Essentials of Pediatric Nursing EXAM
QUESTIONS ACCURATE AND VERIFIED
ACTUAL EXAM QUESTIONS WITH DETAILED
ANSWERS FOR GUARANTEED PASS |
ALREADY GRADED A
A preschool teacher calls the hospital and wants to introduce the concept of a hospital to her
preschool class. What resources could the child life specialist provide for this group to aid in
their learning? (Select all that apply)
A. Provide a room for the class with hospital gowns, masks and equipment used on children.
B. Tell the children that hospitals are places for sick people to come and sometimes they don't
leave.
C. Offer to let them see and play with the injection equipment such as syringes and needles.
D. Let the children lie in the beds, use the call lights and practice being a patient.
E. Tour the hospital, including the playrooms on the pediatric floors.
Correct Answers: A, D, E
Rationale: Child life specialists use role play and tours with safe equipment to prepare children
for hospital experiences. Statements about death or dangerous items like needles are
inappropriate.
Which approach by the nurse best demonstrates the correct way to prepare a Hispanic child for
a planned hospital admission?
A. Tell the child that the procedure will not hurt because we have "magic medicine."
B. Discourage questions so as to not frighten the child.
C. Allow the child to put on surgical attire and "operate" on a doll to teach what will be
happening.
D. Since the family is Hispanic, all preparation needs to be in Spanish.
Correct Answer: C
Rationale: Using play with dolls allows children to understand procedures in a non-threatening
way. Honesty and active participation help decrease anxiety.
,The charge nurse observes a new graduate nurse assess the cremasteric reflex in an 8-month-
old boy. The new graduate nurse strokes the lateral aspect of the thigh. Which action should the
charge nurse take?
A. Counsel the new graduate.
B. Demonstrate the appropriate technique.
C. Explain why the technique is incorrect.
D. Applaud the good technique.
Correct Answer: B
Rationale: The charge nurse should provide a demonstration to reinforce correct practice and
support the new nurse’s learning.
The nurse is preparing a postsurgical care plan for an infant girl located on a general hospital
unit that only occasionally admits children. To ensure the infant's safety, what should the nurse
include in the plan?
A. Place the infant in a room with an ambulatory adolescent.
B. Place the infant in a room close to the nurses' station.
C. Ask the family to stay with the infant at all times.
D. Put the infant in a carrier and bring her to the nurses' station.
Correct Answer: B
Rationale: An infant should be placed near the nurses’ station for close monitoring and quick
response.
The nurse is performing a physical exam on a 3-year-old boy. What method would the nurse use
to perform the exam?
A. Examine the child's chest and then go to the head and down.
B. Examine the child's head and work down to the child's toes.
C. Examine the child's extremities first and then the chest.
D. Examine different sections of the body at various times.
Correct Answer: B
Rationale: The standard sequence for a physical exam is head-to-toe to maintain order and
consistency.
,The nurse is doing an assessment of a 10-year-old girl. She whispers the girl's name from behind
the girl. Which cranial nerve is being assessed?
A. III
B. VIII
C. IV
D. V
Correct Answer: B
Rationale: Cranial nerve VIII (acoustic nerve) controls hearing and balance.
The charge nurse is planning staffing on a pediatric unit. Which client will the charge nurse
assign to the registered nurse?
A. The 1-year-old client with a respiratory disorder prescribed oxygen therapy
B. The 6-year-old client admitted yesterday for oral rehydration following a mild gastrointestinal
disorder
C. The 12-year-old client with a urinary tract infection taking oral antibiotics
D. The 8-year-old client recovering from an appendectomy who is ambulating
Correct Answer: A
Rationale: A child on oxygen therapy has a higher acuity and requires RN-level assessment and
interventions.
A nurse is caring for an 18-month-old girl undergoing traction therapy in a rehabilitation unit.
The nurse understands the girl is in the second phase of separation anxiety when she observes
what behavior?
A. The girl ignores her.
B. The toddler is quiet, looks sad, and is disinterested in playing.
C. The toddler cries inconsolably.
D. The girl acts extremely agitated.
Correct Answer: B
Rationale: The despair phase of separation anxiety is marked by withdrawal, sadness, and
apathy. Protest is shown by crying or anger; detachment comes later.
, The nurse is weighing a 20-month-old child at a well-child visit. Which action is most
appropriate?
A. Weigh the parent, then weigh the parent holding the child.
B. Lay the parent on the scale with the child flat against them.
C. Ask the parent to hold the child's hands while the child sits on the scale.
D. Have the child sit on the scale while keeping a hand close but not touching.
Correct Answer: D
Rationale: Toddlers can usually sit independently; the nurse should remain close to ensure
safety without interfering with the measurement.
The nurse is assisting with the physical examination of a sleeping 10-month-old infant being
held on the parent’s shoulder. In what sequence should the nurse complete the assessment?
A. Eyes, ears, nose, mouth → back and extremities → head and neck
B. Head and neck → eyes, ears, nose, mouth → back and extremities
C. Back and extremities → head and neck → ears, nose, mouth, and eyes
D. Back and extremities → eyes, ears, nose, mouth → head and neck
Correct Answer: C
Rationale: Least invasive to most invasive is best for infants; start with back and extremities,
then head/neck, then sensory organs.
The nurse is caring for a 13-year-old hospitalized with diabetes who reports she is "just tired of
being sick." What action will help most?
A. Encourage the child to participate in planning her daily care.
B. Provide books and magazines of interest.
C. Encourage phone calls with friends.
D. Ask a parent to stay with her at all times.
Correct Answer: A
Rationale: Involving adolescents in their own care fosters independence, control, and improved
coping with chronic illness.
Parents bring a 19-month-old toddler for a checkup. When palpating the fontanels, what should
the nurse expect?
QUESTIONS ACCURATE AND VERIFIED
ACTUAL EXAM QUESTIONS WITH DETAILED
ANSWERS FOR GUARANTEED PASS |
ALREADY GRADED A
A preschool teacher calls the hospital and wants to introduce the concept of a hospital to her
preschool class. What resources could the child life specialist provide for this group to aid in
their learning? (Select all that apply)
A. Provide a room for the class with hospital gowns, masks and equipment used on children.
B. Tell the children that hospitals are places for sick people to come and sometimes they don't
leave.
C. Offer to let them see and play with the injection equipment such as syringes and needles.
D. Let the children lie in the beds, use the call lights and practice being a patient.
E. Tour the hospital, including the playrooms on the pediatric floors.
Correct Answers: A, D, E
Rationale: Child life specialists use role play and tours with safe equipment to prepare children
for hospital experiences. Statements about death or dangerous items like needles are
inappropriate.
Which approach by the nurse best demonstrates the correct way to prepare a Hispanic child for
a planned hospital admission?
A. Tell the child that the procedure will not hurt because we have "magic medicine."
B. Discourage questions so as to not frighten the child.
C. Allow the child to put on surgical attire and "operate" on a doll to teach what will be
happening.
D. Since the family is Hispanic, all preparation needs to be in Spanish.
Correct Answer: C
Rationale: Using play with dolls allows children to understand procedures in a non-threatening
way. Honesty and active participation help decrease anxiety.
,The charge nurse observes a new graduate nurse assess the cremasteric reflex in an 8-month-
old boy. The new graduate nurse strokes the lateral aspect of the thigh. Which action should the
charge nurse take?
A. Counsel the new graduate.
B. Demonstrate the appropriate technique.
C. Explain why the technique is incorrect.
D. Applaud the good technique.
Correct Answer: B
Rationale: The charge nurse should provide a demonstration to reinforce correct practice and
support the new nurse’s learning.
The nurse is preparing a postsurgical care plan for an infant girl located on a general hospital
unit that only occasionally admits children. To ensure the infant's safety, what should the nurse
include in the plan?
A. Place the infant in a room with an ambulatory adolescent.
B. Place the infant in a room close to the nurses' station.
C. Ask the family to stay with the infant at all times.
D. Put the infant in a carrier and bring her to the nurses' station.
Correct Answer: B
Rationale: An infant should be placed near the nurses’ station for close monitoring and quick
response.
The nurse is performing a physical exam on a 3-year-old boy. What method would the nurse use
to perform the exam?
A. Examine the child's chest and then go to the head and down.
B. Examine the child's head and work down to the child's toes.
C. Examine the child's extremities first and then the chest.
D. Examine different sections of the body at various times.
Correct Answer: B
Rationale: The standard sequence for a physical exam is head-to-toe to maintain order and
consistency.
,The nurse is doing an assessment of a 10-year-old girl. She whispers the girl's name from behind
the girl. Which cranial nerve is being assessed?
A. III
B. VIII
C. IV
D. V
Correct Answer: B
Rationale: Cranial nerve VIII (acoustic nerve) controls hearing and balance.
The charge nurse is planning staffing on a pediatric unit. Which client will the charge nurse
assign to the registered nurse?
A. The 1-year-old client with a respiratory disorder prescribed oxygen therapy
B. The 6-year-old client admitted yesterday for oral rehydration following a mild gastrointestinal
disorder
C. The 12-year-old client with a urinary tract infection taking oral antibiotics
D. The 8-year-old client recovering from an appendectomy who is ambulating
Correct Answer: A
Rationale: A child on oxygen therapy has a higher acuity and requires RN-level assessment and
interventions.
A nurse is caring for an 18-month-old girl undergoing traction therapy in a rehabilitation unit.
The nurse understands the girl is in the second phase of separation anxiety when she observes
what behavior?
A. The girl ignores her.
B. The toddler is quiet, looks sad, and is disinterested in playing.
C. The toddler cries inconsolably.
D. The girl acts extremely agitated.
Correct Answer: B
Rationale: The despair phase of separation anxiety is marked by withdrawal, sadness, and
apathy. Protest is shown by crying or anger; detachment comes later.
, The nurse is weighing a 20-month-old child at a well-child visit. Which action is most
appropriate?
A. Weigh the parent, then weigh the parent holding the child.
B. Lay the parent on the scale with the child flat against them.
C. Ask the parent to hold the child's hands while the child sits on the scale.
D. Have the child sit on the scale while keeping a hand close but not touching.
Correct Answer: D
Rationale: Toddlers can usually sit independently; the nurse should remain close to ensure
safety without interfering with the measurement.
The nurse is assisting with the physical examination of a sleeping 10-month-old infant being
held on the parent’s shoulder. In what sequence should the nurse complete the assessment?
A. Eyes, ears, nose, mouth → back and extremities → head and neck
B. Head and neck → eyes, ears, nose, mouth → back and extremities
C. Back and extremities → head and neck → ears, nose, mouth, and eyes
D. Back and extremities → eyes, ears, nose, mouth → head and neck
Correct Answer: C
Rationale: Least invasive to most invasive is best for infants; start with back and extremities,
then head/neck, then sensory organs.
The nurse is caring for a 13-year-old hospitalized with diabetes who reports she is "just tired of
being sick." What action will help most?
A. Encourage the child to participate in planning her daily care.
B. Provide books and magazines of interest.
C. Encourage phone calls with friends.
D. Ask a parent to stay with her at all times.
Correct Answer: A
Rationale: Involving adolescents in their own care fosters independence, control, and improved
coping with chronic illness.
Parents bring a 19-month-old toddler for a checkup. When palpating the fontanels, what should
the nurse expect?
