Answers (Correct & Verified 2025) – Complete Study
Guide for Pediatric Nursing Exams
Introduction:
This document provides a complete set of verified exam questions
and answers for NURS 307 Pediatric Nursing (2025). It covers key
pediatric nursing topics including growth and development,
communication techniques, health assessment, nutrition, and disease
management. Each question includes the correct answer and
explanation, making it ideal for exam preparation and review. The
content aligns with current NCLEX-style testing standards and
focuses on clinical application and nursing process integration.
Exam Questions and Answers
13. Where in the health history does a record of immunizations
belong?
a. History
b. Present illness
c. Review of systems
d. Physical assessment --- correct answer --- A
The history contains information relating to all previous aspects of
the child's health status. The immunizations are appropriately
included in the history. The present illness, review of systems, and
physical assessment are not appropriate places to record the
immunization status.
,DIF: Cognitive Level: Comprehension REF: p. 127
TOP: Integrated Process: Communication and Documentation
MSC: Client Needs: Health Promotion and Maintenance
14. The nurse is taking a sexual history on an adolescent girl. Which
of the following is the best way to determine whether she is
sexually active?
a. Ask her, "Are you sexually active?"
b. Ask her, "Are you having sex with anyone?"
c. Ask her, "Are you having sex with a boyfriend?"
d. Ask both the girl and her parent if she is sexually active. ---
correct answer --- B
Asking the adolescent girl if she is having sex with anyone is a
direct question that is well understood. The phrase sexually active
is broadly defined and may not provide specific information for the
nurse to provide necessary care. The word anyone is preferred to
using gender-specific terms such as boyfriend or girlfriend. Using
gender-neutral terms is inclusive and conveys acceptance to the
adolescent. Questioning about sexual activity should occur when
the adolescent is alone.
DIF: Cognitive Level: Application REF: p. 130
,TOP: Nursing Process: Assessment MSC: Client Needs: Health
Promotion and Maintenance
15. When doing a nutritional assessment on a Hispanic family, the
nurse learns that their diet consists mainly of vegetables, legumes,
and starches. The nurse should recognize that this diet:
a. is lacking in protein.
b. indicates they live in poverty.
c. may provide sufficient amino acids.
d. should be enriched with meat and milk. --- correct answer --- C
A diet that contains vegetable, legumes, and starches may provide
sufficient essential amino acids, even though the actual amount of
meat or dairy protein is low. Combinations of foods contain the
essential amino acids necessary for growth. Many cultures use diets
that contain this combination of foods. It is not indicative of
poverty. A dietary assessment should be done, but many vegetarian
diets are sufficient for growth.
DIF: Cognitive Level: Application REF: p. 135
TOP: Nursing Process: Assessment MSC: Client Needs: Health
Promotion and Maintenance
16. Which of the following parameters correlates best with
measurements of total muscle mass?
, a. Height
b. Weight
c. Skinfold thickness
d. Upper arm circumference --- correct answer --- D
Upper arm circumference is correlated with measurements of total
muscle mass. Muscle serves as the body's major protein reserve and
is considered an index of the body's protein stores. Height is
reflective of past nutritional status. Weight is indicative of current
nutritional status. Skinfold thickness is a measurement of the
body's fat content.
DIF: Cognitive Level: Comprehension REF: p. 138
TOP: Nursing Process: Assessment MSC: Client Needs: Health
Promotion and Maintenance
17. The nurse is preparing to perform a physical assessment on a
girl age 10 years. The nurse gives her the option of her mother
staying in the room or leaving. This action should be considered
which of the following?
a. Appropriate, because of child's age
b. Appropriate, because mother would be uncomfortable making
decision for child
c. Inappropriate, because of child's age