Peds Typed 1

51. A child is preparing to enter kindergarten in the fall and has not received vaccinations since the age of 6 months. The nurse should first :

Consult the inserts of the various vaccinations to determine best schedule .. .

47. Normal blood pressure measurement ranges in children are:

Determined from the child's age, height and gender ....

46. A nurse is obtaining informed consent for an appendectomy on a 13 year old. Which situation ensures that all the nurse's responsibilities were met?

Determining the parents or legal guardians understand why they are signing by asking pertinent questions ensuring the consent form is completed with signatures serving as a witness to the signature process .......

2. Hormonal changes start the process of being an adolescent. When doing a physical assessment of the adolescent how do we define the physical change observed in puberty.... A. Review Erickson Stages of Development B. Measure their height and weight C. Administer a Denver Development Test D. Document their Tanner Score

Document their tanner score

A mother informs the clinic nurse that her 2 year old son does not want to play with other children at the day care center the nurse response should bae based on the understanding that 2 year old children typically engage in which type of play

parallel

When performing a physical exam on an infant or child it is important for the nurse to remember to A. Do everything very slowly and in view B. Perform invasive or painful procedures last C. Perform invasive or painful procedures first D. Let the child play with the equipment before beginning the exam

perform invasive or painful procedure last

The nurse is assessing the neuromuscular skeletal system of a newborn. What is an abnormal assessment finding?

sluggish deep tendon reflex

48. A 3 year old comes in to the ER complaining of a belly ache. This statement would be documented in :

the chief complaint...

43. Major cause of death for children older than 1 year is:

unintentional injuries

An appropriate approach to performing a physical assessment on a toddler is to ? A. Always proceed in a head to toe direction B. Perform traumatic procedures first C. Use minimal physical contact initially D. Demonstrate use of equipment

use minimal physical contact initially

When the nurse is assessing a Childs pain which is most important? A. Obtaining a pain rating from the child with each assessment B. Using the same tool to assess the child's pain each time C. Document the child's pain assessment D. Asking the parents about the child's tolerance

using the same tool to assess the Childs pain each time

42. The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. These steps include (SELECT ALL):

Evaluation Planning Assessment Implementation Diagnosis

the nurse encourages the hospitalized child to engage in therapuetic play. The primary purpose for this is to allow the child to? A. Have fun B. Develop a sense of self control C. Get to know the other children D. Express feelings of fear about being hospitalized

Express feelings of fear about being hospitalized

What factors indicate that parents should seek genetic counseling for their child (SATA): A. Severe celiac disease as an infant B. History of hypertension in the family C. Metabolic disorder D. Family history of hereditary disease E. Abnormal newborn screen

Family hx of hereditary disease metabolic disorders abnormal newborn screen

45. Based on Eriksons developmental theory which of the following is the major developmental task of the adolescent?

Finding an individual identity

55. Nurse administers morphine, what intervention does she do?

Frequent respiratory aseessment

A 5 month old is to be immunized for DTP. What type of injection will be given and which site? A. IM- Gluteus Maximus B. IM- Vastus Lateralis C. Sub Q- Deltoid D. Sub Q- Abdominal

IM- vastus lateralis

Which statement regarding childhood morbdidity is the most acccurate? A. Little can be done to improve morbidity B. identified by number of days missed from school or..... C. Unintentional injuries do not have an effect on morbidity D. Morbidity does not vary with age

Identified by number of days missed from school or confined to bed

The nurse is caring for infants in the nice relies on the use of behavioral nd physiologic indicators for determining pain which examples are behavioral indicators (SATA) A. The infant grimaces B. The infants heart rate is elevated C. The infant flails his arms and legs D. The infants respiratory rate is elevated E. The infant is crying uncontrollably F. The infants saturation is low

Infant grimaces Infant flails his arms and legs Infant crying uncontrollably

Interpersonal relations for the school age child consists of which of the following?

Intolerant to the opposite sex

Interpersonal relations for the school age consist of which of the following A. Play on teams that make up both boys and girls B. Express emotions more intensely C. Tolerance for all types of children D. intolerant to the opposite sex

Intolerant to the opposite sex

44. A nurse is assessing a child for their well check up. Which of the following would be considered a developmental warning sign?

Lack of babbling by 2 months

54. A nurse is reviewing the medical record of a 17 year- old coming in for a physical exam before he leaves to attend college and live in a dormitory. Which vaccine is most important to make sure he receives?

Meningitis

Health beliefs vary among the cultural groups living in the United States. The belief that health is a state of harmony is native and the universe is common sin which state

Native American

50. A toddler is being admitted for a pre op physical for a hernia repair. The nurse knows that the best place to perform the examination of a toddler is:

On the caregiver's lap or standing close to parents

52. All of the following are examples of fine motor skills in the toddler except:

Running .. .

Play serves many purposes in teaching parents about appropriate activities.The nurse should inform them that play serves the following function (SATA) A. Awareness B. Temperament development C. Creativity D. Physical development E. Intellectual development

Self awareness Creativity Intellectual development

what is the single most important factor to consider when communicating with children

The child's developmental level

Which of the following statements represents what happens to circulatory system as the infant transitions from intra uterine without extra uterine life

The lungs inflate reducing pulmonary vascular resistance to blood flow

41. A nurse is assessing a child for their well child check up. Which of the following would be considered a developmental warning sign?

The mother reporting the child was able to sit unsupported, but now cannot

A mother of a 2 year old child becomes very anxious when the child has a temper tantrum in the medical office. The appropriate nurse response to the mother would be to say :

What do you usually do or say during a temper tantrum

What is an important consideration for the nurse who is communicating with a very young child? A. Disguise own feelings, attitude and anxiety B. Initiate contact with the child when the parent is not present C. Use transition objects such as a doll D. Speak loudly, clearly and directly

Use transition objects such as a doll

Myelination of the spinal cord is mature about what age? A. Birth B. 24 months C. 42 months D. School age

24 months old

The nurse is taking a sexual history on an adolescent girl . The best way to determine whether she is sexually active is to

Ask "Are you having sex with anyone"?

what is probable the sing most important influence on growth at all stages of development? A. Heredity B. Culture C. Environment D. Nutrition

nutrition

Which statement identify warning signs of language development?

A 4 month old does not make sounds A 6 month old doesn't laugh A 8 month old does not babble A 12 month old is delayed in using words to meaning

Which statement best defines obesity in preschool children?

BMI greater than the 95th percentile age and sex

According to Kohlberg, children develop moral reasoning as they mature. What is most characteristic of a preschoolers stage of moral development? A. Showing respect for authority is important behavior B. Obeying the rules of correct behavior is important C. Behavior that pleases others is considered good D. Actions are determined as good or bad in terms of their acknowledgements

Actions are determined as good or bad in terms of their consequences

According to Piaget at what age and developmental stage does a child begin to learn cause and effect relationships? A. Age 2, sensorimotor B. Age 4, preoperational C. Age 7, concrete operational D. Age 10, formal operational

Age 2 sensimotor

Signs of hearing disorder A. uses gestures to communicate B. Talks very loudly C. D. All of these

All of these

53. An appropriate approach to performing a physical assessment on a toddler is to :

Use minimal physical contact initially ..

The nurse is questioning the parents of a 2 year old child to obtain functional history which topics might the nurse include (SATA)

Use of supplement and vitamins The Childs toileting habit

The nurse is performing a health assessment of a school age child. Based on the development level on which of the following problems should the nurse focus more attention?

accident and injuries

A nurse is taking a health history on an adolescent what best describes how the chief complaint should be determined?

ask the adolescent why did you come here today?

Before the nurse initiates therapuetic play which assessment is most indicated ?

assessing the Childs developmental level

A major stressor from age 4 years through adolescence related to hospitalization is loss of control. Which of the following should be the focus of nursing interventions to alleviate this problem? A. Meet every request of the child B. Lessen the control issue by ignoring it C. Minimize stress related to the loss of control D. Ask the family to give the child more control

minimize stress related to the loss oft control

A child is preparing to enter kindergarten in the fall and has not received vaccinations since the age fo 6 months The nurse should first

check the center for disease control and prevention website for info

The nurse knows that effective communication with children and their parents is critical to providing atraumatic care.Which of the following statements accurately describes the communication patterns of Children? A. Communication patterns are similar from one child to the next B. Children rely more on non-verbal communication and alarm C. Children often use more words than adults to describe their fears D. Parents more often require affective communication rather than neutral communication

children rely more on nonverbal communication and alarm

The nurse contacts a child life specialist to work with children of pediatric unit. What is the primary goal of CLS?

decrease anxiety and fear during hospitalization and painful procedure

A nurse instructor is teaching a group of students about the action of antipyretic agent in children. The instructor determines that teaching has been successful when the students identify which action as the primary action? finding would the nurse interpret as most indicative of sepsis? A. Cause vasodilation to promote heat loss B. Decrease the temperature set point, inhibits prostaglandin secretion C. Block release of histamine D. Promote prostaglandin production

decrease the temperature set point inhibits prostaglandin secretion

Which of the following is a benefit of physical activity for school age children?

develop social skills

which of the following side effects of immunizations would most likely be considered severe?

encephalitis

1. In addition to injuries, the leading cause of death in adolescents age 15- 19 yrs:

homicide suicide

The nurse is caring for a neonate who is suspected of having sepsis. Which assessment finding would the nurse interpret as most indicative of sepsis? finding would the nurse interpret as most indicative of sepsis? A. Rash on face B. Edematous neck C. Hypothermia D. Coughing

hypothermia

According to Erikson the primary task of early childhood ages 3-5 years is developing a sense of? A. Trust B. Industry C. Initiative D. Autonomy

initiative

49. An important nursing consideration for providing safe, developmentally appropriate care to an infant includes all of the following except:

keep rails down when the infant is in the crib.. ....