Nội dung text 2. FC PEDIA (Mr. Alviz) - SC
1 | Page FINAL COACHING PEDIATRIC NURSING Prepared by: Mr. Archie Alviz, RM, RN, MN, MAN© November 2025 Philippine Nurse Licensure Examination Review NAME: DATE: SCORE: _____ “FIRST TAKER AKO, AT LAST TAKE KO NA ‘TO! PART A 1. What is the process involved when the child cannot learns to control his knees until his buttocks are strong enough A. Proximodistal B. Cephalocaudal C. Simple to complex D. Interdependent 2. To meet the major developmental need of a 4 month old infant in the immediate postoperative period the nurse should: A. Give the infant a pacifier B. Put a mobile over the infant’s crib C. Provide the infant with a soft cuddly toy D. Warm the infant’s formula before feeding 3. When the child is about 9 months of age, he will be expected to be able to play peek-a-boo. Which critical event of the sensorimotor phase of cognitive development does this demonstrate? A. Egocentrism B. Use of symbols C. Object permanence D. Separation of self from environment 4. The mother of a 5 year old child tells the nurse that the child scolds the floor or the table if the child hurts herself on the object. This behavior is identified as: A. Object permanence B. Egocentric speech C. Animism D. Global organization 5. A nursing instructor asks the students to describe the formal operation stage. The most appropriate response would be A. The child has the ability to think abstractly B. The child develops logical thought pattern C. The child has difficulty separating fantasy from reality D. The child begins to understand the environment 6. The mother of a 4 year old child calls the clinic nurse and expresses concern because the child has been masturbating. The most appropriate response by the nurse is which of the following? A. The child is very young to begin this behavior and should be brought to the clinic B. This is not normal behavior, and the child should be seen by the physician C. This is a normal behavior at this age D. Children usually begin this behavior at 8y.o. 7. A nursing instructor ask the nursing students to present a clinical conference to peer regarding Freud’s psychosexual stages of development, specifically anal stage. The student plans the conference, knowing that which of the following most appropriately relates to this stage of development. A. This stage is associated with toilet training B. This stage is associated with pleasurable and conflicting feelings about the genital organ C. This characterized by a tapering off of conscious biological and sexual urges D. The stage is characterized by gratification of self. 8. A clinic nurse is preparing to discuss the concept of moral development with a mother. The nurse understands that according to Kohlberg’s theory of moral development, in the pre-conventional level. It is thought to be motivated by which of the following: A. The parent’s behavior B. Peer pressure C. Social pressure D. Punishment and reward 9. If the school-age child has an unsuccessful resolution of the psychosocial crisis according to Erikson, which of the following may result? A. Trust-fear conflict and general difficulties relating to people B. Independence-fear conflict and severe feelings of self-doubt C. Sense of inferiority and difficulty learning and working D. Aggression-fear conflict and feelings of inadequacy or guilt 10. The mother of an 8 year old child tells the clinic nurse that she is concerned about the child because the child seems to be more attentive to friends than anything else. The most appropriate nursing response would be which of the following A. You need to be concerned * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *
3 | Page C. Ten piece puzzle D. Wagon 28. A term neonate weighs 7 ½ pounds at birth. When he’s 1 year old, approximately how much should he weigh? A. 36 lb B. 22 lb C. 28 lb D. 32 lb 29. During physical assessment of a newborn, which of the following comparative measurements would necessitate additional investigation? A. Head circumference 34 cm; chest circumference 31 cm B. Head circumference 31 cm; chest circumference 33 cm C. Head circumference 34.5 cm; chest circumference 32 cm D. Head circumference 32 cm; chest circumference 30 cm 30. A 6 month old infant is admitted with a diagnosis of failure to thrive. The birth weight was 7 pounds. Based on growth and development chart, the nurse should expect an infant at 6 months to weigh approximately: A. 10 pounds B. 14 pounds C. 18 pounds D. 21 pounds 31. Popcorn and nuts should not be given to a toddler primarily because they A. Will spoil the child’s appetite B. Are easily aspirates C. Have very little food value D. Can cause tooth decay 32. Besides adolescents, children in which of the following age groups experience the most rapid growth? A. Infancy B. Toddler stage C. Preschool age D. School age 33. A mother tells the nurse that each morning she offers her 24 month old son juice and he always shakes his head and says, “No.” She asks the nurse what to do, because she knows the child needs fluids. The nurse suggests that the mother: A. Distract him with some food B. Be firm and hand him the glass C. Let him see that he is making her angry D. Offer him a choice of two things to drink 34. A 2 year old boy, is admitted to the hospital for further evaluation, is standing in his crib crying. The child refuses to be comforted and calls for his mother. As the nurse approaches the crib to provide morning care the child screams louder. The nurse, recognizing that the behavior is typical of the stage of protest, decides to: A. Pick him up and carry him around the room B. Fill the basin with water and proceed to bathe him C. Sit by his crib and bathe him later when his anxiety decreases D. Skip the bath because the child is upset and does not really need a bath 35. A mother asks when to take her 2 year old to the dentist. For dental prophylaxis, the nurse encourages her to take the child: A. Before starting school B. Between 2 to 3 years old C. When the child begins to lose deciduous teeth D. The next time another family member goes to the dentist 36. When ordering a regular diet for a young toddler the nurse should choose foods such as: A. Spaghetti and bread B. Corn dog and French fries C. Hamburger with bun and grapes D. Hot dog with bun and potato chips 37. The nurse plans to talk to a mother about toilet training a toddler, knowing that the most important factor in the process of toilet training is the: A. Child’s desire to be dry B. Ability of the child to sit still C. Child’s willingness to work at it D. Approach and attitude of the parent 38. A mother tells the nurse that her 22 – month old child says “no” to everything. When scolded, the toddler becomes angry and starts crying loudly but then immediately wants to be held. What is the best interpretation of this behavior? A. The toddler isn’t effectively coping with the stress B. The toddler’s need for attention isn’t being met C. This is a normal behavior for a 2 – year old child D. This behavior suggests a need for counseling 39. When asked about spanking as a disciplinary technique, the nurse’s best response would be: A. “It really depends on the child’s age.” B. “It is strongly suggestive of negative role modeling.” C. “This may be the only option when no other technique works.” D. “Research studies have shown it to be an effective disciplinary technique.” 40. Preschool children role play. This is an important part of socialization because it: a. Encourages expression b. Help children think about careers c. Teaches children about stereotypes d. Provides guidelines for adult behavior 41. The nurse is aware that Freud’s phallic stage of psychosexual development, which compares with Erikson’s psychosocial phase of initiative vs. guilt, is best seen at: A. Adolescent B. 6 to 12 years C. Birth to 1 year D. 3 to 5 ½ years 42. During the oedipal stage of growth and development, the child: A. Loves and hates both parents B. Loves the parent of the same sex and the parent of the opposite sex C. Loves the parent of the opposite sex and hates the parent of the same sex D. Loves the parent of the same sex and hates the parent of the opposite sex 43. When teaching a parents’ class, the nurse explains that medication and household cleaning products should be kept out of the reach of the pre - school because: A. They have high level of curiosity B. Their sense of taste is developing at this time C. Their appetite is greater to support rapid growth