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NSG 3600 (Peds) Exam 1
According to Piaget, an infant uses his or her senses to learn and
explore the environment. Which action is the most appropriate for the
nurse to implement to determine object permanence?
a. playing the game of peek-a-boo
b. encouraging the infant to shake a rattle
c. pushing a button on an overhead mobile
d. placing the child in a stroller and going for a walk ......ANSWER......A
The pediatric nurse is promoting anticipatory guidance about safety to
the mother of a 10 month old infant. Which statement is not
appropriate for the nurse to include in the teaching session?
a. "do not leave small objects on the floor because your baby will be
crawling soon"
b. "keep the side rails up to prevent your baby from falling out of the
crib"
c. "put safety locks on all cabinets to prevent accidents"
d. "allow your baby to stay alone for short periods of time to promote
independence" ......ANSWER......D
The mother of a 26 month old toddler tells the pediatric nurse that she
is having trouble disciplining her daughter. The mother states, "she
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really knows how to put me to my limit. I don't know what to do with
her!" Which response by the nurse is the most therapeutic?
a. "the terrible twos are a difficult time. You have to show her that you
are boss!"
b. "when she does something wrong, tell her she is a bad girl and has to
be punished for her actions"
c. "A 2-minute time-out combines with praise for good behavior is
very effective for this age groups"
d. "take away her favorite doll and tell her that she cannot have it back
until she changes her behavior" ......ANSWER......C
The parents of a toddler asks the nurse how to best prepare the toddler
for a planned medical procedure. What should the nurse recognize
when answering the toddler's parents?
a. the toddler is too young to understand what will happen and does
not need an explanation
b. the use of short explanations can best help the toddler understand
the planned procedure
c. allowing the toddler to explore the procedure room may be helpful
d. it is beneficial for the nurse to demonstrate the upcoming procedure
to the toddler ......ANSWER......B
The father of a 4y/o is concerned about his son's reaction to an injury of
his friend. He told the nurse that the child stayed in his room over the
weekend and cried himself to sleep. When the pediatric nurse
questioned the child, he described an argument that he and his friend
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had about a week proper to his friends injury. Based on the assessment,
what is this preschool child exhibiting?
a. magical thinking
b. inferiority
c. guilt complex
d. a morality issue ......ANSWER......A
What is not a key aspect in a teen's environment that helps when
making good decisions?
a. ability to think abstractly
b. ability to use deductive reasoning
c. ability to make long-term plans
d. ability to use logical thinking ......ANSWER......D
A nurse is planning an educational class for new families based on
Duvall's family development theory. Based on the theory, how are
family stages determined?
a. number of children in the family
b. the oldest child in the family
c. the youngest child in the family
d. years the couple has been married ......ANSWER......B
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A mother is complaining to the nurse that her 3 y/o child often has
difficulty falling and staying asleep. The following day, the child is cranky
and uncooperative. Which action by the nurse is the most appropriate?
a. asses the child's usual nighttime routine
b. Assure mom that sleep and behavior are not related
c. Encourage active play before bedtime
d. Have mom put the child to bed only when sleepy ......ANSWER......A
A nurse is providing anticipatory guidance to the parents of a preschool-
aged child regarding discipline. Which information is most beneficial?
a. Children at this age lie frequently and without reason
b. consequences should be natural and fit the behavior
c. explaining the rules is not as important as discipline
d. taking away privileges is a powerful tool for this age group
......ANSWER......B
A pediatric nurse examines a 7 y/o at a well-child visit. Based on
Erikson's theory, which basic task does the nurse anticipate for this
child?
a. balance independence and self-sufficiency against uncertainty and
misgiving
b. develop a sense of confidence through mastery of different tasks
c. develop resourcefulness to achieve and learn new things without self-
reproach
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NSG 3600 (Peds) Exam 1
According to Piaget, an infant uses his or her senses to learn and
explore the environment. Which action is the most appropriate for the
nurse to implement to determine object permanence?
a. playing the game of peek-a-boo
b. encouraging the infant to shake a rattle
c. pushing a button on an overhead mobile
d. placing the child in a stroller and going for a walk ......ANSWER......A
The pediatric nurse is promoting anticipatory guidance about safety to
the mother of a 10 month old infant. Which statement is not
appropriate for the nurse to include in the teaching session?
a. "do not leave small objects on the floor because your baby will be
crawling soon"
b. "keep the side rails up to prevent your baby from falling out of the
crib"
c. "put safety locks on all cabinets to prevent accidents"
d. "allow your baby to stay alone for short periods of time to promote
independence" ......ANSWER......D
The mother of a 26 month old toddler tells the pediatric nurse that she
is having trouble disciplining her daughter. The mother states, "she
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really knows how to put me to my limit. I don't know what to do with
her!" Which response by the nurse is the most therapeutic?
a. "the terrible twos are a difficult time. You have to show her that you
are boss!"
b. "when she does something wrong, tell her she is a bad girl and has to
be punished for her actions"
c. "A 2-minute time-out combines with praise for good behavior is
very effective for this age groups"
d. "take away her favorite doll and tell her that she cannot have it back
until she changes her behavior" ......ANSWER......C
The parents of a toddler asks the nurse how to best prepare the toddler
for a planned medical procedure. What should the nurse recognize
when answering the toddler's parents?
a. the toddler is too young to understand what will happen and does
not need an explanation
b. the use of short explanations can best help the toddler understand
the planned procedure
c. allowing the toddler to explore the procedure room may be helpful
d. it is beneficial for the nurse to demonstrate the upcoming procedure
to the toddler ......ANSWER......B
The father of a 4y/o is concerned about his son's reaction to an injury of
his friend. He told the nurse that the child stayed in his room over the
weekend and cried himself to sleep. When the pediatric nurse
questioned the child, he described an argument that he and his friend
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had about a week proper to his friends injury. Based on the assessment,
what is this preschool child exhibiting?
a. magical thinking
b. inferiority
c. guilt complex
d. a morality issue ......ANSWER......A
What is not a key aspect in a teen's environment that helps when
making good decisions?
a. ability to think abstractly
b. ability to use deductive reasoning
c. ability to make long-term plans
d. ability to use logical thinking ......ANSWER......D
A nurse is planning an educational class for new families based on
Duvall's family development theory. Based on the theory, how are
family stages determined?
a. number of children in the family
b. the oldest child in the family
c. the youngest child in the family
d. years the couple has been married ......ANSWER......B
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A mother is complaining to the nurse that her 3 y/o child often has
difficulty falling and staying asleep. The following day, the child is cranky
and uncooperative. Which action by the nurse is the most appropriate?
a. asses the child's usual nighttime routine
b. Assure mom that sleep and behavior are not related
c. Encourage active play before bedtime
d. Have mom put the child to bed only when sleepy ......ANSWER......A
A nurse is providing anticipatory guidance to the parents of a preschool-
aged child regarding discipline. Which information is most beneficial?
a. Children at this age lie frequently and without reason
b. consequences should be natural and fit the behavior
c. explaining the rules is not as important as discipline
d. taking away privileges is a powerful tool for this age group
......ANSWER......B
A pediatric nurse examines a 7 y/o at a well-child visit. Based on
Erikson's theory, which basic task does the nurse anticipate for this
child?
a. balance independence and self-sufficiency against uncertainty and
misgiving
b. develop a sense of confidence through mastery of different tasks
c. develop resourcefulness to achieve and learn new things without self-
reproach
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