Peds Exam 3 TB
The school nurse is performing health assessments on students in middle school. Of what developmental milestone should the nurse be aware? a. Height in girls increases rapidly after menarche and usually ceases immediately after menarche. b. Boys' growth spurts usually begin between the ages of 8 and 14 years and end between the ages of 13 1/2 and 17 1/2 years. c. Peak height velocity (PHV) occurs at approx 12 years of age in girls or about 6 to 12 months after menarche. d. Boys reach PHV and peak weight velocity (PWV) at about 16 years of age.
C
When describing the various changes that occur in organ systems during adolescence, what would the nurse include? a. Significant increase in brain size b. Ossification completed later in girls c. Decrease in heart rate d. Decrease in activity of sebaceous glands
C
When examining the abdomen of a child, which technique would the nurse use last? a. Auscultation b. Percussion c. Palpation d. Inspection
C
Which finding would lead the nurse to suspect that a child is experiencing moderate dehydration? a. Dusky extremities b. Tenting of skin c. Sunken fontanels d. Hypotension
C
Chapter 6 The nurse performing a physical assessment of a 10 year old boy. The nurse notes that during last year's check-up the child weighed 80lbs. According to average growth for this age group, what would be his expected current weight? a. 81 lbs b. 85 bs c. 87 lbs d. 89 lbs
C Increase of 7lbs a year is expected
Chapter 20 The nurse is teaching the mother of a 5 year old boy with a history of impaction how to administer enemas at home. Which response from the mother indicates a need for further teaching? a. I should position him on his abdomen with knees bent. b. He will require 250 to 500 mL of enema solution. c. I should wash my hands and then wear gloves d. He should retain the solution for 5 to 10 mins.
A Should lay on left side.
The school nurse is preparing a program on sexuality and birth control for a class of 14 to 16 year olds. Which behavior will have the most influence on how the information is presented? a. Teens are adjusting to new body images b. Adolescents tend to take risks. c. Teenagers are able to think in the abstract d. Adolescents understand that actions have consequences
B
The school nurse knows that dating is a milestone for adolescents. Which statement accurately describes a tend in teen dating? a. Most late adolescents spend more time in activities with mixed sex groups, such as dances and parties, than they do dating as a couple. b. Most teens have been involved in at least one romantic relationship by middle adolescence. c. Teens that date frequently report slightly lower levels of self esteem and decreased autonomy. d. Homosexual behavior as a teen usually indicates that the adolescent will maintain a homosexual orientation.
B
The group of students are reviewing information about fluid balance and losses in children in comparison to adults. The students demonstrate a need for additional review when they state that: a. children have a proportionately greater amount of body water than do adults. b. fever plays a greater role in insensible fluid losses in infants and children. c. a higher metabolic rate plays a major role in increased insensible fluid losses. d. the infant's immature kidneys have a tendency to overconcentrate urine.
D
The nurse has developled a plan of care for a 12 month old hospitalized with dehydration as a result of rotavirus. Which intervention would the nurse include in the plan of care? a. Encouraging consumption of fruit juice. b. Offering Kool-Aid or popsicles as tolerated c. Encouraging milk products to boost caloric intake d. Maintaining the IV fluid rate as ordered
D
The parents of an 8 year old boy are interested in promoting learning through reading to their son. Which suggestion by the nurse would best promote this goal? a. Have the parents choose what he should read initially b. Tell the child to read instead of watching TV with his parents c. Tell the parents that reading is for the child to do by himself d. Take the child to the library to check out some books.
D
The school nurse is teaching parents about the effects of bullying on school children. What accurately describes the developmental concern? a. Children who bully are those who report themselves as being lonely and having difficulty in forming friendships. b. Children with health issues, such as disabilities, obesity, and food allergies are at a decreased risk of being bullied. c. In general, about 20% of all children attending school are frightened and afraid most of the day. d. Both boys and girls are bullied; boys usually bully boys and use force more often
D
The school nurse knows that school age children are developing metalinguistic awareness. Which is an example of this skill? a. The child enjoys reading books b. The child enjoys conversations with peers. c. The child enjoys speaking on the phone. d. The child enjoys telling jokes.
D
Two working parents are discussing with the school nurse the possibility of their 12 year old girl going home alone after school. What suggestion should the nurse make? a. Provide entertainment until the parents come home. b. Allow the child to go to a friend's house. c. Teach her how to take a message if someone calls. d. Purchase caller ID for the phone.
D
The nurse is performing a cognitive assessment on a 16 year old client. Which behaviors demonstrated will the nurse identify as middle formal operational, according to Piaget's theory? SATA a. Reporting that he smokes marijuana occasionally b. Wanting to make decisions about health care independently. c. Being very concerned with implications of the Affordable Care Act regarding health care benefits. d. Wanting their friends to visit them in the hospital more than their parents. e. Difficulty understanding the implications their diagnosis might present
A, B, C
The school nurse is teaching parents risk factors for suicide in adolescents. What would the nurse discuss? SATA a. Mental health changes b. HIstory of previous suicide attempt c. Higher socioeconomic status d. Greatly improved school performance e. Family disorganization f. Substanc abuse
A, B, E, F
A group of nursing students are reviewing information about inflammatory bowel syndrome in preparation for a class discussion on the topic. The students demonstrate understanding of the material when they identify which characteristics of Crohn disease? SATA a. Distributed in a continuous fashion b. Most common between ages of 10 to 20 years c. Elevated erythrocyte sedimentation rate d. Low serum iron levels e. Tenesmus f. Loss of haustra within bowel
B, C, D
The nurse has determined that an 8 year old girl is at risk for being overweight. Which intervention would be a priority prior to developing the care plan? a. Determining the need for additional caloric intake. b. Asking the parents who they want to work with the child c. Interviewing the parents about their eating habits d. Discussing the influence of peers on the child's diet
C
A 12 year old boy reports to the nurse that he is one of the shortest kids in his class. He asks the nurse if he will ever grow. What response by the nurse is most appropriate? a. At your age, you are largely done growing taller. b. Since you are the shortest now, you will likely always be the shortest in teh class. c. Boys do not have their growth spurt until about age 17 d. There is no way to know how tall you will grow because yuo are still well within the window for growth.
D
A nursing instructor is developing a class presentation about the medications used to treat peptic ulcer disease. Which drug class would the instructor be least likely to include in the presentation? a. antibiotics b. proton pump inhibitors c. histamine antagonists d. Prokinetics
D
After teaching the parents of a 6 year old how to administer an enema, the nurse determines that the teaching was successful when they state that they will give how much solution to their child? a. 100 to 200 mL b. 200 to 300 mL c. 250 to 500 mL d. 500 to 1000 mL
D
The nurse is caring for a 7 year old girl scheduled for an IV pyelogram. Which action would be the priority before the test? a. Checking with the parents for any allergies. b. Ensuring adequate hydration c. Giving the girl an enema d. Screening her for pregnancy
A
The nurse is preparing to administer IV fluids to manage a child with dehydration. The medical record indicate the child weighs 60 lbs (27.2 kg). How many mL will initially be administered? Record your answer using two decimal places.
545.45 Administer 20mL/kg
A group of students are reviewing information about gallbladder disease in children. The students demonstrate a need for additional review when they state: a. cholesterol gallstones are more frequently found in males b. pigment stones are found primarily in the common bile duct c. pancreatitis is a common complication of cholecystitis in children d. cholecystitis is due to chemical irritation from obstructed bile flow
A
A mother brings her 6 year old son in for a check up because the child is reporting stomachaches. It is the beginning of the school year. What might the mother also mention? a. The child cries before going to school. b. The child made friends the first day of school. c. The child fights with siblings more often. d. The child loves the crowds in the lunchroom.
A
A nurse is caring for a 14 year old girl scheduled for a barium swallow/upper GI series. Before providing instructions, what would be the priority? a. Screening the girl for pregnancy. b. Reminding her to drink plenty of fluids after the procedure. c. Ordering a bowel preparation d. Reminding the girl about potential light colored stools.
A
After teaching the parents of a 9 year old girl about safety, which statement indicates the need for additional teaching? a. She can ride in the front seat of the car once she is 10 years old. b. We need to buy her a helmet so she can ride her scooter c. She should ride her bike with the traffic on the side of the road. d. We signed her up for swim lessons at the local community center
A
An 8 month old infant is brought to the clinic for evaluation. The mother tells the nurse that she has noticed some white patches on the infant's tongue that look like curdles milk after breastfeeding. The nurse suspects oral candidiasis (thrush). Which question would the nurse use to help confirm this suspicion? a. Are you having breast pain when you nurse the baby? b. Has he had any dairy problems recently? c. Is he experiencing any vomiting lately? d. How have his stools been this past week?
A
Chapter 21 The nurse is caring for a child who is experiencing an acute renal transplant rejection and is to receive muromonab-CD3. What would the nurse most likely expect to assess after the first dose is administered? a. Fever with chills, chest tightness b Cough, hyperkalemia c. Photosensitivity, GI upset d. Urinary retention, decreased appetite
A
Chapter 7 The nurse teaches parents of adolescents that adolescents need the support of parents and nurses to facilitate healthy lifestyles. What should be a priority focus of this guidance? a. Reducing risk taking behavior b. Promoting adequate physical growth c. Maximizing learning potential d. Teaching personal hygiene routines
A
During a health check up without his parents, a 17 year old tells the nurse he is gay. Which approach should the nurse take? a. Tell me what makes you think you are gay. b. This puts in an at risk category. c. We need to talk about safe sex. d. You're not gay, you're confused.
A
The mother of a 14 year old girl complains to the nurse that her daughter is moody, shuts herself in her room, and fights with her younger sister. Which comment is most valuable to the mother? a. Calmly talk to her about your concerns. b. This is normal for her age. c. She may be hanging with a bad crowd. d. Set some rules for family etiquette.
A
The mother of a 7 year old girl tells the school nurse that her child is deathly afraid of going to school. What would be the best intervention the nurse could suggest in this situation? a. Return the child to school and investigate the cause of the fear b. Have the child stay home from school until any issues causing this fear are resolved. c. Investigate a new school for the child to attend that the child will not be afraid of. d. Tell the child that privileges will be taken away if she does not return to school.
A
The nurse explains to parents of school age children that according to Kohlberg's theory of moral development. What is the motivation for school age children to follow rules? a. They follow rules out of a sense of being a 'good person.' b. They follow rules out of fear of being punished. c. They follow rules in order to receive praise from caretakers. d. They follow rules because it is in their nature to do so.
A
The nurse is caring for a 12 year old girl with nephrotic syndrome. The girl confides that she feels like a "freak" compared to her peers because of her weight, edema, and moon face. Which response by the nurse would be most appropriate? a. Let's put you in touch with some other girls who are also having the same body changes. b. Luckily, this is just a temporary, unfortunate part of your condition; you need to accept it. c. Your real friends do not care about your appearance and just want you to get well. d. You are beautiful in your own way; what matters is what is on the inside.
A
The nurse is caring for a 3 year old girl with short bowel syndrome as result of trauma to the small intestine. The girl's mother is extremely anxious and tells the nurse she is afraid she will never learn how to care for her daughter at home. How should the nurse respond? a. I will help you become an expert on your daughter's care. b. You must learn how to care for your daughter at home. c. You really need the support of your husband. d. There is a lot to learn and you need a positive attitude.
A
The nurse is caring for a 4 year old girl with vulvovaginitis. After explaining to the girl's mother how to help prevent subsequent episodes, which statement by the mother indicates a need for additional teaching? a. She needs to wipe from front to back. b. I will make sure she changes her underwear every day. c. She should probably avoid bubble baths. d. I will help supervise her wiping after bowel movements.
A
The nurse is caring fora 7 year old girl who is scheduled for a hernia repair and is very scared. Which fear would she also most likely have at this age? a. Fear of being kidnapped b. Fear of cutting her finger c. Fear of sudden loud noises d. Fear of the neighbor's dog
A
The nurse is helping the parents and their underweight adolescent collaborate on planing a healthy menu. Of which nutritional requirement of adolescents should the nurse be aware? a. Teenagers have a need for increases calories, zinc, calcium, and iron for growth. b. Teenage girls who are active require about 1800 calories per day c. Teenage boys who are active require between 2000 and 2500 calories per day d. Adolescents require about 1000 to 1200 mg of calcium each day
A
The nurse is performing an annual check-up for an 8 year old child. Compared to the previous assessment of this child, which characteristic would most likely be observed? a. Breathing is diaphragmatic b. Pulse rate is increased c. Secondary sex characteristics are present d. Blood pressure has reached adult level
A
The nurse is preparing a class fora group of adolescents about promoting safety. What would the nurse plan to include as the leading cause of adolescent injuries? a. Motor vehicles b. Firearms c. Wter d. Fires
A
The nurse is taking a health history of an 11 year old girl with recurrent abdominal pain. Which response would lead the nurse to suspect irritable bowel syndrome? a. I always feel better after I have a bowel movement. b. I don't take and medicine right now. c. The pain comes and goes. d. The pain doesn't wake me up in the middle of the night.
A
The nurse knows that the school age child is in Erickson's stage of industry vs inferiority. Which best exemplifies a school ager working toward accomplishing this developmental task? a. The child signs up for after school activities. b. The child performs his bedtime preparations autonomously c. The child becomes aware of the opposite sex d. The child is developing a conscience
A
The school nurse providing school health screenings knows that the 7 - 11 year old is in Piaget's stage of concrete operational thoughts. What should this age group accomplish when developing operations? SATA a. Ability to assimilate and coordinate information about the world from different dimensions b. Ability to see things from another person's point of view and think through an action. c. Ability to use stored memories of past experiences to evaluate and interpet present situations. d. Ability to think about a problem from all points of view, ranking the possible solutions while solving the problem. e. Ability to think outside of the present and incorporate into thinking concepts that do exist as well as concepts that do exist as well as concepts that might exist. f. Ability to understand the principle of conservation that matter does not chance when its form changes.
A, B, C, F
When assessing adolescents for health risks, the nurse must keep in mind the factors related to the prevalence of adolescent injuries. What accurately describe these factors? SATA a. Increased physical growth b. Insufficient psychomotor coordination c. Tiredness, lack of energy d. Lack of impulsivity e. Peer pressure f. Inexperience
A, B, E, F
The school nurse is conducting a seminar for parents of adolescents on how to communicate with teenagers. Which guidelines might the nurse recommend? SATA a. Talk face to face and be aware of body language b. Ask questions to see why he or she feels that way c. Do not give praise unless the adolescent deserves it. d. Speak to your child as an authority figure, not an equal. e. Don't admit that you made mistakes f. Don't pretend you know all the answers
A, B, F
THe nurse is providing care to a child with pancreatitis. When reviewing the child's lab test results what would the nurse expect to find? SATA a. Leukocytosis b. Decreased C reactive protein c. Elevated serum amylase levels d. Positive stool culture e. Decreased serum lipase levels
A, C
A 12 year old girl is experiencing prepubescence, and tells the school nurse that she feels very out of place in her school. What would be acceptable responses by the nurse? SATA a. It must be difficult for you. Why don't you sit down and we can talk about it. b. I would suggest that you talk to your parents about your feelings. This isn't something that I can talk to you about. c. All of the girls and boys will be going through the same thing as you so that should make you feel a little better . d. Tell me how this makes you feel. Talking about your feelings may help you feel better about school. e. I went through the same thing when I was in school. I know it doesn't feel like it now but I promise it will get easier.
A, D
The nurse is caring for a 4 year old with a suspected urinary tract infection. What would be most appropriate when obtaining a urine specimen from the child? a. I will need a urine sample. b. Let your mom help you tinkle in this cup. c. Please tinkle in this cup right now. d. Please void in this cup instead of the toilet
B
After assessing a 10 year old girl, the nurse documents the appearance of breast buds, identifying this as what body change? a. Menarche b. Thelarche c. Puberty d. Tanner stage 5
B
Based on Erikson's developmental theory, what is the major developmental task of the adolescent? a. Gaining independence b. Finding an identity c. Coordinating information d. Mastering motor skills
B
The mother of a 12 year old boy is talking with the school nurse about her son's clumsiness. She reports that he seems to fall a lot, his writing is horrible, and as much as he practices, he can't play his guitar very well. How should the nurse respond to the mother? a. Boys tend to take a bit longer than girls to mature. b. Have you spoken with your pediatrician about your observations? c. Boys tend to refine their fine motor skills by this age? d. I will make a note of your observations and talk to his teachers.
B
The mother of a 3 week old infant brings her daughter in for an evaluation. During the visit, the mother tells the nurse that her baby is spitting up after feedings. Which response by the nurse would be most appropriate? a. We need to tell the doctor about this. b. Infants this age commonly spit up. c. Your daughter might have an allergy. d. Don't worry, you're just feeding her too much.
B
The nurse is caring for a 2 month old with a cleft palate. The child will undergo corrective surgery at age 3 months. The mother would like to continue breastfeeding the baby after surgery and wonders if it is possible. How should the nurse respond? a. There is a good chance that you will be able to breastfeed almost immediately. b. Breastfeeding is likely to be possible, but check with the surgeon. c. After suture line heals, breastfeeding can resume. d. We will have to wait and see what happens after surgery.
B
The nurse is caring for an infant with a temporary ileostomy. As part of the plan of care, the nurse monitors for skin breakdown around the stoma. If redness occurs, what would be most appropriate to promote healing and prevent further skin breakdown? a. Clean the area well with a scented diaper wipe. b. Apply a barrier/healing cream or paste on the skin. c. Use a barrier wafer to attach the appliance d. Sanitize the area with an alcohol wipe after each diaper change
B
The nurse is caring for an infant with bladder exstophy. As part of the infants preoperative plan of care, the nurse monitors for abdominal skin excoriation. Which action would be most appropriate for promoting healing and preventing further skin breakdown? a. Cleaning the area well with a scented diaper wipe b. Applying a barrer/healing cream or paste on skin c. Keeping the bladder moist and covered with a sterile bag d. Covering the area with sterile gauze pads after tub baths
B
The nurse is conducting a physical examination of a child with suspected Crohn disease. Which finding would be the most suspicious of Crohn disease? a. Normal growth patterns b. Perianal skin tags or fissures c. Poor growth patterns d. Abdominal tenderness
B
The nurse is determining maintenance fluid requirements for a child who weighs 25kg. How much fluid would the child need per day? a. 1560 mL b. 1600 mL c. 1650 mL d. 1700 mL
B
The nurse is preparing a teaching plan for the parents of a child with a UTI. What would the nurse encourage the parents to avoid? a. Liberal fluid intake b. Caffeine c. Cranberry juice d. cotton underwear
B
The nurse is providing anticipatory guidance for parents of a school age child on teaching the dangers of drugs and alcohol. What advice might be helpful for these parents? a. School age children are not ready to absorb information that deals with drugs and alcohol. b. School age children can think critically to interpret messages seen in advertising, media and sports. c. Parents must prevent their child from being exposed to messages that are in conflict with their values. d. Discussions with children need to be based on facts and focused on the past and future.
B
The nurse is taking a health history of a child with suspected acute post-streptococcal glomerulonephritis. Which response would alert the nurse to a confirmed risk factor for this condition? a. She has been very healthy up to now. b. He just got over a head cold with laryngitis. c. My child is just 18 months old d. My child has not been sick at all
B
The nurse is talking with a chatty 7 year old girl during her regular check up. Which behaviors would the child also be expected to exhibit? a. Showing no interest in what the nurse sees in her ears b. Explaining what is right and what is wrong c. Demonstrating independence from her mother. d. Showing no concern when the nurse hurts her own finger.
B
The nurse is teaching the parents of a 12 year old boy about appropriate approaches when raising an adolescent. Which comment should be included in the discussion? a. Find out if his friends are worthy of him. b. Try to be open to his views. c. Maintain a firm set of rules. d. Remind him that he is still your little boy
B
The nurse is teaching the parents of a 9 year old girl about the socialization that is occurring in their child through school contacts. Which information would the nurse include in her teaching plan? a. Teachers are the most influential people in the development of the school age child's social network. b. Continuous peer relationships provide the most important social interaction for school age children. c. Parents should establish norms and standards that signify acceptance or rejection. d. A characteristic of school age children is their formation of groups with no rules and values involved.
B
The nurse is visually inspecting a urine specimen from a 12 year old boy. The nurse documents gross hematuria with a specimen of which color? a. Cloudy yellow b. Cola colored c. Pale to almost clear urine d. Light orange to moderately yellow colored
B
The nurse knows that barriers to the adolescent's health and successful achievement of the tasks of adolescence exits. What is the major barrier to health for this population? a. Cultural b. Socioeconomic c. Marital status d. Racial
B
The parents of a 6 week old boy come to the clinic for evaluation because the infant has been vomiting. The parents report that the vomiting has been increasing in frequency and forcefulness over the last week. The mother says, "Sometimes, it seems like it just bursts out of his mouth." A diagnosis of hypertrophic pyloric stenosis is suspected. When performing the physical examination, what would the nurse most likely find? a. Sausage shaped mass in the upper midabdomen b. Hard, moveable, olive shaped mass in the right upper quadrant c. Tenderness over the McBurner point in the right lower quadrant d. Abdominal pain in the epigastric or umbilical region.
B
The parents of a boy diagnosed with Hirschsprung disease are anxious and fearful of the upcoming surgery. The mother states, "I'm worried about having to care for my son's ostomy." Which intervention would be most helpful? a. Explaining to them about the diagnosis and surgery b. Having a wound, ostomy, and continence nurse meet with them. c. Reinforcing that the ostomy will be temporary. d .Teaching them about the medications used to slow stool output
B
The school nurse is conducting a vision screening for a 7 year old girl and documents the condition 'amblyopia.' What would the nurse tell the parents about this condition? a. Amblyopia is an uncorrected refractive error of the eye. b. Amblyopia is reduced vision in an eye that has not been adequately used during early development. c. Amblyopia is a malalignment of the eye, which occurs at birth. d. Amblyopia is a clouding of the lends of the eye caused by trauma to the eye.
B
The school nurse is performing a physical examination on a 13 year old boy who is on the soccer team. What is a physical quality that develops during these early adolescent years? a. Coordination b. Endurance c. Speed d. Accuracy
B
The school nurse is working with a 10 year old girl with recurrent abdominal pain. The girl's teacher has been less than understanding about the frequent absences and trips to the nurse's office. How should the nurse respond? a. Be patient; she is trying some new medication. b. The pain she is having is real. c. The family is working toward improvement. d. Please do not add to this family's stress.
B
What finding would the nurse most likely discover in a 10 year old child in teh period of concrete operational thought? a. Participation in abstract thinking b. Ability to classify similar objects c. Problem solving via the scientific method d. Ability to make independent decisions
B
When providing anticipatory guidance to a group of parents with school aged children, what would the nurse describe as the most important aspect of social interaction? a. School b. Peer relationships c. Family d. Temperament
B
The nurse assesses the spirituality of an adolescent. What are normal moral and spiritual milestones in this age group? SATA a. Adolescents will base their actions o the avoidance of punishment and the attainment of pleasure b. Adolescents develop their own set of morals and values and question the status quo. c. Adolescents undergo the process of developing their own set of morals at different rates. d. Adolescents are more interested in the spiritualism of their religion than in the actual practices of their religion. e. Adolescents can understand the concepts of right and wrong and are developing a conscience. f. Adolescents are able to understand and incorporate into their behavior the concept of the golden rule.
B, C, D
After teaching the parents of a child diagnoses with celiac disease about nutrition, the nurse determines that the teaching was effective when the parents identify which foods as appropriate for their child? SATA a. Wheat germ b. Peanut butter c. Carbonated drinks d. Shellfish e. Jelly f. Flavored yogurt
B, C, D, E
The nurse is caring for a 6 month old with a cleft lip and palate. The mother of the child demonstrates understanding of the disorder with which statements? SATA a. My smoking during pregnancy didn't have anything to do with this disorder. Smoking primarily causes low birth weight. b. I know my baby takes a lot longer to feed than most children this age. c. It really worries me that my baby may have some other disorders that haven't been detected yet. d. I wonder if my baby will develop speech problems when language development begins? e. Thankfully there are doctors that specialize in correcting this type of disorder.
B, C, D, E
The nurse is performing a gastrointestinal assessment on a 7 year old boy. The parents are assisting with the history. Which assessment findings are indicative of constipation? SATA a. Our child only has 3 to 4 bowel movements per week. b. Our child complains of pain because his bowel movements are so hard. c. Our child tells us that his belly hurts a lot of the time. d. I can tell he holds his bowel movement much of the time because of the way he stands e. I find smears of stool in his underwear almost every day
B, C, D, E
The pediatric nurse is aware of the maturation of organ systems in teh school-age child. What accurately describes these changes? SATA a. The brain grows very slowly during the school age years and growth is complete by the time the chil is 12 years of age. b. Resp rates decrease, abdominal breathing disappears, and respirations become diaphragmatic in nature. c. The school age child's BP increases and the pulse rate decreases, and the heart grows more slowly during the middle years. d. The school age child experiences more gastrointestinal upsets compared with earlier years since the stomach capacity increases. e. Bladder capacity increases, but varies among individual children and girls generally have a greater bladder capacity than boys. f. Prepubescence typically occurs in the 2 years before the beginning of puberty and is characterized by the development of secondary sexual characteristics.
B, C, E, F
A 6 year old child has undergone a renal transplant and is receiving cyclosporine. The nurse instructs the parents to be especially alert for which complication? a. Weight loss b. Hypotension c. Signs of infection d. Hair loss
C
A child is scheduled for a lower endoscopy. What would the nurse include in the child's plan of care in preparation for this test? a. Explaining about the need to ingest barium b. Establishing an IV access for radionuclide administration c. Administering the prescribed bowel cleansing regimen d. Withholding prescribed proton pump inhibitors for 5 days before
C
The nurse has seen a 15 year old girl and a 16 year old boy during health surveillance visits. Which physical characteristics would be seen in both teenagers? a. Decreased respiratory rates of 15 to 20 breaths per minute. b. Eruption of last fours molars c. Increased shoulder, chest, and hip widths d. Fully functioning sweat and sebaceous glands
C
The nurse is assessing the gross motor skills of an 8 year old boy. Which interview question would facilitate this assessment? a. Do you like to do puzzles? b. Do you play any instruments? c. Do you participate in any sports? d. Do you like to construct models?
C
The nurse is counseling the parents of a 10 year old child who was caught stealing at school. Which topic should the nurse cover? a. Having the child return the property in front of his or her class. b. Discussing ways for the child to save face c. Finding out waht is currently going on at home. d. Reminding the child daily that stealing is wrong
C
The nurse is discussing ways to promote discipline with parents who are becoming increasingly frustrated with their teenager. What would the nurse identify as most important? a. Establish rules and expectations. b. Collaborate to determine consequence c. Make your responses consistent d. Explain the rules to the adolescent
C
The nurse is promoting learning and school attendance to a 13 year old girl. Which factor will affect the child's attitude most? a. Her parents values and desires. b. The dramatic changes in her body. c. Peer group behaviors and attitudes d. Desire for attention from boys
C
The nurse is providing care to a child with an intussusception. The child has a bowel movement and the nurse inspects the stool. The nurse would most likely document the stool's appearance as having what quality? a. Greasy b. Clay colored c. Currant jelly like d. Bloody
C
The nurse is providing suggestions to a female adolescent about foods to help meet her nutritional requirements for iron. Which food would the nurse suggest as a good source of iron? a. Broccoli b. Yogurt c. Peanut butter d. White beans
C
The nurse is teaching parents to plan nutritional meals for their 7 year old son who is overweight. Which guideline might the nurse include in the teaching plan? a. School age children with an average body weight of 20 to 35 kg need approximately 90 calories per kg daily. b. The average water requirement for a school age child per 24 hours range from 2000 to 2500 mL per day. c. The school age child needs 28g of protein and 800 mg of calcium for maintenance of growth and good nutrition. d. In the school age child, calories needed to sustain weight increase, while the appetite decreases.
C
The nurse is using the formula for bladder capacity to measure the bladder capacity of a 9 year old girl. What number would the nurse document for this measurement? a. 9 oz b. 10 oz c. 11 oz d. 12 oz
C
`The nurse is performing risk assessments on adolescents in the school setting. Which teen should the nurse screen for hypertension? a. An Asian female b. A white male c. An African American male d. A Jewish male
C
An 8 year old girl is scheduled for a renal ultrasound What would the nurse include in the plan of care when preparing the child for this test? a. Withholding food and fluids after midnight b. Checking the child for allergies to shellfish c. Ensuring the child has a full bladder d. Informing the child she should feel no discomfort.
D
THe nurse is providing postsurgical care for an infant who has undergone a hypospadias repair. Which action by the nurse would be most important to help keep the area clean while maintaining proper position of the drainage tubing? a. Keeping the drainage tube taped in an upright position. b. Administering antibiotics as ordered c. Administering analgesics as prescribed d. Using a double diapering technique
D
The adolescent continues to develop self concept and self esteem. What is most important to teen's self esteem? a. Strong authority figure b. Spirituality c. Morals and values d. Body image
D
The nurse is caring for a 4 year old boy who has undergone an appendectomy. The child is unwilling to use the incentive spirometer. Which approach would be most appropriate to elicit the child's cooperation? a. Can you cough for me please? b. You must blow in this or you might get pneumonia. c. If you don't try, I will have to get the doctor. d. Can you blow this cotton ball across the tray?
D
The nurse is performing an assessment of the reproductive system of a 17 year old girl What would alert the nurse to a developmental delay in this girl? a. Areola and papilla separate from the contour of the breast b. Mature distribution and coarseness of pubic hair c. Developed breast tissue d. Occurrence of first menstrual period
D
The nurse is promoting nutrition to a 13 year old boy who is overweight. Which comment should the nurse expect to include in the discussion? a. You need to go on a low fat diet b. Eat what your parents eat c. Go out for a sport at school. d. Keep a food diary.
D
The nurse teaching safety to teens knows that which of these is the leading cause of death among adolescents? a. Drowning b. Poisoning c. Diseases d. Unintentional INjuries
D
The parents of a child diagnosed with celiac disease ask the nurse what types of food they can offer their child. What recommendation would the nurse include in the teaching plan? a. Frozen yogurt b. Rye bread c. Creamed spinach d Fruit juice
D
The school nurse is preparing a talk on the influence of the media on school age children to present at the next PTO meeting. Which fact might the nurse include in the introduction? a. Children in the US spend about 6 hours a day either watching TV or playing video games. b. A child will see 2000 murders by the end of grade school and 20,000 commercials a year c. A school age child cannot determine what is real from what is fantasy; therefore, TV and video games can lead to aggressive behavior d. Parents should limit television watching and video game playing to 2 hours per day
D
During a health maintenance visit, a 15 year old girl mentions that she is not happy with being overweight. Which approach is best for the nurse to take? a. Good observation. Let's talk about diet and exercise. b. Don't worry, you are within the weight and height guidelines. c. What specifically have you been noticing? d. Tell me about your parents. Are they overweight?
c
