PEDS EXAM 1 PRACTICE MOST COMPREHENSIVE 2026
QUESTIONS EXAM LATEST VERSION SOLVED QUESTIONS
& ANSWERS VERIFIED 100 %
The nurse is preparing to discuss the stages of grief at a parent support group
and will be discussing Kübler-Ross's theory of grief. What is the common
sequence of Kübler-Ross's stages of grieving?
- Anger, denial, acceptance, bargaining
- Denial, anger, bargaining, acceptance
- Denial, anger, acceptance, bargaining
- Denial, acceptance, bargaining, anger
- Denial, anger, bargaining, acceptance
Using the Roy Adaptation Model, during periods of altered family processes
occurring in adolescence, the priority nursing interventions should be focused
on which modes? Select all that apply.
- Psychological
- Self-concept
- Interdependence
- Role-function
- Interdependence and self-concept
- Self-concept
- Interdependence
- Role-function
- Interdependence and self-concept
While caring for a child with a terminal illness, the most important family
nursing interventions addressing death and dying would include which of the
following? Select all that apply.
- Encourage the child and family to talk about illness and prognosis
, Page 2 of 36
- Answer questions as honestly as possible about the topic
- Encourage family to remain near the child
- Change the topic when it comes up to prevent sadness
- Use silence to show support
- Encourage the child and family to talk about illness and prognosis
- Answer questions as honestly as possible about the topic
- Encourage family to remain near the child
- Use silence to show support
A pediatric nurse demonstrates she is knowledgeable of the importance of
effective communication with children and their families when she makes
which statement?
- "Good communication is necessary for obtaining parental consent for
procedures."
- "Good communication affects all aspects of a child's care."
- "Good communication enhances comfort of the child and family in the
hospital environment."
- "Children often use a more advanced level of communication when they are
ill."
- "Good communication affects all aspects of a child's care"
An Emergency Department (ED) nurse caring for a 12-year-old who fell
provides instructions for the child's care at home and teaches about the
management of the child's sprained ankle. What is the most effective way for
the nurse to convey this teaching?
- Communicate slowly using appropriate medical terminology
- Sit down at. the child's eye level and include them in the teaching
- Provide an ED discharge summary and a comprehensive list of resources,
including phone numbers
- Be empathetic and sincere, providing plenty of time for questions
- Sit down at. the child's eye level and include them in the teaching
While making a home visit, the community health nurse notices that both
parents frequently make comments such as, "Boys are better in math than
girls," and "Boys are lazy." These comments are very concerning to the nurse
because she recognizes that the communication pattern she is observing is
, Page 3 of 36
the least productive. Which type of communication pattern should she
document when charting parental communication style?
- Clear and direct
- Clear and indirect
- Masked and direct
- Masked and indirect
- Masked and indirect
The parents of an 11-month-old express concern that their child might have
hearing loss. To determine if environmental factors might be involved, which
inquiries should the nurse make? Select all that apply.
- "Did the mother have any intrauterine infections requiring antibiotics when
pregnant with the child."
- "Is there a family history of hearing deficit or loss?"
- "Is the child learning to speak, mimicking sounds?"
- "Did the mother take
drugs or smoke during pregnancy?"
- "Is the child chronically exposed to loud sounds?"
- "Did the mother have any intrauterine infections requiring antibiotics when pregnant
with the child."
- "Did the mother take
drugs or smoke during pregnancy?"
- "Is the child chronically exposed to loud sounds?"
While at the Community Health Center (CHC), a parent expresses concern over
the cost of medication for their child, stating they work several part-time jobs,
must pay a high deductible (more than $ 3,000 per year), and have high out-of-
pocket expenses. The nurse makes a referral to a case worker because she is
concerned that this family is what?
- Under-insured
- Unemployed
- Uninsured
- Under-educated
- Under-insured
When assessing family dynamics within a large family the nurse should
identify which behaviors as normal. Select all that apply.
, Page 4 of 36
- The youngest child is immature and has self-centered communicate patterns
- First born child is very direct in his communication style and demonstrates
perfectionist behaviors
- Middle child tries to avoid conflict, sibling rivalry sometimes occurs
- All decisions are made by the head of the family and the children do not need
to make decisions
- There are differing opinions that can sometimes create disharmony
- The youngest child is immature and has self-centered communicate patterns
- First born child is very direct in his communication style and demonstrates
perfectionist behaviors
- Middle child tries to avoid conflict, sibling rivalry sometimes occurs
- There are differing opinions that can sometimes create disharmony
Open communication strategies
- Family participation
- Providing information in the family's native information
- Active listening
Barriers to effective communication include
- Crossing arms
- Answering child's questions while facing mom or dad
- Assuming the family structure is based on traditional practices
Family-focused care includes
- Understanding that illness affects the entire family unit
- Recognizing the parents and other caregivers as experts in the care of the child
- Providing age-appropriate information for the patient and siblings
Attributes of the family APGAR questionnaire include
- A: adaptation
- P: partnership- the ability to share responsibilities and nurturing roles in crisis
- G: growth- the ability to achieve physical or emotional growth
- A: affection
- R: resolve- the ability to devote time to other family members in the nurturing
process
Communicating with infants
- Respond quickly to the infant's needs to gain trust
- Wide-eyed and high-pitched communication gains infant attention