NUR230 Peds Exam 1 - Practice for pediatric exam1
OB/Peds (Galen College of Nursing)
NUR 230 The Childbearing/Child Caring
Family. OB/Maternity Exam NUR 230
Final Exam.
, Pediatric NCLEX-Style
1. A 6-year-old child is hospitalized after a bicycle accident. What is the most appropriate nursing
intervention to prevent further injury?
• A. Provide a soft toy for distraction
• B. Encourage use of helmet when outdoors
• C. Allow unsupervised activity
• D. Delay discharge teaching until pain resolves
Rationale: Helmets significantly reduce the risk of head injury in bicycle accidents. Safety education is
essential.
2. Which play activity is most appropriate for a 5-year-old child in the hospital?
• A. Stacking blocks
• B. Playing peek-a-boo
• C. Board games with peers
• D. Watching cartoons
Rationale: Five-year-olds are in the associative to cooperative play stage and enjoy group games with
rules.
3. A toddler is hospitalized with burns. Based on Erikson’s theory, what should the nurse focus on?
• A. Building trust
• B. Promoting autonomy
• C. Encouraging industry
• D. Supporting identity
Rationale: Toddlers (1–3 years) are in the autonomy vs. shame and doubt stage. Encouraging
independence supports development.
4. According to Piaget, what cognitive characteristic is expected in a 4-year-old?
• A. Abstract thinking
• B. Egocentrism
• C. Logical reasoning
• D. Cause-and-effect understanding
Rationale: Children aged 2–7 are in the preoperational stage and are egocentric, seeing the world
only from their own perspective.
5. Which child is at greatest risk for aspiration?
• A. 4-year-old with ADHD
• B. 9-month-old crawling infant
• C. 2-year-old with autism
• D. Newborn in the NICU
Rationale: Crawling infants explore by putting objects in their mouths, increasing aspiration risk.
OB/Peds (Galen College of Nursing)
NUR 230 The Childbearing/Child Caring
Family. OB/Maternity Exam NUR 230
Final Exam.
, Pediatric NCLEX-Style
1. A 6-year-old child is hospitalized after a bicycle accident. What is the most appropriate nursing
intervention to prevent further injury?
• A. Provide a soft toy for distraction
• B. Encourage use of helmet when outdoors
• C. Allow unsupervised activity
• D. Delay discharge teaching until pain resolves
Rationale: Helmets significantly reduce the risk of head injury in bicycle accidents. Safety education is
essential.
2. Which play activity is most appropriate for a 5-year-old child in the hospital?
• A. Stacking blocks
• B. Playing peek-a-boo
• C. Board games with peers
• D. Watching cartoons
Rationale: Five-year-olds are in the associative to cooperative play stage and enjoy group games with
rules.
3. A toddler is hospitalized with burns. Based on Erikson’s theory, what should the nurse focus on?
• A. Building trust
• B. Promoting autonomy
• C. Encouraging industry
• D. Supporting identity
Rationale: Toddlers (1–3 years) are in the autonomy vs. shame and doubt stage. Encouraging
independence supports development.
4. According to Piaget, what cognitive characteristic is expected in a 4-year-old?
• A. Abstract thinking
• B. Egocentrism
• C. Logical reasoning
• D. Cause-and-effect understanding
Rationale: Children aged 2–7 are in the preoperational stage and are egocentric, seeing the world
only from their own perspective.
5. Which child is at greatest risk for aspiration?
• A. 4-year-old with ADHD
• B. 9-month-old crawling infant
• C. 2-year-old with autism
• D. Newborn in the NICU
Rationale: Crawling infants explore by putting objects in their mouths, increasing aspiration risk.
