exam 1 nclex peds
A common cause of accidental death in children 1 to 19 years old involves motor vehicle crashes. Evidence from test crashes indicates that the safest action to prevent accidental deaths in toddlers includes: a. Placing the child in a rear-facing weight-appropriate car restraint seat until 24 months old b. Allowing the child to ride in the front seat with a lap-shoulder seat restraint to avoid emotional outbursts c. Allowing the child to ride in a forward-facing booster restraint seat after 12 months old d. Placing the child in the regular seat using the lap-shoulder belt as long as the child weighs at least 45 pounds
a
One indication that the toddler is ready to begin toilet training is: a. Child recognizes urge to let go and hold on and is able to communicate this sensation to the parent b. Child is able to stay dry all night c. Child demonstrates mastery of dressing and undressing self d. Child asks parent to have wet or soiled diaper changed
a
A 10-year-old child with a peanut allergy would be expected to have which of these as an early manifestation of his allergy? Select all that apply. a. Wheezing b. Nausea c. Headache d. Trouble breathing e. Urticaria
a, d, e
An important nutritional supplement recommended to prevent rickets in infants who are exclusively breastfeeding is: a. Vitamin A b. Fluoride c. Vitamin D d. Folic acid
c
A nurse is providing health promotion teaching to parents of an infant/ which off the following conditions should the nurse identify as the leading cause of death among this age group? a. Congenital anomalies b. Respiratory distress c. Low birth weight d. Sudden infant death syndrome
a
Play is children's work, even in the hospital. Which of the following are functions of play? Select all that apply. a. Provides diversion and brings about relaxation b. Keeps the child occupied and directs concerns away from himself or herself c. Helps the child feel more secure in a strange environment d. Lessens the stress of separation and the feeling of homesickness e. Provides a means for release of tension and expression of feelings f. Allows the parents to have a break from the unit for a respite period
a, c, d, e
The type of play in which infants engage is called: a. Solitary b. Parallel c. Associative d. Cooperative
a
In terms of social development, the school-age child does which of the following? Select all that apply. a. Begins to explore the environment beyond the family b. Has an increased interest in persons of the opposite sex (gender) c. May actively participate in same-sex groups or clubs d. Strives to be different from those in the peer group e. Begins to form strong relationships with persons of the same sex (gender)
a, c, e
The typical play activity in which toddlers engage is called: a. Solitary b. Parallel c. Associative d. Cooperative
b
In relation to developmental milestones, the infant can be expected to roll over from back to abdomen at approximately: a. 2 months old b. 4 months old c. 6 months old d. 8 months old
c
A nurse is assessing a 6 mo infant at a well child visit. Which of the following findings should the nurse expect? a. Closed posterior fontanel b. Uses thumb and index fingers index finger in pincer grasp c. Lateral incisors d. Sitting steadily w/o support
A
Which of the following best describes how the nurse can promote family-centered care in a hospital? a. Soliciting family input in plan of care development b. Assuming total care of the child c. Limiting visitations to 3 time periods per day d. Expecting the child to perform self care in activities of daily living
A
Which of the following is a common characteristic of those who sexually abuse Children? a. Pressure victim into secrecy b. Usually employed and married c. Unknown to the victims family d. Usually first time offenders
A
A nurse is assessing a child in an area struck bu an earthquake. The child, who is crying, walks well, can state her first name, and repeatedly says "all done" and "Go bye-bye now_ during the assessment. The child has 24 deciduous teeth and her anterior fontanel is closed. Based of these observations, the nurse should estimate that the child is how old? a. 10 months b. 18 months c. 1 year d. 2 years
D
A nurse is caring for an 8 year old child who requires numerous venipuncture and injections daily. The nurse understand the child is exhibiting signs of sensory overload and enlists the assistance of the child-life specialist. What should the therapeutic play involved to best deal with the Childs stressors? a. Wooden hammer and pegs b. Making paper airplanes c. Playing bingo d. Sewing puppets with plastic needles
D
The nurse is caring for a 6 year old girl who had surgery 12 hours ago. The child tells the nurse that she does not have pain, but a few minutes later she tells her parents that she does. Which should the nurse consider when interpreting this? a. Truthful reporting of pain should occur at this age b. Inconsistency in pain reporting suggests that pain is not present c. Child use pain experiences to manipulate their parents d. Child may be experiencing pain even though they deny it
D
A hallmark of cognitive development in the school-age child is in what Piaget describes as concrete operations. In this stage the child: a. Uses thought processes to experience events and actions b. Is unable to see things from another's point of view c. Has a limited perspective of how others' interpretations of a given event differ d. Makes judgments based on what he or she sees
a
A nurse is assessing a toddler at a well-child visit. At what point in the physical exam should the nurse examine the Childs tympanic membrane? a. At the end b. At the beginning c. Before examining the head and neck d. Before auscultating the chest and abdomen
a
A nurse is caring for a 12 mo toddler who is hospitalized and confined to a room with contact precautions in plan e. Which of the following toys should the nurse recommend in order to meet the developmental needs of the client? a. Large building blocks b. Modeling clay c. Hanging crib toys d. Crayons and coloring book
a
A nurse is preparing to interview an adolescent patient. Which approach should the nurse use for the adolescent? a. Ask open ended questions during the interview b. Begin with sensitive issues and then proceed with less sensitive topics c. Assume you understand the adolescent by including your own experiences d. Interview the adolescent with parents to ensure accuracy
a
School-age children are prone to accidental injury primarily because of: a. Peer pressure and risk-taking behaviors b. Physical awkwardness and clumsiness c. Parents' lack of supervision d. Attempts to impress members of the opposite sex
a
What is the most common source of unintentional injury and death in young people? a. Motor vehicle crashes b. Drowning c. Poisoning d. Chronic illnesses
a
When assessing BP in a child: a. Knowledge of normal mean is important: newborn, 65/41; 1 month to 2 years old, 95/58; and 2 to 5 years old, 101/57. b. Cuff size is the most important variable and should be measured using limb length. c. The child is considered normotensive if the BP is below the 95th percentile. d. Check upper- and lower-extremity BP to look for abnormalities, such as aortic stenosis, which causes lower-extremity BP to be higher than upper-extremity BP.
a
These general approaches can be helpful when performing a physical exam. Select all that apply. a. With toddlers, restraint may be necessary, and requesting a parent's assistance is appropriate. b. When examining a preschooler, giving a choice of which parts to examine may be helpful in gaining the child's cooperation. c. With a school-age child, it is always best to have the parents present when examining. d. Giving explanations about body systems can make adolescents nervous due to their egocentricities. e. An infant physical exam is done head to toe, similarly to the adult.
a, b
You are working with the family of a 4-year-old patient and have concerns about possible exposure to lead poisoning. Which information will determine if follow-up is needed? Select all that apply. a. The child goes daily to the older home of a babysitter. b. One of the child's playmates in the neighborhood has lead poisoning. c. Although living in a newer neighborhood, one of the child's playmates' homes is being renovated. d. The child is out of the danger age range for screening (1 to 2 years old), so screening is not needed. e. Past BLL was 12, so no follow-up is needed at this time.
a, b
Toddlers are often known to be finicky eaters and may exhibit abnormal eating patterns that may concern parents. Which of the following actions for feeding toddlers should be suggested so that adequate amounts of nutrients for growth and development are consumed? Select all that apply. a. Avoid placing large food portions on the toddler's plate. b. Allow the child to graze on nutritious (not "junk" food) snacks during the day. c. Insist that the child sit at the table until all persons have completed their meals. d. Allow the child to make certain food choices (within reasonable limits)—for example, would you like a half peanut butter or ham sandwich? e. Provide meals at the same time of day as much as possible so that the toddler has a sense of consistency. f. Make the child eat all of the food provided, and provide disciplinary actions, such as a "time-out" if the plate is not cleaned.
a, b, d, e
A school nurse in middle school (grades 6, 7, and 8) is preparing an outline for a sex education class. Which of these statements represent important concepts to be covered in discussing this topic with this age group? Select all that apply. a. Consider separating the boys and girls into same-sex groups with a leader of the same sex. b. Answer questions in a matter-of-fact manner and honestly and appropriate to the children's level of understanding. c. Use vernacular or slang terms to describe human physiologic functions. d. Avoid discussing sexually transmitted diseases in this age group. e. Discuss common myths and misconceptions associated with sex and the reproductive process. f. Avoid controversial topics such as birth control.
a, b, e
The nurse caring for a preschool child understands which of the following developmental concepts? Select all that apply. a. Preschoolers have egocentric thought and believe that everyone thinks as they do. b. Play can be therapeutic and enlightening into a child's level of understanding. c. Explanations are helpful when using detail to allay the preschooler's stress. d. Preschoolers understand inferences and can relate to others' feelings with empathy. e. Preschoolers have magical thinking and believe their thoughts have power.
a, b, e
You tell the parent of a 4-year-old patient being admitted that you need to ask some questions. She asks, "Why do you have to ask so many questions?" Which explanations should you offer? Select all that apply. a. "It is something we are required to do for every child who is hospitalized." b. "By learning about your child's routines, we can try to minimize some of the changes he will be going through." c. "Knowing more about your child can help predict how the hospital stay will go and will also help us choose a good roommate for him when more children arrive at the hospital." d. "Gaining more information about your child, such as current medications she is taking, will help us provide the best care." e. "This will give you an opportunity to ask questions as well."
a, b, e
When discharging the pediatric patient from the outpatient setting, the nurse knows which of the following responses indicate a need for more teaching? Select all that apply. a. "The physician said my son can have clear liquids when we return home, which would include Jell-O, pudding, and apple juice." b. "The other nurse explained that I can use other things to help with the pain, such as distraction (reading a book, music, or a movie), after the pain medication is given." c. "I can get my child's prescription tomorrow, so I can go to my regular pharmacy where they can explain the medication to me." d. "I am waiting for my husband to come so he can drive us, and I can watch my son in the car on the way home." e. "I understand that I will be contacted tomorrow for follow-up on my child but that I should not hesitate to call if I have any concerns before then."
a, c
a nurse is performing a developmental screening on a 10 month old infant. which of the following fine motor skills should the nurse expect the infant to perform? (select all that apply) a. grasp rattle by the handle b. try building a 2 block tower c. use crude pincer grasp d. place objects into a container e. walks with one hand held
a, c
At the clinic appointment, a 4-year-old's mother wants to discuss several concerns. Which statements require more teaching by the nurse? Select all that apply. a. My husband feels that TV is okay as long as it is educational. b. I think it is okay for my son to play dress-up along with the girls. c. I told my son that his imaginary playmate moved away because it did not seem normal. d. My mother-in-law thinks I should be working around the house all the time, but I believe playing with my son is very important. e. My neighbor gave me some flash cards with letters and numbers for my son to use, but I said, "What's the rush? He's only 4."
a, c, e
The mother of a 4-year-old health clinic patient asks the nurse about night terrors. Which statement by the mother reveals a need for further teaching? Select all that apply. a. He will grow out of this stage when he is a little older. b. Getting into a specific routine is helpful and can be calming to my son. c. Watching TV with an adult is helpful so that he understands what is real. d. I can help my child with sleep by giving him his favorite stuffed animal or using a night-light. e. Our family often sleeps together, and this seems to help.
a, c, e
Growth measurement is a key element in children of their health status. One measurement for height is linear growth measurement. What should the nurse do to perfect this technique? Select all that apply. a. Understand the difference in measurement for children who can stand alone and for those who must lie recumbent. b. Use a length board and footboard or a stadiometer, which is the best technique, or use a tape measure. c. Two measurers are usually required for a recumbent child, although one measurer may be sufficient for a cooperative child. d. Reposition the child and repeat the procedure. Measure at least twice (ideally three times). Average the measurements for the final value. e. Demonstrate competency when measuring the growth of infants, children, and adolescents. Refresher sessions should be taken when a lack of standardization occurs.
a, d, e
A nurse is assessing a 15 mo toddler. Which of the following findings should the nurse report to the provider? a. Toddler cannot build tower of 6-7 blocks b. Toddler cannot stand upright without support c. The toddler cannot jump with both feet d. The toddler cannot turn a door knob
b
A nurse is caring for a 2 year old child who is hospitalized and throws a tantrum when his parent leaves. Which of the following toys should the nurse provide to alleviate the Childs stress a. Set of building blocks b. Toy hammer and pounding board m c. Picture book about hospitals d. Stuffed animal
b
A nurse is preparing to measure an infants vital signs. The nurse should use which of the following sites to assess a heart rate? a. Carotid artery b. Apex of the heart c. Brachial artery d. Radial artery
b
A nurse is providing education about introducing new foods to the guardians of a 4-month-old infant. The nurse should recommend that the caregiver introduce which of the following foods first? a. strained yellow veggies b. iron fortified cereal c. pureed fruits d. whole milk
b
A nurse is providing teaching about dental care and teething to the caregiver of a 9-month-old infant. which of the following statements b y the caregiver indicate understanding of the teaching? a. I can give my baby a warm teething ring to relieve discomfort b. I should clean my baby's teeth with a cool, wet wash cloth c. I can give advil for up to 5 days while my baby is teething d. I should place diluted juive in the bottle my baby drinks while falling asleep
b
As the nurse is getting Nathan ready for surgery, his doctor asked you to explain preemptive analgesic to Nathan's mother. Which response leads you to believe his mother needs more teaching? a. "I understand that preemptive analgesia is giving Nathan pain medication before he has pain and could be given before surgery." b. "This medication will control Nathan's pain so he doesn't feel anything." c. "Giving this medicine early may help prevent complications after surgery." d. "By controlling Nathan's pain, he will be more comfortable and may be able to go home sooner."
b
Characteristics of bullying include: a. Unintentional harm inflicted upon another person that is part of the socialization process in childhood b. The infliction of repetitive physical, verbal, or emotional abuse upon another person with intent to harm c. An attempt to gain acceptance and be liked by same-sex peers d. An early sign of a severely disturbed personality disorder that escalates in adulthood
b
One of the concerns of the preschool period is adequate nutrition. What can the nurse say to give anticipatory guidance to parents? a. Preschoolers are growing during this period and need to increase their caloric intake to 110 kcal/kg, for an average daily intake of 2200 calories. b. There is some evidence that children self-regulate their caloric intake. If they eat less at one meal, they compensate at another meal or snack. c. To monitor fat intake, dairy and meat should be limited to twice a day. d. For children who do not like milk, consumption of fruit juices is a healthy alternative.
b
One of the primary reasons for monitoring the toddler's activities and intervening to prevent accidental injury is that: a. Toddlers have oppositional defiant behavior and negativism. b. Toddlers do not understand the concept of "cause and effect," so explaining that certain actions will result in serious injury is useless. c. Toddlers will often listen to reasoning about why an activity should be avoided. d. Toddlers enjoy making their parents worry about their safety and like to see the parents' reactions to the behavior.
b
Pain scales for infants and their uses include but are not limited to a. CRIES: Crying, Requiring increased oxygen, Inability to console, Expression, and Sleeplessness b. FLACC Pain Assessment Tool: Facial expression, Leg movement, Activity, Cry, and Consolability c. Non-Communicating Children's Pain Checklist (NCCPC): Parent and health care giver questionnaire assessing acute and chronic pain d. Neonatal Pain, Agitation, and Sedation Scale (NPASS): For infants from 3 to 6 months old
b
When assessing a child's injury in the emergency department, a nurse suspects physical abuse. Based on this suspicion, the nurse's primary legal responsibility is: a. Assist the family in identifying resources for support. b. Report the case in which the abuse is suspected to the local authorities. c. Document the child's physical assessment findings accurately and thoroughly. d. Refer the family to the hospital support group.
b
When her preschool son is in the hospital, the parent tells the nurse, "I think there is something wrong with him because he is so skinny." The most appropriate answer by the nurse is: a. Most preschoolers weigh between 10 and 14 kilograms. b. The legs of a preschooler, rather than the trunk, increase in length, which may make him look slimmer. c. Preschoolers usually keep that pot-bellied appearance until about 4 years old. d. Most preschoolers gain 2 to 3 pounds per year.
b
A 3-month-old is being seen in the well-child clinic for positional plagiocephaly. The nurse knows that the initial interventions for this condition involve which of the following? Select all that apply. a. Place the infant to sleep in the prone position. b. Place the infant in a prone position when awake (approximately 15 minutes). c. Alternate the infant's head position (side of head) when asleep. d. Have the infant wear a soft helmet for 23 to 24 hours a day. e. Place the infant to sleep in an infant seat twice a day.
b, c
The recommended treatment for cow's milk protein allergy is the substitution of cow's milk-based formula for: a. Goat's milk b. Soy milk or a hydrolyzed formula c. Whole milk d. Evaporated milk
b, c
Which of the following immunization booster vaccines should be considered for a 12-year-old adolescent who has completed all recommended routine childhood vaccinations? Select all that apply. a. DTaP vaccine b. Tdap vaccine c. Meningococcal vaccine d. Pneumococcal vaccine e. Hepatitis B vaccine
b, c
According to Jean Piaget, adolescent cognitive development is represented by the stage of formal operational thought that includes which of the following? Select all that apply. a. Believing that thoughts are all-powerful b. Thinking in abstract terms c. Thinking about hypotheses d. Using a future time perspective e. Thinking in the here and now
b, c, d
Identify the interventions that can be safely used to manage diaper dermatitis. Select all that apply. a. Blow dry heat on skin with hair dryer. b. Apply a skin barrier paste such as zinc oxide. c. Keep skin surface irritants such as urine and stool off skin. d. Expose skin to air. e. Use only cloth diapers.
b, c, d
When teaching a 6-year-old child with sickle cell disease and his family about pain management, which of the following should the nurse discuss? Select all that apply. a. When pain medications are used, all pain will be eliminated. b. Nonpharmacologic methods of pain relief, including heat, massage, physical therapy, humor, and distraction. c. It is helpful to use a "passport card" that includes information about the diagnosis, any previous complications, and the pain regimen. d. Only the physician can decide the best course of treatment, and the other health care providers follow that plan. e. Long-term medication use considers many factors.
b, c, d
While interviewing parents who have just arrived in the health care clinic, the nurse begins the interview. Which statement below involves therapeutic communication techniques? Select all that apply. a. Allow the parents to direct the conversation so that they feel comfortable and in control. b. Use broad, open-ended questions so that parents can feel open to discuss issues. c. Redirect by asking guided questions to keep the parents on task. d. Use careful listening, which relies on the use of clues and verbal leads to help move the conversation along. e. Ask carefully worded, detailed questions to get accurate information.
b, c, d
Culture includes which of the following? Select all that apply. a. Cultural competence, which includes building skills in the health care provider, such as offering lists of common foods, health care beliefs, and important rituals b. Cultural humility, which requires that health care providers participate in a continual process of self-reflection and self-critique c. Recognizing the power of the health care provider role that views the patient and family as full members of the health care team d. A particular group with its values, beliefs, norms, patterns, and practices that are learned, shared, and transmitted from one generation to another e. A complex whole in which each part is interrelated, including beliefs, tradition, lifeways, and heritage
b, c, d, e
A nurse is conducting a well-baby visit with a 4-month-old infant. Which of the following immunizations should the nurse plan to administer to the infant? (SATA) a. measles, mumps, rubella (MMR) b. Polio (IPV) c. Pneumococcal vaccine (PVC) d. Varicella e. Rotavirus vaccine (RV)
b, c, e
What does Duvall's Developmental Stages of the Family include? Select all that apply. a. Stages an individual progresses through in their moral and spiritual development b. Stages families progress through in adulthood c. Stages that designate how parenting progresses as a child develops d. Stages that designate appropriate discipline related to developmental stages e. Stages that describe the journey a couple will take as their children mature
b, c, e
A 4-month-old infant is brought to the well-child clinic for immunizations. The mother indicates that the infant often strains to have a bowel movement, so she has been giving him honey and has stopped feeding him iron-fortified formula, based on her sister's recommendations. The nurse recognizes that the infant is at risk for the development of which of the following? Select all that apply. a. Obesity b. Iron-deficiency anemia c. Rickets d. Infant botulism e. Cow's milk allergy
b, d
As a nurse caring for children, an understanding of childhood depression is essential. Some important information about depression includes which of the following statements? Select all that apply. a. Authorities agree that childhood depression exists, and the manifestations are often similar to adult depression. b. Identification of the depressed child requires a careful history taking (e.g., health, growth and development, social and family health); interviews with the child; and observations by the nurse, parents, and teachers. c. If antidepressants are prescribed, the child and family need to know that antidepressants must be at a therapeutic level for 4 to 6 weeks to achieve a beneficial effect. d. Depressed children often exhibit a distinctive style of thinking characterized by low self-esteem, hopelessness, poor social engagement with peers, and a tendency to explain negative events in terms of personal shortcomings. e. Nurses should be aware that depression is a problem that can be easily overlooked in the school-age child and one that can interrupt normal growth and development.
b, d, e
How can the nurse prepare a child for a painful procedure? Select all that apply. a. Be honest and use correct terms so that the child trusts the nurse. b. Involve the child in the use of distraction, such as using bubbles, music, or playing a game. c. Kindly ask parents to leave the room so that they don't have to watch the painful procedure. d. Teach positive self-talk such as, "When you go home, you will feel better and be able to see your friends." 148 e. Use guided imagery that involves recalling a previous pleasurable event.
b, d, e
While orienting a new nurse to the ICU, she asks, "How do these children sleep and not become frightened with all the lights and noises?" How should you respond? Select all that apply. a. "These children are sicker than those on the pediatric unit, so the noises and lights are necessary." b. "We try to organize care into clusters so that infants and children can sleep and we can turn down lights." c. "We silence alarms to allow for periods of sleep, especially at night." d. "When possible, we allow for uninterrupted sleep cycles—for infants 90 minutes and for older children 60 minutes." e. "We encourage parents to sit with and touch their child as often as possible."
b, e
A mother brings her 3-year-old daughter to the well-child clinic and expresses concern that the child's behavior is worrisome and possibly requires therapy or medication at minimum. The mother further explains that the child constantly responds to the mother's simple requests with a "no" answer even though the activity has been a favorite in the recent past. Furthermore, the child has had an increase in the number of temper tantrums at bedtime and refuses to go to bed. The mother is afraid her daughter will hurt herself during a temper tantrum because she holds her breath until the mother picks her up and gives in to her request. The nurse's best response to the mother is that: a. The child probably would benefit from some counseling with a trained therapist. b. The mother and father should evaluate their childrearing practices. c. The child's behavior is normal for a toddler and may represent frustration with control of her emotions; further exploration of events surrounding temper tantrums and possible interventions should be explored. d. The child's behavior is typical of toddlers, and the parents should just wait for the child to finish this phase because this will end soon as well.
c
A nurse looks over her assignment for the day that includes an infant, a preschool-age child, a third-grader, and a sophomore in high school. Which techniques take into consideration developmental stages when working with pediatric patients? a. Being aware that infants will become agitated due to stranger anxiety around 4 months old b. When a preschooler is getting blood drawn, giving a detailed explanation will be helpful c. Explaining and demonstrating what the BP machine does to the third-grader before taking her blood pressure d. Using a single consistent approach with the adolescent will help allay anger and hostility
c
An important milestone in the infant's life is the development of object permanence. This milestone is represented by which of these statements? a. The infant smiles at the mother when she talks to him. b. The infant repeatedly flexes and extends his arms and legs when the mother picks him up. c. The infant turns and looks for the mother when she walks out of his view. d. The infant cries when the mother hands him to a babysitter.
c
Nursing care of a child in the hospital with suspected abuse should include: a. Assign a variety of nurses to the child so that he can get to know and trust the whole staff. b. Praise the child's ability to minimize feelings of shame and guilt. c. Treat the child as someone with a specific problem, not as an "abuse" victim, to promote self-esteem and minimize feelings of guilt. d. Talk with and ask questions as often as possible to show interest and get to know the child better.
c
Separation anxiety is something that affects children when they are hospitalized. Each developmental stage has a somewhat different reaction as they deal with this difficulty. Which stage corresponds to the adolescent stage? a. May demonstrate separation anxiety by refusing to eat, experiencing difficulty in sleeping, crying quietly for their parents, continually asking when the parents will visit, or withdrawing from others. b. Separation anxiety comes in stages: protest, despair, and detachment. c. Loss of peer group contact may pose a severe emotional threat because of loss of group status, inability to exert group control or leadership, and loss of group acceptance. d. May need and desire parental guidance or support from other adult figures but may be unable or unwilling to ask for it.
c
The nurse is assessing a 12-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider ? a. closed anterior fontanel b. eruption of 6 teeth c. birth weight doubles d. birth length increased by 50%
c
The nurse is explaining the strategy of consequences to a parent he is working with. Which response by the parent indicates more teaching is needed when he describes the types of consequences? a. Natural: Those that occur without any intervention b. Logical: Those that are directly related to the rule c. Transforming: Allowing the child to come to the conclusion on his or her own d. Unrelated: Those that are imposed deliberately
c
What does family systems theory include? a. Direct causality, meaning each change affects the whole family b. Family systems react to changes as they take place, not initiate it c. A balance between morphogenesis and morphostasis is necessary 36 d. Theory is used primarily for family dysfunction and pathology
c
At an appointment at the pediatrician's office, a patient's mother states, "My son gets rough with some of the neighborhood kids. I am worried that he is becoming a bully." Which statements by the mother need more teaching? Select all that apply. a. When my son becomes aggressive, I feel he needs to be punished. b. I think it is good for him to bond with his dad, so they often watch TV together. c. I am trying to get him to learn to say what he is upset about in words. d. Boys will be boys, so I think this can be considered a normal stage in development. e. I am thinking that a time-out would be a better strategy than spanking when my son shows this behavior.
c, e
A child is brought to the emergency department by his parents after noted to be "acting funny" a few hours ago while he was being cared for by his grandmother. When she went to take her evening medication, the grandmother noted that her pill container had been opened and some pills were missing. The parents state that the grandmother has a heart condition. Anticipating the emergency care this child will receive, you know: a. The majority of medications have a specific antidote. b. In this case, gastric lavage may be used. c. Activated charcoal will most likely be used, and it can be mixed with another drink (milk or juice) to make it more palatable. d. The main concerns are for vital sign assessment, assessment of mental status, and giving cardiac and respiratory support as needed.
d
A father tells the nurse that his 3 year old wants the same plate and cup used at every meal. The nurse should explain that this is which of the following? a. A sign the child may be developmentally delayed b. A way yo every an abnormal amount of control c. Regression is coming for this age group d. Ritualism is common for this age group
d
A nurse is assessing the psychosocial development of a toddler. The nurse should recognize that this stage is characterized by which of the following? a. Imaginary playmates b. Erikson's stage of initiative vs. guilt c. Demonstrates sexual curiosity d. Negative behaviors characterized by the need for autonomy
d
A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following developmental tasks should the nurse incase as being expected of a preschooler? a. Controls impulse feelings b. Builds a collection of cards c. Express need for privacy d. Participate in imaginary play
d
The nurse is having difficulty communicating with a hospitalized 6 year old. What techniques might be the most helpful? a. Suggest the child keep a diary b. Explain to the child why they are there c. Ask child if they want their friends to visit d. Ask the child to draw a picture
d
Vitamin A may be administered in significant amounts to children with this childhood communicable illness to decrease morbidity and mortality: a. Pertussis b. Varicella c. Rubella d. Measles
d
What factors should the nurse consider when interviewing an adolescent patient? a. Begin with sensitive issues then proceed with less sensitive topics b. Assume you understand the adolescent by including your own experiences c. Interview the adolescent with the parents to ensure accuracy d. Ask open-ended questions
d
What is a way to integrate spiritual practices into nursing care? a. Explaining the religious practices you personally take part in b. Realizing that young children have little understanding regarding their spirituality c. Agreeing with children and their families when they explain their religious beliefs so that they are not offended d. Becoming knowledgeable about the religious worldviews of cultural groups found in the patients you care for
d
When caring for their infant, a parent asks you, "Is Emily in a lot of pain? How would you know since she can't really tell you?" The best answer to this question is a. "Infants don't feel pain as we do because their pain receptors are not fully developed yet." b. "The nurses give pain medication before she really feels the pain." c. "We assess her pain using an infant pain assessment tool and give the medicine as needed." d. "Although we try to give her medicine before she feels pain, we watch her very closely and use different techniques to help relieve the pain."
d
Which factors are considered protective factors for sudden infant death syndrome (SIDS)? a. Side sleeping position, breastfeeding, updated childhood immunization status b. Supine sleeping position, breastfeeding, soft bedding c. Prone sleeping position, exposure to maternal tobacco use, updated childhood immunization status d. Supine sleeping position, breastfeeding, updated childhood immunization status
d
