PEDS EXAM 4 (CH. 11, 15, 19, 20, 31) EXAM
QUESTIONS & ANSWERS 100%
CORRECT (FULLY SOLVED) 2026
The parents of a critically injured child wish to stay in the room while the child is
receiving emergency care. Which action by the nurse is the most appropriate?
1. Escort the parents to the waiting room and assure them that they can see their child
soon.
2. Allow the parents to stay with the child.
3. Ask the physician if the parents can stay with the child.
4. Tell the parents that they do not need to stay with the child. - ANS-2
Rationale 1: Parents should be allowed to stay with their child if they wish to do so. This
position is supported by the Emergency Nurses Association and is a key aspect of
family-centered care.
Rationale 2: Parents should be allowed to stay with their child if they wish to do so. This
position is supported by the Emergency Nurses Association and is a key aspect of
family-centered care.
Rationale 3: Parents should be allowed to stay with their child if they wish to do so. This
position is supported by the Emergency Nurses Association and is a key aspect of
family-centered care.
Rationale 4: Parents should be allowed to stay with their child if they wish to do so. This
position is supported by the Emergency Nurses Association and is a key aspect of
family-centered care.
Global Rationale: Parents should be allowed to stay with their child if they wish to do so.
This position is supported by the Emergency Nurses Association and is a key aspect of
family-centered care. Cognitive Level: Applying
Client Need: Psychosocial Integrity Client
Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO 11.6 Integrate the concept of family presence during procedures
and nursing strategies used to prepare the family.
Question 2
,The charge nurse on a hospital unit is developing plans of care related to separation
anxiety. The charge nurse recognizes that which hospitalized child at highest risk to
experience separation anxiety when parents cannot stay?
1. 6-month-old
2. 18-month-old
3. 3-year-old
4. 4-year-old - ANS-2
Rationale 1: While all of these children can experience separation anxiety, the young
toddler is at highest risk. Toddlers are the group most at risk for a stressful experience
when hospitalized. Separation from parents increases this risk greatly.
Rationale 2: While all of these children can experience separation anxiety, the young
toddler is at highest risk. Toddlers are the group most at risk for a stressful experience
when hospitalized. Separation from parents increases this risk greatly.
Rationale 3: While all of these children can experience separation anxiety, the young
toddler is at highest risk. Toddlers are the group most at risk for a stressful experience
when hospitalized. Separation from parents increases this risk greatly.
Rationale 4: While all of these children can experience separation anxiety, the young
toddler is at highest risk. Toddlers are the group most at risk for a stressful experience
when hospitalized. Separation from parents increases this risk greatly.
Global Rationale: While all of these children can experience separation anxiety, the
young toddler is at highest risk. Toddlers are the group most at risk for a stressful
experience when hospitalized. Separation from parents increases this risk greatly.
Cognitive Level: Applying
Client Need: Psychosocial Integrity Client
Need Sub:
Nursing/Integrated Concepts: Nursing Process: Diagnosis
Learning Outcome: LO 11.5 Identify nursing strategies to minimize the stressors related
to hospitalization.
Question 3
A group of children on one hospital unit are all suffering separation anxiety. Which child
is experiencing the "despair" stage of separation anxiety?
1. Does not cry if parents return and leave again
2. Screams and cries when parents leave
3. Appears to be happy and content with staff
4. Lies quietly in bed - ANS-4
Rationale 1: Children in the "despair" stage appear sad, depressed, or withdrawn. A
child who is lying in bed might be exhibiting any of these. Screaming and crying are
components of the "protest" stage. The young child who appears to be happy and
content with everyone is in the "denial" stage, as is the child who does not cry if parents
return and leave again.
,Rationale 2: Children in the "despair" stage appear sad, depressed, or withdrawn. A
child who is lying in bed might be exhibiting any of these. Screaming and crying are
components of the "protest" stage. The young child who appears to be happy and
content with everyone is in the "denial" stage, as is the child who does not cry if parents
return and leave again.
Rationale 3: Children in the "despair" stage appear sad, depressed, or withdrawn. A
child who is lying in bed might be exhibiting any of these. Screaming and crying are
components of the "protest" stage. The young child who appears to be happy and
content with everyone is in the "denial" stage, as is the child who does not cry if parents
return and leave again.
Rationale 4: Children in the "despair" stage appear sad, depressed, or withdrawn. A
child who is lying in bed might be exhibiting any of these. Screaming and crying are
components of the "protest" stage. The young child who appears to be happy and
content with everyone is in the "denial" stage, as is the child who does not cry if parents
return and leave again.
Global Rationale: Children in the "despair" stage appear sad, depressed, or withdrawn.
A child who is lying in bed might be exhibiting any of these. Screaming and crying are
components of the "protest" stage. The young child who appears to be happy and
content with everyone is in the "denial" stage, as is the child who does not cry if parents
return and leave again.
Cognitive Level: Applyi
A preschool-age client is seen in the clinic for a sore throat. In this child's mind, what is
the most likely causative agent for the sore throat?
1. Was exposed to someone else with a sore throat.
2. Did not eat the right foods.
3. Yelled at his brother.
4. Did not take his vitamins. - ANS-3
Rationale 1: Preschoolers understand some concepts of being sick but not the cause of
illness. They are likely to think that they are sick as a result of something that they have
done. They will frequently view illness as punishment. A child of this age does not yet
understand that he can become sick from exposure to someone else who is sick. The
other two answers, while not causes of sore throat, can be factors in some illnesses but
are beyond the thinking of a 4-year-old.
Rationale 2: Preschoolers understand some concepts of being sick but not the cause of
illness. They are likely to think that they are sick as a result of something that they have
done. They will frequently view illness as punishment. A child of this age does not yet
understand that he can become sick from exposure to someone else who is sick. The
other two answers, while not causes of sore throat, can be factors in some illnesses but
are beyond the thinking of a 4-year-old.
Rationale 3: Preschoolers understand some concepts of being sick but not the cause of
illness. They are likely to think that they are sick as a result of something that they have
done. They will frequently view illness as punishment. A child of this age does not yet
, understand that he can become sick from exposure to someone else who is sick. The
other two answers, while not causes of sore throat, can be factors in some illnesses but
are beyond the thinking of a 4-year-old.
Rationale 4: Preschoolers understand some concepts of being sick but not the cause of
illness. They are likely to think that they are sick as a result of something that they have
done. They will frequently view illness as punishment. A child of this age does not yet
understand that he can become sick from exposure to someone else who is sick. The
other two answers, while not causes of sore throat, can be fac
The charge nurse is concerned with reducing the stressors of hospitalization. Which
nursing intervention is most helpful in decreasing the stressors for the toddler-age
client?
1. Assign the same nurse to the toddler as much as possible.
2. Let the child listen to an audiotape of the mother's voice.
3. Place a picture of the family at the bedside.
4. Encourage a parent to stay with the child. - ANS-4
Rationale 1: While all of the interventions are appropriate for the hospitalized toddler,
presence of a parent is most important. Separation from parents is the major stressor
for the hospitalized toddler.
Rationale 2: While all of the interventions are appropriate for the hospitalized toddler,
presence of a parent is most important. Separation from parents is the major stressor
for the hospitalized toddler.
Rationale 3: While all of the interventions are appropriate for the hospitalized toddler,
presence of a parent is most important. Separation from parents is the major stressor
for the hospitalized toddler.
Rationale 4: While all of the interventions are appropriate for the hospitalized toddler,
presence of a parent is most important. Separation from parents is the major stressor
for the hospitalized toddler.
Global Rationale: While all of the interventions are appropriate for the hospitalized
toddler, presence of a parent is most important. Separation from parents is the major
stressor for the hospitalized toddler. Cognitive Level: Analyzing Client Need:
Psychosocial Integrity Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO 11.5 Identify nursing strategies to minimize the stressors related
to hospitalization.
Question 6
The nurse is working with a school-age child who is hospitalized. Which action by the
nurse will promote a sense of industry in this child?
1. Allow the child to assist with her care.
2. Encourage parents to participate in the child's care.
3. Give the child a detailed scientific explanation of the illness.
4. Speak to the child in a high-pitched voice. - ANS-1
QUESTIONS & ANSWERS 100%
CORRECT (FULLY SOLVED) 2026
The parents of a critically injured child wish to stay in the room while the child is
receiving emergency care. Which action by the nurse is the most appropriate?
1. Escort the parents to the waiting room and assure them that they can see their child
soon.
2. Allow the parents to stay with the child.
3. Ask the physician if the parents can stay with the child.
4. Tell the parents that they do not need to stay with the child. - ANS-2
Rationale 1: Parents should be allowed to stay with their child if they wish to do so. This
position is supported by the Emergency Nurses Association and is a key aspect of
family-centered care.
Rationale 2: Parents should be allowed to stay with their child if they wish to do so. This
position is supported by the Emergency Nurses Association and is a key aspect of
family-centered care.
Rationale 3: Parents should be allowed to stay with their child if they wish to do so. This
position is supported by the Emergency Nurses Association and is a key aspect of
family-centered care.
Rationale 4: Parents should be allowed to stay with their child if they wish to do so. This
position is supported by the Emergency Nurses Association and is a key aspect of
family-centered care.
Global Rationale: Parents should be allowed to stay with their child if they wish to do so.
This position is supported by the Emergency Nurses Association and is a key aspect of
family-centered care. Cognitive Level: Applying
Client Need: Psychosocial Integrity Client
Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO 11.6 Integrate the concept of family presence during procedures
and nursing strategies used to prepare the family.
Question 2
,The charge nurse on a hospital unit is developing plans of care related to separation
anxiety. The charge nurse recognizes that which hospitalized child at highest risk to
experience separation anxiety when parents cannot stay?
1. 6-month-old
2. 18-month-old
3. 3-year-old
4. 4-year-old - ANS-2
Rationale 1: While all of these children can experience separation anxiety, the young
toddler is at highest risk. Toddlers are the group most at risk for a stressful experience
when hospitalized. Separation from parents increases this risk greatly.
Rationale 2: While all of these children can experience separation anxiety, the young
toddler is at highest risk. Toddlers are the group most at risk for a stressful experience
when hospitalized. Separation from parents increases this risk greatly.
Rationale 3: While all of these children can experience separation anxiety, the young
toddler is at highest risk. Toddlers are the group most at risk for a stressful experience
when hospitalized. Separation from parents increases this risk greatly.
Rationale 4: While all of these children can experience separation anxiety, the young
toddler is at highest risk. Toddlers are the group most at risk for a stressful experience
when hospitalized. Separation from parents increases this risk greatly.
Global Rationale: While all of these children can experience separation anxiety, the
young toddler is at highest risk. Toddlers are the group most at risk for a stressful
experience when hospitalized. Separation from parents increases this risk greatly.
Cognitive Level: Applying
Client Need: Psychosocial Integrity Client
Need Sub:
Nursing/Integrated Concepts: Nursing Process: Diagnosis
Learning Outcome: LO 11.5 Identify nursing strategies to minimize the stressors related
to hospitalization.
Question 3
A group of children on one hospital unit are all suffering separation anxiety. Which child
is experiencing the "despair" stage of separation anxiety?
1. Does not cry if parents return and leave again
2. Screams and cries when parents leave
3. Appears to be happy and content with staff
4. Lies quietly in bed - ANS-4
Rationale 1: Children in the "despair" stage appear sad, depressed, or withdrawn. A
child who is lying in bed might be exhibiting any of these. Screaming and crying are
components of the "protest" stage. The young child who appears to be happy and
content with everyone is in the "denial" stage, as is the child who does not cry if parents
return and leave again.
,Rationale 2: Children in the "despair" stage appear sad, depressed, or withdrawn. A
child who is lying in bed might be exhibiting any of these. Screaming and crying are
components of the "protest" stage. The young child who appears to be happy and
content with everyone is in the "denial" stage, as is the child who does not cry if parents
return and leave again.
Rationale 3: Children in the "despair" stage appear sad, depressed, or withdrawn. A
child who is lying in bed might be exhibiting any of these. Screaming and crying are
components of the "protest" stage. The young child who appears to be happy and
content with everyone is in the "denial" stage, as is the child who does not cry if parents
return and leave again.
Rationale 4: Children in the "despair" stage appear sad, depressed, or withdrawn. A
child who is lying in bed might be exhibiting any of these. Screaming and crying are
components of the "protest" stage. The young child who appears to be happy and
content with everyone is in the "denial" stage, as is the child who does not cry if parents
return and leave again.
Global Rationale: Children in the "despair" stage appear sad, depressed, or withdrawn.
A child who is lying in bed might be exhibiting any of these. Screaming and crying are
components of the "protest" stage. The young child who appears to be happy and
content with everyone is in the "denial" stage, as is the child who does not cry if parents
return and leave again.
Cognitive Level: Applyi
A preschool-age client is seen in the clinic for a sore throat. In this child's mind, what is
the most likely causative agent for the sore throat?
1. Was exposed to someone else with a sore throat.
2. Did not eat the right foods.
3. Yelled at his brother.
4. Did not take his vitamins. - ANS-3
Rationale 1: Preschoolers understand some concepts of being sick but not the cause of
illness. They are likely to think that they are sick as a result of something that they have
done. They will frequently view illness as punishment. A child of this age does not yet
understand that he can become sick from exposure to someone else who is sick. The
other two answers, while not causes of sore throat, can be factors in some illnesses but
are beyond the thinking of a 4-year-old.
Rationale 2: Preschoolers understand some concepts of being sick but not the cause of
illness. They are likely to think that they are sick as a result of something that they have
done. They will frequently view illness as punishment. A child of this age does not yet
understand that he can become sick from exposure to someone else who is sick. The
other two answers, while not causes of sore throat, can be factors in some illnesses but
are beyond the thinking of a 4-year-old.
Rationale 3: Preschoolers understand some concepts of being sick but not the cause of
illness. They are likely to think that they are sick as a result of something that they have
done. They will frequently view illness as punishment. A child of this age does not yet
, understand that he can become sick from exposure to someone else who is sick. The
other two answers, while not causes of sore throat, can be factors in some illnesses but
are beyond the thinking of a 4-year-old.
Rationale 4: Preschoolers understand some concepts of being sick but not the cause of
illness. They are likely to think that they are sick as a result of something that they have
done. They will frequently view illness as punishment. A child of this age does not yet
understand that he can become sick from exposure to someone else who is sick. The
other two answers, while not causes of sore throat, can be fac
The charge nurse is concerned with reducing the stressors of hospitalization. Which
nursing intervention is most helpful in decreasing the stressors for the toddler-age
client?
1. Assign the same nurse to the toddler as much as possible.
2. Let the child listen to an audiotape of the mother's voice.
3. Place a picture of the family at the bedside.
4. Encourage a parent to stay with the child. - ANS-4
Rationale 1: While all of the interventions are appropriate for the hospitalized toddler,
presence of a parent is most important. Separation from parents is the major stressor
for the hospitalized toddler.
Rationale 2: While all of the interventions are appropriate for the hospitalized toddler,
presence of a parent is most important. Separation from parents is the major stressor
for the hospitalized toddler.
Rationale 3: While all of the interventions are appropriate for the hospitalized toddler,
presence of a parent is most important. Separation from parents is the major stressor
for the hospitalized toddler.
Rationale 4: While all of the interventions are appropriate for the hospitalized toddler,
presence of a parent is most important. Separation from parents is the major stressor
for the hospitalized toddler.
Global Rationale: While all of the interventions are appropriate for the hospitalized
toddler, presence of a parent is most important. Separation from parents is the major
stressor for the hospitalized toddler. Cognitive Level: Analyzing Client Need:
Psychosocial Integrity Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO 11.5 Identify nursing strategies to minimize the stressors related
to hospitalization.
Question 6
The nurse is working with a school-age child who is hospitalized. Which action by the
nurse will promote a sense of industry in this child?
1. Allow the child to assist with her care.
2. Encourage parents to participate in the child's care.
3. Give the child a detailed scientific explanation of the illness.
4. Speak to the child in a high-pitched voice. - ANS-1
