Exam 1 Bolton P2C Complete Questions and Answers
with Rationales.
The pediatric nurse is treating a patient who has questions about safer sexual practices.
The patient states, "I think I should wait until marriage to be sexually active because I'm
not sure sex is OK outside of marriage." The nurse understands the student is acting with
which component of Freud's theory?
a. Anal
b. Id
c. Ego
d. Superego - Correct Answer D. Superego - The superego is the structure that houses
the moral branch of personality. The ID acts strictly on instinct and the Ego is partially
conscious but does not consider right from wrong.
The nurse is caring for a patient that is actively trying to conceive a child but continues to
drink alcohol. The patient states that she'll stop drinking once she is pregnant. What is the
most appropriate response by the nurse?
a. "Things will be okay if you quit drinking alcohol once you know you are pregnant."
b. "Abstaining is best since most fetal development occurs before you realize you are
pregnant."
c. "Alcohol use should be avoided early in pregnancy but is acceptable past week 20."
d. "Small amounts of alcohol are safe at any time during pregnancy." - Correct Answer
Abstaining is best since most fetal development occurs before you realize you are
pregnant."
-Rapid development occurs before many women know that they are pregnant, making
alcohol consumption unsafe at any time during pregnancy.
A home health care nurse is making a well-baby visit to the home of a new mother who
has an infant. What assessment finding leads the nurse to provide further anticipatory
guidance and teaching to the mother?
a. Mother states she does not breastfeed but uses a recommended formula.
b. A mobile is hanging well above the crib playing soft music.
c. Several rattles and plush toys are available in different textures.
, d. Crib has colorful blankets and pillows for the baby to cuddle. - Correct Answer Crib has
colorful blankets and pillows for the baby to cuddle.
-Objects such as pillows and blankets pose a suffocation hazard to infants and should be
kept out of cribs. The other items are appropriate for a newborn.
A toddler has been hospitalized. The parents become upset when the toddler starts
wetting his bed, saying that he has been potty trained for some time now. What response
by the nurse is best?
a. "Don't worry, this behavior will stop when he gets home."
b. "Maybe he has a urinary tract infection; I'll get a urine sample."
c. "I can call the Child Life Specialist for diversionary activities."
d. "It is common for kids in the hospital to regress to earlier behaviors." - Correct Answer
"It is common for kids in the hospital to regress to earlier behaviors."
-The stress of hospitalization often causes toddlers to regress in their behaviors, and the
nurse should provide this information to the parents. Stating that the behavior will stop,
although accurate, does not provide an explanation. There is no need for a urine sample.
Using Child Life is always a good idea for hospitalized children but is not related to the
question.
The nurse is conducting a home visit on a newborn. What observation would require the
nurse to provide further education?
a. One parent states that when the child gets frustrating, the other parent takes over.
b. Caregivers consistently wash their hands before holding the baby.
c. The caregiver warms the bottle and tests heat on the inside of the wrist.
d. The parents state the infant is sleeping with them until they buy a crib. - Correct Answer
The parents state the infant is sleeping with them until they buy a crib.
-Infants should not sleep in the same bed as their parents because of the risk of
suffocation. The other actions are appropriate.
The parents of a 4 year old express concern that the child is wearing the same size
clothing as she did last year. What action by the nurse is most appropriate?
a. Assess the child's eating and activity patterns.
b. Encourage the parents to provide the child a multivitamin.
c. Reassure parents that their child is growing normally.
with Rationales.
The pediatric nurse is treating a patient who has questions about safer sexual practices.
The patient states, "I think I should wait until marriage to be sexually active because I'm
not sure sex is OK outside of marriage." The nurse understands the student is acting with
which component of Freud's theory?
a. Anal
b. Id
c. Ego
d. Superego - Correct Answer D. Superego - The superego is the structure that houses
the moral branch of personality. The ID acts strictly on instinct and the Ego is partially
conscious but does not consider right from wrong.
The nurse is caring for a patient that is actively trying to conceive a child but continues to
drink alcohol. The patient states that she'll stop drinking once she is pregnant. What is the
most appropriate response by the nurse?
a. "Things will be okay if you quit drinking alcohol once you know you are pregnant."
b. "Abstaining is best since most fetal development occurs before you realize you are
pregnant."
c. "Alcohol use should be avoided early in pregnancy but is acceptable past week 20."
d. "Small amounts of alcohol are safe at any time during pregnancy." - Correct Answer
Abstaining is best since most fetal development occurs before you realize you are
pregnant."
-Rapid development occurs before many women know that they are pregnant, making
alcohol consumption unsafe at any time during pregnancy.
A home health care nurse is making a well-baby visit to the home of a new mother who
has an infant. What assessment finding leads the nurse to provide further anticipatory
guidance and teaching to the mother?
a. Mother states she does not breastfeed but uses a recommended formula.
b. A mobile is hanging well above the crib playing soft music.
c. Several rattles and plush toys are available in different textures.
, d. Crib has colorful blankets and pillows for the baby to cuddle. - Correct Answer Crib has
colorful blankets and pillows for the baby to cuddle.
-Objects such as pillows and blankets pose a suffocation hazard to infants and should be
kept out of cribs. The other items are appropriate for a newborn.
A toddler has been hospitalized. The parents become upset when the toddler starts
wetting his bed, saying that he has been potty trained for some time now. What response
by the nurse is best?
a. "Don't worry, this behavior will stop when he gets home."
b. "Maybe he has a urinary tract infection; I'll get a urine sample."
c. "I can call the Child Life Specialist for diversionary activities."
d. "It is common for kids in the hospital to regress to earlier behaviors." - Correct Answer
"It is common for kids in the hospital to regress to earlier behaviors."
-The stress of hospitalization often causes toddlers to regress in their behaviors, and the
nurse should provide this information to the parents. Stating that the behavior will stop,
although accurate, does not provide an explanation. There is no need for a urine sample.
Using Child Life is always a good idea for hospitalized children but is not related to the
question.
The nurse is conducting a home visit on a newborn. What observation would require the
nurse to provide further education?
a. One parent states that when the child gets frustrating, the other parent takes over.
b. Caregivers consistently wash their hands before holding the baby.
c. The caregiver warms the bottle and tests heat on the inside of the wrist.
d. The parents state the infant is sleeping with them until they buy a crib. - Correct Answer
The parents state the infant is sleeping with them until they buy a crib.
-Infants should not sleep in the same bed as their parents because of the risk of
suffocation. The other actions are appropriate.
The parents of a 4 year old express concern that the child is wearing the same size
clothing as she did last year. What action by the nurse is most appropriate?
a. Assess the child's eating and activity patterns.
b. Encourage the parents to provide the child a multivitamin.
c. Reassure parents that their child is growing normally.
