Growth and Development Exam 2

A toddler is exploring the environment but returns to his mother within a few minutes of exploration. This finding would be noted as an example of A. Individuation B. Separation C. Separation anxiety D. Rapprochement

Answer: D. Rapprochement

A parent is concerned as her 6-year-old child "cheats" when playing games with other children. The parent is concerned that this behavior will affect future behaviors as the child gets older. The nurse understands the parent's anxiety about the described behavior and provides the following assurance A. You are right to be concerned about this type of behavior. B. This is a prompted behavior that occurs intermittently at this age. C. This type of behavior occurs around this age period and is due to the child not being able to understand what it means to lose. D. It is best to ignore the behavior as it will stop eventually.

Answer. C. This type of behavior occurs around this age period and is due to the child not being able to understand what it means to lose.

A nurse working with adolescents is aware of common drugs of abuse. Which of the following drugs is the most common drug of abuse in the adolescent population? A. Alcohol B. Oxycontin C. Cocaine D. Morphine

Answer: A. Alcohol

The nurse is discussing toddler development with a parent. Which intervention will foster the achievement of autonomy? A. Encourage the toddler to do the things for himself or herself when he or she is capable of doing them. B. Help the toddler learn the difference between right and wrong. C. Help the toddler complete tasks. D. Provide opportunities for the toddler to play with other children.

Answer: A. Encourage the toddler to do things for himself or herself when he or she is capable of doing them.

When is the time frame for starting primary immunizations for a baby who was just born? A. Following birth or up to 2 weeks of age B. At 4 weeks. C. At 2 months D. Recommendation based on gender and weight protocols.

Answer: A. Following birth or up to 2 weeks of age

What nursing actions should the nurse anticipate if caring for a child who has been sexually abused in the past and is now admitted to the hospital for a non-related hospital admission? A. Provide brief descriptions and avoid any physical contact during delivery of care. B. Offer supportive care and be observant of verbal and non-verbal cues. C. No additional nursing actions required as this is unrelated to the prior event. D. Limit the number of visitors that can be in the room at any given time.

Answer: B. Offer supportive care and be observant of verbal and non-verbal cues.

By which age would the nurse except for most children to use sentences of 4 or 5 words A. 18 months B. 24 months C. 3 years D. 4 1/2 years

Answer: D. 4 1/2 years

According to Erikson, the primary psychosocial task of the preschool period is developing a sense of A. Identity B. Intimacy C. Industry D. Initiative

Answer: D. Initiative

Sexually active adolescent asks the school nurse about the prevention of sexually transmitted diseases. The most appropriate recommendation by the nurse is the use of A. Prophylactic antibiotics B. Condoms C. Withdrawal method of contraception. D. Any type of contraception method

Answer: B. Condoms

What is the causative agent for erythema infectiosum. A. Paramyxovirus B. Human parvovirus B19 C. Human herpesvirus type 6 D. Group A B-hemolytic streptococcus

Answer: B. Human parvovirus B19.

What is an important consideration related to childhood stress? A. Children should be protected from stress. B. Children do not have coping strategies. C. Some children are more vulnerable to stress than others. D. Parents cannot prepare children for stress.

Answer: C. Some children are more vulnerable to stress than others.

A 4 year old child sometimes wakes her parents up at night, screaming and apparently frightened. Yet she is not aware of her parents' presence when they check on her. She lies down and sleeps without any parental intervention. This MOST likely scenario is A. Seizure activity B. Sleep apnea C. Sleep terrors D. Nightmares

Answer: D. Sleep terrors

Which benchmark serves as the ending period for the middle year period of development? A. Onset of puberty B. Loss of deciduous teeth C. Wisdom teeth appearing D. Beginning school

Answer: A Onset of puberty

The 2 rules used to provide sensitive information to a preschooler focus on A. Find out what they know and think and then be honest. B. Ask the child if he/she understands what you have told them and then clarify any additional questions. C. Describing the information in a succinct way and answering any questions. D. Use the opportunity to provide minimal information and keep the level of interaction simple.

Answer: A. Find out what they know and think and then be honest.

The MOST appropriate comfort intervention for a child with severe itching relate to chickenpox is A. Give an antipruritic medication such as diphenhydramine (Benadryl) B. Apply a thick coat of pramoxine ( caladryl) lotion over open lesions. C. Give aspirin or acetaminophen. D. Encourage frequent warm baths.

Answer: A. Give an antipruritic medication such as a diphenhydramine (Benadryl)

The management of adolescent obesity should include A. Incorporating favorite foods into the diet. B. Using nutritious foods as a method of reward. C. Planning a low calorie, low protein diet. D. Encouraging diversional activities during mealtimes.

Answer: A. Incorporating favorite foods into the diet.

Which behavior is MOST characteristic of the concrete operations stage of cognitive development? A. Increasingly logical and coherent thought processes. B. Progression from reflex activity to imitative behavior. C. Inability to put oneself in another's place. D. Ability to think in abstract terms and draw logical conclusions.

Answer: A. Increasingly logical and coherent thought processes.

An important nursing intervention in the care of a child with bacterial conjunctivitis is A. intermittent warm, moist compresses to remove crusts on the eye area. B. Oral antihistamines to minimize itching. C. Application of optic corticosteroids to reduce inflammation. D. Continuous warm compresses to relieve discomfort.

Answer: A. Intermittent warm, moist compresses to remove crusts on the eye area.

Parents of a preschooler relate that their child is having some difficulties falling asleep. This is a recent occurrence and the parents report that they have tried virtually everything to get their child to go to sleep. Based on the self-report, the nurse would advise the parents to A. Maintaining a consistent approach to bedtime routine serves as a basis for promoting sleep patterns. B. Do not feed the child 2 hours before sleep as food might be causing excess stimulation. C. Do not let the child watch any tv in the evening as this may cause stimulation. D. Have the child fall asleep on the couch and then transfer the child to bed.

Answer: A. Maintaining a consistent approach to bedtime routine serves as a basis for promoting sleep patterns.

The BEST approach for effective communication with a preschooler is through A. Play B. Speech C. Actions D. Drawing

Answer: A. Play

Which clinical finding would alert the nurse to the possibility that the pediatric patient has conjunctivitis as a result of a foreign object body? A. Tearing of the right eye B. Bilateral swollen lids C. Inflamed conjunctiva of both eyes D. Crusting of the eyelids

Answer: A. Tearing of the right eye

Which method should the student nurse use to apply the principles of cough etiquette in the clinical setting to prevent the potential spread of infection? A. Using tissues when coughing to catch secretions. B. Maintaining a perimeter of 10 feet from patient and visitors when coughing. C. Wearing a surgical mask for all patient contacts even if the student nurse has not overt clinical symptoms of having a cold. D. Covering the nose when covering.

Answer: A. Using tissues when coughing to catch secretions.

Which age group does the nurse identify to be at MOST risk for ingestion of poisonous substances. A. Infants up to 12 months of age B. Ages 1 to 5. C. 6 months of age. D. Between ages 4 and 5.

Answer: Ages 1 to 5.

In teaching prospective parents about the emergence of gender identity, the nurse should instruct them that this concept emerges at about A. 12 months of age. B. 24 months of age. C. At 3 years of age. D. At birth

Answer: B. 24 months of age.

Which action would indicate a PRIORITY for the nurse in terms of health promotion? A. School-age child uses car seat restraint system. B. 4-year-old child wears protective equipment while on a skateboard. C. Protective equipment is used while the 9-year-old child is riding a scooter. D. 8-year-old child uses helmet protection while riding a bike.

Answer: B. 4-year-old child wears protective equipment while on a skateboard.

Systematic clinical findings associated with bedbugs manifest as A. Wheal B. Anaphylaxis C. Rash D. Folliculitis

Answer: B. Anaphylaxis

A 10 year old boy child is riding a bike on the grounds of the school. Which finding if observed by the school nurse would require intervention. A. child riding single file. B. Child's shoes are poor fitting. C. Child is riding close to the curb. D. Child is seen walking the bike through the crosswalk.

Answer: B. Child's shoes are poor fitting.

A child has sustained an injury and lost a primary tooth. Which priority action should be taken by the nurse at this time? A. Referral to the dentist for immediate consultation. B. Provide comfort measures and assess for bleeding. C. If the tooth is dirty, rinse off and cover in gauze until needed for reimplantation. D. Recover the tooth and prepare for reimplantation

Answer: B. Provide comfort measures and assess for bleeding.

A 16-year-old girl tells the school nurse that she hasn't started her period. The MOST appropriate nursing intervention is to A. Suggest the adolescent stop exercising until menarche occurs. B. Refer the adolescent for an evaluation. C. Assume that the adolescent is pregnant. D. Explain that this is not unusual.

Answer: B. Refer the adolescent for an evaluation.

The nurse is caring for a 12-year-old who sustained major burns when putting charcoal lighter on a campfire. The nurse observes that the child is "very brave" and appears to accept pain with little or no response. What is the MOST appropriate nursing action related to this. A. Ask the child why the child does not have pain. B. Request a psychological consultation. C. Encourage continued bravery as a coping strategy. D. Praise the child for the ability to withstand pain.

Answer: B. Request a psychological consultation.

Which statement characterizes toddle's eating behaviors? A. They have few food preferences. B. They become fussy eaters. C. They have increased appetites. D Their table manners are predictable.

Answer: B. They become fussy eaters.

A middle age child understands that with regards to a mathematical equation that a 7 can be composed of 4+3 and 2+5. Based on this finding, the nurse documents that the development level of the child reflects? A. Concrete operations B. Accomplish industry versus inferiority. C. Conservation D. Verification of latency period.

Answer: C. Conservation

What is the MOST important goal when caring for an individual with anorexia nervosa? A. Limit fluid intake. B. Provide effective oral care. C. Correct malnutrition. D. Encourage weight gain.

Answer: C. Correct malnutrition.

The nurse is collecting history on a 16-year-old admitted for treatment of anorexia nervosa. The patient limits the answers to yes or no. What is the primary nursing goal for this patient at this time? A. Discuss the treatment plan and expected stay in the hospital. B. Return to ask further questions when the patient wants to talk. C. Develop a positive rapport with the patient. D. Ask about favorite foods to provide for them to eat.

Answer: C. Develop a positive rapport with the patient.

Which action characterizes the development of a 2-year-old child? A. Fully dresses self with supervision. B. Has vocabulary of at least 500 words. C. Engages in parallel play. D. Has attained one third of his or her adult height.

Answer: C. Engages in parallel play.

Which observation is associated with nightmares as opposed to sleep terrors? A. Is not comforted by traditional methods of contact. B. Child has no memory of the event or dream-like state. C. Has a hard time returning to sleep following the event. D. Thrashing-type behaviors continue when the child awakens.

Answer: C. Has a hard time returning to sleep following the event.

A child is brought into the hospital following a fire at the home. The child appears to be sleeping on the stretcher bed. No observable burn injuries are noted based on the preliminary survey. However, the nurse would place a priority observation on the possibility of the child having? A. Thermal Burns. B. Decreased metabolism leading to hypovolemic shock. C. Inhalation injury . D. Chemical burns.

Answer: C. Inhalation burns.

A 4 1/2 year old child is afraid of dogs. What should the nurse recommend to her parents to help her with this fear? A. Buy her a stuffed dog toy. B. Force her to touch a dog briefly. C. Let her watch other children play with a dog. D. Keep her away from dogs.

Answer: C. Let her watch other children play with a dog.

An adolescent girl is brought to the hospital ER after being raped. The girl is calm and controlled throughout the interview and examination. The nurse should recognize that this behavior is A. Suggestive that a rape has not actually occurred. B. Indicative of a higher than usual level of maturity in the adolescent. C. Suggestive that the adolescents had severe emotional problems before the rape occurred. D. One of variety of behaviors normally seen in rape victims.

Answer: D. One of variety of behaviors normally seen in rape victims.

A triage nurse is assessing a child brought into the emergency room. The child has a series of past ER visits for similar complaints relates for which previous diagnostic testing has been negative. The child is afebrile and denies any pain or discomfort. The child's caregiver is insisting that diagnostic test that were done previously be performed again. What priority action should the triage nurse take? A. Ask child when the last time he/she has eaten. B. Administer a pain scale to the child. C. Ask the physician to order the tests to rule out an suspected pathology. D. Perform a thorough physical assessment to clarify reported information.

Answer: D. Perform a thorough physical assessment to clarify reported information.

The nurse should teach parents of toddlers how to prevent poisoning by instructing them to A. Consistently use safety caps B. Keep ipecac in the home. C. Store poisonous out of reach D. Store poisonous substances in a locked cabinet.

Answer: D. Store poisonous substances in a locked cabinet.

Which is descriptive of the nutritional requirements of preschool children A. The requirement for calories per unit of body weight increases slightly during the preschool period. B. Nutritional requirements for preschoolers are different from requirements for toddlers. C. The average daily intake of preschoolers should be about 3000 calories. D. The quality of the food consumed is more important than the quantity.

Answer: D. The quality of the food consumed is more important than the quantity

For a toddler with sleep problems, the nurse should suggest that the parents A. Vary the bedtime ritual. B. Restrict stimulating activities throughout the day. C. Explain away their fears. D. Use a transitional object at bedtime.

Answer: D. Use a transitional object at bedtime.

The nurse is concerned with the prevention of communicable disease. Primary prevention results from A. Early diagnosis. B. Strict isolation. C. Immunizations. D. Treatments of disease.

Answers: C. Immunizations.

What is described as the time interval between early manifestations of a disease and the overt clinical syndrome? A. Desquamation period. B. Prodromal period. C. Period of communicability D. Incubation period.

Answer: B. Prodromal period.

A child has ingested a non-food cleaning substance and the parents call the walk in clinic asking for instructions on what to do as they their way to the clinic. The nurse responds by stating? A. Try to induce vomiting. B. Cover the child with a blanket. C. Offer the child his/her favorite fluid. D. Can you tell me the what the name of the substance is?

Answer: D. Can you tell me the name of the substance is?

During a well-child visit, the father of a 4-year-old child tells the nurse that he is not certain if his child is ready for kindergarten. The child's birthday is close to the cutoff date, and the child has not attended preschool. The MOST appropriate recommendation by the nurse is to A. Encourage the father to have the child start kindergarten. B. Have the father observe a kindergarten class and then decide if his child would enjoy the experience. C. Recommend to the father that he postpone kindergarten and send the child to preschool. D. Refer the child for development screening and make a recommendation based on the results.

Answer: D. Refer the child for developmental screening and make a recommendation based on the results.

A 15-year-old female is in a free clinic seeking information on birth control. The girl tells the nurse that she is sexually active with multiple partners. She states that she does not want to have to remember to take a pill every day. The most appropriate birth control option for this patient is A. Diaphragm B. Condom C. an intrauterine device D. Abstinence

Answer: B. Condom

A nurse has been assigned to take care of a pediatric patient suspected pf having chickenpox. Which type of precaution is required? A. Droplet precautions B. Contact precautions. C. Airborne with isolation room D. Standard precautions are sufficient

Answer: C. Airborne with isolation room

A nurse is providing instruction to a family concerning the care of an infant with bacterial conjunctivitis. Which observations indicated that additional teaching is needed? A. Separate towels are being used for the infant. B. Warm, moist compresses are being used to cleanse the eye area. C. Tissues used to clean the eye are discarded following use. D. An occlusive dressing is applied to the eye area.

Answer: D. An occlusive dressing is applied to the eye area.

What is characteristic of children with PTSD? A. Previous coping strategies and defense mechanisms are not useful. B. Denial as a defense mechanism is unusual. C. Traumatic effects cannot remain indefinitely. D. Children often play out the situation over and over in an attempt to come to terms with their fear?

Answer: D. Children often play out the situation over and over in an attempt to come to terms with their fear?

A hospitalized toddler clings to a worn, tattered blanket. The toddler screams when anyone tries to take it away. Which is the BEST explanation for the toddler's attachment to the blanket? A. The blanket encourages immature behavior. B. The child and the mother have inadequate bonding. C. The developmental task of individuation-separation has not been mastered. D. The blanket is an important transitional object.

Answer: D The blanket is an important transitional object.

A child is brought to the emergency department after falling down the basement stairs. On assessments, what findings may cause the nurse to suspect child abuse? Select all that apply. A. The child is brought to the ER by an unrelated adult. B. The child's caregiver is anxious that the child gets immediate medical attention. C. The child has red, green, and yellow bruises on more than one plane of the body. D. The child has a history of a broken arm last year from falling off a swing. E. The child's bruises are located only on the right arm and leg.

Answer: B. The child's caregiver is anxious that the child get immediate medical attention. E. The child's bruises are located only on the right arm and leg.

Based on the nurse's knowledge of abusive head trauma, what impact can this cause on the developing child? Select all that apply. A. May be prone to develop seizure activity. B. There may be no obvious external physical signs and yet still be problematic. C. Development of cardiac anomalies. D. Increased appetite leading to weight gain. E. Deficits in hearing may occur.

Answer: A. May be prone to develop seizure activity. B. There may be no obvious external physical signs and yet still be problematic. E. Deficits in hearing may occur.

The nurse is discussing health behaviors with a 14-year-old who recently began smoking cigarettes. An appropriate tactic for the nurse to use when discussing this lifestyle choice is A. Cigarette smoking can cause permanent damage to the lungs and can cause cancer as an adult. B.Cigarette smoking is only "cool" in high school and is not accepted in college. C. Cigarettes contain nicotine, and this will cause addiction to other drugs. D. Cigarettes are expensive, and a 14-year-old will not be able to afford them, so he should stop smoking.

Answer: A. Cigarette smoking can cause permanent damage to the lungs and can cause cancer as an adult.

A mother tells the nurse that her daughter's favorite toy is a large, empty box that contained a stove. She plays "house" in it with her toddler brother. Based on the nurse's knowledge of growth and development, the nurse recognizes that this is A. Creative play that should be encouraged. B. Suggestive of limited family resources. C. Suggestive of limited adult supervision. D. Unsake play that should be discouraged.

Answer: A. Creative play that should be encouraged.

What action would improve dental health in the school age child? A. Encouraging the child to floss. B. Have the parent brush the child's teeth in order to make sure it is done properly. C. Limiting brushing of teeth to 3 times a day following meals. D. Have the child consume fruit juice rather than soda.

Answer: A. Encourage the child to floss.

Which statement about early childhood caries should be taught to the parents. A. Giving a bottle of milk or juice at nap time or bedtime predisposes the child to this syndrome. B. Giving the child juice in the bottle instead of milk at prevents this syndrome. C. This syndrome can be completely prevented by breastfeeding. D. This syndrome is distinguished by protruding upper front teeth, resulting from sucking on a hard nipple.

Answer: A. Giving a bottle of milk or juice before naptime or bedtime predisposes the child to this syndrome.

The MOST important prevention method for the spread of any communicable disease is A. Handwashing B. Isolation from infectious agents. C. Immunizations as secondary prevention D. Use of appropriate broad spectrum antibiotics

Answer: A. Handwashing

When preparing parents to teach their preschool child about human sexuality what should the nurse emphasize? A. Parents should determine exactly what the child wants to know before answering a question about sexuality. B. Parents should avoid using correct anatomic terms because they are confusing to the preschooler. C. Parents should encourage preschoolers to satisfy their sexual curiosity by playing "doctor". D. A parent's words may have a greater influence on the child's understanding than the parent's actions.

Answer: A. Parents should determine exactly what the child wants to know before answering a question about sexuality.

When caring for a suicidal adolescent, the MOST important nursing intervention is A. Paying particular attention to children who are withdrawn and are giving away their personal belongings. B. Emphasizing a suicide attempt is an immature way of dealing with stress. C. Recognizing a suicide attempt as an impulsive act resulting from a temporary crisis. D. Ignoring threats of suicide because they are usually bids for attention.

Answer: A. Paying particular attention to children who are withdrawn and are giving away their personal belongings.

The school nurse is concerned about an outbreak of chickenpox because two children at the school have cancer and are immunodeficient from chemotherapy. The MOST appropriate recommendation by the school nurse is that A. Varicella-zoster immune globulin (VZIG) to prevent chickenpox B. Acyclovir should be taken to minimize the symptoms of chickenpox. C. Temporarily stopping chemotherapy will allow the immune system to recover. D. No precautions necessary.

Answer: A. Varicella-zoster immune globulin to prevent chickenpox.

A 2-year-old child has recently started having temper tantrums where breath holding occurs and occasionally fainting. The MOST appropriate action by the nurse is to A. Explain to the parent that the child is spoiled. B. Explain to the parent that this is not harmful. C. Refer the child foe a psychological evaluation. D. Refer the child for a respiratory evaluation.

Answer: B. Explain to the parent this is not harmful.

What should the nurse recommend to the parents to help a toddler cope with the birth of a new sibling? A. Explain to the toddler that a new playmate will soon come home. B. Give the toddler a doll with which he or she can imitate the parents. C. Discourage the toddler from helping with care of the new sibling until the baby is much older. D. Prepare the toddler about 1 to 2 weeks before the birth of a new sibling.

Answer: B. Give the toddler a doll with which he or she can imitate the parents.

the nurse notices that a toddler is more cooperative taking medicine from a small cup than from a large cup. this is an example of which characteristic of preoperational thought? A. Irreversibility B. Inability to converse C. Transductive reasoning D. Egocentrism

Answer: B. Inability to converse

Examination of a child's mouth reveals that teeth do not line up properly upon attempts to have the child bite down. This finding is noted as? A. Gingivitis B. Malocclusion C. Evidence of dental caries D. Dental injury

Answer: B. Malocclusion

Which statement by a student nurse indicates that ADDITIONAL observation is needed relative to abuse of a child. A. the child has a low grade fever. B. the child seems reluctant to go home with parents. C. The child is active during examination. D. The child appears well groomed.

Answer: B. The child seems reluctant to go home with parents.

Which statement is most characteristic of the motor skills of a 24-month-old child? A. The toddler walks alone but falls easily. B. The toddler's activities begin to produce purposeful results. C. The toddler is able to grab small objects but cannot release them at will. D. The toddler's motor skills are fully developed but occur in isolation from the environment.

Answer: B. The toddlers activities begin to produce purposeful results.

A child is being treated for burns in the emergency room. The parents have provided information relative to the origin of the burn event but the patterns of the injury are not consistent with their description. The nurse would suspect that A. The child may have not told the parents the truth about the event. B. There may be a potential for abuse and as such requires a follow up. C. There is no real concern as the burn injuries are minimal and non life threating. D. Parents are too upset to provide information at this time, so additional questions can be answered later.

Answer: B. There may be a potential for abuse and as such requires follow up.

Which statement is correct about young children who report sexual abuse by one of their parents? A. In most cases, the child has fabricated the story. B. They may exhibit various behavioral manifestations. C. Their stories are not believed unless other evidence is apparent. D. They should be able to retell the story the same way to another person.

Answer: B. They may exhibit various behavioral manifestations.

An example of indirect bullying would be A. Telling an individual that you don't like them because you were hurt by their actions. B. Using social media to make offensive comments about an individual. C. Raising one's hand to prevent another person from hitting you. D. Taking a toy away from someone because you want to see it.

Answer: B. Using social media to make offensive comments about an individual.

A parent calls the health clinic stating her child was just exposed to poison ivy and asks what she should do to prevent further complications? A. Quarantine the child until the rash disappears as the child is considered to be contagious. B. Wash the exposed area of contact with cold water to neutralize the effects of oil exposure. C. Suggest to the parent that a tetanus booster is necessary to prevent further complications from this puncture exposure. D. Have the parent contact the Health Department so they will be aware of a possible outbreak of this event.

Answer: B. Wash the exposed area of contact with cold water to neutralize the effects of the oil exposure.

A parent brings a 2-year-old to the clinic for a well-child checkup. Which statement by the parent would indicate to the nurse that the parent NEEDS additional instruction regarding accident prevention? A. We locked all the medicines in the bathroom cabinet. B. We stopped using the car seat and put our child in the seat bely now that he is older. C. We placed gates at the top and bottom of the basement steps. D. We turned the thermostat down on our hot water heater

Answer: B. We stopped using the car seat and put our child in the seat belt now that he is older.

One of the major tasks of toddlerhood is toilet training. In teaching the parents about a child's readiness for toilet training, it is important for the nurse to emphasize that A. The universal age for toilet training to begin is 2 years, and the universal for completion is 4 years. B. Nighttime bladder control develops first, so parents should focus on that in the initial teaching with their toddler. C. Bowel control is accomplished before bladder control, so the parent should focus on bowel training first. D. The toddler must have the gross motor skill to climb up to the toilet before training is begun.

Answer: C Bowel control is accomplished before bladder control, so the parents should focus on bowel training.

The preschooler's body image has developed to include A. Knowledge about his or her internal anatomy. B. Fear of looking different from his or her friends. C. Fear of intrusive procedures. D. A well-defined body boundary.

Answer: C. Fear of intrusive procedures.

The MOST appropriate question to ask a rape victim prior to the start of the physical examination is A. Does she think rape is a violent crime? B. When the attach occurred, could she have prevented it? C. Has she showered or bathed since the attack? D. How many items did the attacker take?

Answer: C. Has she showered or bathed since the attack?

The parents of a 4 1/2 year-old girl are worried because she has an imaginary playmate. Based on the nurse's knowledge of the preschooler, the MOST appropriate response is A. Having an imaginary playmates is abnormal after 2 years. B. A psychosocial evaluation is indicated. C. Having imaginary playmates is normal and useful at this age. D. An evaluation of possible parent-child conflict is indicated.

Answer: C. Having imaginary playmates in normal and useful at this age.

The nurse is assessing a child with herpetic gingivostomatitis. The nurse wears gloves when examining the lesions. The nursing action is A. Necessary only if the nurse touches his or her own mouth after touching the child's mouth. B. Unnecessary because the virus is not easily spread. C. Necessary because virus can easily enter breaks in the skin. D. Unnecessary because the virus is sexually transmitted.

Answer: C. Necessary because virus can easily enter breaks in the the skin.

A 4 1/2 year-old boy has been having increasingly frequent angry outbursts in preschool for approximately 8 to 10 weeks. In addition, he is aggressive toward the other children and teachers. His parents ask the nurse for advice. The MOST appropriate nursing intervention is to A. Talk to the preschool teacher to obtain validation for the behavior the parent reports. B. Explain that this is normal in preschoolers, especially boys. C. Refer to child counseling. D. Encourage the parent to try more consistent and firm discipline.

Answer: C. Refer the child for counseling.

In planning sex education and contraceptive teaching for adolescents, what should the nurse consider.] A. Both sexual activity and contraception require planning. B. Most teenagers who become pregnant do so as an act of hostility, especially toward their parents. C. Teenagers need contraception education in both oral and written form. D. Most teenagers today are knowledgeable about reproductive anatomy and physiology.

Answer: C. Teenagers need contraception education in both oral and written form

The nurse is teaching the parent of a 2-year-old child how to care for the child's teeth. Which instruction should be included? A. Toddlers are old enough to brush their teeth effectively. B. The toddler's toothbrush should be small and have hard, rounded, nylon bristles. C. The parent should brush the toddler's teeth with plain water if he or she doesn't like toothpaste. D. Flossing is not recommended.

Answer: C. The parent should brush the toddler's teeth with plain water if he or she does not like toothpaste.

What is a key factor that would alert the nurse to suspect potential child abuse for a child admitted with a knee injury? A. The child is asking questions about what types of testing he/she will have undergo. B. Adults who are with the child seem attentive and concerned. C. The child is not wearing a sports uniform. D. Inconsistent information is provided about the event.

Answer: D. Inconsistent information is provided about the event.

The nurse is giving anticipatory guidance to the parent of a 5 year old. What is the MOST appropriate information to include? A. Advise the parent that this is the age when stuttering may develop. B. Encourage the parent to offer the child choices. C. Prepare the parent for increased aggression. D. Inform the parent that he of she can expect a more tranquil period at this age.

Answer: D. Inform the parent that he or she can expect a more tranquil period at this age.

Which action should be included in a plan of care for an adolescent who is being treated for depression with tricyclic antidepressants? A. Recording of daily weight. B. Restriction of fluids is needed to prevent fluid overload. C. Increase in caloric intake to maintain weight. D. Make sure dental hygiene is being preformed on a routine basis.

Answer: D. Make sure dental hygiene is being preformed on a routine basis.

A 4 year old child is seen playing with his father while waiting in the clinic area for a well checkup visit. The nurse observing the interaction notes that this behavior as being an example of A. Dramatic play. B. Imaginative play. C. Avoidance play. D. Mutual play.

Answer: D. Mutual play.

In reviewing information about a school-age child, the nurse notes that the child goes to after-school activities each day as the parents do not get home until much later in the day. Based on this description, the nurse would document A. Referral to a social worker for evaluation of the family unit. B. Notation of being a latchkey child. C. Concern for the growth and development due to lack of parental influences D. No further action is needed.

Answer: D. No further action is needed.

The school nurse is seeing a child who brought poison ivy to school in a leaf collection. The child says that only hands touched it. The MOST appropriate nursing action is to A. Soak hands in warm water. B. Apply Burow solution compresses immediately. C. Scrub hands thoroughly with antibacterial soap. D. Rinse hands in cold, running water.

Answer: D. Rinse hands in cold, running water.

A parent tells the nurse "I am worried about my 13-year-old son. He hasn't started puberty, and my daughter did when she was 11." The MOST appropriate explanation by the nurse is A. This is unusual and requires further evaluation of your son. B. This is unusual because the onset of pubescence is usually the same in siblings. C. This is abnormal because the onset of puberty is usually earlier in boys than in girls. D. This is normal because the onset of puberty is usually earlier in girls than in boys.

Answer: D. This is normal because the onset of puberty is usually earlier in girls than in boys.

A finding that is consistent with prepubescence is A. Does not occur during the preadolescence period. B. Age of onset of physical signs is the same for both boys and girls. C. Appearance of secondary sex characteristics is the same for both boys and girls. D. Variation in physical appearance between boys and girls.

Answer: D. Variation in physical appearance between boys and girls.

The nurse is teaching a class on the dangers of "huffing." What information is included as a major side effect of "huffing?" A. Loss of vision B. Loss of coordination C. Delay of growth D. Cardiac arrest

Answer: Loss of coordination

A nurse is assessing a patient diagnosed with attention deficit hyperactive disorder (ADHD). What behavior would the nurse anticipate the patient to demonstrate? A. Requires reminders to keep focused and on task B. Ability to complete school work during class C. Is aggressive with peers when asked to participate in team sports D. Is defiant with parents and refuses to complete chores at home

Answer: Requires reminders to keep focused and on task

Parents are concerned about the behavior of their preschool child as he is exhibiting aggressive behavior in interactions with other children. Which information would be relevant in determining if the behavior represents an abnormal pattern? (Select all that apply) A. Does the behavior interfere with social functioning? B. How long has this behavior been going on? C. How many times this type of behavior has occurred in recent weeks? D. Do you think that this behavior is warranted considering the situation that has occurred? E. Does the behavior seem to be escalating?

Answers: A. Does the behavior interfere with social functioning? B. How long has this behavior been going on? C. How many times this type of behavior has occurred in recent weeks? E. Does the behavior seem to be escalating?

As a group of nurses are reviewing potential health environmental for the spread of nosocomial infections in the hospital. Which equipment should the nurse include as having a high-risk potential for transmission? (Select all) A.Oral temperature probe. B. Disposable tongue blade. C. Nurse's station desktop D. Stethoscope E. Computer keyboard

Answers: C. Nurse's station desktop D. Stethoscope E. Computer keyboard