Peds Exam 1 Q's
Which age group would have a tendency towards eating disorders? A. Adolescence B. Toddler hood C. Childhood D. Infancy
A. Adolescence
A mother has heard that several children have been diagnosed with mononucleosis. She asks the nurse what precautions should be taken to prevent this from occurring in her child. Which of the following would the nurse advise the mother to do? A. Take no particular precautionary measures. B. Sterilize the child's eating utensils before they are reused. C. Wash the child's linens separately in hot, soapy water. D. Wear masks when providing direct personal care.
A. Take no particular precautionary measures
The nurse is describing Piaget's cognitive developmental theory to pediatric nursing staff. The nurse should tell the staff that which child behavior is characteristic of the formal operations stage? A. The child has the ability to think abstractly. B. The child begins to understand the environment. C. The child is able to classify, order and sort facts. The child learns to think in terms of past, present, and future.
A. The child has the ability to think abstractly
A parent asks why it is recommended that the second dose of the measles, mumps, rubella (MMR) vaccine be given by 12 years of age? The nurse responds based on which of the following as the most important reason? A. The risks to a fetus are high if a girl receiving the vaccine becomes pregnant. B. The chance of contracting the disease is much lower after puberty than before it. C. The dangers associated with a strong reaction to the vaccine are increased after puberty. D. The changes that occur in the immunologic system may affect the rhythm of the menstrual cycle.
A. The risks to a fetus are high if a girl receiving the vaccine becomes pregnant.
The mother of a 6 month old states that she has started her infant on 2% milk. Which of the following would be the nurses's BEST response? A. "Your baby will probably be fine with this milk." B. "The baby should be switched to whole milk." C. "You need to keep the infant on formula." D. "You need to switch to formula right now."
B. "The baby should be switched to whole milk."
When developing a plan of care for a male adolescent, the nurse considers the child's psychosocial needs. During adolescence, psychosocial development focuses on: A. Becoming industrious B. Establishing an identity C. Achieving intimacy D. Developing initiative
B. Establishing an identity
The pediatric nurse instructs parents who are concerned about the spread of illness at their children's daycare centers to inquire about the facilities': A. immunization rates among enrolled children. B. infection control practices. C. reported cases of diarrhea during the previous year. D. staff-to-child ratios.
B. Infection control practices
The nurse educator is preparing to conduct a teaching session for the nursing staff regarding the theories of growth and development and plans to discuss Kohlberg's theory of moral development. What information should the nurse include in the session? (Select all that apply) A. Individuals move through all 6 stages in a sequential fashion. B. Moral development progresses in relationship to cognitive development. C. A person's ability to make moral judgments develops over a period of time. D. The theory provides a framework for understanding how individuals determine a moral code to guide their behavior. E. In stage 1 (punishment-obedience orientation) children are expected to reason as mature members of society. F. In stage 2 (instrumental-relativist orientation), the child conforms to rules to obtain rewards or have favors returned.
B. Moral development progresses in relationship to cognitive development. C. A person's ability to make moral judgments develops over a period of time. D. The theory provides a framework for understanding how individuals determine a moral code to guide their behavior. F. In stage 2 (instrumental-relativist orientation), the child conforms to rules to obtain rewards or have favors returned.
The school nurse develops a plan with an adolescent to provide relief of dysmenorrhea to aid in her development of which of the following? A. Positive peer relations. B. Positive self identity. C. A sense of autonomy. D. A sense of independence.
B. Positive self identity
A 4 month old infant was brought in for immunization and is up to date with all of her immunizations. What do you anticipate she will be receiving today? A. Dtap, Hep B, IPV B. RV, Dtap, Hib, PCV, IPV C. MMR, Varicella D. Hep B, RV, Dtap, Hib, PCV, IPV
B. RV, Dtap, Hib, PCV, IPV
A 10-year-old child proudly tells the nurse that brushing and flossing her teeth is her responsibility. The nurse interprets this statement as indicating which of the following about the child? A. She is too young to be given this responsibility. B. She is most likely capable of this responsibility. C. She should have assumed this responsibility much sooner. D. She's probably just exaggerating the responsibility.
B. She is most likely capable of this responsibility
The parents of a child tell the nurse they feel guilty because their child almost drowned. Which of the following remarks would be the most appropriate? A. I can understand why you feel guilty, but these things happen B. Tell me a bit more about your feelings of guilt C. You should not have taken your eyes off your child D. You really shouldn't feel guilty; you're luck because your child will be alright
B. Tell me a bit more about your feelings of guilt
The clinic nurse is assessing a child who is scheduled to receive a live virus vaccine (immunization). What are the general contraindications associated with receiving a live virus vaccine? (Select all that apply.) A. The child has symptoms of a cold. B. The child had a previous anaphylactic reaction to the vaccine. C. The mother reports that the child is having intermittent episodes of diarrhea. D. The mother reports that the child has not had an appetite and has been fussy. E. The child has a disorder that caused a severely deficient immune system. F. The mother reports that the child has recently been exposed to an infectious disease.
B. The child had a previous anaphylactic reaction to the vaccine. E. The child has a disorder that caused a severely deficient immune system.
A nurse is evaluating the developmental level of a 2 year old. Which of the following does the nurse expect tom observe in this child? A. Uses a fork to eat B. Uses a cup to drink C. Uses a knife for c cutting food D. Pours own milk into a cup
B. Uses a cup to drink
The nurse is evaluating the developmental level of a two year old. Which does the nurse expect to observe in this child? A. Uses a fork to eat. B. Uses a cup to drink. C. Pours own milk into a cup. D. Uses a knife for cutting food.
B. Uses a cup to drink.
The nurse is preparing to care for a dying client, and several family members are at the client's bedside. Which therapeutic techniques should the nurse use when communicating with the family? (Select all that apply.) A. Discourage reminiscing. B. Make the decisions for the family. C. Encourage expression of feelings, concerns, and fears. D. Explain everything that is happening to all family members. E. Touch and hold the client's or family member's hand if appropriate. F. Be honest and let the client and family know they will not be abandoned by the nurse.
C. Encourage expression of feelings, concerns, and fears. E. Touch and hold the client's or family member's hand if appropriate. F. Be honest and let the client and family know they will not be abandoned by the nurse.
The nurse discusses the eating habits of school aged children with their parents, explaining that these habits are most influenced by which of the following? A. Food preferences of their peers. B. Smell and appearance of foods offered. C. Examples provided by parents at meal times. D. Parental encouragement to eat nutritious foods.
C. Examples provided by parents at meal times
The nurse is providing medication instructions to a parent. Which statement by the parent indicates a need for further instruction? A. "I should cuddle my child after giving the medication." B. "I can give my child a frozen juice bar after he swallows the medication." C. I should mix the medication in the baby food and give it when I feed my child." D. "If my child does not like the taste of the medicine, I should encourage him to pinch his nose and drink the medication through a straw."
C. I should mix the medication in the baby food and give it when I feed my child."
An adolescent tells the school nurse that she would like to use tampons during her period. Which of the following would be most appropriate for the nurse to do? A. Assess her usual menstrual flow pattern. B. Determine whether she is sexually active. C. Provide information about preventing toxic shock syndrome. D. Refer her to a specialist in adolescent gynecology.
C. Provide information about preventing toxic shock syndrome
A mother arrives at a clinic with her toddler and tells the nurse that she has a difficult time getting the child to go to bed at night. What measure is most appropriate for the nurse to suggest to the mother? A. Allow the child to set bedtime limits. B. Allow the child to have temper tantrums. C. Avoid letting the child nap during the day. D. Inform the child of bedtime a few minutes before it is time for bed.
D. Inform the child of bedtime a few minutes before it is time for bed.
When assessing the development of a 15 month old child with Cerebral Palsy (CP), which of the following milestones would the nurse expect a toddler of this age to have achieved? A. Walking up steps B. Using a spoon C. Copying a circle D. Putting a block in a cup
D. Putting a block in a cup
The mother of a three-year-old asks a clinic nurse about appropriate and safe toys for the child. The nurse should tell the mother that the most appropriate toy for a three year old is which? A. A wagon. B. A golf set. C. A farm set. D. A jack set with marbles.
A. A wagon.
A mother who brings her 4 month old infant to the clinic for a regular check-up is concerned that her infant is not developing appropriately. When assessing the infant, which of the following would the nurse expect to find? A. Ability to sit up with support B. Fine motor finger-to-thumb grasp C. Ability to reach for a toy D. Ability to say mama or dada
A. Ability to sit up with support
A 16 year old child is hospitalized, according to Erik Erikson, what is an appropriate intervention? A. Tell the friends to visit the child B. Encourage patient to help child learn lessons missed C. Call the priest to intervene D. Tell the child's girlfriend to visit the child
A. Tell the friends to visit the child
A mother states that she thinks her 9 month old "is developing slowly." When assessing the infant's development, the nurse is also concerned because the infant should be demonstrating which of the following characteristics? A. Vocalizing single syllables B. Standing alone C. Building a tower of 2 cubes D. Drinking from a cup with little spilling
A. Vocalizing single syllables
When assessing for pain in a toddler, which of the following methods would be the most appropriate? A. Ask the child about the pain B. Observe the child for restlessness C. Use a numeric pain scale D. Assess for changes in vital signs
B. Observe the child for restlessness
After teaching a group of parents of preschoolers attending a well-child clinic about oral hygiene and teeth brushing, the nurse determines that the teaching has been successful when the parents state that children can begin to brush their teeth without help at which of the following ages? A. 3 years. B. 5 years. C. 7 years. D. 9 years.
C. 7 years
A mother calls the clinic to talk to the nurse. The mother states that a physician described her daughter as having 20/60 vision and asks the nurse what this means. The nurse responds based on the interpretation that the child is experiencing which of the following? A. A loss of approximately 1/3 of her visual acuity. B. Ability to see at 60 feet what she should see at 20 feet. C. Ability to see at 20 feet what she should see at 60 feet. D. Visual acuity three times better than average.
C. Ability to see at 20 feet what she should see at 60 feet.
A mother brings her 18 month old tom the clinic b because the child "eats ashes, crayons, and paper." Which of the following about the toddler would the nurse assess first? A. Evidence of eruption of front teeth B. Amount of attention from the mother C. Any changes in the home environment D. Intake of a soft, low roughage diet
C. Any changes in the home environment
After teaching the parents about the causes of ringworm of the scalp (tinea capitis), which of the following, if stated by the father, indicates successful teaching? A. Over exposure to the sun. B. Infestation with a mite. C. Fungal infection of the scalp. D. An allergic reaction.
C. Fungal infection of the scalp
A pediatric RN works with a pediatrician at the health clinic. A child is accompanied by his mother to the clinic. The child is 12 months old and has been visiting the clinic regularly to receive his immunizations. The nurse expects to administer what following immunizations? A. DTaP, IPV, Hib, MMR B. Hepatitis B, Varicella zoster, MMR C. Hib, MMR, PCV D. DTaP, IPV, MMR
C. Hib, MMR, PCV
The ambulatory care nurse is discussing preoperative procedures with a Japanese American client who is scheduled for surgery the following week. During the discussion, the client continually smiles and nods the head. How should the nurse interpret this? A. an acceptance of treatment B. Client understanding of the preoperative procedures C. Reflecting a cultural value D. Client agreement to the required procedure
C. Reflecting a cultural value
Griseofulvin (Grisactin) was ordered to treat a child's ringworm of the scalp. The nurse instructs the parents to use the medication for several weeks for which of the following reasons? A. A sensitivity to the drug is less likely if it is used over a period of time. B. Fewer side effects occur as the body slowly adjusts to a new substance over time. C. Fewer allergic reactions occur if the drug is maintained at the same level long-term. D. The growth of the causative organism into new cells is prevented with long-term use.
D. The growth of the causative organism into new cells is prevented with long-term use.
The mother asks the nurse for advice about discipline for her 18 month old. Which of the following would the nurse suggest that the mother use first? A. Structured interactions B. Spanking C. Reasoning D. Time out
D. Time out
A father asks the nurse how he would know if his child has developed mononucleosis. The nurse explains that in addition to fatigue, which of the following would be most common? A. Liver tenderness B. Enlarged lymph glands C. Persistent nonproductive cough D. A blush-like generalized skin rash
B. Enlarged lymph glands
When planning a 15 month old toddler's daily diet with the parents, which of the following amounts of milk with the nurse include? A. 1/2 to 1 cup B. 2 to 3 cups C. 3 to 4 cups D. 4 to 5 cups
B. 2 to 3 cups
When discussing the onset of adolescence with parents, the nurse explains that it occurs at which of the following times? A. Same age for both boys and girls. B. 1 to 2 years earlier in boys than girls. C. 1 to 2 years earlier in girls than boys. D. 3 to 4 years later in boys than girls.
C. 1 to 2 years earlier in girls than in boys
A child is receiving a series of the hepatitis B vaccine and arrives at the clinic with his parent for the second dose. Before administering the vaccine, the nurse should ask the child and parent about a history of a severe allergy to which substance? A. Eggs B. Penicillin C. Sulfonamides D. A previous dose of hepatitis B vaccine or component.
D. A previous dose of hepatitis B vaccine or component.
After teaching a group of mothers about temper tantrums, the nurse knows the teaching has been effective when one of the mothers states which of the following? A. "I will ignore the temper tantrum." B. "I should pick up the child during the tantrum." C. "'ll talk to my daughter during the tantrum." D. "I should put my child in time out."
A. "I will ignore the temper tantrum."
Which stage of development is most unstable and challenging regarding development of personal identity? A. Adolescence B. Toddler hood C. Childhood D. Infancy
A. Adolescence
The nurse prepares to administer an intramuscular injection to a four month old infant. The nurse selects which best site to administer the injection? A. Ventrogluteal B. Lateral deltoid C. Rectus femoris D. Vastus lateralis
D. Vastus lateralis
The mother of a four-year-old expresses concern that her child may be hyper-active. She describes the child as always in motion, constantly dropping and spilling things. Which of the following actions would be most appropriate at this time? A. Determine whether there have been any changes at home B. Explain that this is not unusual behavior C. Explore the possibility that the child is being abused D. Suggest that the child be seen by a pediatric neurologist
B. Explain that this is not unusual behavior
A mother asks the nurse, "How did my children get pinworms?" The nurse explains that pinworms are most commonly spread by which of the following when contaminated? A. Food. B. Hands. C. Animals. D. Toilet seats.
B. Hands
A 6 month old is brought in for a well baby check up. The mother asks if her baby needs any shots this check up. What is the correct answer? A. Measles, Mumps, Rubella, Varicella B. Hep. B , RV, Dtap, Hib B, PCV, IPV C. Hepatitis B D. Dtap, Hep B, IPV
B. Hep B, RV, Dtap, Bib B, PCV, IPV
After receiving an immunization for diphtheria, tetanus, and pertussis, a child develops swelling and tenderness at the injection site, a low-grade fever, and malaise. The pediatric nurse informs the child's parents that: A. the reaction is severe enough that they should bring the child to an emergency department. B. they should delay future immunizations until the child is seen by an allergist. C. this is a mild reaction, and teaches them how to manage it. D. this is an appropriate reaction, and instructs them to do nothing
C. this is a mild reaction, and teaches them how to manage it
A parent seems concerned about the fact that the infant's soft spot is still open. Which of the following would the nurse include when explaining about the usual age for closure of the soft spot near the front of the infants head? A. 2-4 months B. 5-8 months C. 9-11 months D. 12-18 months
D. 12-18 months
A parent asks the nurse about head lice infestation during a visit to the clinic. Which of the following symptoms would the nurse tell the parent is most common in a child infected with head lice? A. Itching of the scalp. B. Scaling of the scalp. C. Serous weeping on the scalp surface. D. Pinpoint hemorrhagic spots on the scalp surface.
A. Itching of the scalp
Parents report that they think their 15-year-old son is moody and rude. The nurse develops a plan with the parents that includes which of the following initially? A. Limiting involvement in non-school activities. B. Discussing their feelings with him. C. Obtaining family counseling. D. Talking with other parents of adolescents.
B. Discussing their feelings with him
The mother tells the nurse that her eight-year-old child is continually telling jokes and riddles to the point of driving the other family members crazy. The nurse explains that this behavior is a sign of which of the following? A. Inadequate parental attention. B. Mastery of language ambiguities. C. Inappropriate peer influence. D. Excessive television watching.
B. Mastery of language ambiguities
After having a blood sample drawn, a five-year-old child insist that the site be covered with an adhesive bandage strip. When the mother tries to remove the bandage before leaving the office, the child screams that all the blood will come out. The nurse interprets this behavior as indicating a fear of which of the following? A. Injury. B. Compromised body integrity. C. Pain. D. Loss of control.
B. Compromised body integrity
The nurse is preparing to care for a five-year-old who has been placed in traction following a fracture of the femur. The nurse plans care, knowing that which is the most appropriate activity for this child? A. A radio. B. A sports video. C. Large picture books. D. Crayons and a coloring book.
D. Crayons and a coloring book.
The nurse is monitoring a three month old infant for signs of increased intracranial pressure. On palpation of the fontanels, the nurse notes that the anterior fontanel is soft and flat. On the basis of this finding, which nursing action is most appropriate? A.Increase oral fluids B. Document the finding C. Notify the pediatrician D. Elevate the head of the bed to 90 degrees
B. Document the finding
Which interventions are appropriate for the care of an infant? (Select all that apply.) A. Provide swaddling. B. Talk in a loud voice. C. Provide the infant with a bottle of juice at naptime. D. Hang mobiles with black and white contrast designs. E. Caress the infant while bathing or during diaper changes. F. Allow the infant to cry for at least 10 minutes before responding.
A. Provide swaddling. D. Hang mobiles with black and white contrast designs E. Caress the infant while bathing or during diaper changes.
The nurse notes that a six-year-old child does not recognize that objects exist when the objects are outside of the visual field. Based on this observation, which action should the nurse take? A. Report the observation to the pediatrician. B. Move the objects in the child's direct field of vision. C. Teach the child how to visually scan the environment. D. Provide additional lighting for the child during play activities.
A. Report the observation to the pediatrician
The mother of a toddler asks a nurse when it is safe to place the car safety seat in a face-forward position. The best nursing response is which of the following? A. When toddler weighs 20 lbs B. The seat should not be placed in a face-forward position unless there are safety locks in the car C. The seat should never be placed in a face-forward position because the risk of the child unbuckling harness D. When the weight of the toddler is greater than 40 lbs
A. When toddler weighs 20 lbs (even tho CDC changed the guidelines)
The nurse assesses the vital signs of a 12 month old infant with a respiratory infection and notes that the respiratory rate is 35 breaths per minute. On the basis of this finding, which action is most appropriate? A. Administer oxygen. B. Document the findings. C. Notify the pediatrician. D. Reassess the respiratory rate in 15 minutes.
B. Document the findings.
A parent of a three-year-old tells the clinic nurse that the child is rebelling constantly and having temper tantrums. Using Erickson's psychosocial development theory, which instruction should the nurse provide to the parent? (Select all that apply.) A. Set limits on the child's behavior. B. Ignore the child when this behavior occurs. C. Allow the behavior, because this is normal at this age period. D. Provide a simple explanation of why the behavior is unacceptable. E. Punish the child every time the child says "no" to change the behavior.
A. Set limits on the child's behavior. D. Provide a simple explanation of why the behavior is unacceptable.
A nursing student is presenting a clinical conference to peers regarding Freud's psychosexual stages of development, specifically the anal stage. The student explains to the group that which characteristic relates to the anal stage? A. This stage is associated with toilet training. B. This stage is characterized by the gratification of self. C. This stage is characterized by a tapering off of conscious biological and sexual urges. D. This stage is associated with pleasurable and conflicting feelings about the genital organs.
A. This stage is associated with toilet training
A two-year-old is treated in the emergency department for a burn to the chest and abdomen. The child sustained the burn by grabbing a cup of hot coffee that was left on the kitchen counter. The nurse reviews safety principles with the parents before discharge. Which statement by the parent indicates an understanding of measures to provide safety in the home? A. We will be sure not to leave hot liquids unattended. B. I guess our children need to understand what the word hot means. C. We will be sure that the children stay in their rooms when we work in the kitchen. D. We will install a safety gate as soon as we get home so the children cannot get into the kitchen.
A. We will be sure not to leave hot liquids unattended.
When a child's height and weight are compared with standard growth charts, the child is found to be in the 85th percentile for height and the 45th percentile for weight. The nurse interprets these findings as indicating which of the following? A. Average height and weight B. Overweight for height C. Underweight for height D. Abnormal in height
A. Average height and weight
Which car safety device should be used for a child who is eight years old and 4 feet tall? A. Seatbelt. B. Booster seat. C. Rear-facing convertible seat. D. Front-facing convertible seat.
B. Booster seat.
A clinic nurse assesses the communication patterns of a 5 month old infant. The nurse determines that the. infant is demonstrating the highest level of developmental achievement expected if the infant: A. Uses simple words such as "mama" B. Uses monosyllabic babbling C. Links syllables together D. Coos when comforted
B. Uses monosyllabic babbling
When developing a teaching plan for the mother of a preschooler about illness, which of the following would the nurse expect to include about how a preschooler perceives illness? A. A necessary part of life. B. Test of self-worth. C. Punishment for wrongdoing. D. The will of God.
C. Punishment for wrongdoing
A mother tells the nurse that one of her children has chickenpox and asks what she should do to care for that child. When teaching the mother, which of the following would be most important to prevent? A. Acid- base imbalance B. Malnutrition C. Skin infection D. Respiratory infection
C. Skin infection
A maternity nurse is providing instruction to a new mother regarding the psychosocial development of the newborn infant. Using Erikson's psychosocial development theory, the nurse would instruct the mother to: A. Allow the newborn infant to signal a need B. Anticipate all of the needs of the newborn infant C. Avoid the newborn infant the first 10 minutes of crying D. Attend to the newborn infant immediately when crying
A. Allow the newborn to signal a need
The nurse notes that an infant stares at an object placed in her hand and takes it to her mouth, coos and giggles when talked to, and sustains part of her own weight when held in a standing position. The nurse correctly interprets these findings as characteristic of an infant at which of the following ages? A. 2 months B. 4 months C. 7 months D. 9 months
B. 4 months
When assessing a two-year-old child brought by his mother to the clinic for a routine check up, which of the following with the nurse expect a child to be able to do? A. Ride a trike B. Tie his shoelaces C. Kick a ball forward D. Use blunt scissors
C. Kick a ball forward
The clinic nurse is preparing to explain the concepts of Kohlberg's theory of moral development with a parent. The nurse should tell the parent that which factor motivates good and bad actions for the child at the preconventional level? A. Peer pressure. B. Social pressure. C. Parents behavior. D. Punishment and reward.
D. Punishment and reward
When observing the parent instilling prescribed eardrops ordered twice a day for a toddler, the nurse decides that the teaching about positioning of the pinna for instillation of the drops is effective when the parent pulls the toddler's pinna in which of the following directions? A. Up and forward B. Up and backward C. Down and forward D. Down and backward
D. Down and backward
The school nurse is invited to attend a meeting with several parents who express frustration with the amount of time their adolescents spend in front of the mirror and the length of time it takes them to get dressed. The nurse explains that this behavior is indicative of which of the following? A. An abnormal narcissism. B. A method of procrastination. C. A way of testing the parents limit setting. D. A result of developing self concept.
D. A result of developing self concept
A clinic nurse is preparing to examine Hispanic child who was brought by the mother for his first physical check up. While assessing a child, the nurse would avoid doing which of the following? A. Weighing the client B. Asking the mother questions about the child C. Having an interpreter if necessary D. Admiring the child
D. Admiring the child
In preparing a preschool-aged child for an injection, the most appropriate nursing intervention is to: A. allow the child to administer an injection to a doll. B. coordinate the child watching a peer receive an injection. C. have the parents explain the process to the child. D. suggest diversionary activities like singing.
A. Allow the child to administer an injection to a doll
The mother of an eight-year-old child tells the clinic nurse that she is concerned about the child because the child seems to be more attentive to friends than anything else. Using Erickson's psychosocial development theory, the nurse should make which response? A. "You need to be concerned." B. "You need to monitor the child's behavior closely." C. "At this age, the child is developing his own personality." D. "You need to provide more praise to the child to stop this behavior."
C. "At this age, the child is developing his own personality."
A parent brings her four month old infant to a well-baby clinic for immunizations. The child is up to date with the immunization schedule. The nurse should prepare to administer which immunizations to this infant? A. Varicella, hepatitis B vaccine B. Diphtheria, tetanus, acellular pertussis (DTaP); measles, mumps, rubella (MMR); inactivated polio virus vaccine (IPV) C. MMR, Haemophilus influensa type b (Hib), DTaP D. DTaP, Hib, IPV, pneumococcal vaccine (PCV), rotavirus vaccine (RV)
D. DTaP, Hib, IPV, pneumococcal vaccine (PCV), rotavirus vaccine (RV)
In addition to immunizing for diphtheria, tetanus, and pertussis (DTaP) during the first 6 months of life, the nurse should administer which of the following immunizations? A. Mumps B. Measles C. Tuberculosis D. Hepatitis B
D. Hepatitis B
The parents of a 2 year old child are concerned that the child wants to do everything by himself and seems to be rejecting their authority. The nurse's response should be based on which of the following? A. The parents need to tighten their control on their child B. The ned for autonomy is not usually sen until puberty C. Limiting choices and punishing the child will restore trust D. The independence displayed by the child is a normal result of maturation
D. The independence displayed by the child is a normal result of maturation
A mother of a 1 month old infant states that she is curious as to whether her infant is developing normally. Which of the following developmental milestones would the nurse expect the infant to perform? A. Smiling and laughing out loud B. Rolling from back to side C. Holding a rattle briefly D. Turning the head from side to side
D. Turning the head from side to side
The mother of a three-year-old is concerned because her child still is insisting on a bottle at naptime and at bedtime. Which is the most appropriate suggestion to the mother? A. Allow the bottle if it contains juice. B. Allow the bottle if it contains water. C. Do not allow the child to have the bottle. D. Allow the bottle during naps but not at bedtime.
B. Allow the bottle if it contains water.
A 2 1/2 year old brought to the clinic by her parents is uncooperative when the nurse tries to look in her ears. Which of the following would the nurse try first? A. Ask another nurse to assist B. Allow a parent to assist C. Wait until the child calms down D. Restrain the child's arms
B. Allow the parents to assist
The mother of a preschooler reports that her child creates a scene every night at bedtime. The nurse and the mother decided the best course of action would be to do which of the following? A. Allow the child to stay up later one or two nights a week. B. Establish a set bedtime and follow a routine. C. Encourage active play before bedtime. D. Give the child a cookie if bedtime is pleasant.
B. Establish a set bedtime and follow a routine
The maternity nurse is providing instructions to a new mother regarding the psychosocial development of the newborn infant. Using Erickson's psychosocial development theory, the nurse instructs the mother to take which measure? A. Allow the newborn infant to signal a need. B. Anticipate all needs of the newborn infant. C. Attend to the newborn infant immediately when crying. D. Avoid the newborn infant during the first 10 minutes of crying.
A. Allow the newborn to signal a need
To meet the emotional needs of a 10-year old child who is dying, the most appropriate nursing action is to: A. Answer questions honestly and frankly B. Avoid interruptions by coordinating nursing actions C. Encourage child to write in a journal D. Provide opportunities for child to interact with children of same age
A. Answer questions honestly and frankly
While planning care for a toddler, the nurse teaches the parents about the expected developmental changes for this age. Which statement by the mother shows that she understands the child's developmental needs? A. I want to protect my child from any falls B. I will set limits on exploring the house C. I understand the need to use those new skills D. I intend to keep control over our child
C. I understand the need to use those new skills
A parent asks, "Can I get head lice too?" The nurse indicates that adults can also be infested with head lice but that pediculosis is more common among school children, primarily for which of the following reasons? A. An immunity to pediculosis usually is established by adulthood. B. School age children tend to be more neglectful of frequent handwashing. C. Pediculosis usually is spread by close contact with infested children. D. The skin of adults is more capable of resisting the invasion of lice.
C. Pediculosis usually is spread by close contact with infested children
The nurse asks a nine-year-old child and mother about the child's best friend to assess which of the following about the child? A. Language development. B. Motor development. C. Neurologic development. D. Social development.
D. Social Development
The parents of a 2-year-old arrive at a hospital to visit their child. The child is in the playroom when the parents arrive. When the parents enter the playroom, the child does not readily approach the parents. The nurse interprets this behavior as indicating that: A. The child is withdrawn B. The child is self-centered C. The child has adjusted to the hospitalized setting D. This is a normal pattern
D. This is a normal pattern
The parents of a 9 month old bring the infant to the clinic for a regular check-up. The infant has received no immunizations. Which of the following would be appropriate for the nurse to administer at this visit? A. DTaP, Hib, IPV, PPD B. DTaP, Hib, OPV, MMR C. PPD, MMR, Hep B, OPV D. Hep B, IPV, Hib, varicella
A. DTaP, Hib, IPV, PPD
A mother accompanies her 12 month old child to the health clinic for his scheduled immunizations. What statement by the mother would cause the nurse to question immunization administration at this visit? A. "My child has had a runny nose for the past week." B. "Joey hates getting these shots, it makes him so mad- watch yourself." C. "Joey had a slight temperature this morning but it went away after I gave him some Tylenol." D. "Last time Joey got a shot, his little thigh was red and sore afterwards for two days!"
C. "Joey had a slight temperature this morning but it went away after I gave him some Tylenol."
A nurse is preparing to care for a 5-year-old who has been placed in traction following a fracture of the femur. The nurse plans care, knowing that which of the following is the most appropriate activity for this child? A. Large picture books B. A radio C. Crayons and coloring book D. A sports video
C. Crayons and coloring book
When preparing a teaching plan for the parents of a group of 4- to 6-year-old children about recommended immunizations for school entrance, the nurse would expect to include which of the following? A. Diphtheria, tetanus, pertussis and polio B. Measles, mumps, rubella, and polio C. Polio, measles, and pertussis D. Tetanus, diphtheria, and rubella
A. Diphtheria, tetanus, pertussis, and polio
A four-year-old child diagnosed with leukemia is hospitalized for chemotherapy. The child is fearful of the hospitalization. Which nursing intervention should be implemented to alleviate the child's fears? A. Encourage the child's parents to stay with a child. B. Encourage play with other children of the same age. C. Advise the family to visit only during the scheduled visiting hours. D. Provide a private room, allowing the child to bring favorite toys from home.
A. Encourage the child's parents to stay with a child.
The pediatric nurse advises a father how to best convey the circumstances surrounding the sudden death of his infant son to his four-year-old daughter. The nurse anticipates that the daughter: A. May feel guilty about her brother's death B. May mistrust her father C. Understands the permanence of death D. Will role play her brother's death
A. May feel guilty about her brother's death
The mother asks the nurse about her nine-year-old child's apparent need for between meals snacks, especially after school. When developing a sound nutritional plan for the child with the mother, which of the following would the nurse need to keep in mind? A. The child does not need to eat between meals snacks. B. The child should eat the snacks the mother thinks are appropriate. C. The child should help with preparing his or her own snacks. D. The child will instinctively select nutritional snacks.
C. The child should help with preparing his or her own snacks
A mother is concerned because her five-year-old son seems prone to minor accidents such a skinning his elbows and knees and falling off his scooter. The nurse explains to the mother that childhood accidents are more likely to occur in which of the following situations? A. The child is the sole child in the family. B. The family has limited formal education. C. The family is experiencing changes. D. The child and family live in the suburbs.
C. The family is experiencing changes
Several high school seniors are referred to the school nurse because of suspected alcohol misuse. When the nurse assesses the situation, which of the following would be most important to determine? A. What they know about the legal implications of drinking. B. The type of alcohol they usually drink. C. The reasons they chose to use alcohol. D. When and with whom they use alcohol.
C. The reasons they. chose to use alcohol
A 16-year-old client is admitted to the hospital for acute appendicitis and an appendectomy is performed. Which nursing intervention is most appropriate to facilitate normal growth and development postoperatively? A. Encourage the client to rest and read. B. Encourage the parents to room in with a client. C. Allow the family to bring in the clients favorite computer games. D. Allow the client to interact with others in his or her same age group.
D. Allow the client to interact with others in his or her same age group.
An infant receives a diphtheria, tetanus, and acellular pertussis (DTaP) immunization at a well-baby clinic. The parent returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. Which intervention should the nurse suggest to the parent? A. Monitor the infant for a fever. B. Bring the infant back to the clinic. C. Apply a hot pack to the injection site. D. Apply a cold pack to the injection site.
D. Apply a cold pack to the injection site.
The nurse caring for a hospitalized adolescent can best meet the adolescents developmental needs by: A. Providing diversion activities such as word puzzles B. Providing privacy while the adolescent's significant other visits C. Encouraging the parent to stay with the adolescent at all times D. Explaining procedures and including the adolescent in decision making
D. Explaining procedures and including the adolescent in decision making
