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PEDS Exam 1 Practice Questions and Answers

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PEDS Exam 1 Practice Questions and Answers While in the pediatrician's office for their child's 12-month well-child exam, the parents ask the nurse for advice on age-appropriate toys for their child. Based on the child's developmental level, which types of toys would the nurse suggest? Select a...

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  • August 3, 2024
  • 25
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • peds
  • peds exam 1 practice questions and answers

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PEDS Exam 1 Practice Questions
and Answers

While in the pediatrician's office for their child's 12-month well-child exam, the parents
ask the nurse for advice on age-appropriate toys for their child. Based on the child's
developmental level, which types of toys would the nurse suggest? Select all that apply.

1. Soft toys that can be manipulated
2. Small toys that can pop apart and go back together 3. Jack-in-the-box toys
4. Toys with black and white patterns
5. Push-and-pull toys - Answer-1, 3, 5

Both gross and fine motor skills are becoming more developed, and children at this age
enjoy toys that can help them refine these skills. They tend to enjoy more colorful toys
at this age and are more mobile and thus have less interest in placing toys in their
mouths and more interest in toys that can be manipulated.

While assessing the development of a 9-month-old infant, the nurse asks the mother if
the child actively looks for toys when they are placed out of sight. Which developmental
task is the nurse assessing this infant for?

1. Object permanence
2. Centration
3. Transductive reasoning
4. Conservation - Answer-1. Object permanence

The nurse is counseling the parents of a 6-1/2-month-old infant. Which age-appropriate
toy is most appropriate for the nurse to suggest to these parents?

1. Soft, fluid-filled ring that can be chilled in the refrigerator
2. Colorful rattle
3. Jack-in-the-box toy
4. Push-and-pull toy - Answer-1. Soft, fluid-filled ring that can be chilled in the
refrigerator

*teething

rattle = 3-6 months
jack in the box, push/pull toy = 9-12 months

Which statement by the nurse is most appropriate prior to giving an intramuscular
injection to a 2-1/2-year-old child?

,1. "We will give you your shot when your mommy comes back."
2. "This is medicine that will make you better. First we will hold your leg, then I will wipe
it off with this magic cloth that kills the germs on your leg right here, then I will hold the
needle like this and say 'one, two, three . . . go' and give you your shot. Are you ready?"
3. "It is all right to cry, I know that this hurts. After we are done you can go to the box
and pick out your favorite sticker."
4. "This is a magic sword that will give you your medicine and make you all better." -
Answer-3. "It is all right to cry, I know that this hurts. After we are done you can go to
the box and pick out your favorite sticker."

toddlers- independence. Don't have time/ magical thinking yet.

*want to acknowledge feelings and give them something to look forward to :)

The nurse educator is presenting a lecture about risks to developmental progression.
Which items will the educator include in the lecture?Select all that apply.

1. Family support
2. Access to the Internet
3. Recent loss of employment
4. Terminal illness of a family member
5. Hazards within the home environment - Answer-3, 4, 5

The nurse is assessing a toddler's development of communication skills. The nurse
recognizes that a toddler communicates in what ways?Select all that apply.

1. Expressive jargon
2. Interpersonal skills and contact with other children
3. Uses all parts of speech
4. Temper tantrums
5. Enjoys talking - Answer-1, 2, 4, 5

The nurse is teaching a new mother developmental expectations. Which activity should
the nurse expect a newborn to do within the first month of life?

1. Bring hands to eyes and mouth
2. Push up with hands, moving chest up
3. Keep hands in a relaxed position
4. Roll over from back to abdomen - Answer-1. Bring hands to eyes and mouth


Which is true about acetaminophen poisoning?

a. nausea begins 24 hr after ingestion
b. pallor can appear as early as 2 hr after ingestion
c. jaundice will appear in 12 hr if the child is toxic

, d. children can have 4 g/day of acetaminophen - Answer-b. pallor can appear as early
as 2 hr after ingestion

*nausea, vomiting, sweating, and pallor 2-4 hr after ingestion

Vital signs of 3 yo. Which should nurse report to provider?

a. temp 37.2 C
b. heart rate 106
c. respirations 30
d. BP 88/54 - Answer-c. respirations 30

*above expected reference range

Nurse assessing child's ears. Which of following should nurse expect?

a. light reflex located a 2 o'clock
b. tympanic membrane red in color
c. bony landmarks are not visible
d. cerumen present bilaterally - Answer-d. cerumen present bilaterally

*light reflex should be from 5-7 o'clock
*tympanic membrane should be pearly pink or gray
*bony landmarks should be visible

Nurse assessing 6 month old infant. Which of following reflexes should be observed?

a. Moro
b. Plantar grasp
c. Stepping
d. Tonic neck - Answer-b. Plantar grasp- *until 8 months

Moro- 4 months
Stepping- 4 weeks
Tonic neck- 3-4 months

Nurse assessing 12 month infant. Which finding should be reported to provider?

a. closed anterior fontanel
b. eruption of 6 teeth
c. birth weight doubled
d. birth length increased by 50% - Answer-c. birth weight doubled
*should be TRIPLED by 1 year

(all others in normal range)

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