PEDS EXAM 1-4
QUESTIONS AND
ANSWERS 2023
EXAM 1
1. A nurse is assessing language development in all the infants presenting at the doctor's office
for well-child visits. At which age range would the nurse expect a child to verbalize the
words "dada" and "mama"?
✓ 9 and 12 months
2. During the toddler stage, ages 2-3 years, a child will gain approximately how many pounds
per year?
✓ 3-5
3. Development that proceeds from the inside out is called by which of the following terms?
✓ proximodistal
4. Routine physical examinations on children include height, weight, vital signs, physical
examination, vision and hearing screening, diet assessment, screening for alcohol and other
drug use, and screening for which of the following?
✓ scoliosis
5. A mother tells you that her 4-year-old child has begun to have night waking and has started
thumb sucking again. Otherwise the child seems very healthy. From this brief history, your
immediate response is:
✓ “What changes have happened in your family or with your child?”
6. Using your knowledge of the Freudian stages of psychosexual development when caring for
a child between the ages of 1 and 3 years, it would be most important for you to ask the
caregivers about:
✓ d. rituals used for elimination
7. To look into the ear of a child younger than 3 years old, the nurse would position the ear
by pulling the auricle:
✓ down and back
8. The very first sucking by an infant occurs because of:
✓ d. an accidental reflex of rooting
9. Piaget believed that interactions with the environment caused people to organize patterns
of thought called:
✓ Schema
,10. Which of the following statements best describes object permanence?
✓ The infant realizes an object continues to exist even when out of sight.
11. A mother asks which developmental milestones she can expect when her baby is 6 months
old. Which response by the nurse is the most appropriate?
✓ Transfers objects from one hand to the other
12. While assessing the development of a 9-month-old infant, the nurse asks the mother if the
child actively looks for toys when they are placed out of sight. Which developmental task
is the nurse assessing this infant for?
✓ Object permanence
13. When working with school-aged children, the nurse should keep in mind that these children
will increase their weight by how many pounds per year?
✓ 3-5
14. The nurse working on the pediatric unit checks the apical pulse of a school-aged child and
finds a rate of 95 beats per minute while the child is lying in bed. The best action on the
part of the nurse is to:
✓ Chart the apical pulse of 95 as it is in the normal range.
15. A nurse has instructed the parents of an infant to introduce solid foods one at a time, while
carefully observing for signs of food allergies. Which of the following signs and
symptoms may be suggestive of food allergies? Select all that apply.
✓ diarrhea
✓ abdominal pain
✓ rashes
16. According to Piaget, the concrete operations stage occurs in which of the following age
ranges?
✓ 6 to 12 years
17. Cephalocaudal development proceeds in which direction?
✓ head downward
18. The nurse would expect to find which of the following resting respiratory rates in the normal
newborn?
✓ 40
, 19. According to Erikson’s psychosocial theory of development, a child between ages 6 and 12
is going through which of the following stages?
✓ industry versus inferiority
20. In order to help an infant accomplish the basic task of infancy (according to Erikson’s
stages of psychosocial development), caregivers must consistently do which of the
following things?
✓ Meet need for comfort, security, predictability, food, and warmth.
21. The nurse is assessing an infant client during a health supervision visit. Which
assessment findings are considered normal variations for this client? Select all that apply.
✓ Sucking pads in the mouth
✓ A rounded chest
✓ Hearing breath sounds over the entire chest
22. Which of these developmental milestones should the nurse expect to find in children who are
between 2 and 3 years old? Select all that apply.
✓ Scribbles and draws on paper
✓ Kicks a ball
✓ Goes up and down stairs
23. According to Erikson, the psychosocial development of an infant is centered around
the concept of:
✓ trust versus mistrust
24. The nurse is assessing a toddler of 18 months to see what skills the child has for dressing
himself. The nurse expects to find that a toddler of this age can do which of the
following tasks?
✓ remove his own shoes
25. When an infant is hospitalized, the nurse recognizes the importance of this infant mastering
the first of Erikson’s eight life stages. He or she would most help the infant by instructing
the caregivers:
✓ to spend as much time with the infant as possible
26. Two 3-year-olds are playing in a hospital playroom together. One is working on a
puzzle while the other is stacking blocks. Which type of play are these children
exhibiting?
✓ Parallel play
QUESTIONS AND
ANSWERS 2023
EXAM 1
1. A nurse is assessing language development in all the infants presenting at the doctor's office
for well-child visits. At which age range would the nurse expect a child to verbalize the
words "dada" and "mama"?
✓ 9 and 12 months
2. During the toddler stage, ages 2-3 years, a child will gain approximately how many pounds
per year?
✓ 3-5
3. Development that proceeds from the inside out is called by which of the following terms?
✓ proximodistal
4. Routine physical examinations on children include height, weight, vital signs, physical
examination, vision and hearing screening, diet assessment, screening for alcohol and other
drug use, and screening for which of the following?
✓ scoliosis
5. A mother tells you that her 4-year-old child has begun to have night waking and has started
thumb sucking again. Otherwise the child seems very healthy. From this brief history, your
immediate response is:
✓ “What changes have happened in your family or with your child?”
6. Using your knowledge of the Freudian stages of psychosexual development when caring for
a child between the ages of 1 and 3 years, it would be most important for you to ask the
caregivers about:
✓ d. rituals used for elimination
7. To look into the ear of a child younger than 3 years old, the nurse would position the ear
by pulling the auricle:
✓ down and back
8. The very first sucking by an infant occurs because of:
✓ d. an accidental reflex of rooting
9. Piaget believed that interactions with the environment caused people to organize patterns
of thought called:
✓ Schema
,10. Which of the following statements best describes object permanence?
✓ The infant realizes an object continues to exist even when out of sight.
11. A mother asks which developmental milestones she can expect when her baby is 6 months
old. Which response by the nurse is the most appropriate?
✓ Transfers objects from one hand to the other
12. While assessing the development of a 9-month-old infant, the nurse asks the mother if the
child actively looks for toys when they are placed out of sight. Which developmental task
is the nurse assessing this infant for?
✓ Object permanence
13. When working with school-aged children, the nurse should keep in mind that these children
will increase their weight by how many pounds per year?
✓ 3-5
14. The nurse working on the pediatric unit checks the apical pulse of a school-aged child and
finds a rate of 95 beats per minute while the child is lying in bed. The best action on the
part of the nurse is to:
✓ Chart the apical pulse of 95 as it is in the normal range.
15. A nurse has instructed the parents of an infant to introduce solid foods one at a time, while
carefully observing for signs of food allergies. Which of the following signs and
symptoms may be suggestive of food allergies? Select all that apply.
✓ diarrhea
✓ abdominal pain
✓ rashes
16. According to Piaget, the concrete operations stage occurs in which of the following age
ranges?
✓ 6 to 12 years
17. Cephalocaudal development proceeds in which direction?
✓ head downward
18. The nurse would expect to find which of the following resting respiratory rates in the normal
newborn?
✓ 40
, 19. According to Erikson’s psychosocial theory of development, a child between ages 6 and 12
is going through which of the following stages?
✓ industry versus inferiority
20. In order to help an infant accomplish the basic task of infancy (according to Erikson’s
stages of psychosocial development), caregivers must consistently do which of the
following things?
✓ Meet need for comfort, security, predictability, food, and warmth.
21. The nurse is assessing an infant client during a health supervision visit. Which
assessment findings are considered normal variations for this client? Select all that apply.
✓ Sucking pads in the mouth
✓ A rounded chest
✓ Hearing breath sounds over the entire chest
22. Which of these developmental milestones should the nurse expect to find in children who are
between 2 and 3 years old? Select all that apply.
✓ Scribbles and draws on paper
✓ Kicks a ball
✓ Goes up and down stairs
23. According to Erikson, the psychosocial development of an infant is centered around
the concept of:
✓ trust versus mistrust
24. The nurse is assessing a toddler of 18 months to see what skills the child has for dressing
himself. The nurse expects to find that a toddler of this age can do which of the
following tasks?
✓ remove his own shoes
25. When an infant is hospitalized, the nurse recognizes the importance of this infant mastering
the first of Erikson’s eight life stages. He or she would most help the infant by instructing
the caregivers:
✓ to spend as much time with the infant as possible
26. Two 3-year-olds are playing in a hospital playroom together. One is working on a
puzzle while the other is stacking blocks. Which type of play are these children
exhibiting?
✓ Parallel play
