lOMoARcPSD|62239921
1
Pediatric Nursing Practice
Test Part 1
1. While performing physical assessment of a 12 6. When assessing an 18-month-old, the
month-old, the nurse notes that the infant’s nurse notes a characteristic protruding abdomen.
anterior fontanel is still slightly open. Which of the Which of the following would explain the rationale
following is the nurse’s most appropriate action? for this finding?
a. Notify the physician immediately because there is a. Increased food intake owing to age
a problem. b. Underdeveloped abdominal muscles
b. Perform an intensive neurologic examination. c. Bowlegged posture
c. Perform an intensive developmental examination. d. Linear growth curve
d. Do nothing because this is a normal finding for the 7. If parents keep a toddler dependent in areas
age. where he is capable of using skills, the toddle will
2. When teaching a mother about introducing develop a sense of which of the following?
solid foods to her child, which of the following a. Mistrust
indicates the earliest age at which this should be b. Shame
done? c. Guilt
a. 1 month d. Inferiority
b. 2 months 8. Which of the following is an appropriate toy for
c. 3 months an 18-month-old?
d. 4 months a. Multiple-piece puzzle
3. The infant of a substance-abusing mother is at b. Miniature cars
risk for developing a sense of which of the c. Finger paints
following? d. Comic book
a. Mistrust 9. When teaching parents about the child’s
b. Shame readiness for toilet training, which of the following
c. Guilt signs should the nurse instruct them to watch for
d. Inferiority in the toddler?
4. Which of the following toys should the a. Demonstrates dryness for 4 hours
nurse recommend for a 5-month-old? b. Demonstrates ability to sit and walk
a. A big red balloon c. Has a new sibling for stimulation
b. A teddy bear with button eyes d. Verbalizes desire to go to the bathroom
c. A push-pull wooden truck 10. When teaching parents about typical toddler
d. A colorful busy box eating patterns, which of the following should be
5. The mother of a 2-month-old is concerned that included?
she may be spoiling her baby by picking her up a. Food “jags”
when she cries. Which of the following would be b. Preference to eat alone
the nurse’s best response? c. Consistent table manners
a. “ Let her cry for a while before picking her up, d. Increase in appetite
so you don’t spoil her” 11. Which of the following suggestions should the
b. “Babies need to be held and cuddled; you nurse offer the parents of a 4-year-old boy who
won’t spoil her this way” resists going to bed at night?
c. “Crying at this age means the baby is hungry; a. “Allow him to fall asleep in your room, then
give her a bottle” move him to his own bed.”
d. “If you leave her alone she will learn how to b. “Tell him that you will lock him in his room if
cry herself to sleep” he gets out of bed one more time.”
, lOMoARcPSD|62239921
2
c. “Encourage active play at bedtime to tire him c. Reading
out so he will fall asleep faster.” d. Sorting
d. “Read him a story and allow him to play
quietly in his bed until he falls asleep.”
12. When providing therapeutic play, which of the
following toys would best promote imaginative
play in a 4-year-old? 17. A child age 7 was unable to receive the
a. Large blocks measles, mumps, and rubella (MMR) vaccine at
b. Dress-up clothes the recommended scheduled time. When
c. Wooden puzzle would the nurse expect to administer MMR
d. Big wheels vaccine?
13. Which of the following activities, when voiced a. In a month from now
by the parents following a teaching session about b. In a year from now
the characteristics of school-age cognitive c. At age 10
development would indicate the need for d. At age 13
additional teaching? 18. The adolescent’s inability to develop a sense
a. Collecting baseball cards and marbles of who he is and what he can become results in a
b. Ordering dolls according to size sense of which of the following?
c. Considering simple problem-solving options a. Shame
d. Developing plans for the future b. Guilt
14. A hospitalized schoolager states: “I’m not c. Inferiority
afraid of this place, I’m not afraid of anything.” d. Role diffusion
This statement is most likely an example of which 19. Which of the following would be most
of the following? appropriate for a nurse to use when describing
a. Regression menarche to a 13-year-old?
b. Repression a. A female’s first menstruation or menstrual
c. Reaction formation “periods”
d. Rationalization b. The first year of menstruation or “period”
15. After teaching a group of parents about c. The entire menstrual cycle or from one
accident prevention for schoolagers, which of the “period” to another
following statements by the group would indicate d. The onset of uterine maturation or peak
the need for more teaching? growth
a. “Schoolagers are more active and 20. A 14-year-old boy has acne and according to
adventurous than are younger children.” his parents, dominates the bathroom by using the
b. “Schoolagers are more susceptible to home mirror all the time. Which of the following remarks
hazards than are younger children.” by the nurse would be least helpful in talking to
c. “Schoolagers are unable to understand the boy and his parents?
potential dangers around them.” a. “This is probably the only concern he has
d. “Schoolargers are less subject to parental about his body. So don’t worry about it or the time
control than are younger children.” he spends on it.”
16. Which of the following skills is the most b. “Teenagers are anxious about how their peers
significant one learned during the schoolage perceive them. So they spend a lot of time
period? grooming.”
a. Collecting
b. Ordering
, lOMoARcPSD|62239921
3
c. “A teen may develop a poor self-image when d. Associated congenital defects of the middle
experiencing acne. Do you feel this way ear.
sometimes?” 25. While performing a neurodevelopmental
d. “You appear to be keeping your face well assessment on a 3-month-old infant, which of the
washed. Would you feel comfortable discussing following characteristics would be expected?
your cleansing method?” a. A strong Moro reflex
21. Which of the following should the b. A strong parachute reflex
nurse suspect when noting that a 3-year-old is c. Rolling from front to back
engaging in explicit sexual behavior during doll d. Lifting of head and chest when prone
play? 26. By the end of which of the following would the
a. The child is exhibiting normal pre-school nurse most commonly expect a child’s birth
curiosity weight to triple?
b. The child is acting out personal experiences a. 4 months
c. The child does not know how to play with dolls b. 7 months
d. The child is probably developmentally c. 9 months
delayed. d. 12 months
22. Which of the following statements by the 27. Which of the following best describes parallel
parents of a child with school phobia would play between two toddlers?
indicate the need for further teaching? a. Sharing crayons to color separate pictures
a. “We’ll keep him at home until phobia b. Playing a board game with a nurse
subsides.” c. Sitting near each other while playing with
b. “We’ll work with his teachers and counselors separate dolls
at school.” d. Sharing their dolls with two different nurses
c. “We’ll try to encourage him to talk about his 28. Which of the following would the
problem.” nurse identify as the initial priority for a child
d. “We’ll discuss possible solutions with him and with acute lymphocytic leukemia?
his counselor.” a. Instituting infection control precautions
23. When developing a teaching plan for a group b. Encouraging adequate intake of iron-rich foods
of high school students about teenage c. Assisting with coping with chronic illness
pregnancy, the nurse would keep in mind which of d. Administering medications via IM injections
the following? 29. Which of the following information, when
a. The incidence of teenage pregnancies is voiced by the mother, would indicate to the nurse
increasing. that she understands home care instructions
b. Most teenage pregnancies are planned. following the administration of a diphtheria,
c. Denial of the pregnancy is common early on. tetanus, and pertussis injection?
d. The risk for complications during pregnancy is a. Measures to reduce fever
rare. b. Need for dietary restrictions
24. When assessing a child with a cleft palate, the c. Reasons for subsequent rash
nurse is aware that the child is at risk for more d. Measures to control subsequent diarrhea
frequent episodes of otitis media due to which of 30. Which of the following actions by a community
the following? health nurse is most appropriate when noting
a. Lowered resistance from malnutrition multiple bruises and burns on the posterior trunk
b. Ineffective functioning of the Eustachian tubes of an 18-month-old child during a home visit?
c. Plugging of the Eustachian tubes with food a. Report the child’s condition to Protective
particles Services immediately.
1
Pediatric Nursing Practice
Test Part 1
1. While performing physical assessment of a 12 6. When assessing an 18-month-old, the
month-old, the nurse notes that the infant’s nurse notes a characteristic protruding abdomen.
anterior fontanel is still slightly open. Which of the Which of the following would explain the rationale
following is the nurse’s most appropriate action? for this finding?
a. Notify the physician immediately because there is a. Increased food intake owing to age
a problem. b. Underdeveloped abdominal muscles
b. Perform an intensive neurologic examination. c. Bowlegged posture
c. Perform an intensive developmental examination. d. Linear growth curve
d. Do nothing because this is a normal finding for the 7. If parents keep a toddler dependent in areas
age. where he is capable of using skills, the toddle will
2. When teaching a mother about introducing develop a sense of which of the following?
solid foods to her child, which of the following a. Mistrust
indicates the earliest age at which this should be b. Shame
done? c. Guilt
a. 1 month d. Inferiority
b. 2 months 8. Which of the following is an appropriate toy for
c. 3 months an 18-month-old?
d. 4 months a. Multiple-piece puzzle
3. The infant of a substance-abusing mother is at b. Miniature cars
risk for developing a sense of which of the c. Finger paints
following? d. Comic book
a. Mistrust 9. When teaching parents about the child’s
b. Shame readiness for toilet training, which of the following
c. Guilt signs should the nurse instruct them to watch for
d. Inferiority in the toddler?
4. Which of the following toys should the a. Demonstrates dryness for 4 hours
nurse recommend for a 5-month-old? b. Demonstrates ability to sit and walk
a. A big red balloon c. Has a new sibling for stimulation
b. A teddy bear with button eyes d. Verbalizes desire to go to the bathroom
c. A push-pull wooden truck 10. When teaching parents about typical toddler
d. A colorful busy box eating patterns, which of the following should be
5. The mother of a 2-month-old is concerned that included?
she may be spoiling her baby by picking her up a. Food “jags”
when she cries. Which of the following would be b. Preference to eat alone
the nurse’s best response? c. Consistent table manners
a. “ Let her cry for a while before picking her up, d. Increase in appetite
so you don’t spoil her” 11. Which of the following suggestions should the
b. “Babies need to be held and cuddled; you nurse offer the parents of a 4-year-old boy who
won’t spoil her this way” resists going to bed at night?
c. “Crying at this age means the baby is hungry; a. “Allow him to fall asleep in your room, then
give her a bottle” move him to his own bed.”
d. “If you leave her alone she will learn how to b. “Tell him that you will lock him in his room if
cry herself to sleep” he gets out of bed one more time.”
, lOMoARcPSD|62239921
2
c. “Encourage active play at bedtime to tire him c. Reading
out so he will fall asleep faster.” d. Sorting
d. “Read him a story and allow him to play
quietly in his bed until he falls asleep.”
12. When providing therapeutic play, which of the
following toys would best promote imaginative
play in a 4-year-old? 17. A child age 7 was unable to receive the
a. Large blocks measles, mumps, and rubella (MMR) vaccine at
b. Dress-up clothes the recommended scheduled time. When
c. Wooden puzzle would the nurse expect to administer MMR
d. Big wheels vaccine?
13. Which of the following activities, when voiced a. In a month from now
by the parents following a teaching session about b. In a year from now
the characteristics of school-age cognitive c. At age 10
development would indicate the need for d. At age 13
additional teaching? 18. The adolescent’s inability to develop a sense
a. Collecting baseball cards and marbles of who he is and what he can become results in a
b. Ordering dolls according to size sense of which of the following?
c. Considering simple problem-solving options a. Shame
d. Developing plans for the future b. Guilt
14. A hospitalized schoolager states: “I’m not c. Inferiority
afraid of this place, I’m not afraid of anything.” d. Role diffusion
This statement is most likely an example of which 19. Which of the following would be most
of the following? appropriate for a nurse to use when describing
a. Regression menarche to a 13-year-old?
b. Repression a. A female’s first menstruation or menstrual
c. Reaction formation “periods”
d. Rationalization b. The first year of menstruation or “period”
15. After teaching a group of parents about c. The entire menstrual cycle or from one
accident prevention for schoolagers, which of the “period” to another
following statements by the group would indicate d. The onset of uterine maturation or peak
the need for more teaching? growth
a. “Schoolagers are more active and 20. A 14-year-old boy has acne and according to
adventurous than are younger children.” his parents, dominates the bathroom by using the
b. “Schoolagers are more susceptible to home mirror all the time. Which of the following remarks
hazards than are younger children.” by the nurse would be least helpful in talking to
c. “Schoolagers are unable to understand the boy and his parents?
potential dangers around them.” a. “This is probably the only concern he has
d. “Schoolargers are less subject to parental about his body. So don’t worry about it or the time
control than are younger children.” he spends on it.”
16. Which of the following skills is the most b. “Teenagers are anxious about how their peers
significant one learned during the schoolage perceive them. So they spend a lot of time
period? grooming.”
a. Collecting
b. Ordering
, lOMoARcPSD|62239921
3
c. “A teen may develop a poor self-image when d. Associated congenital defects of the middle
experiencing acne. Do you feel this way ear.
sometimes?” 25. While performing a neurodevelopmental
d. “You appear to be keeping your face well assessment on a 3-month-old infant, which of the
washed. Would you feel comfortable discussing following characteristics would be expected?
your cleansing method?” a. A strong Moro reflex
21. Which of the following should the b. A strong parachute reflex
nurse suspect when noting that a 3-year-old is c. Rolling from front to back
engaging in explicit sexual behavior during doll d. Lifting of head and chest when prone
play? 26. By the end of which of the following would the
a. The child is exhibiting normal pre-school nurse most commonly expect a child’s birth
curiosity weight to triple?
b. The child is acting out personal experiences a. 4 months
c. The child does not know how to play with dolls b. 7 months
d. The child is probably developmentally c. 9 months
delayed. d. 12 months
22. Which of the following statements by the 27. Which of the following best describes parallel
parents of a child with school phobia would play between two toddlers?
indicate the need for further teaching? a. Sharing crayons to color separate pictures
a. “We’ll keep him at home until phobia b. Playing a board game with a nurse
subsides.” c. Sitting near each other while playing with
b. “We’ll work with his teachers and counselors separate dolls
at school.” d. Sharing their dolls with two different nurses
c. “We’ll try to encourage him to talk about his 28. Which of the following would the
problem.” nurse identify as the initial priority for a child
d. “We’ll discuss possible solutions with him and with acute lymphocytic leukemia?
his counselor.” a. Instituting infection control precautions
23. When developing a teaching plan for a group b. Encouraging adequate intake of iron-rich foods
of high school students about teenage c. Assisting with coping with chronic illness
pregnancy, the nurse would keep in mind which of d. Administering medications via IM injections
the following? 29. Which of the following information, when
a. The incidence of teenage pregnancies is voiced by the mother, would indicate to the nurse
increasing. that she understands home care instructions
b. Most teenage pregnancies are planned. following the administration of a diphtheria,
c. Denial of the pregnancy is common early on. tetanus, and pertussis injection?
d. The risk for complications during pregnancy is a. Measures to reduce fever
rare. b. Need for dietary restrictions
24. When assessing a child with a cleft palate, the c. Reasons for subsequent rash
nurse is aware that the child is at risk for more d. Measures to control subsequent diarrhea
frequent episodes of otitis media due to which of 30. Which of the following actions by a community
the following? health nurse is most appropriate when noting
a. Lowered resistance from malnutrition multiple bruises and burns on the posterior trunk
b. Ineffective functioning of the Eustachian tubes of an 18-month-old child during a home visit?
c. Plugging of the Eustachian tubes with food a. Report the child’s condition to Protective
particles Services immediately.
