Peds Exam

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Sample questions from Peds Exam

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.Which finding is most consistent with expected development in a healthy 2-month-old infant?

   • A.The infant walks while holding a caregiver's hand
   • B.The infant sits steadily without support
   • C.The infant briefly lifts the head when prone and watches a caregiver's face
   • D.The infant uses a pincer grasp to pick up small objects

   Rationale: Brief head lifting while prone and visually attending to a face are expected early infant abilities. Sitting steadily, using a pincer grasp, and walking with assistance are later milestones. Developmental milestones describe skills that emerge in a general sequence, although the exact age of attainment can vary.

2. 2.At a well-child visit, the parent of a 7-month-old reports that the infant rolls in both directions and reaches for toys. Which additional finding would the nurse expect?

   • A.Sits briefly while leaning on the hands
   • B.Copies a circle with a crayon
   • C.Uses two-word phrases
   • D.Walks independently across the room

   Rationale: Many infants around 7 months can sit briefly while using their hands for support and reach for nearby objects. Independent walking, two-word phrases, and copying a circle are skills expected much later. The exam takeaway is to match milestones to the child's developmental stage rather than treating later abilities as expected in infancy.

3. 3.During a home visit, the parent of a 20-month-old says the child uses no words and rarely points to share interest. Refer to the client's chart. Which actions should the nurse take? Select all that apply.

   • A.Ask about the child's hearing and recommend hearing assessment as part of the evaluation
   • B.Reassure the parent that the child will probably catch up without follow-up
   • C.Encourage the parent to wait until the child is 3 years old before raising the concern
   • D.Document the parent's observations and the child's communication behaviors
   • E.Recommend prompt discussion with the child's health care provider and referral for developmental evaluation
   • F.Tell the parent that these findings alone confirm a specific diagnosis

   Rationale: The chart notes that the child uses no words and does not point to share interest, so prompt developmental evaluation and documentation are appropriate. Hearing assessment is important because hearing differences can affect communication development. Reassuring the parent to wait, delaying discussion until age 3, or declaring a diagnosis from these observations alone is not appropriate; screening findings warrant evaluation, not a definitive diagnosis by the nurse.

4. 4.A toddler is brought to the clinic for a routine visit. Which activity best supports the child's normal development during the visit?

   • A.Ask the child to sit still through a long explanation before offering a toy
   • B.Provide a small button as a sorting object to practice fine motor control
   • C.Direct the child to play a competitive board game with several rules
   • D.Offer a large, simple puzzle and allow time for the child to explore it

   Answer and rationale are in the full material.

5. 5.Which statement by the parent of a 4-year-old indicates an understanding of expected preschool development?

   • A.My child should consistently share every toy without reminders
   • B.My child may ask many questions and enjoy pretending to be a doctor
   • C.My child should be able to understand sarcasm and abstract jokes
   • D.My child should be able to tie shoelaces neatly

   Answer and rationale are in the full material.