Ped Practice Exam 1

A 16-month-old child falls down a few stairs, then gets up and "scolds" the stairs as if they caused him to fall. This is an example of which of the following? a. Animism b. Ritualism c. Irreversibility d. Delayed cognitive development

a. Animism

A nurse recognizes which physiologic responses as a manifestation of acute pain in a neonate? (Select all that apply.) a. Diaphoresis b. Increased heart rate c. Increased SaO2 d. Increased blood pressure e. Decreased muscle tone

a. Diaphoresis b. Increased heart rate d. Increased blood pressure

The nurse is doing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed. How would the nurse interpret this finding? a. Normal finding b. Finding requiring a referral c. Abnormal finding d. Normal finding, but requires rechecking in 1 month

a. Normal finding

A nurse is caring for three toddlers and one preschooler. Which represents the major stressor of hospitalization for these four patients? a. Separation anxiety b. Loss of control c. Fear of bodily injury d. Fear of pain

a. Separation anxiety

Which factor most impacts the type of injury a child is susceptible to, according to the child's age? a. Physical health of the child b. Developmental level of the child c. Educational level of the child d. Number of responsible adults in the home

b. Developmental level of the child

In which communicable diseases are Koplik spots present? a. Rubella b. Measles (rubeola) c. Chickenpox (varicella) d. Exanthema subitum (roseola)

b. Measles (rubeola)

Which intervention would the nurse include when providing atraumatic care? a. Prepare the child for separation from parents during hospitalization by reviewing a video. b. Prepare the child before any unfamiliar treatment or procedure. c. Help the child accept the loss of control associated with hospitalization. d. Help the child accept pain that is connected with a treatment or procedure.

b. Prepare the child before any unfamiliar treatment or procedure.

A nurse is assessing a 12-month-old infant. Which statement best describes the infant's physical development a nurse would expect to find? a. Anterior fontanel closes by age 6 to 10 months. b. Binocularity is well established by age 8 months. c. Birth weight triples by age 1 year. d. Maternal iron stores persist during the first 12 months of life.

c. Birth weight triples by age 1 year.

Which second-leading cause of death topic would the nurse emphasize to a group of boys ranging in age from 15 to 19 years? a. Suicide b. Cancer c. Homicide d. Occupational injuries

c. Homicide

According to Piaget, which describes magical thinking common in preschool age children? a. Events have cause and effect. b. God is like an imaginary friend. c. Thoughts are all-powerful. d. If the skin is broken, the child's insides will come out.

c. Thoughts are all-powerful.

A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. Which would the nurse explain? a. This cannot be prevented. b. Infants do not feel pain as adults do. c. This is not a good reason for refusing immunizations. d. A topical anesthetic, EMLA, can be applied before injections are given.

d. A topical anesthetic, EMLA, can be applied before injections are given.

A nurse is assigned to four children of different ages. In which age group would the nurse understand that body integrity is a concern? a. Toddler b. Preschooler c. School-age child d. Adolescent

d. Adolescent

In terms of fine motor development, which would the 3-year-old child be expected to do? a. Lace shoes and tie shoelaces with a bow. b. Use scissors to cut pictures and print a few numbers. c. Draw a person with seven parts and correctly identify the parts. d. Draw a circle and name what has been drawn.

d. Draw a circle and name what has been drawn.

A 2-year-old child has been returned to the nursing unit after an inguinal hernia repair. Which pain assessment tool should the nurse use to assess this child for the presence of pain? a. FACES pain rating tool b. Numeric scale c. Oucher scale d. FLACC tool

d. FLACC tool

Parents tell the nurse that their child keeps scratching the areas where he has bed bugs. The nurse's response would be based on which statement? a. The parasitic bugs do not cause itching and needs further investigation. b. Scratching the lesions will not cause a problem. c. Scratching the lesions will cause the bed bugs to spread. d. Scratching the lesions may cause them to become secondarily infected.

d. Scratching the lesions may cause them to become secondarily infected.

Which factor predisposes toddlers to frequent infections? a. Respirations are abdominal. b. Pulse and respiratory rates are slower than those in infancy. c. Defense mechanisms are less efficient than those during infancy. d. Short, straight internal ear canal and large lymph tissue.

d. Short, straight internal ear canal and large lymph tissue.

A nurse is planning care for a 17-month-old child. According to Piaget, which stage would the nurse expect the child to be in cognitively? a. Trust b. Preoperational c. Secondary circular reaction d. Tertiary circular reaction

d. Tertiary circular reaction

The parents of a 9-month-old infant tell the nurse that they have noticed foods such as peas and corn are not completely digested and can be seen in their infant's stools. The nurse's explanation of this is based on which statement? a. Child should not be given fibrous foods until digestive tract matures at age 4 years. b. Child should not be given any solid foods until this digestive problem is resolved. c. This is abnormal and requires further investigation. d. This is normal because of the immaturity of digestive processes at this age.

d. This is normal because of the immaturity of digestive processes at this age.

The nurse would include which associated risk when planning a teaching session about childhood obesity? a. Type I diabetes b. Respiratory disease c. Celiac disease d. Type II diabetes

d. Type II diabetes

The nurse would expect to assess which causative agent in a child with warts? a. Bacteria b. Fungus c. Parasite d. Virus

d. Virus