Tiêu đề 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 *


4 | Page D. They rebel against parental authority during this phase 44. A 5-year-old boy believes that there are “bogeymen and monsters” in his bedroom at night. What advice can the nurse give to Eric’s parent to help Eric cope with his fears? A. Let Eric sleep with his parent B. Tell Eric that bogeymen and monster do not exist C. Keep a night-light on in Eric’s room D. Tell Eric that no one else sees any monsters, so he must not see them either 45. A 6 year old is brought to the pediatric clinic for a routine visit. When assessing the child’s relationship with other children, the nurse would expect to observe: A. Solitary play  B. Parallel play C. Initiative play D. Cooperative play 46. The mother of a 5 year old asks, “When do the deciduous teeth usually begin to fall out?” Which of the following is the nurse’s most appropriate response? A. Age 5 years B. Age 6 years C. Age 7 years D.  Age 8 years 47. Which of the following statements about causes of accidents during the school-age years is inaccurate? A. School-age children are more active and become more adventurous and daring B. School-age children are more susceptible to hazards in the home environment C. School-age children are the age group commonly aspirated D. School-age children are less subject to parental control over their behavior 48. Practices common to school-age children include all the following except: A. Talking in code B. Starting collections C. Telling jokes D. Participating mostly in activities with both boys and girls 49. An adolescent client has just had surgery and has a dressing on the abdomen. Which of the following questions would the nurse expect the client to ask initially? A. “Did the surgery go okay?” B. “Will I have a large scar?” C. “What complication can I expect?” D. “When can I return to school?” 50. On average, the adolescent growth spurt begins A. Earlier for boys than for girls B. Earlier for girls than for boys C. At approximately the same time for both sexes D. Between the seventh and eighth years 51. A child with leukemia complains of fatigue. The nurse assesses the skin color as pallor. Considering the child’s diagnosis, which of the following data explain these findings? A. Cerebrospinal fluid with elevated white cells B. Hemoglabin of 8 g/dl C. Platelete count of 150,000/mm 3 D. Sodium level of 130 52. A 7-year-old child complains of shakiness, hunger, and headache. Based on these findings, the school nurse should suspect the student has which of these conditions? A. Diabetic ketoacidosis  B. Hyperglycemia C. Hypoglycemia D. Polyphagia 53. A mother of newly diagnosed diabetic is receiving nutritional counseling. Which of these statements by the mother indicates the need for further teaching? A. “Calories and nutrient proportions have to be consistent on a daily basis.” B. “Chocolate milk with meals is accepted.” C. “Meals and snacks must be eaten at the same time each day.” D. “Cola may be exchanged for fruit juice.” 54. The mother of a newly diagnosed diabetic asks why insulin needs to be injected. The nurse responds that the child cannot take oral insulin because it A. Is not tolerated well in oral form by children B. Is not available in pill form C. Is destroyed by digestive enzymes D. Will cause gastric ulcers 55. A 9-year-old girl has been brought to the emergency department following an automobile accident and is diagnosed with femoral fracture. Which of these goals should receive priority in the child’s care? A. Adequate nutrition will be maintained B. Infection will be prevented C. Disturbance in body image will be reduced D. Pain will be reduced 56. Which of these assessments of a child with a cast for correction of a clubfoot needs to be reported? A. Cast has not dried in 2 hours B. Color change and cool skin proximal C. Moves toes and capillary refill is <3 seconds D. Rough edges on the cast 57. A child diagnosed with rheumatic fever is prescribed aspirin. The purpose of this medication is to A. Decrease fever B. Prevent headache C. Promote relaxation  D. Reduce inflammation 58. Following surgical correction for Tetralogy of Fallot, which of these goals should receive priority in a child’s care? A. Adequate sleep and rest periods provided B. Adequate nutrition C. Pain management D. Prevention of vascular complications 59. An infant is experiencing uncontrolled vomiting. Based on this finding, the nurse would expect which acid-base imbalance? A. Metabolic alkalosis B. Metabolic acidosis C. Respiratory alkalosis D. Respiratory acidosis 60. When performing a postoperative assessment on an infant with surgical correction of a myelomeningocele, the nurse observes bulging anterior fontanel and increased head size. Based on these findings the nurse knows the infant is at imminent risk for developing.  A. Encephalitis B. Hydrocephalus C. Meningitis