PEDS Cancer exam quiz questions

The nurse is caring for a hospitalized 4 year old boy, Ryan. His parents tell the nurse that they will be back to visit at 6:00pm. When Ryan asks the nurse when his parents are coming, the nurse's best response is:

"They will come after dinner

Nurse Kathy should begin screening for lead poisoning when a child reaches what age?

12 months

According to Kohlberg, children develop moral reasoning as they mature. What is most characteristic of a preschooler's stage of moral development?

Actions are determined as good or bad in terms of consequences

The parent of 18 month old Chris asks, "What is the best way to keep Chris from getting into our medicines at home?" The nurse should advise the parent that:

All medications should be locked securely away

The nurse is having difficulty communicating with a hospitalized 5 year old child. What technique might be most helpful?

Ask the child to draw a picture

Sudden infant death syndrome(SIDS) is one of the most common causes of death in infants. At what age is the diagnosis of SIDS most likely?

At 1 week to 1 year of age, peaking at 2-4 months

The head-to-tail direction of growth is referred to as:

Cephalocaudal

A five year old comes in to the office to get his kindergarten physical. Which immunization are necessary for administration today if his immunization are currently up to date?

DTaP Polio MMR Varivax

Using knowledge of child development, the best approach when preparing a toddler for a procedure is to:

Demonstrate the procedure on a doll

What describes the cognitive abilities of school-age children?

Have the ability to classify, group and sort and hold a concept in their minds while making decisions based on that concept

A female, age 2 years, is brought to the emergency department after ingesting an unknown number of aspirin tablets about 30 minutes earlier. On entering the examination room, the child is crying and clinging to mother. Which data should the nurse obtain first?

Heart rate, respiratory rate, and blood pressure

A toddler's parent asks the nurse for suggestions on dealing with temper tantrums. Which of the following is the most appropriate recommendation?

Ignore the behavior provided that is is not injurous

The nurse is interviewing the father of 10 month old Megan. She is playing on the floor when she notices an electrical outlet and reaches up to touch it. Her father says "no" firmly and removes her from near the outlet. The nurse should use this opportunity to teach the father that Megan:

Is old enough to understand the word 'no'

The nurse is observing parents playing with their 10 month old daughter. What should the nurse recognize as evidence that the child is developing object permanence?

Looks for the toy parents hid behind their back

The role of the peer group in the life of school age children is that is:

Provides them security as they gain independence from parents

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"

Realizes that "out of sight" is not out of reach

In terms of gross motor development, what would the nurse expect a *5 month* old infant to do?

Roll from abdomen to back

Which age group is most concerned with body integrity?

School age child

When teaching injury prevention during the school-age years, the nurse should include which of the following? a. Teach child about need to fear strangers. b. Teach basic rules of water safety. c. Avoid letting child cook in microwave ovens. d. Caution child against engaging in competitive sports.

Teaching basic rules of water safety

A parent of an 18 month old boy tells the nurse that he says 'no' to everything and has a rapid mood swings. If he is scolded, he shows anger and then immediately wants to be held. The nurse's best interpretation of this behavior is that:

This is normal behavior for his age

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.

Transfer objects from one hand to the other

In terms of cognitive development the 5 year old child would be expected to:

Use magical thinking

Nurse Kelly is teaching the parents of a young child how to handle poisoning. If the child ingests poison, what should the parents do first?

call the poison control center

In terms of fine motor development, what could the *3-year-old* child be expected to do? a.Tie shoelaces. b.Copy (draw) a circle. c.Use scissors or a pencil very well. d.Draw a person with seven to nine parts.

copy (draw) a circle

When a preschool child is hospitalized without adequate preparation, the nurse should recognize that the child may likely see hospitalization as: a. Punishment. b. An opportunity for regression. c. Threat to child's self-image. d. Loss of companionship with friends.

punishment