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Summary Peds Exam 1 NCLEX style Questions and Answers latest 2025 RATED A+
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Peds Exam 1 NCLEX style Questions andAnswers latest 2025 RATED A+
To establish a good interview relationship with an adolescent, which strategy is most
appropriate?
1. Asking personal questions unrelated to the situation
2. Writing down everything the teen says
3. Asking open-ended questions
4. Discussing the nurse's own thoughts and feelings about the situation - CORRECT
ANSWERS 3. Asking open-ended questions
RATIONALE: Open-ended questions allow the adolescent to share information and
feelings. Asking personal questions not related to the situation jeopardizes the trust
that must be established because the adolescent may feel as though he's being
interrogated with unnecessary questions. Writing everything down during the
interview can be a distraction and doesn't allow the nurse to observe how the
adolescent behaves. Discussing the nurse's thoughts and feelings may bias the
assessment and is inappropriate when interviewing any client
A chronically ill school-age child is most vulnerable to which stressor?
1. Mutilation anxiety
2. Anticipatory grief
3. Anxiety over school absences
4. Fear of hospital procedures - CORRECT ANSWERS 3. Anxiety over school
absences
RATIONALE: The school-age child is becoming industrious and attempts to master
school-related activities. Therefore, school absences are likely to cause extreme
anxiety for a school-age child who's chronically ill. Mutilation anxiety is more
common in adolescents. Anticipatory grief is rare in a school-age child. Fear of
hospital procedures is most pronounced in preschool-age children.
When developing a care plan for an adolescent, the nurse considers the child's
psychosocial needs. During adolescence, psychosocial development focuses on:
,Peds Exam 1 NCLEX style Questions and
Answers latest 2025 RATED A+
1. becoming industrious.
2. establishing an identity.
3. achieving intimacy.
4. developing initiative. - CORRECT ANSWERS 2. establishing an identity.
RATIONALE: According to Erikson, the primary psychosocial task during adolescence
is to establish a personal identity while overcoming role or identity confusion. The
adolescent attempts to establish a group identity by seeking acceptance and
approval from peers, and strives to attain a personal identity by becoming more
independent from his family. Becoming industrious is the developmental task of the
school-age child; achieving intimacy is the task of the young adult; and developing
initiative is the task of the preschooler.
A nurse notes that an infant develops arm movement before fine-motor finger skills
and interprets this as an example of which pattern of development?
1. Cephalocaudal
2. Proximodistal
3. Differentiation
4. Mass-to-specific - CORRECT ANSWERS 2. Proximodistal
RATIONALE: Proximodistal development progresses from the center of the body to
the extremities, such as from the arm to the fingers. Cephalocaudal development
occurs along the body's long axis; for example, the infant develops control over the
head, mouth, and eye movements before the upper body, torso, and legs. Mass-to-
specific development, sometimes called differentiation, occurs as the child masters
simple operations before complex functions and moves from broad, general
patterns of behavior to more refined ones.
A teenage mother brings her 1-year-old child to the pediatrician's office for a well-
baby checkup. She says that her infant can't sit alone or roll over. An appropriate
response by the nurse would be:
, Peds Exam 1 NCLEX style Questions and
Answers latest 2025 RATED A+
1. "This is very abnormal. Your child must be sick."
2. "Let's see about further developmental testing."
3. "Don't worry, this is normal for her age."
4. "Maybe you just haven't seen her do it." - CORRECT ANSWERS . "Let's see
about further developmental testing."
RATIONALE: Stating that further developmental testing is necessary is appropriate
because at age 12 months a child should be sitting up and rolling over. Therefore,
this child may have developmental problems. Saying the infant's behavior is
abnormal or suggesting that the mother hasn't seen her infant do these milestones
isn't therapeutic and can cut off communication with the mother. Telling the mother
that the infant's behavior is normal misleads the mother with false reassurance.
The mother of an 11-month-old infant reports to the nurse that her infant sleeps
much less than other children. The mother asks the nurse whether her infant is
getting sufficient sleep. What should be the nurse's initial response?
1. Reassure the mother that each infant's sleep needs are individual.
2. Ask the mother for more information about the infant's sleep patterns.
3. Instruct the mother to decrease the infant's daytime sleep to increase his
nighttime sleep.
4. Inform the mother that her infant's growth and development are appropriate for
his age, so sleep isn't a concern. - CORRECT ANSWERS 2. Ask the mother
for more information about the infant's sleep patterns.
RATIONALE: The nurse needs more information about the infant's sleep patterns to
rule out potential problems before determining whether the infant is getting enough
sleep. The nurse shouldn't offer advice or reassurance without knowing more about
the infant's specific sleep habits.
A nurse observes a 2½-year-old child playing with another child of the same age in
the playroom on the pediatric unit. What type of play should the nurse expect the
children to engage in?
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