Nursing Quiz On Pediatrics Trivia!
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Kids can be a little challenging to handle when sick as compared to adults, and this is why an adult nurse cannot wake up one day and take over the duties of a pediatrician. Are you working on getting licensed as a pediatrician and have one exam between you and the certificate? This quiz is from the Nursing Care of Children. Take it up and get to refresh your memory.
- 1.What is the one group that should be constant in a child's life?
- A.
Healthcare Professionals
- B.
Family
- C.
Peers
- D.
A and B
- E.
B and C
- 2.True or False:A nurse must be aware that the child is a primary concern, the child's family is the priority concern in terms of care.
- A.
True
- B.
False
- 3.Positive family relationships are characterized by parent-child...
- A.
Obedience and discipline
- B.
Obedience and respect
- C.
Obedience and warmth
- D.
Warmth and discipline
- E.
Warmth and respect
- 4.Who is the expert regarding the child's health condition, the child's usual behaviour in different situations, and the child's routine needs?
- A.
The nurse
- B.
The family
- C.
The primary care provider
- D.
None of the above
- E.
All of the above
- 5.
- A.
Recognition and respect should be given to different methods of the child's coping
- B.
The nurse should perform a comprehensive family assessment to identify strengths and weaknesses
- C.
The nurse should pay close attention when a family states that the child "isn't acting right"
- D.
The child's opinions should be considered when providing care
- E.
None of the above
- 6.Which of the following is composed of two parents and their children (e.g. biologic or adoptive)?
- A.
Same-sex family
- B.
Foster family
- C.
Nuclear family
- D.
Blended family
- E.
None of the above
- 7.Which of the following is composed of one parent and one or more children?
- A.
Nuclear family
- B.
Extended family
- C.
Blended family
- D.
Foster family
- E.
None of the above
- 8.Which of the following is composed of a common-law tie between two members of the same sex who may or may not have children?
- A.
Same-sex family
- B.
Nuclear family
- C.
Extended family
- D.
Foster family
- E.
None of the above
- 9.Which of the following is composed of at least one stepparent, stepsibling, or half-sibling?
- A.
Nuclear family
- B.
Extended family
- C.
Blended family
- D.
Foster family
- E.
None of the above
- 10.Which of the following is composed of at least one parent, one or more children, and other individuals either related or not related?
- A.
Foster family
- B.
Extended family
- C.
Single-parent family
- D.
Blended family
- E.
None of the above
- 11.Which of the following is composed of a child or children that have been placed in an approved living environment away from the family of origin - usually with one or two parents?
- A.
Extended family
- B.
Blended family
- C.
Same-sex family
- D.
Single-parent family
- E.
None of the above
- 12.Which of the following is not included in positive parental influences?
- A.
Structure maintained in the household
- B.
Communication that validates the child's feelings
- C.
Monitoring of children for safety with special consideration for their developmental needs
- D.
Parents' engagement in activities with their children
- E.
None of the above
- 13.Which of the following parenting styles involves Parents try to control their children's behaviours and attitudes through unquestioned rules and expectations?
- A.
Dictatorial or authoritative
- B.
Dictatorial or authoritarian
- C.
Permissive or authoritarian
- D.
Democratic or authoritative
- E.
Permissive or democratic
- 14.Which of the following parenting styles involves parents who exert little or no control over their children's behaviours?
- A.
Dictatorial or authoritative
- B.
Dictatorial or authoritarian
- C.
Permissive or authoritarian
- D.
Permissive or laissez-faire
- E.
Democratic or authoritative
- 15.Which of the following parenting styles involves parents that direct children's behaviours by setting rules and explaining the reason for each rule setting and also reinforce deviations from the rules?
- A.
Dictatorial or authoritative
- B.
Dictatorial or authoritarian
- C.
Democratic or authoritative
- D.
Permissive or laissez-faire
- E.
Permissive or democratic
- 16.Which of the following is not one of the guidelines for promoting healthy behaviour in children?
- A.
Validating the child's feelings
- B.
Setting realistic limits and expectations based on developmental tasks
- C.
Providing reinforcement for appropriate behaviour
- D.
Focusing on the child's behaviour when disciplining the child
- E.
None of the above
- 17.Family assessment does not include which of the following?
- A.
Genogram
- B.
Developmental tasks
- C.
Family stressors
- D.
Structure
- E.
None of the above
- 18.A collection of learned, adaptive, and transmitted social values and beliefs that form the context from which a group interprets the human experience is
- A.
Ethnicity
- B.
Race
- C.
Culture
- D.
All of the above
- E.
None of the above
- 19.True or False: When a cultural value/behaviour is a direct hindrance to the child's health/wellness, the nurse should attempt to repattern that belief to one that is compatible with health promotion
- A.
True
- B.
False
- 20.
- A.
Direct questions at the interpreter
- B.
Interject during patient-interpreter communication, as needed
- C.
If necessary, comment about the family to the interpreter
- D.
Ask several questions at a time to ensure time efficiency
- E.
None of the above
- 21.The expected range for infant temperature (axillary or rectal) is
- A.
38-39C
- B.
37.5-38.5C
- C.
36.5-37.5C
- D.
35-36C
- E.
36-38C
- 22.Your infantile patient has a temperature of 97.9, this is
- A.
Within normal limits
- B.
Abnormal, low
- C.
Abnormal, high
- 23.Which of the following is a normal pulse for an infant?
- A.
115
- B.
145
- C.
165
- D.
All of the above
- E.
None of the above
- 24.What is the normal pulse range for infantile patients?
- A.
60-100/min
- B.
100-150/min
- C.
120-160/min
- D.
140-180/min
- E.
170-200/min
- 25.Your infantile patient is breathing 20 breaths per minute, this is
- A.
Within normal limits
- B.
Abnormal, low
- C.
Abnormal, high
- 26.The normal infantile range for respirations is
- A.
23-50 breaths/minute
- B.
31-55 breaths/minute
- C.
43-63 breaths/minute
- D.
25-65 breaths/minute
- E.
None of the above
- 27.True or False:Normal infant blood pressure runs higher than normal adult blood pressure
- A.
True
- B.
False
- 28.True or False:Normal childhood temperature (oral) range is 37 to 38C
- A.
True
- B.
False
- 29.Normal childhood range for temperature (oral) encompasses
- A.
36C
- B.
100F
- C.
38C
- D.
97F
- E.
All of the above
- 30.The normal respiratory rate range for children is
- A.
10-20/minute
- B.
15-25/minute
- C.
20-30/minute
- D.
25-35/minute
- E.
None of the above
- 31.Normal childhood pulse range is
- A.
120-160/minute
- B.
100-130/minute
- C.
75-100/minute
- D.
60-110/minute
- E.
None of the above
- 32.Your pediatric patient has a pulse of 115 bpm, this is
- A.
Within normal limits
- B.
Abnormal, low
- C.
Abnormal, high
- 33.True or False:As a child's age increases, their blood pressure decreases
- A.
True
- B.
False
- 34.Your pediatric patient's mother states the following, "Normal BP is any reading that is more than the 90th percentile adjusted for height and weight." This statement...
- A.
Is true and does not require further teaching
- B.
Warrants further patient/family education
- 35.Your adolescent patient has an oral temperature of 100.2F, this is
- A.
Within normal limits
- B.
Abnormal, low
- C.
Abnormal, high
- 36.The normal range for an adolescent's pulse is
- A.
50-100 bpm
- B.
60-100 bpm
- C.
60-90bpm
- D.
70-100 bpm
- E.
70-110 bpm
- 37.True or False:The normal range for adolescent respirations is 15-20 breaths per minute
- A.
True
- B.
False
- 38.The newly graduated nurse states, "Limp posture is expected in infants with extension of the extremities;" this statement is
- A.
True
- B.
False
- 39.True or False:Lesions are normal findings in children from 2 to 5 years of age
- A.
True
- B.
False
- 40.The infant displays assymetrical skin folds, this is
- A.
Normal
- B.
Abnormal
- 41.The posterior fontanel usually closes by
- A.
1 month
- B.
2-3 months
- C.
5-6 months
- D.
18-24 months
- E.
None of the above
- 42.A concerned mother asks the nurse when to expect the closing of the anterior fontanel. The nurses best response is
- A.
At 2 months of age
- B.
At 6 months of age
- C.
At 12 months of age
- D.
At 18 months of age
- E.
At 24 months of age
- 43.The doctor orders a visual acuity test in a 1 year old child, the nurse should
- A.
Hold an object in front of the infant's eyes and check to see if she is able to fix on the object and follow it
- B.
Use a symbol chart to assess the visual acuity in this child
- C.
Use a snellen chart to assess the visual acuity in this child
- D.
All of the above
- E.
None of the above
- 44.What tool is used to assess color vision?
- A.
Ishihara test
- B.
Snellen chart
- C.
Symbol test
- D.
All of the above
- E.
None of the above
- 45.True or False: Extraocular movements must be symmetrical in children of all ages
- A.
True
- B.
False
- 46.True or False: Infants should turn away from sound
- A.
True
- B.
False
- 47.The infant's tongue has a white coating that can be easily removed, this is
- A.
Normal
- B.
Abnormal
- 48.How many deciduous teeth and how many permanent teeth is expected?
- A.
20 deciduous teeth and 32 permanent teeth
- B.
20 permanent teeth and 32 deciduous teeth
- C.
10 permanent teeth and 22 deciduous teeth
- D.
10 deciduous teeth and 22 permanent teeth
- E.
None of the above
- 49.A concerned mother expresses that her infant's chest moves in irregular rhythms, the nurse
- A.
Refers the family to a neonatologist
- B.
Assures her that this can be normal in infants
- C.
Prepares the infant for intubation
- D.
Prepares the infant for hospitalization
- E.
None of the above
- 50.Abdominal movements are seen during respirations more in which age group
- A.
Children younger than 3 years
- B.
Children younger than 6 years
- C.
Children younger than 9 years
- D.
Children older than 6 years
- E.
Children older than 9 years
- 51.True or False: It is more difficult to hear breath sounds in infants than adults
- A.
True
- B.
False
- 52.True or False:Sinus arrhythmias that are associated with respirations are common.
- A.
True
- B.
False
- 53.Which pulse is not palpable, full, and localized in infants
- A.
Pedal
- B.
Brachial
- C.
Temporal
- D.
Femoral
- E.
None of the above
- 54.
- A.
Will grasp objects when palm is touched
- B.
Occurs from birth to 8 months
- C.
Is difficult to test
- D.
All of the above
- E.
None of the above
- 55.Which describes the palmar grasp?
- A.
Legs flex, arms and hands extend when startled by loud noise
- B.
Toes will curl downward when sole of foot is touched
- C.
Turn head to side when cheek of mouth is touched
- D.
Is expected from birth to 3 months
- E.
None of the above
- 56.Which of the following does not describe the moro reflex in infants?
- A.
Legs extend, arms and hands flex when startled by loud noises
- B.
Expected age is birth to 8 months
- C.
All of the above
- D.
None of the above
- 57.Asymmetric tonic neck reflex is
- A.
Extension of the arm and leg on the side when the head is turned to that side with flexion of the arm and leg of the opposite side
- B.
Is expected between birth to 3 to 4 months
- C.
All of the above
- D.
None of the above
- 58.Which is true of cranial nerve I?
- A.
Is difficult to test in infants
- B.
Is the olfactory nerve
- C.
Children/adolescents are tested by smelling through each nostril individually
- D.
All of the above
- E.
None of the above
- 59.Which is not true of cranial nerve II
- A.
Is the trochlear nerve
- B.
Expected findings in infants involves tracking with eyes
- C.
Expected findings in adolescents/children involves intact visual acuity, peripheral and color vision
- D.
All of the above
- E.
None of the above
- 60.Which of the following is not true
- A.
CN III is the optic nerve
- B.
CN IV is the trochlear nerve
- C.
CN V is the trigeminal nerve
- D.
CN VI is the abducens nerve
- E.
CN VII is the facial nerve
- 61.Which of the following is true?
- A.
CN VIII is the glossopharyngeal nerve
- B.
CN IX is the spinal accessory nerve
- C.
CN X is the vagus nerve
- D.
CN XI is the hypoglossal nerve
- E.
CN XII is the trigeminal nerve
- 62.What does the Denver Developmental Screening Test evaluate?
- A.
Language
- B.
Cognition
- C.
Fine motor development
- D.
Gross motor development
- E.
All of the above
- 63.True or False:The foreskin of the penis may not be retractable in infants and small children.
- A.
True
- B.
False
- 64.True or False:The right testicle hands slightly lower than the right
- A.
True
- B.
False
- 65.True or False:Testes descend one at a time
- A.
True
- B.
False
- 66.When does the infant's posterior fontanel close?
- A.
1-2 months
- B.
2-3 months
- C.
3-4 months
- D.
4-5 months
- E.
None of the above
- 67.What age is Erikson's trust vs. mistrust?
- A.
Birth-1 year
- B.
1-3 years
- C.
3-5 years
- D.
5-12 years
- E.
12-20 years
- 68.What age is Freud's oral stage?
- A.
Birth-1 year
- B.
1-3 years
- C.
3-5 years
- D.
5-12 years
- E.
12-20 years
- 69.What age is Piaget's sensorimotor stage?
- A.
Birth-1 year
- B.
1-3 years
- C.
3-5 years
- D.
5-12 years
- E.
12-20 years
- 70.The infant's size is tracked by
- A.
Height
- B.
Weight
- C.
Head circumference
- D.
All of the above
- E.
None of the above
- 71.The infant ____ birth weight by the end of the first year
- A.
Doubles
- B.
Triples
- C.
Quadruples
- D.
None of the above
- 72.The infant gains _____ lb per month the first 6 months of life
- A.
1 lb
- B.
1.5 lb
- C.
2 lb
- D.
2.5 lb
- E.
3 lb
- 73.The infant gains _____ lb per month the last 6 months of the first year
- A.
0.5
- B.
0.75
- C.
1
- D.
1.5
- E.
2
- 74.The infant grows ____ inch(es) per month the first 6 months of life
- A.
0.5
- B.
1
- C.
1.5
- D.
2
- E.
2.5
- 75.The infant grows ____ inch(es) per month the last 6 months of the first year
- A.
0.5
- B.
1
- C.
1.5
- D.
2
- E.
2.5
- 76.The circumference of the infant's head increases ____ inch(es) per month for the first 6 months of life
- A.
0.5
- B.
1
- C.
1.5
- D.
2
- E.
2.5
- 77.Which is true regarding gross motor skills?
- A.
The infant holds head up at 5 months
- B.
The infant rolls over at 3 months
- C.
The infant holds heady when sitting at 8 months
- D.
The infant gets to sitting position alone and can pull up to standing position at 9 months
- E.
The infant stands holding on at 10 months
- 78.Which is true regarding gross motor skills?
- A.
The infant stands alone at 10 months
- B.
The infant holds head steady when sitting at 3 months
- C.
The infant rolls over at 1 month
- D.
The infant stands alone at 12 months
- E.
All of the above
- 79.
- A.
First, the infant brings hands together
- B.
Second, the infant grasps a rattle
- C.
Third, the infant looks for items that are dropped from view
- D.
Fourth, the infant holds head up
- E.
None of the above
- 80.Which of the following fine motor skills occurs first?
- A.
Brings hands together
- B.
Grasp rattle
- C.
Looks for items that are dropped from view
- D.
Transfers an object from one hand to the other
- E.
Rakes finger foods with hand
- 81.Which of the following occurs second?
- A.
Uses thumb-finger to grasp items
- B.
Bangs two toys together
- C.
Looks for items that are dropped from view
- D.
Grasps rattle
- E.
Looks for items that are dropped from view
- 82.Which of the following fine motors occurs last?
- A.
Bangs two toys together
- B.
Rakes finger foods with hands
- C.
Brings hands together
- D.
Uses thumb-finger to grasp items
- E.
Can nest one object inside another
- 83.The sensorimotor stage is by which theorist?
- A.
Freud
- B.
Erikson
- C.
Piaget
- D.
None of the above
- 84.Which of the following describes the following statement "Initial reflexes replaced by voluntary movements that are self-centered on having needs met"
- A.
The statement was developed as part of Piaget's theory
- B.
Is part of the sensorimotor stage
- C.
The infant develops object permanence
- D.
The infant comprehends word meanings
- E.
All of the above
- 85.Which of the following is not true about object permanence?
- A.
The infant realizes that an object still exists even when it is no longer in view
- B.
Occurs between 6-12 months
- C.
Is part of the sensorimotor period for an infant
- D.
All of the above
- E.
None of the above
- 86.Which is true regarding language development in infants?
- A.
First, the infant vocalizes with "oohs" and "aahs"
- B.
Development follows the sensorimotor period
- C.
Second, the infant responds to noises
- D.
All of the above
- E.
None of the above
- 87.Which of the following occurs first during an infant's psychosocial development?
- A.
Plays pat-a-cake
- B.
Regards faces
- C.
Smiles in response to others
- D.
Works to reach toys
- E.
Feeds self by eating self finger foods
- 88.Which of the following is true about separation anxiety?
- A.
Separation anxiety develops in the first half of the first year
- B.
Parents should be encouraged not to leave the infant for long periods of time
- C.
All of the above
- D.
None of the above
- 89.Which of the following is not recommended as feeding alternatives for infants
- A.
Breastfeeding
- B.
Iron-fortified formula
- C.
Cow's milk
- D.
None of the above
- 90.Which is true about feeding solids to infants?
- A.
Can be introduced around the time the infant triples his birth weight
- B.
Is estimated to begin around 9 months
- C.
Start the infant on pureed or strained foods
- D.
All of the above
- E.
None of the above
- 91.Which is not true about hyperbilirubinemia?
- A.
Occurs in newborns
- B.
Is commonly caused by immaturity of the spleen
- C.
Is observed as jaundice
- D.
All of the above
- E.
None of the above
- 92.True or False:Bottles should be given to infants at bedtime to ease falling asleep.
- A.
True
- B.
False
- 93.
- A.
Suffocation
- B.
Poisoning
- C.
Falls
- D.
Burns
- E.
Drowning
- 94.Placing the infant on the back for sleep prevents risk of _____
- A.
Suffocation
- B.
Falls
- C.
Bodily damage
- D.
All of the above
- E.
None of the above
- 95.At what age does Erikson's autonomy vs. shame occur?
- A.
Birth-1 year
- B.
1-3 years
- C.
3-5 years
- D.
5-12 years
- E.
12-20 years
- 96.Which of Freud's stages occurs in the toddler years (1-3 years)?
- A.
Phallic
- B.
Oral
- C.
Anal
- D.
Genital
- E.
Latency
- 97.At what age does Piaget estimate that sensorimotor transitions to preoperational?
- A.
Birth-1 year
- B.
1-3 years
- C.
3-5 years
- D.
5-12 years
- E.
12-20 years
- 98.By when does the toddler's anterior fontanel close by?
- A.
3 months
- B.
6 months
- C.
12 months
- D.
18 months
- E.
24 months
- 99.The toddler grows _____ inches height per year
- A.
1
- B.
2
- C.
3
- D.
4
- E.
5
- 100.At 30 months, the toddler should weigh ____ times his birth weight
- A.
1.5
- B.
2
- C.
3
- D.
None of the above
- 101.Which of the following is not an expected achievement by the toddler
- A.
Development of steady gait
- B.
Jumping and standing on one foot for short periods
- C.
Undressing and feeding self
- D.
Drawing stick figures
- E.
Walking heel-to-toe
- 102.True or False:Preoperational thought allows for the toddler to understand other viewpoints
- A.
True
- B.
False
- 103.True or False:Separation anxiety continues to occurs when a parent leaves the toddler
- A.
True
- B.
False
- 104.Children develop gender identity by which age?
- A.
1 year
- B.
3 years
- C.
5 years
- D.
7 years
- E.
None of the above
- 105.Toddlers engage in which kind of play?
- A.
Solitary
- B.
Parallel
- C.
Cooperative
- D.
Competitive
- E.
None of the above
- 106.True or False:The toddler should not be given cow's milk because of immature digestive enzymes.
- A.
True
- B.
False
- 107.True or False:Toddlers are picky eaters
- A.
True
- B.
False
- 108.
- A.
Otitis media
- B.
Toilet training
- C.
Temper tantrums
- D.
Lower respiratory tract infections
- E.
None of the above
- 109.Toilet training can begin when...
- A.
The child turns 1 year old
- B.
When parents feel their child is ready
- C.
When the child has the sensation of needing to urinate or defecate
- D.
All of the above
- E.
None of the above
- 110.
- A.
Drowning
- B.
Falls
- C.
Suffocation
- D.
Poisoning
- E.
None of the above
- 111.Which of Erikson's stages occurs from age 3-5 years?
- A.
Trust vs. Mistrust
- B.
Autonomy vs. Shame
- C.
Initiative vs. Guilt
- D.
Industry vs. Inferiority
- E.
Identity vs. Role confusion
- 112.Which of Freud's stages does the preschooler experience?
- A.
Oral
- B.
Genital
- C.
Phallic
- D.
Anal
- E.
Latency
- 113.Which of Piaget's cognitive stages occurs in the preschooler?
- A.
Sensorimotor
- B.
Sensorimotor transitions to preoperational
- C.
Preoperational
- D.
Concrete operations
- E.
Formal operations
- 114.True or False: The preschooler (age 3 to 5) should gain 10 lb per year.
- A.
True
- B.
False
- 115.The preschooler should grow _______ inches per year
- A.
1-2
- B.
2.5-3
- C.
3-4
- D.
5.5-6
- E.
None of the above
- 116.Developmental skills expected in a preschooler does not include
- A.
Alternating feet on stairs
- B.
Playing on playground equipment
- C.
Dressing without help
- D.
Drawing copies of shapes on paper
- E.
None of the above
- 117.
- A.
It has two phases: preconceptual and intutitive
- B.
Develops in preschoolers
- C.
Typically develops in children 3 to 5
- D.
All of the above
- E.
None of the above
- 118.True or False:A typical toddler may comprehend days of the week
- A.
True
- B.
False
- 119.Which of the following is not an age-appropriate activity for preschoolers
- A.
Playing ball
- B.
Reading books
- C.
Putting puzzles together
- D.
Role playing
- E.
Filling and emptying containers
- 120.True or False:Preschoolers may continue being picky eaters up to age 5
- A.
True
- B.
False
- 121.True or False:A preschooler consumes about a third the amount of an adult
- A.
True
- B.
False
- 122.
- A.
Otitis media
- B.
Accidents
- C.
Drowning
- D.
Suffocation
- E.
Poisoning
- 123.What is the typical age for Erikson's industry vs. inferiority?
- A.
Birth-1 year
- B.
1-3 years
- C.
3-5 years
- D.
5-12 years
- E.
12-20 years
- 124.Which of Freud's stages occurs in the school-age child?
- A.
Anal
- B.
Phallic
- C.
Oral
- D.
Genital
- E.
Latency
- 125.Piaget's stage of concrete operations occurs in which age group?
- A.
Infant
- B.
Toddler
- C.
Preschooler
- D.
School-age child
- E.
Adolescent
- 126.True or False:The school-age child will gain 4.4 to 8.8 lb per year
- A.
True
- B.
False
- 127.True or False:The school-age child will grow about 3 inches per year
- A.
True
- B.
False
- 128.True or False:Visual acuity improves to 20/20 in preschool children
- A.
True
- B.
False
- 129.True or False:Changes related to puberty appear in both males and females during the school-age period
- A.
True
- B.
False
- 130.Which of the following is false about concrete thought among school-age children?
- A.
Able to understand time (days, seasons)
- B.
Is able to understand various emotions people experience
- C.
Weight and volume change according to size of container
- D.
Able to understand simple analogies
- E.
None of the above
- 131.In which group does the following statement most apply, "I'll help you if you help me"?
- A.
Infant
- B.
Toddler
- C.
Preschooler
- D.
School-age
- E.
Adolescent
- 132.In the school-age child, a sense of industry is achieved through achievements in _____
- A.
Business
- B.
Learning
- C.
Family
- D.
Socializing
- E.
All of the above
- 133.True or False:School-age children prefer the company of same-sex companions
- A.
True
- B.
False
- 134.At which age does solidification of body image occur?
- A.
Infant
- B.
Toddler
- C.
Preschooler
- D.
School-age
- E.
Adolescent
- 135.At which age should education regarding sexual development and the reproduction process begin?
- A.
Toddler
- B.
Preschooler
- C.
School-age
- D.
Adolescent
- E.
B, C, and D
- 136.By the end of which stage is the child eating adult proportions of food?
- A.
Toddler
- B.
Preschool
- C.
School-age
- D.
Adolescent
- E.
None of the above
- 137.Which is a potential concern for the school-age child (5 to 12 years)?
- A.
Scoliosis
- B.
Obesity
- C.
Cancer
- D.
Substance abuse
- E.
All of the above
- 138.In which age group do permanent teeth erupt?
- A.
Birth-1 year
- B.
1-3 years
- C.
3-5 years
- D.
5-12 years
- E.
12-20 years
- 139.Children less than ____ years of age are safest in the back seat.
- A.
8
- B.
10
- C.
13
- D.
15
- E.
None of the above
- 140.True or False:Respiratory infections are common in school-age children.
- A.
True
- B.
False
- 141.Which of the following of Erikson's stages occurs in the adolescent?
- A.
Industry vs. Inferiority
- B.
Autonomy vs. Shame
- C.
Trust vs. Mistrust
- D.
Initiative vs. Guilt
- E.
None of the above
- 142.Which of Freud's psychosocial/psychosexual stages occurs in adolescence?
- A.
Genital
- B.
Oral
- C.
Phallic
- D.
Latency
- E.
Anal
- 143.Which of the following cognitive stages occurs between 12 to 20 years of age?
- A.
Concrete operations
- B.
Formal operations
- C.
Sensorimotor
- D.
Preoperational
- E.
Sensorimotor transition to preoperational
- 144.Females reach _____ of their adult height by age 13
- A.
50%
- B.
95%
- C.
75%
- D.
60%
- E.
100%
- 145.Males reach 95% of their adult height by age _____
- A.
10
- B.
13
- C.
15
- D.
17
- E.
19
- 146.Which age group is able to think abstractly?
- A.
Preschool
- B.
Adolescent
- C.
School-age
- D.
Toddler
- E.
Infant
- 147.Which age group views themselves as invincible to bad outcomes?
- A.
Infant
- B.
Toddler
- C.
Preschooler
- D.
School-age
- E.
Adolescent
- 148.Place in order the sexual maturation sequence of males:a) Change in voiceb) Growth of axillary hairc) Increase in the size of the testesd) Rapid growth of genitaliae) Appearance of downy hair on upper lipf) Appearance of pubic hair
- A.
A, F, C, D, E, B
- B.
B, E, A, C, F, D
- C.
C, F, D, B, E, A
- D.
F, B, E, A, C, D
- E.
D, A, F, B, C, E
- 149.Which is not an appropriate activity for the adolescent age group?
- A.
Sports
- B.
Caring for a pet
- C.
Reading
- D.
Violent video games
- E.
None of the above
- 150.Which of the following tends to be deficient in the adolescent?
- A.
Vitamin A
- B.
Iron
- C.
Calcium
- D.
Vitamin C
- E.
All of the above
- 151.Which of the following is not a concern of the adolescent?
- A.
Scoliosis
- B.
Homicide
- C.
Suicide
- D.
Substance abuse
- E.
None of the above
- 152.Which of the following is the leading cause of death among 12-20 year olds?
- A.
Motor vehicle crashes
- B.
Homicides
- C.
Suicide
- D.
Substance abuse and toxicity
- E.
None of the above
- 153.Which of the following is a nutritional concern in childhood?
- A.
Dietary deficiencies
- B.
Hunger
- C.
Failure to thrive
- D.
Food intolerance/allergy
- E.
All the above
- 154.Which of the following is not true in the nutritional needs of preterm infants?
- A.
The infants require 50 to 60 kcal/kg per day (parenteral) or 75 kcal/kg per day if fed orally
- B.
Limit fruit juice to 4 to 6 oz/day
- C.
Needs are increased with illness
- D.
Breast milk is recommended
- E.
None of the above
- 155.Which is is true in the nutritional needs of infants?
- A.
8 to 10 months: Eggs
- B.
Birth-1 year: Breast milk, formula, or whole milk
- C.
4 to 6 months: Wheat products
- D.
6 to 8 months: Yellow vegetables and fruits
- E.
None of the above
- 156.Which of these nutritional needs is delayed until after 12 months?
- A.
Whole milk
- B.
Eggs
- C.
Strawberries
- D.
All of the above
- E.
None of the above
- 157.Which of these nutritional needs is not delayed until after 12 months?
- A.
Meat
- B.
Fish
- C.
Nut products
- D.
All of the above
- E.
None of the above
- 158.
- A.
Yellow vegetables
- B.
Fruits
- C.
Iron-fortified cereal
- D.
Breast-milk or formula
- E.
Whole milk
- 159.Which of the following is an appropriate nutritional need for an infant 6 to 8 months?
- A.
Eggs
- B.
Strawberries
- C.
Meat
- D.
Iron-fortified cereal
- E.
Fruit
- 160.Which of the following is an appropriate nutritional need for an infant 8 to 10 months?
- A.
Meat
- B.
Fruits
- C.
Wheat
- D.
Corn
- E.
Nut products
- 161.Which is not true in toddlers' nutritional needs?
- A.
Limit fruit juice to 1-2 oz/day due to sugar content
- B.
Give the toddler small portions that are healthy
- C.
Toddlers do well with finger foods
- D.
They may temporarily become a "picky eater" and will require three meals and two snacks per day
- E.
None of the above
- 162.
- A.
They may temporarily become picky eaters
- B.
They will require three meals and three snacks per day
- C.
Give the toddler small portions that are healthy
- D.
Limit fruit juices to 4 to 6 oz/day due to sugar content
- E.
None of the above
- 163.Which is true about preschoolers' nutrition?
- A.
A preschool child may eat only certain foods for a period of time
- B.
A preschool child requires three meals and one snack per day
- C.
Foods should represent all areas of the food pyramid
- D.
All of the above
- E.
None of the above
- 164.Which of the following does not apply to school-age children?
- A.
Nutritional needs of the school-age child are dependent upon height
- B.
A school-age child requires a balanced diet
- C.
A school-age child likes to be included in meal planning and preparation
- D.
All of the above
- E.
None of the above
- 165.The adolescent requires how many kcal/day?
- A.
1500-2500 kcal/day
- B.
2000-3000 kcal/day
- C.
2500-3500 kcal/day
- D.
3000-4000 kcal/day
- E.
None of the above
- 166.
- A.
Physical appearance
- B.
Anthropometry measurement
- C.
Behavioral patterns
- D.
Activity level and tolerance
- E.
All of the above
- 167.Which of the following is not part of the anthropometry measurement?
- A.
Height/length
- B.
Weight
- C.
Head circumference
- D.
Chest circumference
- E.
Skinfold measurement
- 168.Which of the following is not a nutrition-related nursing intervention?
- A.
Assess/monitor for signs and symptoms of altered nutrition
- B.
Provide child choice of nutritional snacks
- C.
Teach/reinforce breastfeeding techniques
- D.
All of the above
- E.
None of the above
- 169.Which is not true regarding play?
- A.
Play is the work of children
- B.
Functions of play affect all areas of the child's development
- C.
Children express feelings and fears through play
- D.
Play is a means of protection from everyday stressors
- E.
None of the above
- 170.Which is not true regarding content of play?
- A.
Skill
- B.
Parallel
- C.
Sense-pleasure
- D.
Social-affective
- E.
Unoccupied behavior
- 171.
- A.
Objects in the environment catching the child's attention
- B.
Taking pleasure in relationships
- C.
Demonstrating new abilities
- D.
Focusing attention on something of interest
- E.
None of the above
- 172.Sense-pleasure content of play corresponds with
- A.
Demonstrating new abilities
- B.
Taking pleasure in relationships
- C.
Focusing attention on something of interest
- D.
Objects in the environment catching the child's attention
- E.
None of the above
- 173.Which of the following corresponds with skill content of play?
- A.
Demonstrating new abilities
- B.
Taking pleasure in relationships
- C.
Objects in the environment catching the child's attention
- D.
Focusing attention on something of interest
- E.
None of the above
- 174.
- A.
Demonstrating new abilities
- B.
Objects in the environment catching the child's attention
- C.
Focusing attention on something of interest
- D.
Taking pleasure in relationships
- E.
None of the above
- 175.The onlooker in the social character of play is represented by which of the following statements?
- A.
Child playing alone
- B.
Child observing others
- C.
Child playing independently, but among other children, which is characteristic of a toddler
- D.
Children playing together without organization, which is characteristic of preschoolers
- E.
Organized playing in groups, which is characteristic of the school-age child
- 176.Which type of play is characteristic of toddler?
- A.
Associative
- B.
Solitary
- C.
Parallel
- D.
Cooperative
- E.
None of the above
- 177.Which type of play is characteristic of preschoolers?
- A.
Cooperative play
- B.
Parallel play
- C.
Onlooker
- D.
Solitary
- E.
Associative
- 178.Which of the following types of play is characteristic of the school-age child?
- A.
Cooperative
- B.
Onlooker
- C.
Parallel
- D.
Associative
- E.
Solitary
- 179.Which of the following describes solitary play?
- A.
Organized playing in groups
- B.
Children playing together without organization
- C.
Child observing others
- D.
Child playing alone
- E.
Child playing independently
- 180.Which of the following describes onlooker play?
- A.
Child playing alone
- B.
Organized playing in groups
- C.
Child observing others
- D.
Child playing independently
- E.
Children playing together without organization
- 181.
- A.
Child playing independently, but among other children
- B.
Child observing others
- C.
Organized playing in groups
- D.
Child playing alone
- E.
Child playing together without organization
- 182.
- A.
Child observing others
- B.
Organized playing in groups
- C.
Child playing alone
- D.
Children playing together without organization
- E.
Child observing others
- 183.Which of the following describes cooperative play?
- A.
Child playing independently
- B.
Organized playing in groups
- C.
Child observing others
- D.
Child playing alone
- E.
Child playing independently, but among other children
- 184.
- A.
Large blocks, toys that pop apart, and push and pull toys
- B.
Watching educational TV and videos for children
- C.
Cloth books, large crayons and paper, push-and-pull toys, puzzles with large pieces
- D.
Visual and auditory stimuli
- E.
Noise-making objects and soft toys
- 185.
- A.
Puzzles with large pieces, tossing a ball, push-and-pull toys, cloth books
- B.
Large blocks, toys that pop apart, and push and pull toys
- C.
Noise-making objects and soft toys
- D.
Visual and auditory stimuli
- E.
Peer interaction
- 186.
- A.
Teething toys and social interaction
- B.
Large blocks, toys that pop apart, and push and pull toys
- C.
Visual and auditory stimuli
- D.
Cloth books, tossing a ball, and puzzles with large pieces
- E.
Noise-making objects and soft toys
- 187.
- A.
Teething toys
- B.
Noise-making objects and soft toys
- C.
Push and pull toys, large crayons and paper, puzzles with large pieces
- D.
Large blocks, toys that pop apart, and push and pull toys
- E.
Watching educational TV and videos for children
- 188.
- A.
True
- B.
False
- 189.True or False:Age appropriate activities for infants include watching educational TV and videos for children
- A.
True
- B.
False
- 190.Which of the following is an appropriate age-related play activity for the toddler?
- A.
Watches educational TV and videos for children
- B.
Cloth books, push-and-pull toys, puzzles with large pieces
- C.
Riding a tricycle, tossing a ball, large crayons and paper
- D.
All of the above
- E.
None of the above
- 191.Which is appropriate play for preschool children?
- A.
Associative, imitative, and imaginative play
- B.
Drawing, painting, riding tricycle, swimming, jumping, and running
- C.
Watching educational television and videos
- D.
All of the above
- E.
None of the above
- 192.Which is an appropriate activity for preschool children?
- A.
Sports
- B.
Games that can be played alone or with another person
- C.
Arts and crafts, collections
- D.
Noise-making objects and soft toys
- E.
Drawing, painting, swimming, jumping
- 193.Which of the following is an appropriate activity for school-age children?
- A.
Team sports
- B.
Quiet activities
- C.
Associative, imitative, and imaginative play
- D.
All of the above
- E.
None of the above
- 194.
- A.
Peer interaction
- B.
Quiet interaction
- C.
Sports
- D.
School activities
- E.
Games that can be played alone or with another person
- 195.True or False:Neonates and infants have immature liver and kidney function, acidic gastric juices, and an immature blood-brain barrier.
- A.
True
- B.
False
- 196.Which of the following applies to children?
- A.
Reduced gastric acid production
- B.
Slower gastric emptying time
- C.
Reduced first-pass medication metabolism
- D.
All of the above
- E.
None of the above
- 197.How is absorption of topical medication is changed in children?
- A.
It is increased
- B.
It is decreased
- C.
It is the same as with adults
- D.
None of the above
- 198.Decreased serum protein-binding sites occurs until what age in children?
- A.
5
- B.
1
- C.
3
- D.
7
- E.
13
- 199.Which of the following is the greatest factor that affects medication response in the pediatric client?
- A.
Decreased cardiac output
- B.
Organ system immaturity
- C.
Increased body surface area
- D.
All of the above
- E.
None of the above
- 200.
- A.
Until age 7, aspiration of oral medications is always a risk, especially if the child is crying or in a supine position
- B.
The IV route is the preferred route for children
- C.
Mixing medication with formula will ensure that the infant will consume the medication
- D.
Glass, needleless syringes are preferred for measurement and administration of small doses of medications
- E.
None of the above
- 201.Which of the following applies to the administration of oral medications to infants?
- A.
Place the infant in a semireclining position
- B.
Use medicine cups
- C.
Using a plastic needleless syringe, administering small amounts of medication on the tongue
- D.
All of the above
- E.
None of the above
- 202.Which of the following is not true regarding rectal medication administration?
- A.
Acetaminophen (Tylenol), sedatives, morphine, and some antiemetics are available in suppository form
- B.
This route is used as a substitute for IM administration
- C.
Cut the suppository lengthwise for partial dosing
- D.
All of the above
- E.
None of the above
- 203.For an intradermal injection, insert needle at ______ degree angle.
- A.
5
- B.
10
- C.
15
- D.
20
- E.
25
- 204.Applying a eutectic mixture of local anesthetics (lidocaine/prilocaine) (EMLA) in the form of a cream or disk a minimum of ___ minutes, preferably 2 to 2.5 hr, prior to injection is a suggestion to decrease pain with IM medication administration.
- A.
10 minutes
- B.
30 minutes
- C.
45 minutes
- D.
60 minutes
- E.
90 minutes
- 205.The vastus lateralis site is usually the recommended site ______
- A.
Infants and children less than 2 years
- B.
Children less than 5 years
- C.
Children less than 10 years
- D.
Children less than 3 years
- E.
Children less than 12 years
- 206.The ventrogluteal site can be used IM injections of children older than ____
- A.
2
- B.
4
- C.
6
- D.
8
- E.
None of the above
- 207.Which IM site can accommodate 0.5 mL for infants to 2.0 mL for children?
- A.
Vastus Lateralis
- B.
Deltoid
- C.
Ventrogluteal
- D.
A and B
- E.
A and C
- 208.The maximum volume tolerated in the deltoid is
- A.
1 mL
- B.
0.5 mL
- C.
3 mL
- D.
2 mL
- E.
1.5 mL
- 209.Which of the following IM sites should not be used in infants/children with underdeveloped muscles?
- A.
Ventrogluteal
- B.
Vastus lateralis
- C.
Deltoid
- D.
All of the above
- E.
None of the above
- 210.
- A.
Short-term catheters
- B.
PICCs
- C.
Tunneled catheters
- D.
Nontunneled catheters
- E.
Implanted infusion ports
- 211.
- A.
Nontunneled catheters
- B.
Long-term ventral VADs
- C.
Tunneled or implanted infusion ports
- D.
PICCs
- E.
Short-term catheters
- 212.To reduce pain with the procedure, up to ____ mL of medication can be used for subcutaneous and intradermal medication?
- A.
1 mL
- B.
0.5 mL
- C.
2 mL
- D.
5 mL
- E.
3 mL
- 213.When does the nurse needs to evaluate the effectiveness of PO pain medication?
- A.
30 minutes
- B.
60 minutes
- C.
15 minutes
- D.
45 minutes
- E.
None of the above
- 214.The effectiveness of IM pain medication is evaluated after how long?
- A.
60 minutes
- B.
30 minutes
- C.
15 minutes
- D.
45 minutes
- E.
None of the above
- 215.Self-report using pain scales is useful in children over what age?
- A.
3 years
- B.
7 years
- C.
9 years
- D.
5 years
- E.
None of the above
- 216.True or False:In the FLACC scale, The F stands for Faces, L stands for Legs, A stands for Activity, C stands for Cry, C stands for Consolability
- A.
True
- B.
False
- 217.The FLACC scale is appropriate for which age group?
- A.
1 to 5 years
- B.
3 years and older
- C.
2 months to 7 years
- D.
7 years and older
- E.
None of the above
- 218.The Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) is appropriate for which age group?
- A.
1 to 5 years
- B.
3 years and older
- C.
2 months to 7 years
- D.
7 years and older
- E.
None of the above
- 219.The FACES scale is appropriate for which age group?
- A.
2 months to 7 years
- B.
1 to 5 years
- C.
3 years and older
- D.
7 years and older
- E.
None of the above
- 220.The visual analog scale is appropriate for which age group?
- A.
Children 7 years are older
- B.
Children1 to 5 years
- C.
Children 2 months to 7 years
- D.
Children 3 years and older
- E.
None of the above
- 221.The medication of choice for moderate to severe pain is which of the following?
- A.
Acetaminophen
- B.
Oxycodone
- C.
Hydromorphone
- D.
Fentanyl
- E.
Morphine
- 222.True or False:Combining a nonopiod and opiod medication treats pain peripherally and centrally
- A.
True
- B.
False
- 223.Which route is the preferred route for pain medication?
- A.
IM
- B.
IV
- C.
PO
- D.
SubQ
- E.
None of the above
- 224.Oral medication takes how long to reach peak analgesic effect?
- A.
3-4 hours
- B.
1-2 hours
- C.
2-3 hours
- D.
None of the above
- 225.True or False:Sublingual/buccal/transmucosal analgesics are a very desirable form because they have a less first-pass effect than oral medications
- A.
True
- B.
False
- 226.True or False:A continuous subcutaneous route is used if oral/IV routes are not accessible, although this route is not as effective as continuous IV infusions
- A.
True
- B.
False
- 227.True or False:The patient is the only individual permitted to control the PCA.
- A.
True
- B.
False
- 228.
- A.
Use EMLA 30 minutes prior to superficial puncture and 1 hour prior to deep puncture
- B.
Prior to the procedure, remove the dressing or disk and wipe the skin. Indication of adequate response is a nonblanching response
- C.
EMLA should only be applied in the health care facility/agency for the procedure
- D.
All of the above
- E.
None of the above
- 229.Transdermal is appropriate for children older than...
- A.
5 years
- B.
12 years
- C.
3 years
- D.
15 years
- E.
None of the above
- 230.Until which age does the hospitalized child experience separation anxiety?
- A.
Toddler
- B.
Preschooler
- C.
Infant
- D.
School-age
- E.
Adolescent
- 231.Which of the following accurately describes separation anxiety?
- A.
There are four behavioral responses
- B.
Protest, which may be expressed as crying
- C.
Despair which may expressed as lack of protest when parents leave
- D.
Detachment/denial, which may be expressed as being withdrawn and quiet
- E.
All of the above
- 232.The behavioral response of despair, as part of separation anxiety, is expressed as which of the following?
- A.
Lack of protest when parents leave
- B.
Crying
- C.
Being withdrawn and quiet
- D.
All of the above
- E.
None of the above
- 233.
- A.
Toddler
- B.
Infant
- C.
Preschooler
- D.
Adolescent
- E.
School-age
- 234.
- A.
School-age child
- B.
Toddler
- C.
Adolescent
- D.
Infant
- E.
Preschooler
- 235.True or False:Parents should be encouraged to provide routine care for the child, such as changing diapers and feeding the child
- A.
True
- B.
False
- 236.
- A.
Explain all procedures using simple, clear language and avoiding medical jargon
- B.
Validate the child's fears and concerns
- C.
Provide consistency in assigning caregivers
- D.
Give choices when possible
- E.
All of the above
- 237.Which age group benefits most from promotion of normalcy during long hospitalizations?
- A.
Infant
- B.
Toddler
- C.
Preschooler
- D.
School-age
- E.
Adolescent
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