response to the mother is that:
A. The child probably would benefit from some counseling with a trained therapist.
B. The mother and father should evaluate their childrearing practices.
C. The child's behavior is normal for a toddler and may represent frustration with control
of her emotions; further exploration of events surrounding temper tantrums and possible
interventions should be explored.
D. The child's behavior is typical of toddlers, and the parents should just wait for the child
to finish this phase because this will end soon.
C. The child's behavior is normal for a toddler and may represent frustration with control of her
emotions; further exploration of events surrounding temper tantrums and possible interventions
should be explored.
Toddlers are often known to be finicky eaters and may exhibit abnormal eating patterns
that may concern parents. Which of the following actions for feeding toddlers should be
suggested so adequate amounts of nutrients for growth and development are consumed?
Select all that apply.
A. Avoid placing large food portions on the toddler's plate
B. Allow the child to graze on nutritious (not "junk" food) snacks during the day
C. Insist that the child sit at the table until all persons have completed their meals
D. Allow the child to make certain food choices (within reasonable limits)—for example,
"Would you like a half peanut butter or ham sandwich?"
,E. Provide meals at the same time of day as much as possible so the toddler has a sense of
consistency
F. Make the child eat all of the food provided, and provide disciplinary actions such as a
"time-out" if the plate is not cleaned
A, B, D, and E
Which instruction is most developmentally appropriate to the parents of a 7 month old
child regarding injury prevention?
a. "Balloons make wonderful toys since they are colorful and keep children entertained."
b. "You may give a lollipop for the child to suck on to help with teething."
c. "The carseat should be facing the front of the car and in the middle of the backseats."
d. "Remove all crib toys strung across the top of the crib"
d. "Remove all crib toys strung across the top of the crib"
A nurse is assessing several children in the clinic. Which of the following children requires
further assessment?
a. Child A was born weighing 3 kg. and at 7 months weighs 7 kg.
b. Child B is 6 months old and exhibits slight head lag.
c. Child C still has a Babinski reflex at 13 months
d. Child D is 8 months old and pulls to stand
b. Child B is 6 months old and exhibits slight head lag.
Rationale: By the age of 4 months old, a head lag should no longer be present.
A nurse is conducting a teaching session for parents of infants. The nurse explains that
which behavior indicates that an infant has developed object permanence?
a. Recognizes familiar face, such as mother
b. Recognizes familiar object, such as bottle
c. Secures objects by pulling on a string
d. Actively searches for a hidden object
d. Actively searches for a hidden object
Parents tell the nurse that their toddler daughter eats little at mealtime, only sits at the
table with the family briefly, and wants snacks "all the time." Which intervention should
the nurse recommend?
a. Give her nutritious snacks.
b. Offer rewards for eating at mealtimes.
c. Avoid snacks so she is hungry at mealtimes.
d. Explain to her in a firm manner what is expected of her.
, a. Give her nutritious snacks.
A nurse is planning care for a 7-year-old child hospitalized with osteomyelitis. Which
activities should the nurse plan to bring from the playroom for the child? (Select all that
apply.)
a. Paper and some paints
b. Board games
c. Jack-in-the-box
d. Stuffed animals
e. Computer games
a, b, and e
Rationale: We want to choose activities that are industrious. Think about it from a developmental
standpoint.
A 8-month old child is undergoing a routine check-up. Select all findings the nurse would
expect to find during an assessment of this child? (Select all that apply)
a. Presence of the anterior fontanel
b. Weight is more than doubled since birth
c. Sits with support
d. Grabs for rattle
a, b, and d
Rationale: The anterior fontanel closes between 13-18 months. By 8 months of age the child
should be sitting without support.
The nurse is doing a routine assessment on a 14-month-old infant and notes that the
anterior fontanel is closed. The nurse should interpret this as a(n)
a. normal finding.
b. finding requiring a referral.
c. abnormal finding.
d. normal finding, but requires rechecking in 1 month.
a. normal finding.
A nursing student understands the age that most infants can steadily sit unsupported as
a. 4 months
b. 6 months
c. 8 months
d. 10 months
WITH 100% CORRECT ANSWERS
What is the current focus in pediatric care?
a. Disease management
b. Health promotion and disease prevention
c. Anticipatory guidance and disease prevention
d. Health promotion
b. Health promotion and disease prevention
An experienced pediatric nurse will understand which one of following techniques as the
best one to deal with the negativism of the toddler?
a. Quietly and calmly ask the child to comply.
b. Provide no choices for the child.
c. Provide limited choices for the child.
d. Remain serious and intent.
c. Provide limited choices for the child.
One of the primary reasons for monitoring the toddler's activities and intervening to
prevent accidental injury is that:
A. Toddlers have oppositional defiant behavior and negativism
B. Toddlers do not understand the concept of "cause and effect," so explaining that certain
actions will result in serious injury is useless
C. Toddlers will often listen to reasoning about why an activity should be avoided
D. Toddlers enjoy making their parents worry about their safety and like to see the
parents' reactions to the behavior
B. Toddlers do not understand the concept of "cause and effect," so explaining that certain
actions will result in serious injury is useless
One indication that the toddler is ready to begin toilet training is:
A. Child recognizes urge to void and is able to communicate this sensation to the parent
B. Child is able to stay dry all night
C. Child demonstrates mastery of dressing and undresssing self
D. Child asks parent to have wet or soiled diaper changed
A. Child recognizes urge to void and is able to communicate this sensation to the parent
A common cause of accidental death in children ages 1 to 19 years involves motor vehicle
crashes. Evidence from test crashes indicates that the safest action to prevent accidental
,deaths in toddlers includes:
A. Placing the child in a rear-facing weight-appropriate car restraint seat until the child
has outgrown the car seat manufacturer's height and weight recommendations
B. Allowing the child to ride in the front seat with a lap-shoulder seat restraint to avoid
emotional outbursts
C. Allowing the child to ride in a forward-facing booster restraint seat after 12 months of
age
D. Placing the child in the regular seat using the lap-shoulder belt as long as the child
weighs at least 45 pounds
A. Placing the child in a rear-facing weight-appropriate car restraint seat until the child has
outgrown the car seat manufacturer's height and weight recommendations
A mother brings her 3-year-old daughter to the well-child clinic and expresses concern that
the child's behavior is worrisome and possibly requires therapy or medication at minimum.
The mother further explains that the child constantly responds to the mother's simple
requests with a "no" answer even though the activity has been a favorite in the recent past.
Furthermore, the child has had an increase in the number of temper tantrums at bedtime
and refuses to go to bed. The mother is afraid her daughter will hurt herself during a
temper tantrum because she holds her breath until the mother picks her up and gives in to
her request. The nurse's best response to the mother is that:
A. The child probably would benefit from some counseling with a trained therapist.
B. The mother and father should evaluate their childrearing practices.
C. The child's behavior is normal for a toddler and may represent frustration with control
of her emotions; further exploration of events surrounding temper tantrums and possible
interventions should be explored.
D. The child's behavior is typical of toddlers, and the parents should just wait for the child
to finish this phase because this will end soon.
C. The child's behavior is normal for a toddler and may represent frustration with control of her
emotions; further exploration of events surrounding temper tantrums and possible interventions
should be explored.
Toddlers are often known to be finicky eaters and may exhibit abnormal eating patterns
that may concern parents. Which of the following actions for feeding toddlers should be
suggested so adequate amounts of nutrients for growth and development are consumed?
Select all that apply.
A. Avoid placing large food portions on the toddler's plate
B. Allow the child to graze on nutritious (not "junk" food) snacks during the day
C. Insist that the child sit at the table until all persons have completed their meals
D. Allow the child to make certain food choices (within reasonable limits)—for example,
"Would you like a half peanut butter or ham sandwich?"
,E. Provide meals at the same time of day as much as possible so the toddler has a sense of
consistency
F. Make the child eat all of the food provided, and provide disciplinary actions such as a
"time-out" if the plate is not cleaned
A, B, D, and E
Which instruction is most developmentally appropriate to the parents of a 7 month old
child regarding injury prevention?
a. "Balloons make wonderful toys since they are colorful and keep children entertained."
b. "You may give a lollipop for the child to suck on to help with teething."
c. "The carseat should be facing the front of the car and in the middle of the backseats."
d. "Remove all crib toys strung across the top of the crib"
d. "Remove all crib toys strung across the top of the crib"
A nurse is assessing several children in the clinic. Which of the following children requires
further assessment?
a. Child A was born weighing 3 kg. and at 7 months weighs 7 kg.
b. Child B is 6 months old and exhibits slight head lag.
c. Child C still has a Babinski reflex at 13 months
d. Child D is 8 months old and pulls to stand
b. Child B is 6 months old and exhibits slight head lag.
Rationale: By the age of 4 months old, a head lag should no longer be present.
A nurse is conducting a teaching session for parents of infants. The nurse explains that
which behavior indicates that an infant has developed object permanence?
a. Recognizes familiar face, such as mother
b. Recognizes familiar object, such as bottle
c. Secures objects by pulling on a string
d. Actively searches for a hidden object
d. Actively searches for a hidden object
Parents tell the nurse that their toddler daughter eats little at mealtime, only sits at the
table with the family briefly, and wants snacks "all the time." Which intervention should
the nurse recommend?
a. Give her nutritious snacks.
b. Offer rewards for eating at mealtimes.
c. Avoid snacks so she is hungry at mealtimes.
d. Explain to her in a firm manner what is expected of her.
, a. Give her nutritious snacks.
A nurse is planning care for a 7-year-old child hospitalized with osteomyelitis. Which
activities should the nurse plan to bring from the playroom for the child? (Select all that
apply.)
a. Paper and some paints
b. Board games
c. Jack-in-the-box
d. Stuffed animals
e. Computer games
a, b, and e
Rationale: We want to choose activities that are industrious. Think about it from a developmental
standpoint.
A 8-month old child is undergoing a routine check-up. Select all findings the nurse would
expect to find during an assessment of this child? (Select all that apply)
a. Presence of the anterior fontanel
b. Weight is more than doubled since birth
c. Sits with support
d. Grabs for rattle
a, b, and d
Rationale: The anterior fontanel closes between 13-18 months. By 8 months of age the child
should be sitting without support.
The nurse is doing a routine assessment on a 14-month-old infant and notes that the
anterior fontanel is closed. The nurse should interpret this as a(n)
a. normal finding.
b. finding requiring a referral.
c. abnormal finding.
d. normal finding, but requires rechecking in 1 month.
a. normal finding.
A nursing student understands the age that most infants can steadily sit unsupported as
a. 4 months
b. 6 months
c. 8 months
d. 10 months
