Perfusion & Gas Exchange Mastery Assessment

A nurse is learning about the maturation of systems in a school-age child. Which statement made by the nurse indicates effective learning? 1. "The heart grows slower in the school-age child than at any other period of life." 2. "Physical maturity in the school-age child correlates with emotional and social maturity." 3. "The school-age child has less efficient maintenance of blood sugar levels than a preschooler." 4. "Facial proportions change in the school-age child as the face grows slower in relation to the remainder of the cranium."

1

A nurse is teaching a class of new parents how to position their infants during the first few weeks of life. Which position should the nurse tell the parents is the safest? 1. On the back, lying flat 2. On either side, head lying flat 3. On the left side, head slightly elevated 4. On the right side, head slightly elevated

1

What behavior does the nurse anticipate while feeding a newborn with choanal atresia? 1. Chokes on the feeding 2. Has difficulty swallowing 3. Does not appear to be hungry 4. Takes about half of the feeding

1

What would the nurse explain is true about the sleep pattern of toddlers? 1. They sleep for about 12 hours a day. 2. They sleep for around 7 hours per night. 3. About 30% of sleep time is in rapid eye movement sleep. 4. Approximately 20% of sleep time is rapid eye movement sleep (REM).

1

While assessing a 2-month-old infant, the nurse makes a loud sound and observes that the child forms a C shape with thumb and index finger while flexing the extremities. What does the nurse interpret from these findings? 1. The child is exhibiting the Moro reflex. 2. The child is exhibiting the rooting reflex. 3. The child is exhibiting the Babinski reflex. 4. The child is exhibiting the tonic neck reflex.

1

A school nurse identifies an adolescent at risk for smoking due to peer pressure. What nursing interventions would be appropriate? Select all that apply. 1. Discuss alternatives to smoking. 2. Punish the peer group influencing the adolescent. 3. Mention immediate physiological consequences. 4. Suggest effective arguments to deal with peer pressure. 5. Recommend that the adolescent transfer to a different school.

1, 3, 4

How do adolescents establish health identity during psychosocial development? Select all that apply. 1. By evaluating their own health with a feeling of well-being 2. By fostering their independence within a balanced family structure 3. By building close peer relationships to achieve acceptance in the society 4. By achieving marked physical changes with masculine and feminine behaviors 5. By having the ability to function normally in the absence of any disease or infirmity

1, 5

A mother tells her neighbor, a nurse, that her toddler has been found to have parasites (worms) and that the whole family will need to be treated. She asks the nurse what kind of worm it is. What is the most likely type of worm infestation? 1. Tapeworm ( Taenia) 2. Pinworm ( Enterobius) 3. Roundworm ( Ascaris) 4. Hookworm ( Ancylostoma)

2

The student nurse compares the characteristic features of nightmares with sleep terrors in young children, by making a chart. Which chart entry indicates that the student nurse has acquired adequate knowledge regarding the characteristics of nightmares and sleep terrors? 1. Return to sleep 2. Time of distress 3. Time of occurrence 4. Description of dream

2

A nurse involved in a health promotional program educates a group of adolescents at school. Which of these measures is the nurse unlikely to adopt? Select all that apply. 1. The nurse should ask if there are guns at the adolescent's house. 2. The nurse should treat the adolescents as small children. 3. The nurse should carry out an open discussion in a group. 4. The nurse should inquire about the health beliefs of adolescents. 5. The nurse should discuss alternatives to driving when under the influence of alcohol or drugs.

2, 3

What instructions should the nurse give to the parents of a toddler? Select all that apply. 1. "You should direct the actions of your child." 2. "You should serve finger foods to your child." 3. "You should give 5 cups of milk to your child daily." 4. "You should give graded independence to your child." 5. "You should use television to keep the child entertained."

2, 4

A child becomes cyanotic during a generalized tonic-clonic seizure. What is the most appropriate action by the nurse? 1. Inserting an oral airway 2. Administering oxygen by mask 3. Continuing to observe the seizure 4. Notifying the practitioner immediately

3

Which nursing action would enhance independence and assist the 2-year-old client in achieving autonomy? 1. Playing peek-a-boo with the child 2. Placing a diaper on the child overnight 3. Encouraging the child to use a fork during meals 4. Assisting the child with coloring while parents are away

3

Which of these behaviors does an adolescent exhibit? 1. Temper tantrums 2. Attempts to control situations 3. Synchronization of moral skills 4. Eagerness for formal education

3

A 4-year-old child is admitted to the pediatric unit with a tentative diagnosis of acute lymphocytic leukemia (ALL). What signs and symptoms does the nurse expect when obtaining the health history and performing a physical assessment? Select all that apply. 1. Edema 2. Alopecia 3. Anorexia 4. Insomnia 5. Petechiae

3, 5

A nurse is caring for a 6-year-old child with a diagnosis of glomerulonephritis. The child's urine output decreases to less than 100 mL/24 hr, the creatinine clearance is 60 mL/min, and there is an irregular apical pulse. A diagnosis of acute renal failure is made. Blood is drawn for testing. Which serum level requires immediate intervention? 1. Sodium 126 mEq/L (126 mmol/L) 2. Bilirubin 0.3 mg/dL (5.1 mcmol/L) 3. Creatinine 1.3 mg/dL (114.4 mcmol/L) 4. Potassium 6.1 mEq/L (6.1 mmol/L)

4

A nurse is explaining the genetic pattern of inheritance to the parents of a 6-year-old child with newly diagnosed cystic fibrosis. The parents should be taught that the disorder follows an autosomal recessive pattern of inheritance and occurs when the parents have what relationship to the disease? 1. One parent has cystic fibrosis 2. Both parents have cystic fibrosis 3. One parent is a carrier of cystic fibrosis 4. Both parents are carriers of cystic fibrosis

4

During the initial assessment of a 7-year-old child with a compound fracture of the wrist, the nurse identifies a dark, wet area on the cast. What is the nurse's next action? 1. Notifying the practitioner about the stain 2. Removing the stain using soap and water 3. Asking whether the child was playing with a colored pen 4. Circling the area with a pen, noting the date and the time

4

The school nurse knows that many children with attention deficit problems are also learning disabled. What should the nurse teach the parents about children with learning deficits? 1. Will probably not be as self-sufficient when they are adults 2. Will have cognitive deficits that interfere with learning 3. Usually perform two grade levels below the age norm 4. Experience perceptual difficulties that make learning problematic

4

A registered nurse teaches a nursing student about how to interview an adolescent. Which statements made by the nursing student indicate the need for further education? Select all that apply. 1. "I should begin with less sensitive issues." 2. "I should ask open-ended questions if possible." 3. "I should use language that is common for adolescents." 4. "I should make assumptions regarding his or her feelings." 5. "I should interview an adolescent along with his or her parents."

4, 5