unit 5 improve question
The parents of a 2-year-old tell the nurse that they are concerned because the toddler has started to use "baby talk" since the arrival of their new baby. The nurse should recommend that the parents: a. Ignore the "baby talk." b. Explain to the toddler that "baby talk" is for babies. c. Tell the toddler frequently, "You are a big kid now." d. Encourage the toddler to practice more advanced patterns of speech.
A
The parents of a 2-year-old work out of their home. During the day, they allow their child to watch television as they work. What are some suggestions the nurse can make for this child to promote health? a. Encourage the parents to limit television to no more than 2 hours daily. b. Teach the parents to engage the child in other screen activities. c. Suggest that the family plan play dates with another child the same age. d. Refer the child to a psychologist to discuss the child's inability to socialize
A
What activity should the nurse implement for a 6-month-old client with gross motor delays? A) Pull the child to a sitting position and prop the child in that position. B) Encourage the child to hold a rattle or play patty-cake. C) Talk to the child and play music. D) Encourage the child to pull up to a standing position.
A
What represents the major stressor of hospitalization for children from middle infancy throughout the preschool years? a. Separation anxiety b. Loss of control c. Fear of bodily injury d. Fear of pain
A
When assessing the food choices of a 4-year-old boy, the nurse learns that the child loves certain foods and has a normal weight and BMI. Which responses by the parent would indicate a need for nutritional teaching? a. "I give him all the milk he wants because he is a picky eater." b. "He won't eat all vegetables, but he will eat carrots and celery for a snack." c. "I give him an extra dessert most days when he is being good." d. "We have fun preparing foods together when I get home from work." e. "I let him eat as much cheese and yogurt as he wants because it's healthy."
A
Which stage of development is most unstable and challenging regarding development of personal identity? A) Adolescence B) Toddler hood C) Childhood D) Infancy
A
Which strategy by the nurse is best when communicating with a 3 year old? a. Avoid telling the toddler about the hernia repair procedure too far in advance. b. Talk and sing frequently during care. c. Make sure to speak in a high-pitched voice to ensure the toddler pays attention. d. Teach the toddler to count backwards from 10 in order to relax before the procedure.
A
The nurse is admitting a client with cystic fibrosis (CF) who is experiencing a pulmonary exacerbation. Which should the nurse include in the physical examination portion of the assessment? A: Nasal flaring C: Client positioning C: Level of fatigue D: Overall appearance
A
The nurse is assessing clients at the community clinic. Which group does the nurse consider as appropriate for genetic testing for cystic fibrosis (CF) via blood or saliva? A: All couples expecting a baby B: Only the parent with a family history, when expecting a baby C: Couples, with a family history of CF, expecting a baby D: Those with no history of CF
A
The nurse is aware that the age at which the posterior fontanelle closes is _____ months. a. 2 to 3 b. 3 to 6 c. 6 to 9 d. 9 to 12
A
The nurse is preparing a 4 year old for surgery. Which technique is most appropriate? a.allow the child to handle safe medical equipment b.limit the teaching to one 1 hour session c.explain to the child that she will be put to sleep for the procedure d.use an anatomically correct doll to explain the procedure
A
The parent of a 3-month-old infant asks the nurse, "At what age do infants usually begin drinking from a cup?" The nurse would reply: a. 5 months. b. 9 months. c. 1 year. d. 2 years.
A
A 16-year-old female complaining of abdominal pain is waiting in the exam room with her mother. It is important that the nurse assess whether the girl is sexually active. What action should the nurse take to gather the data? a. Suggest to the girl and mother that the mother can join her after the exam to discuss any findings with the physician. b. Ask the mother to leave the room when sexual history questions will be asked. c. Ask the girl whether she is sexually active, because the mother needs to know and be involved. d. Let the physician ask the question, so the girl does not have to discuss it twice
A
A 2-year-old client with cystic fibrosis is confined to bed and is not allowed to go to the playroom. Which of the following is an appropriate toy would the nurse select for the child: A) Pounding board and hammer B) Arranging stickers in the album C) Musical automobile D) Puzzle
A
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 during the first 10 minutes of crying D) Attend to the newborn infant immediately when crying
A
A mother is complaining to the nurse that her 16-year-old son who plays varsity football has been "eating too much junk." Which comment by the nurse is appropriate? a. "Because your son is so active, he might need three thousand or more calories daily." b. "Two thousand calories are more than enough to support his needs." c. "Talk to him about the benefits of good nutrition and stopping all fast food intake." d. "Discuss the need for him to add fruits and vegetables to his diet."
A
An overweight 11-year-old girl tells the school nurse she would like to be more active, but her parents do not have time to take her places. What are some suggestions the nurse can make for this child to promote health? (Select all that apply.) a. Encourage the parents to investigate the option of ride-sharing for afterschool activities with a classmate's family. b. Tell the girl to talk to the school nurse each day about the foods she eats. c. Suggest that the family plan an activity night where they ride bikes, take a walk, or go to the park. d. Refer the child to the school psychologist to discuss the weight issue
A
In terms of cognitive development the 5-year-old child would be expected to: a. Use magical thinking. b. Think abstractly. c. Understand conservation of matter. d. Be unable to comprehend another person's perspective.
A
In terms of fine motor development, the infant of 7 months should be able to: a. Transfer objects from one hand to the other. b. Use thumb and index finger in crude pincer grasp. c. Hold crayon and make a mark on paper. d. Release cubes into a cup.
A
In terms of gross motor development, what would the nurse expect a 5-month-old infant to do? a. Roll from abdomen to back. b. Roll from back to abdomen. c. Sit erect without support. d. Move from prone to sitting position.
A
The nurse is caring for a postoperative 14-year-old female on the pediatric unit. Which consideration is most significant in planning care for this child? a. The child will want her mother with her at all times. b. The child of this age will be glad to miss school. c. The child of this age is learning to become independent. d. The child is not going to be concerned with her body image while hospitalized
C
In terms of gross motor development, what would the nurse expect a 5-month-old infant to do? Choose all that apply. a. Roll from abdomen to back b. Put feet in mouth when supine c. Roll from back to abdomen d. Sit erect without support e. Move from prone to sitting positionf. Adjust posture to reach an object
A, B
An emergency department nurse is providing care to a pregnant client who admits to substance abuse. Which physical symptoms does the nurse expect during the physical examination of this client? Select all that apply. A. Dilated pupils B. Inflamed nasal mucosa C. Complaints of cough D. Staggering gait E> Poor nutritional status
A, B, D, E
Which condition should the nurse expect to be included in the health history of a client with cystic fibrosis? (Select all that apply.) A: Using effort to breathe B: Performing effective use of huffing C: Feeling rested D: Experiencing periods of dyspnea E: Noticing changes in sputum
A, B, D, E
A clinic nurse is assessing a pregnant client, who has delayed seeking prenatal care, for substance abuse issues. The client states she is addicted to nicotine and is inquiring about therapy. Which therapies will the nurse recommend as options for this client? Select all that apply. A. Group supportive therapy B. Detoxification C. Medication therapy D. Behavioral therapy E. Narcotics Anonymous
A, C, D
A new graduate nurse is caring for a stable client with cystic fibrosis (CF). Which intervention by the graduate nurse requires the nurse preceptor to intervene? (Select all that apply.) A: Giving an over-the-counter cough suppressant B: Recommending a high-calorie diet C: Providing constant oxygen D: Administering a prescribed bronchodilator after chest percussion
A, C, D
The nurse is providing discharge teaching to a client with cystic fibrosis (CF). Which intervention should the nurse include that will promote effective breathing? (Select all that apply.) A: Ensure the floating marker is as high as possible during incentive spirometry. B: Administer bronchodilators before any airway clearance techniques. C: Use incentive spirometry to practice taking slow, deep breaths. D: Contact the healthcare provider if a decrease in appetite or weight occurs. E: Administer cough suppressants if client is unable to sleep due to coughing.
A, C, D
A substance abuse nurse is preparing a session on inpatient clients who are pregnant. Pregnant clients who abuse which substances can be treated with medication therapy? Select all that apply. A. Alcohol B. Cocaine C. Narcotics D. Opioids E. Nicotine
A, C, D, E
The nurse is teaching the parents of a child with cystic fibrosis (CF) about physical activity. Which statement by the parents indicates the teaching has been effective? (Select all that apply.) A: "Our child should eat during exercise, even if he is not hungry." B: "Our child should limit physical activity because of his weak lungs." C: "Our child should eat salty snacks during exercise." D: "Our child should not participate in physical activity because of CF." E: "Our child should keep fluids high in salt handy during activity."
A, C, E
Facilitating health promotion activities with parents is an important role of the nurse. Which interventions are included in this role. Select all that apply. A. support breast feeding during the first year of life B. instruct parents to protect the infant from cigarette smoke. C. help parents understand the immunization schedule D. assist in identifying strategies to initiate with infants with a difficult temperament. E. teach parents about anticipated development milestones.
A, D, E
The nurse is providing information regarding infant nutrition to parents during a well child visit. Which growth and development milestones must be achieved prior to introducing soft finger foods into an infant's diet? (Select all that apply.) A. The extrusion reflex is no longer present. B. The infant has several primary teeth. C. The infant drinks formula every 4 hours during the day. D. The infant is able to sit up with support. E. The infant has developed the pincer grasp.
A, D, E
A 13-year-old female and her mother come to the school-based health clinic to obtain birth control pills. The nurse does not personally approve of this measure. After the nurse provides sexuality education, the mother insists on obtaining the pills for her daughter. Which action by the nurse is acceptable? a. Report the parent to child protective services. b. Ask another nurse to work with this situation. c. Refer the child and mother to family counseling. d. Refuse to provide the pills, because the child is so young.
B
A college student is incoherent; her roommates tell the nurse that she recently "took downers with beer." For which health problem should the nurse observe in this client? A) Hallucinations B) Respiratory depression C) Seizure activity D) Signs of withdrawal
B
A nurse is evaluating the developmental level of a 2-year-old. Which of the following does the nurse expect to observe in this child? A) Uses a fork to eat B) Uses a cup to drink C) Uses a knife for cutting food D) Pours own milk into a cup
B
The nurse teaches parents how to help their children learn impulse control and cooperative behaviors. This would occur during which of the stages of development defined by Erikson? A.Trust versus mistrust B.Initiative versus guilt C.Industry versus inferiority D.Autonomy vs. Shame and doubt
B
What describes a toddler's cognitive development at age 20 months? a. Searches for an object only if he or she sees it being hidden b. Realizes that "out of sight" is not out of reach c. Puts objects into a container but cannot take them out d. Understands the passage of time such as "just a minute" and "in an hour"
B
What is descriptive of the play of school-age children? a. Individuality in play is better-tolerated than at earlier ages. b. Knowing the rules of a game gives an important sense of belonging. c. They like to invent games, making up the rules as they go. d. Team play helps children learn the universal importance of competition and winning.
B
Which statement accurately describes physical development during the school-age years? a. The child's weight almost triples. b. A child grows an average of 2 inches per year. c. Few physical differences are apparent among children at the end of middle childhood. d. Fat gradually increases, which contributes to the child's heavier appearance.
B
While in the physician's office, the mother of an 8-month-old girl states, "She always has her bottle with formula in her mouth. I'm worried she will gain too much weight." The nurse should respond to this information by focusing on which potential problem? a. The infant is still drinking formula. b. The infant might be developing early-childhood caries. c. The infant still is consuming fluids from a bottle. d. The mother lets the infant keep the bottle instead of encouraging play with toys
B
A client is admitted to the emergency department after overdosing on phencyclidine (PCP). Based on this information, which nursing actions are appropriate? Select all that apply. A) Obtain materials to assist with lavage. B) Initiate an IV. C) Initiate seizure precautions. D) Induce vomiting. E) Administer ammonium chloride.
B, C, E
A pregnant client at 20 weeks is admitted for dehydration after trying to detox in the home environment. The client reports being nauseated and vomiting for the past week. During the plan of care, the nurse determines that the client will have a diagnosis of decreased nutritional intake. Which nursing goals are appropriate for this client? Select all that apply. A. The client will verbalize negative effects of substance use on the body. B. The client will maintain body weight. C. The client will remain free of signs of infection. D. The client will eat 50% of each meal. E. The client will verbalize negative effects of substance use on fetal health.
B, D
B, D A nursing instructor is educating a group of students on the classification system for medications created by the Food and Drug Administration (FDA). Which statements by the students indicate appropriate understanding of the fetal risk associated with each category? Select all that apply. A. "Category A demonstrates a fetal risk." B. "Category D demonstrates a fetal risk." C. "Category B demonstrates a fetal risk." D. "Category X demonstrates a fetal risk." E. "Category C demonstrates a fetal risk."
B, D
Cystic fibrosis- (CF-) related digestive problems mean that many children with the disease have a hard time consuming adequate nutrients. Which condition should the nurse expect as a resultant effect? (Select all that apply.) A: Vomiting B: Poor weight gain C: Diarrhea D: Delayed growth and development E: Failure to thrive
B, D, E
A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. The nurse most appropriately tells the mother to A) Punish the child every time the child says "no", to change the behavior B) Allow the behavior because this is normal at this age period C) Set limits on the child's behavior D) Ignore the child when this behavior occurs
C
C A nursing instructor is educating a group of students on the classification system for medications created by the Food and Drug Administration (FDA). Which comment made by a student indicates the need for further instruction? A. "Penicillins did not demonstrate a risk when taken during pregnancy." B. "The benefits of taking tetracycline during pregnancy outweigh the risks." C. "The benefits of taking Accutane during pregnancy outweigh the risks." D. "The benefits of taking lithium during pregnancy outweigh the risks."
C
C The nurse is providing care to a client with alcohol and opioid dependency. The client's mother states, "I don't understand why my daughter has been prescribed naltrexone, because it causes a high, too, right?" Which response by the nurse is appropriate? A) "Naltrexone will cause your daughter to become violently ill if she drinks alcohol or abuses drugs." B) "Naltrexone is less potent than the street drugs your daughter is currently taking and therefore safer." C) "Naltrexone helps diminish your daughter's cravings for alcohol and opioids." D) "Naltrexone will prevent your daughter from getting drunk when she drinks."
C
Clients who have high scores on the OOWS and SOWS A) are at elevated risk for substance abuse and addiction. B) are at low risk for substance abuse and addiction. C) experience particularly intense symptoms of substance withdrawal. D) experience relatively mild symptoms of substance withdrawal.
C
During her first prenatal visit, a pregnant client admits to the nurse that she uses cocaine at least once per day. Which nursing diagnosis is most appropriate for this client? A. Decreased gas exchange related to respiratory effects of substance abuse B. Impaired activity tolerance related to decreased tissue oxygenation C. Deficient nutrition related to limited food intake D. Increased risk for an infection related to IV drug use
C
Most infants begin to fear strangers at age: a. 2 months c. 6 months b. 4 months d. 12 months
C
The nurse is aware that the earliest age at which an infant is able to sit steadily alone is _____ months. a. 4 b. 5 c. 8 d. 15
C
Which intervention should the nurse suggest to the parents of a 12-month-old as the most effective way to reduce the incidence of early-childhood caries? a. Encourage parents to give the child a bottle of juice at bedtime. b. Advise the parents to begin regular visits to the dentist. c. Advise the parents to provide a pacifier instead of a bottle at bedtime. d. Encourage parents to brush the child's teeth daily.
C
Which nursing intervention is most developmentally appropriate for a hospitalized 10 year old? a. Encourage the child to play with safe medical equipment. b. Encourage dependency on the child's parents while the child is hospitalized. c. Allow the child to assist with dressing changes. d. Obtain a complete health history from the child.
C
A nurse who works in the emergency department is caring for a client who has overdosed on cocaine. The nurse receives an order from the healthcare provider to administer a prescription antipsychotic. Which symptoms of cocaine overdose would this medication help manage? Select all that apply. A) Alkaline urine B) Decreased deep tendon reflexes C) Hyperpyrexia D) Respiratory distress E) Central nervous system (CNS) depression
C, D
Nutritional assessment of a 10-year-old indicates the following findings. Which does the nurse recognize as a risk alert? (Select all that apply.) a. A BMI in the 25th percentile b. Eating an apple and an orange every day for a snack c. Having been diagnosed with asthma d. Eating one vegetable a day, generally at suppertime e. Playing basketball 5-6 days a week
C, D
The nurse is providing care to a client during a prenatal visit. The nurse suspects that the client has used cocaine. Which clinical manifestations support the nurse's suspicion? Select all that apply. A) Increased appetite B) Pinpoint pupils C) Muscle jerks D) Hypertension E) Bradycardia
C, D
A new school counselor asks the school nurse to present an educational program for the parents of young adolescents. Which item would be a priority for inclusion in the program? (Select all that apply.) A) Driver's education classes B) The current clothing styles, so their child can "fit in" C) Opportunities available in the community to promote physical activity D) Signs of depression and substance abuse E) Signs and symptoms of substance abuse
C, D, E
The nurse educator is teaching a group of new nurses about pregnancy in cystic fibrosis (CF). Which statement should the nurse include in the teaching? (Select all that apply.) A: "A cesarean section is necessary for most cases." B: "CF mothers have a lower than average risk of gestational diabetes." C: "Some CF medications may need to be discontinued until after pregnancy." D: "Nutritional supplementation is usually necessary for maternal and fetal well-being." E: "The outcome of the pregnancy depends on the mother's health.
C, D, E
The nurse is conducting a psychoeducation group with male and female clients. The nurse observes what appear to be differences in moral perspectives between the men and women. Which observation is most consistent with Gilligan's theory of moral development? A) The men are focused on human-made rules governing morality. B) The women have difficulty looking at moral issues objectively. C) The men believe that morality is tied to relationships and caring. D) The women believe that it is most important not to inflict harm.
D
The parents of a 17-year-old male are concerned about his recent attitude changes, physical changes, and lack of interest in eating. Which intervention should the nurse consider first? a. Refer to a family counselor, so the family can work together on the changes. b. Ask the parents whether they have alcohol in the home. c. Tell the physician to order drug screens to check for substance abuse. d. Ask the teen privately whether he is using any substances such as drugs or alcohol
D
The statement made by a parent that indicates correct understanding of infant feeding is: a. "I've been mixing rice cereal and formula in the baby's bottle." b. "I switched the baby to low-fat milk at 9 months." c. "The baby really likes little pieces of chocolate." d. "I give the baby any new foods before he takes his bottle."
D
What would the nurse expect of a healthy 3-year-old child? What would the nurse expect of a healthy 3-year-old child? a. Jump rope b. Ride a two-wheel bicycle c. Skip on alternate feet d. Balance on one foot for a few seconds
D
Many common drugs of abuse cause significant physiologic and behavioral problems in infants who are breastfed by mothers currently using (Select all that apply): a. Amphetamine. b. Heroin. c. Nicotine. d. PCP. e. Morphine
a, b, c, d
A newborn in the nursery is exhibiting signs of neonatal abstinence syndrome. Which of the following signs/symptoms is the nurse observing? (Select all that apply) a Hyperphagia (excessive Hunger) b. Lethargy. c. Prolonged periods of sleep. d. Hyporeflexia. e. Persistent shrill cry
a, e
Which if the following signs and symptoms would you expect to see in an infant withdrawing from heroin? Select all that apply. a. Temperature 36.5ºC b. RR 88 c. Diaphoretic d. Constipation
b, c
There is a baby in the neonatal intensive care unit (NICU) who is exhibiting signs of neonatal abstinence syndrome. Which of the following medications is contraindicated for this neonate? a. Morphine. b. Opium. c. Narcan. d. Phenobarbital
c
