PA Study Guide Ch. 31
11. The nurse is planning to assess the cognitive development of a 3 year old child. The nurse plans to assess whether or not the child can
Ans: Make simple classification
14. The nurse is assessing a 4 year old child with a temperature of 37.7C. The nurse observes that the client has Koplik spots on his buccal mucosa. The nurse explain to the client's parents that the child is most likely exhibiting signs of
Ans: Measles
4. While communicating with an ill 5 year old, one of the most valuable communication techniques that the nurse can use is
Ans: Play
2. A mother brings her 12 year old son to the clinic for a routine physical. The mother tells the nurse that her son seems to be growing taller recently. The nurse should instruct the mother that the peak growth spurt in boys usually occurs by age
Ans: 14 years
9. A mother visits the clinic for a routine visit with her 11 year old daughter. The mother tells the nurse that her daughter has just started puberty. The mother asks the nurse when she can expect the daughter to begin menstruation. The nurse should explain to the mother that menstruation usually begins about
Ans: 30 months after the onset of puberty
8. A mother visits the clinic for a routine visit with her 5 year old son. The mother ask the nurse when the child's permanent teeth will erupt. The nurse should explain to the mother that permanent teeth usually begin to erupt by age
Ans: 6 years
6. The nurse is caring for an 11 year old child who was hospitalized after an auto accident. While communicating with this child, the nurse should
Ans: Allow the child to engage in the discussion
7. The nurse is caring for a hospitalized adolescent with sickle cell crisis. While communicating with the client, the nurse should
Ans: Give the client control whenever possible
10. The nurse is preparing to assess the gross motor development of a 4 year old child. The nurse should ask the child to
Ans: Hop on one foot
13. While assessing a 4 year old child, the nurse observes that the child's nails are concave in shape. The nurse should assess the child for a deficiency of
Ans: Iron
12. A young mother visits the clinic with her 18 month old child. The mother asks the nurse when she should begin toilet training with the child. The nurse should explain to the mother that
Ans: She can begin training as soon as the child appears ready
15. The nurse is preparing to assess a 5 year old child. To perform the Hirschberg test, the nurse should
Ans: Shine a light directly into the pupils
3. A parent visits the clinic with her 4 year old child. While communicating with the child, the nurse should
Ans: Talk to the child in simple terms at the child's eye level
5. A mother visits the clinic with her toddler, who has injured himself in a fall. The nurse caring for the toddler should
Ans: Tell the child it is okay to cry in the clinic
1. The nurse is assessing a young adolescent female client using Tanner Sexual Maturity Rating for Breast Development. The nurse determines that the client has enlargement of the breast and areolae, with no separation of contours. The client is in Tanner Stage
Ans: Three