Pediatric Assessment NCLEX Questions

You are assessing a 2-month-old infant. Which method is the most effective for the nurse to use to engage the infant during the assessment?

• Making a loud noise to get the child's attention

• Using a soft toy to distract the child

• Speaking in a high-pitched voice and smiling

• Directly showing the child medical instruments

Answer explanation

Speaking in a high-pitched voice and smiling engages infants and helps establish a trusting relationship.

You are preparing to assess a 3-year-old child. Which approach is most appropriate for you as the nurse to use during the assessment?

• Asking the child yes/no questions

• Using simple language and short sentences

• Instructing the child to stay silent

• Using medical terminology to explain the procedure

Answer explanation

Simple language and short sentences help toddlers understand what is happening and reduces anxiety.

When assessing a 7-year-old child, which technique should you as the nurse use to facilitate effective communication?

• Use humor to distract the child

• Encourage the child to talk about their favorite activities

• Explain all procedures in detail

• Limit conversation to only necessary questions

Answer explanation

Encouraging the child to talk about their favorite activities helps build rapport and makes a child feel comfortable.

You are discussing health behaviors with a 15-year-old patient. Which approach is best for encouraging open communication?

• Asking direct questions about risky behaviors

• Providing information on the consequences of risky behaviors

• Using a non-judgmental tone and respecting confidentiality

• Involving the parent in the discussion

Answer explanation

A non-judgmental tone and respect for confidentiality foster trust and encourage adolescents to share openly.

You are conducting a developmental screening for a 4-year-old child. Which assessment tool is most appropriate for evaluating the child's language skill?

• Pediatric Symptom Checklist

• Modified Checklist for Autism in Toddlers

• Ages and Stages Questionnaire

• Denver Developmental Screening Test

Answer explanation

The Denver Developmental Screening Test is widely used to assess various developmental milestones, including language skills in young children.