NUR 3314 Final Exam 2026| Actual Exam Questions
and Correct Answers and Rationales 2026
1. A 2-year-old hospitalized for pneumonia refuses all food offered by the nurse. Which is the
best action?
A. Offer the child choices of preferred foods.
B. Insist the child eats at mealtimes.
C. Ask the parent to leave during meals.
D. Place a feeding tube.
2. A 4-year-old hospitalized for surgery tells the nurse, “The doctor cut me because I was bad.”
What is the best nursing response?
A. “No, you are not bad.”
B. “Tell me why you think that.”
C. “Surgery is never because you’re bad.”
D. “Let’s talk about something else.”
3. A nurse is planning play activities for a hospitalized 7-year-old. Which activity is
most appropriate?
A. Stacking blocks
B. Coloring books
C. Video games
D. Board games
4. Which toy is most appropriate for a hospitalized toddler on bed rest?
A. Large building blocks
B. Chess set
C. Crossword puzzles
D. Reading a novel
,5. The nurse is caring for a 6-month-old. Which action best reduces separation anxiety?
A. Providing a transitional object
B. Encouraging frequent naps
C. Limiting parental presence to routines
D. Ignoring crying episodes
6. Which action best demonstrates atraumatic care during IV insertion in a preschooler?
A. Have parents restrain the child.
B. Use numbing cream before insertion.
C. Perform procedure without warning.
D. Allow the child to watch the procedure closely.
7. A nurse plans care for a hospitalized 10-year-old. Which intervention supports Erikson’s stage
of development?
A. Encouraging choices about meals
B. Encouraging participation in schoolwork
C. Encouraging parallel play
D. Encouraging solitary play
8. A 3-year-old admitted for dehydration is observed hitting staff. What is the best nursing
response?
A. Ignore the behavior.
B. Set firm and consistent limits.
C. Give candy to calm the child.
D. Allow the child to continue.
9. A 15-year-old is newly diagnosed with type 1 diabetes. Which nursing approach is best?
A. Provide detailed scientific explanations.
B. Involve the adolescent in self-care planning.
, C. Teach parents only.
D. Delay teaching until discharge.
10. A hospitalized toddler refuses oral medication. Which approach is best?
A. Mix the medication with applesauce.
B. Offer a choice of juice to take with it.
C. Give the medicine while the toddler sleeps.
D. Warn the toddler they must take it now.
11. Which developmental task is expected in a school-age child according to Erikson?
A. Industry vs. inferiority
B. Initiative vs. guilt
C. Autonomy vs. shame/doubt
D. Identity vs. role confusion
12. A 13-year-old refuses to see visitors after hair loss from chemotherapy. What is the nurse’s
best response?
A. “Don’t worry, your hair will grow back.”
B. “You should see your friends; they’ll understand.”
C. “It sounds like you’re upset about your appearance.”
D. “Let’s ask your parents to encourage your friends.”
13. Which statement by a parent of a toddler requires further teaching?
A. “I let my child carry a favorite blanket to the hospital.”
B. “I tell my child the hospital stay is punishment.”
C. “I bring familiar toys from home.”
D. “I stay with my child during procedures when possible.”
14. A nurse observes a 6-year-old explaining hospital routines to a 4-year-old. The nurse
recognizes this as:
and Correct Answers and Rationales 2026
1. A 2-year-old hospitalized for pneumonia refuses all food offered by the nurse. Which is the
best action?
A. Offer the child choices of preferred foods.
B. Insist the child eats at mealtimes.
C. Ask the parent to leave during meals.
D. Place a feeding tube.
2. A 4-year-old hospitalized for surgery tells the nurse, “The doctor cut me because I was bad.”
What is the best nursing response?
A. “No, you are not bad.”
B. “Tell me why you think that.”
C. “Surgery is never because you’re bad.”
D. “Let’s talk about something else.”
3. A nurse is planning play activities for a hospitalized 7-year-old. Which activity is
most appropriate?
A. Stacking blocks
B. Coloring books
C. Video games
D. Board games
4. Which toy is most appropriate for a hospitalized toddler on bed rest?
A. Large building blocks
B. Chess set
C. Crossword puzzles
D. Reading a novel
,5. The nurse is caring for a 6-month-old. Which action best reduces separation anxiety?
A. Providing a transitional object
B. Encouraging frequent naps
C. Limiting parental presence to routines
D. Ignoring crying episodes
6. Which action best demonstrates atraumatic care during IV insertion in a preschooler?
A. Have parents restrain the child.
B. Use numbing cream before insertion.
C. Perform procedure without warning.
D. Allow the child to watch the procedure closely.
7. A nurse plans care for a hospitalized 10-year-old. Which intervention supports Erikson’s stage
of development?
A. Encouraging choices about meals
B. Encouraging participation in schoolwork
C. Encouraging parallel play
D. Encouraging solitary play
8. A 3-year-old admitted for dehydration is observed hitting staff. What is the best nursing
response?
A. Ignore the behavior.
B. Set firm and consistent limits.
C. Give candy to calm the child.
D. Allow the child to continue.
9. A 15-year-old is newly diagnosed with type 1 diabetes. Which nursing approach is best?
A. Provide detailed scientific explanations.
B. Involve the adolescent in self-care planning.
, C. Teach parents only.
D. Delay teaching until discharge.
10. A hospitalized toddler refuses oral medication. Which approach is best?
A. Mix the medication with applesauce.
B. Offer a choice of juice to take with it.
C. Give the medicine while the toddler sleeps.
D. Warn the toddler they must take it now.
11. Which developmental task is expected in a school-age child according to Erikson?
A. Industry vs. inferiority
B. Initiative vs. guilt
C. Autonomy vs. shame/doubt
D. Identity vs. role confusion
12. A 13-year-old refuses to see visitors after hair loss from chemotherapy. What is the nurse’s
best response?
A. “Don’t worry, your hair will grow back.”
B. “You should see your friends; they’ll understand.”
C. “It sounds like you’re upset about your appearance.”
D. “Let’s ask your parents to encourage your friends.”
13. Which statement by a parent of a toddler requires further teaching?
A. “I let my child carry a favorite blanket to the hospital.”
B. “I tell my child the hospital stay is punishment.”
C. “I bring familiar toys from home.”
D. “I stay with my child during procedures when possible.”
14. A nurse observes a 6-year-old explaining hospital routines to a 4-year-old. The nurse
recognizes this as:
