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NSG 3600 Exam 1 Pediatric Nursing Galen College of Nursing
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NSG 3600 Exam 1 Pediatric Nursing Galen College ofNursing
1. The pediatric nurse assess the toddler's fine motor skills by observing which task?
a. buttoning a shirt
b. writing with a pencil
c. holding a spoon to eat
d. using the pincer grasp: C
2. According to Piaget, an infant uses his or her senses to learn and explore the environment.
Which action is the most appropriate for the nurse to implement to determine object
permanence?
a. playing the game of peek-a-boo
b. encouraging the infant to shake a rattle c. pushing a button on an overhead mobile
d. placing the child in a stroller and going for a walk: A
3. The pediatric nurse is promoting anticipatory guidance about safety to the mother of a 10
month old infant. Which statement is not appropriate for the nurse to include in the
teaching session?
a. "do not leave small objects on the floor because your baby will be crawling soon"
b. "keep the side rails up to prevent your baby from falling out of the crib" c. "put safety
locks on all cabinets to prevent accidents"
d. "allow your baby to stay alone for short periods of time to promote independence": D
4. The mother of a 26 month old toddler tells the pediatric nurse that she is having trouble
disciplining her daughter. The mother states, "she really knows how to put me to my limit. I
don't know what to do with her!" Which response by the nurse is the most therapeutic?
a. "the terrible twos are a difficult time. You have to show her that you are boss!"
b. "when she does something wrong, tell her she is a bad girl and has to be punished for her
actions"
,c. "A 2-minute time-out combines with praise for good behavior is very effective for this
age groups"
d. "take away her favorite doll and tell her that she cannot have it back until she changes
her behavior": C
5. The parents of a toddler asks the nurse how to best prepare the toddler for a planned
medical procedure. What should the nurse recognize when answering the toddler's
parents?
a. the toddler is too young to understand what will happen and does not need an explanation
b. the use of short explanations can best help the toddler understand the planned procedure
c. allowing the toddler to explore the procedure room may be helpful
d. it is beneficial for the nurse to demonstrate the upcoming procedure to the toddler: B
6. The father of a 4y/o is concerned about his son's reaction to an injury of his friend. He told
the nurse that the child stayed in his room over the weekend and cried himself to sleep.
When the pediatric nurse questioned the child, he described an argument that he and his
friend had about a week proper
to his friends injury. Based on the assessment, what is this preschool child exhibiting?
a. magical thinking b. inferiority
c. guilt complex
d. a morality issue: A
7. What is not a key aspect in a teen's environment that helps when making good decisions?
a. ability to think abstractly
b. ability to use deductive reasoning c. ability to make long-term plans
d. ability to use logical thinking: D
8. A nurse is planning an educational class for new families based on Duvall's family
development theory. Based on the theory, how are family stages determined?
a. number of children in the family b. the oldest child in the family
c. the youngest child in the family
,d. years the couple has been married: B
9. A mother is complaining to the nurse that her 3 y/o child often has diffi- culty falling and
staying asleep. The following day, the child is cranky and uncooperative. Which action by the
nurse is the most appropriate?
a. asses the child's usual nighttime routine
b. Assure mom that sleep and behavior are not related c. Encourage active play before
bedtime
d. Have mom put the child to bed only when sleepy: A
10. A nurse is providing anticipatory guidance to the parents of a preschool-aged child
regarding discipline. Which information is most beneficial?
a. Children at this age lie frequently and without reason b. consequences should be natural
and fit the behavior c. explaining the rules is not as important as discipline
d. taking away privileges is a powerful tool for this age group: B
11. A pediatric nurse examines a 7 y/o at a well-child visit. Based on Erikson's theory, which
basic task does the nurse anticipate for this child?
a. balance independence and self-sufficiency against uncertainty and mis- giving
b. develop a sense of confidence through mastery of different tasks
c. develop resourcefulness to achieve and learn new things without self-re- proach
d. recognize there are people in his or her life who can be trusted to take care of needs: B
12. A 10 y/o child who has been hospitalized frequently and for long periods of time has the
nursing diagnosis of delayed growth and development. Which action by the child would
demonstrate that outcomes for this diagnosis have been met?
a. able to play harmoniously with peers b. does own homework independently
c. seeks out parental approval for activities
d. selects age-appropriate games and toys: B
, 13. A home health-care nurse sees several pediatric patients who have the nursing diagnosis
of delayed growth and development. Which action by a child would indicated that outcomes
have been met?
a. a 3 y/o child walks backward b. a 4 y/o plays video games
c. a 5 y/o child can unscrew items
d. a 7 y/o child uses scissors to cut an outline figure: A
14. A nurse is assessing several children during a shift at the well-child clinic. Which child
demonstrates successful resolution fo the Erikson stage of autonomy versus shame and
doubt?
a. a 15 month old playing one the floor with supervision
b. an 18 month old being consistently consoled by her father c. a 20 month old using
building blocks with her grandfather
d. a 24 month old being allowed to independently dress himself: D
15. The nurse is preparing to educate the parents of an 8 y/o child about nor- mal growth and
development. Which info should the nurse include? (Select all that apply)
a. boys and girls play equally w/ each other
b. children frequently have best friends at this age
c. peer approval is not yet important, but will be for teens
d. puberty changes should be discussed before they occur e. typical weight gain is 4-6
lbs/year: B, D, E
16. The nurse is preparing to provide info to the parents of a 14 y/o who is within normal
limits for growth and development. What info is appropriate for the nurse to include? (select
all that apply)
a. children of this age can anticipate long-term consequences of choices b. growth, although
slowed, can still be significant
c. the child of this age may be able to give informed consent in some situations
d. the child of this age is not normally worries about sexual identity
e. peer group influence is often stronger than family influence: A, B, C, E
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