Which behavior would be expected in a toddler experiencing the death of a family member?
A. Understanding that death is permanent
B. Magical thinking that death is reversible
C. Acting as if the deceased is still alive
D. Showing interest in funeral rituals
Answer: C. Acting as if the deceased is still alive
Rationale: Toddlers are egocentric, cannot grasp permanence, and may continue behaving as though the
person is present.
A nurse is caring for a preschool child whose sibling has died. Which nursing intervention is most appropriate?
A. Avoid discussing death to prevent anxiety
B. Reassure the child that the death is not their fault
C. Encourage the child to take part in funeral planning
D. Explain that death is permanent
Answer: B. Reassure the child that the death is not their fault
Rationale: Preschoolers engage in magical thinking and may believe they caused the death; reassurance and
consistent caregivers are essential.
,An 8-year-old patient asks, "Is my brother going to come back after he dies?" Which response by the nurse is
best?
A. "He may come back as someone else in another life."
B. "Yes, he will return in your dreams, and that means he's alive there."
C. "Don't worry about that right now; you'll understand when you're older."
D. "No, when people die, their bodies stop working and they don't come back."
Answer: D. “No, when people die, their bodies stop working and they don’t come back.”
Rationale: School-age children around 8–9 understand the finality of death; honest explanations help support
coping and trust.
An adolescent patient with a terminal illness is struggling to cope with their diagnosis. Which nursing
intervention is most appropriate to support the patient’s developmental needs?
A. Encourage the patient to participate in decisions about their plan of care
B. Limit peer visitation to conserve the patient’s physical energy
C. Focus discussions on the patient’s accomplishments to promote self-esteem
D. Provide frequent updates to the parents and encourage them to make care decisions
Answer: A. Encourage the patient to participate in decisions about their plan of care
Rationale: Adolescents value autonomy, independence, and control. Allowing them to participate in decisions
respects their developmental need for independence and promotes a sense of control during end-of-life
care.
,The nurse is caring for a school-age child who has just been told about their terminal diagnosis. The child
appears quiet and withdrawn and is avoiding eye contact. Which action should the nurse take first?
A. Offer the child factual, age-appropriate information about death and dying
B. Encourage the child to write or draw about their thoughts and feelings
C. Allow the child time alone to process the information before talking
D. Assure the child that their illness is not a punishment for past misbehavior
Answer: A. Offer the child factual, age-appropriate information about death and dying
Rationale: School-age children begin to understand the finality of death (especially ages 8–9) but may have
misconceptions (thinking death is punishment). Providing clear, honest, developmentally appropriate
information first establishes trust and helps the child process the situation.
A 9-year-old boy with hemophilia A is scheduled for surgery on his left knee. The nurse is preparing for the
procedure. Which factor concentrate should the nurse have ready for administration before the operation?
A. Factor II
B. Factor VIII
C. Factor IX
D. Factor XIII
Answer: B. Factor VIII
Rationale: Hemophilia A is caused by a deficiency of factor VIII.
, A 10-year-old boy with hemophilia B is scheduled for dental surgery. The nurse is preparing to administer
clotting factor replacement before the procedure. Which factor concentrate should the nurse have ready?
A. Factor VII
B. Factor VIII
C. Factor IX
D. Factor XI
Answer: C. Factor IX
Rationale: Hemophilia B is caused by a deficiency of factor IX.
A 3-year-old boy presents to the emergency department with prolonged bleeding from a small cut and
excessive bruising. The physician suspects hemophilia. Which diagnostic tests should the nurse anticipate
the provider will order?(Select all that apply.)
A. Activated partial thromboplastin time (aPTT)
B. Platelet count
C. Hemoglobin A1C
D. Genetic testing
E. Specific factor assays
F. Rheumatoid factor
Answers: A, B, D, E
Rationale: Hemophilia causes prolonged aPTT, normal platelet count, and is confirmed with factor assays
and possibly genetic testing
A. Understanding that death is permanent
B. Magical thinking that death is reversible
C. Acting as if the deceased is still alive
D. Showing interest in funeral rituals
Answer: C. Acting as if the deceased is still alive
Rationale: Toddlers are egocentric, cannot grasp permanence, and may continue behaving as though the
person is present.
A nurse is caring for a preschool child whose sibling has died. Which nursing intervention is most appropriate?
A. Avoid discussing death to prevent anxiety
B. Reassure the child that the death is not their fault
C. Encourage the child to take part in funeral planning
D. Explain that death is permanent
Answer: B. Reassure the child that the death is not their fault
Rationale: Preschoolers engage in magical thinking and may believe they caused the death; reassurance and
consistent caregivers are essential.
,An 8-year-old patient asks, "Is my brother going to come back after he dies?" Which response by the nurse is
best?
A. "He may come back as someone else in another life."
B. "Yes, he will return in your dreams, and that means he's alive there."
C. "Don't worry about that right now; you'll understand when you're older."
D. "No, when people die, their bodies stop working and they don't come back."
Answer: D. “No, when people die, their bodies stop working and they don’t come back.”
Rationale: School-age children around 8–9 understand the finality of death; honest explanations help support
coping and trust.
An adolescent patient with a terminal illness is struggling to cope with their diagnosis. Which nursing
intervention is most appropriate to support the patient’s developmental needs?
A. Encourage the patient to participate in decisions about their plan of care
B. Limit peer visitation to conserve the patient’s physical energy
C. Focus discussions on the patient’s accomplishments to promote self-esteem
D. Provide frequent updates to the parents and encourage them to make care decisions
Answer: A. Encourage the patient to participate in decisions about their plan of care
Rationale: Adolescents value autonomy, independence, and control. Allowing them to participate in decisions
respects their developmental need for independence and promotes a sense of control during end-of-life
care.
,The nurse is caring for a school-age child who has just been told about their terminal diagnosis. The child
appears quiet and withdrawn and is avoiding eye contact. Which action should the nurse take first?
A. Offer the child factual, age-appropriate information about death and dying
B. Encourage the child to write or draw about their thoughts and feelings
C. Allow the child time alone to process the information before talking
D. Assure the child that their illness is not a punishment for past misbehavior
Answer: A. Offer the child factual, age-appropriate information about death and dying
Rationale: School-age children begin to understand the finality of death (especially ages 8–9) but may have
misconceptions (thinking death is punishment). Providing clear, honest, developmentally appropriate
information first establishes trust and helps the child process the situation.
A 9-year-old boy with hemophilia A is scheduled for surgery on his left knee. The nurse is preparing for the
procedure. Which factor concentrate should the nurse have ready for administration before the operation?
A. Factor II
B. Factor VIII
C. Factor IX
D. Factor XIII
Answer: B. Factor VIII
Rationale: Hemophilia A is caused by a deficiency of factor VIII.
, A 10-year-old boy with hemophilia B is scheduled for dental surgery. The nurse is preparing to administer
clotting factor replacement before the procedure. Which factor concentrate should the nurse have ready?
A. Factor VII
B. Factor VIII
C. Factor IX
D. Factor XI
Answer: C. Factor IX
Rationale: Hemophilia B is caused by a deficiency of factor IX.
A 3-year-old boy presents to the emergency department with prolonged bleeding from a small cut and
excessive bruising. The physician suspects hemophilia. Which diagnostic tests should the nurse anticipate
the provider will order?(Select all that apply.)
A. Activated partial thromboplastin time (aPTT)
B. Platelet count
C. Hemoglobin A1C
D. Genetic testing
E. Specific factor assays
F. Rheumatoid factor
Answers: A, B, D, E
Rationale: Hemophilia causes prolonged aPTT, normal platelet count, and is confirmed with factor assays
and possibly genetic testing
