ACTUAL EXAM PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
● Preschooler skills. Answer: rides trike (3), throws ball, scissors to cut
shapes (4), jump rope/stick figure with 7 body parts (5 yo), right from
left hand (6yo), dress up, associative play
● Preschool beliefs. Answer: magical thinking, animism (inanimate
objects are alive), time in relation to event ("after you eat lunch")
● preschooler shots/food/activity. Answer: shot: DTAP, IPV, MMR, Flu
nutrition: 5 servings of fruits and veggies
activity: less than 2 hrs of screen time, >1hr PE
sleep: 12 hours w consistent bedtime routine
● 6-12 yo activity/sleep/shots. Answer: interact with peer group,
cooperative play, sports
sleep: 9 hrs
shots: TDAP, HPV, meningicoccal, flu
,● children injury preventuon. Answer: helmets, locks on firearms, water
heaters < 120 degrees, bike safety
● adolescents growth, sexual maturation, activity. Answer: stop growing
after menarche, boys at 18 yo
sexual maturation: breasts, pubic hair, ax. hair, menstruation
boys: testicular growth, pubic hair, penile enlargement, ax. hair, facial
hair, voice changes
activity: video games, music, sports, reading
● adolescent shots, injury. Answer: MCV4 booster, flu
auto safety, monitor for mental health, risk for substance abuse
● med admin. Answer: use smallest measuring device available
do not measure with teaspoon
● optic/otic meds. Answer: drops: pull eyelid down and put med in
conjunctival sac
ointment: apply from inner to outer.
drops, then ointment
otic: under three, pinna down and back
over 3, pinna up and back
,● meds: SQ, intraderm , IM. Answer: ID: 26-30 gauge, bevel up, 15
degree angle
SQ: into fat, 90 degree angle
IM: vastus lateralis for infants and small kids
● IV meds. Answer: EMLA 60 min before procedure
play therapy
swaddle infant before and offer sucrose before, during and after
● Pain assessment. Answer: CRIES: under 6 months
FLACC: 2 months- 7yrs
FACES: 3+
Oucher: 3-13 (pics)
numeric: 5+
● hospitalization response. Answer: infant: be consistent
toddler: seperation anxiety, regression
preschool: magical thinking
school age: be factual
teen: body image issues and isolation from peers
● death and dying. Answer: preschool: sees death as temporary
, school age: fear of unknown
teen: adult-like concept of death
● death/dying signs of death. Answer: sensation of heat with cool skin,
decreased movement, Decreased LOC, Cheyne-Stokes
nurse: remove tubes, allow family to stay with body/hold child
complicated grief: extends for >1 yr after loss, affects ADLs
● parenting styles. Answer: -authoritarian: parents control behavior thru
unquestioned rules/expectations
-permissive: parent has little control, child makes decisions
-authoritative: parents set rules, but explains reasoning. Enforce
consequences for breaking rules
-passive: parent uninvolved and indifferent
● Piaget. Answer: Sensorimotor: birth-2 reflexes,object permanence
Preoperational: 2-7yrs symbolic thought
Concrete operations 7-10yrs cause and effect, concrete
term/explanations, understands concepts of human body
Formal operations 11-adult logical relationships, analyze, concern for
moral and social issues-abstract concepts
● Erikson. Answer: Infancy (birth to 18 months) Trust vs. Mistrust