Exam 1 Questions from Slides

After locomotion begins or after age 1, which reflex has typically disappeared? A.Babinski B.Blinking C.Palmer D.Planter

A. Babinski

A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time? A. Crushed ice B. Cranberry juice C. Orange juice D. Vanilla milkshake

A. Crushed Ice

When entering the room, you notice that the father is kneeling, facing the wall. You review the child's chart and find that the family is Muslim. You think that the father may be praying. What is the best action to take? A. Give him a few more minutes to complete the prayer because it is part of the Muslim belief system. B. Interrupt him because prayer is not a part of the Muslim belief system, and you need to take the child's physiologic measurements. C. Realize that he did not hear you enter the room and introduce yourself in a loud manner. D. Explain to him that you understand that religion and spirituality are important but that you must take the child's physiologic measurements at this time.

A. Give him a few more minutes to complete the prayer because it is part of the Muslim belief system.

A nurse is performing a family assessment. Which of the following should the nurse include? (Select all that apply) A. Medical History B. Parent's education level C. Child's physical growth D. Support Systems E. Stressors

A. Medical History B. Parent's education level D. Support systems E. Stressors

Which of the following (after the family) is most likely to have the greatest influence on providing continuity between generations? A. Schools B. Race C. Social Class D. Government

A. Schools

When a 10-year-old child asks if a procedure is going to hurt, as the nurse, you know it will hurt for a little bit. The best response is: A.Be honest and answer, "Yes, for a little bit." B.Change the subject and say, "It's beautiful day outside, isn't it?" C.Say, "NO, because you're a big boy. It won't hurt a bit." D.Smile broadly and ask, "What do you think?"

A.Be honest and answer, "Yes, for a little bit."

When observing manifestations of separation anxiety in young children, what might a nurse expect to see? Select all that apply. A.Crying B.Screaming C.Searching for their parent with their eyes D.Physically attacks strangers (e.g., bites, hits) E.Clinging to the parent F.Very interested in their surroundings

A.Crying B.Screaming C.Searching for their parent with their eyes D.Physically attacks strangers (e.g., bites, hits) E.Clinging to the parent

Factors affecting the parents' reactions to their child's illness include: Select all that apply. A.Seriousness of the threat to the child B.Previous experience with illness or hospitalization C.Available support systems D.Previous coping abilities E.The type of food served to the patient and family F.Communication patterns among family members

A.Seriousness of the threat to the child B.Previous experience with illness or hospitalization C.Available support systems D.Previous coping abilities F.Communication patterns among family members

The nurse is discussing the pattern of inheritance with the family. Which statement about the autosomal dominant inheritance pattern is correct? A.Only males are affected B.50% chance of inheriting if parent affected C.Requires several mutant allele to express D.Reduced chance with each pregnancy

B. 50% chance of inheriting if parent affected

When caring for a family from a different culture, the following statements are all true except: A. to provide culturally sensitive care to children and their families, one must be aware of his or her own cultural values and beliefs. B. generalizations made about an ethnic group apply to all groups and individuals. C. beliefs related to the cause of illness and health maintenance influence the way families cope with health problems. D. a behavior may be characteristic of a culture rather than an abnormal behavior

B. generalizations made about an ethnic group apply to all groups and individuals.

When interviewing a child and parent(s) at the beginning of a visit, it will be important for the nurse to follow which of the guiding principles? Select all that apply. A.Address parents however you think would be appropriate B.Include children in the interaction by asking them their name, age, and other information C.Provide as much privacy as possible D.Inform the family of the limits of confidentiality E.Young children should be given play provision to keep them occupied during the parent-nurse interview

B.Include children in the interaction by asking them their name, age, and other information C.Provide as much privacy as possible D.Inform the family of the limits of confidentiality E.Young children should be given play provision to keep them occupied during the parent-nurse interview

To visualize the eardrum in an infant, in which direction should the nurse pull the pinna? A.Back and forth B.Up and down C.Down and back D.Up and back

C. Down and back (When positioning for visualizing the eardrum in an infant, the nurse should pull the pinna down and back to the 6 to 9 o'clock range to straighten the canal because the infant's canal is curved upward and the speculum does not permit a panoramic view of the tympanic membrane unless the canal is straightened. Once the child is older than 3 years of age, the pinna should be pulled up and back toward a 10 o'clock position because the canal curves downward and forward.)

The nurse is caring for an infant with a congenital anomaly. What strategy can the nurse use to promote parental bonding and adjustment? A.Nurse can perform all infant care B.Identify the parents' weaknesses C.Guide parents in recognizing infants cues D.Help parents recognize this is a lifetime burden

C. Guide parents in recognizing infants cues.

A nurse is reviewing data for four children. Which of the following children should the nurse assess first? A. A 1-year-old toddler who has roseola and a temperature of 39° C (102.2° F) B. A 4-year-old child who has asthma and a PCO2 of 37 mm Hg C. 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016 D. A 10-year-old child who has sickle cell anemia who reports severe chest pain

D. A 10-year-old child who has sickle cell anemia who reports severe chest pain When using the urgent vs. nonurgent approach to client care, the nurse should determine that the 10-year-old child who has sickle cell anemia and reports severe chest pain should be assessed first.