Pediatrics Exam 1-Growth with
Complete Solutions
3. Allowing toddlers to participate in actions of which they are capable is an excellent
way to enhance their autonomy. - ANS-A 3-year-old female is hospitalized for a femur
fracture. As her nurse, what nursing action would help foster the child's sense of
autonomy?
1. Allow the child to choose what time to take her oral antibiotics
2. Allow the child to have a doll for medical play
3. Allow the child to administer her own dose of Keflex (cephalexin) via oral syringe
4. Allow the child to watch age-appropriate videos
2. Teens are most concerned about being like their peers. Having the teen's friends visit
will help him feel he is still part of the school and social environment. - ANS-A 16-year-
old male is hospitalized for cystic fibrosis. He will be an inpatient for 2 weeks while he
receives IV antibiotics. As the nurse caring for this patient, what action can you take that
will most enhance his psychosocial development?
1. Fax the teen's teacher, and have her send in his homework
2. Encourage the teen's friends to visit him in the hospital
3. Encourage the teen's grandparent's to visit frequently
4. Tell the teen he is free to use his phone to call friends
3. Children should double their birth weight by 4 to 6 months of age. - ANS-A 6-month-
old male is at his well-child checkup. The nurse weighs him, and his mother asks if his
weight is normal for his age. The nurse's response is:
1. "At 6 months his weight should be approximately three times his birth weight."
2. "Each child gains weight at his or her own pace."
3. "At 6 months his weight should be approximately twice his birth weight."
4. "At 6 months a child should weigh about 10 lb. more than his or her birth weight."
3. A 4-year-old child understands things in very concrete and simple terms. Therefore,
medical play is an excellent method for helping her understand the procedure. - ANS-
The nurse caring for a 4-year-old female in the ER is about to start a peripheral IV. The
nurse's best method for explaining the procedure to the child is to:
1. Show the child a pamphlet with pictures showing the IV placement procedure
2. Have the 5-year-old patient next door tell the 4-year-old about her experience with
her IV placement
3. Show the child the IV placement equipment, and demonstrate the procedure on a doll
4. Tell the child that if she remains still, the procedure will be over quickly
, 2. Frequently adolescents will share more information when it is gathered during a
casual conversation. - ANS-A 17-year-old male is being seen in the E.R. In order to
obtain the adolescent's health information, his nurse should:
1. Interview the adolescent using direct questions
2. Gather information during a casual conversation
3. Interview the adolescent only in the presence of his parents
4. Gather information only from the parents
3. Often children will include much more detail of their feelings in drawings. They will
often express things in pictures they are unable to verbalize. - ANS-A 7-year-old female
is being admitted to the hospital for a diagnosis of acute lymphocytic leukemia. The
nurse wants to gather information from the child regarding her feelings about her
diagnosis. Which nursing action is most appropriate to gain information about how the
child is feeling?
1. The nurse should actively attempt to make friends with the child before asking her
about her feelings
2. The nurse should ask the child's parents what feelings she has expressed in regard
to her diagnosis
3. The nurse should provide the child with some paper to draw a picture of how she is
feeling
4. The nurse should ask the child direct questions about how she is feeling
3. Having the parents hold their child while in the hospital is an excellent means of
building the trust relationship. Infants are most secure when they are being held, patted,
and spoken to. - ANS-How can the nurse best facilitate the trust relationship between
infant and parent while the infant is hospitalized?
1. The nurse should encourage the parents to remain at their child's bedside as much
as possible
2. The nurse should keep the parents informed about all aspects of their child's
condition
3. The nurse should encourage the parents to hold their child as much as possible
4. The nurse should encourage the parents to participate actively in their child's care
3. Most school-age children do not have imaginary friends. This is much more common
for children of 3 to 4 years of age. - ANS-The nurse is caring for a 7-year-old female on
the school-age unit. Her mother is concerned that she may have some developmental
delays. Which of the following statements would indicate to the nurse that the child is
not developmentally on track for her age:
1. The child is able to follow a four-to-five-step command
2. The child started wetting the bed on this admission to the hospital
3. The child has an imaginary friend named Kelly
4. The child enjoys playing board games with her sister
2. A nurse should not deliver more than 1 mL per IM injection to a child of 6 months. -
ANS-The nurse is caring for a 6-month-old in the ER. The physician orders the nurse to
Complete Solutions
3. Allowing toddlers to participate in actions of which they are capable is an excellent
way to enhance their autonomy. - ANS-A 3-year-old female is hospitalized for a femur
fracture. As her nurse, what nursing action would help foster the child's sense of
autonomy?
1. Allow the child to choose what time to take her oral antibiotics
2. Allow the child to have a doll for medical play
3. Allow the child to administer her own dose of Keflex (cephalexin) via oral syringe
4. Allow the child to watch age-appropriate videos
2. Teens are most concerned about being like their peers. Having the teen's friends visit
will help him feel he is still part of the school and social environment. - ANS-A 16-year-
old male is hospitalized for cystic fibrosis. He will be an inpatient for 2 weeks while he
receives IV antibiotics. As the nurse caring for this patient, what action can you take that
will most enhance his psychosocial development?
1. Fax the teen's teacher, and have her send in his homework
2. Encourage the teen's friends to visit him in the hospital
3. Encourage the teen's grandparent's to visit frequently
4. Tell the teen he is free to use his phone to call friends
3. Children should double their birth weight by 4 to 6 months of age. - ANS-A 6-month-
old male is at his well-child checkup. The nurse weighs him, and his mother asks if his
weight is normal for his age. The nurse's response is:
1. "At 6 months his weight should be approximately three times his birth weight."
2. "Each child gains weight at his or her own pace."
3. "At 6 months his weight should be approximately twice his birth weight."
4. "At 6 months a child should weigh about 10 lb. more than his or her birth weight."
3. A 4-year-old child understands things in very concrete and simple terms. Therefore,
medical play is an excellent method for helping her understand the procedure. - ANS-
The nurse caring for a 4-year-old female in the ER is about to start a peripheral IV. The
nurse's best method for explaining the procedure to the child is to:
1. Show the child a pamphlet with pictures showing the IV placement procedure
2. Have the 5-year-old patient next door tell the 4-year-old about her experience with
her IV placement
3. Show the child the IV placement equipment, and demonstrate the procedure on a doll
4. Tell the child that if she remains still, the procedure will be over quickly
, 2. Frequently adolescents will share more information when it is gathered during a
casual conversation. - ANS-A 17-year-old male is being seen in the E.R. In order to
obtain the adolescent's health information, his nurse should:
1. Interview the adolescent using direct questions
2. Gather information during a casual conversation
3. Interview the adolescent only in the presence of his parents
4. Gather information only from the parents
3. Often children will include much more detail of their feelings in drawings. They will
often express things in pictures they are unable to verbalize. - ANS-A 7-year-old female
is being admitted to the hospital for a diagnosis of acute lymphocytic leukemia. The
nurse wants to gather information from the child regarding her feelings about her
diagnosis. Which nursing action is most appropriate to gain information about how the
child is feeling?
1. The nurse should actively attempt to make friends with the child before asking her
about her feelings
2. The nurse should ask the child's parents what feelings she has expressed in regard
to her diagnosis
3. The nurse should provide the child with some paper to draw a picture of how she is
feeling
4. The nurse should ask the child direct questions about how she is feeling
3. Having the parents hold their child while in the hospital is an excellent means of
building the trust relationship. Infants are most secure when they are being held, patted,
and spoken to. - ANS-How can the nurse best facilitate the trust relationship between
infant and parent while the infant is hospitalized?
1. The nurse should encourage the parents to remain at their child's bedside as much
as possible
2. The nurse should keep the parents informed about all aspects of their child's
condition
3. The nurse should encourage the parents to hold their child as much as possible
4. The nurse should encourage the parents to participate actively in their child's care
3. Most school-age children do not have imaginary friends. This is much more common
for children of 3 to 4 years of age. - ANS-The nurse is caring for a 7-year-old female on
the school-age unit. Her mother is concerned that she may have some developmental
delays. Which of the following statements would indicate to the nurse that the child is
not developmentally on track for her age:
1. The child is able to follow a four-to-five-step command
2. The child started wetting the bed on this admission to the hospital
3. The child has an imaginary friend named Kelly
4. The child enjoys playing board games with her sister
2. A nurse should not deliver more than 1 mL per IM injection to a child of 6 months. -
ANS-The nurse is caring for a 6-month-old in the ER. The physician orders the nurse to
