Assess Yourself Questions- Exam 1

Atraumatic care employs interventions that minimize physical and _______________ stress to the child and family.

Psychological

Evidence-based practice can increase _______________ and standardize care

Quality

After teaching a group of parents about ensuring safety for their children, the nurse determines that the teaching was successful when the parents identify which of the following as appropriate? Select all that apply. -Avoid honey in children < 1 year old -Using a backward-facing car seat -Applying sunscreen before the child goes out to play -Offering healthy snacks including raw carrots to toddlers -Making sure all pan handles are turned to the back of the stove

-Avoid honey in children < 1 year old -Using a backward-facing car seat -Applying sunscreen before the child goes out to play

The nurse is examining a child's skin for lesions and rashes. When documenting the findings, which of the following would the nurse include? Select all that apply. -Color -Location -Size -Distribution -Jaundice

-Color -Location -Size -Distribution

A nurse is assessing the heart sounds of a 4-year-old child and notes a murmur. Which of the following characteristics would the nurse interpret as indicating an innocent heart murmur? Select all that apply. -Harsh sound -Short duration -Occurring during systole -Radiating -Medium pitch

-Short Duration -Occurring during systole -Medium pitch

The parents of an 11-year-old ask the nurse for suggestions about activities that they can encourage to help their child to be physically fit. Which of the following would be an appropriate suggestion? Select all that apply. -Competitive weight lifting -Strength training -Team sport -Biking -Brisk walking

-strength training -Team sport -Biking -Brisk walking

A 2 year old should have a time out that lasts 2 minutes and a 3 year old should have a time out that lasts ____ minutes.

3 minutes

A nurse is conducting a comprehensive pediatric history of Rosie, an 8-year-old girl. Which of the following would the nurse most likely include? Select all that apply. -Age, name, and date of birth -Developmental milestones -Number of playmates -Allergies to food or medications -Foods she likes to eat

Age, name, and date of birth -Developmental milestones -Allergies to food or medications -Foods she likes to eat

A nurse is assessing a 3-month-old at a well-child visit. Which of the following assessments would the nurse document as a normal finding? Select all that apply. Drooling noted Posterior fontanel closed Babbling speech Sitting Grasps rattle

Posterior fontanel closed

Improvement of pain management and shortened recovery times are benefits of ____________________.

Family Centered Care

The nurse is preparing to conduct a physical examination on an adolescent. Which of the following would be most important for the nurse to do? Select all that apply. a. Allow the adolescent to undress in private. b. Maintain silence throughout the exam. c. Question the adolescent about any sexual changes. d. Have the parent be nearby during the exam. e. Tell the adolescent to keep still for the exam.

a. Allow the adolescent to undress in private. c. Question the adolescent about any sexual changes.

The nurse is interviewing a 9 year old patient during a hospital admission. The nurse asks, "What brought you to the hospital today?" The patient responds, "I just keep throwing up.' The nurse documents this information under which heading? a. Chief complaint b. Review of systems c. Present illness d. History

a. Chief Complaint

What is the most descriptive of family-centered care? a. Recognizes that the family is the constant in a child's life b. Reduces effects of cultural diversity on the family c. Avoids expecting families to be part of the decision-making progress d. Encourages family dependence on the healthcare system

a. Recognizes that the family is the constant in a child's life

The father of a 2-month-old girl is expressing concern that his infant may be getting spoiled. The nurse's best response is: a. "She just needs love and attention. Don't worry; she's too young to spoil." b. "Consistently meeting the infant's needs helps promote a sense of trust." c. "Infants need to be fed and cleaned; if you're sure those needs are met, just let her cry." d. "Consistency in meeting needs is important, but you're right, holding her too much will spoil her."

b. "Consistently meeting the infant's needs helps promote a sense of trust."

The nurse is assessing a 12 month old healthy infant who weighed 7 pounds at birth. The nurse should expect the infant to now weight approximately? a. 14 lbs b. 21 lbs c. 28 lbs d. 33 lbs

b. 21 lbs

When providing atraumatic care to a child, which action would be the most appropriate? a. Keeping the lights on in the child's room throughout the day and night b. Allowing parents and children an informed choice about being together c. Limiting the use of topical anesthetics for painful injections d. Applying restraints for any procedure that would be uncomfortable

b. Allowing parents and children an informed choice about being together

The nurse is caring for a 7-year-old child who is displaying signs of separation anxiety when the parents need to leave for meals and showers. Which of the following nursing interventions will be the most helpful for this patient? a. Tell the patient that the parent will return after the cartoon is over. b. Ask the family to bring in photos and cards from friends at school. c. Ask the parents not to leave the room. d. Tell the patient to be a big kid and not get upset when the parent leaves.

b. Ask the family to bring in photos and cards from friends at school.

A 9-month-old infant's mother is questioning why cow's milk is not recommended in the first year of life as it is much cheaper than formula. What rationale does the nurse include in her response? a. It is permissible to substitute cow's milk for formula at this age as he is so close to 1 year old. b. Cow's milk is poor in iron and does not provide the proper balance of nutrients for the infant. c. As long as the mother provides whole milk, rather than skim, she can start cow's milk in infancy. d. If the mother cannot afford the infant formula, she should dilute it to make it last longer.

b. Cow's milk is poor in iron and does not provide the proper balance of nutrients for the infant.

The nurse is providing anticipatory guidance to the mother of a 6-month-old infant. What is the best instruction by the nurse in relation to the infant's oral health? a. "Start brushing her teeth after all the baby teeth come in." b. "Use a washcloth with toothpaste to clean her mouth." c. "Clean your baby's gums, then new teeth, with a washcloth." d. "Rinse your baby's mouth with water after every feeding."

c. "Clean your baby's gums, then new teeth, with a washcloth."

Which of the following recommendations about juice is correct? a. 4-6oz of 100% fruit juice/day, but only in a cup, at any age b. 4-6oz of 100% fruit juice/day, but only in a bottle, at any age c. 4-6oz of 100% fruit juice/day, but only in a cup, at age 12 months or older d. Any amount but only at bedtime

c. 4-6oz of 100% fruit juice/day, but only in a cup, at age 12 months or older

The school nurse is planning a screening program. What items should be included to address issues related to the "new morbidity"? a. Statistics related to health insurance coverage of the children b. The number of children with chronic illness at the school c. Academic difficulties, violence, and other mental health issues d. HIV infection, asthma, and respiratory allergy testing

c. Academic difficulties, violence, and other mental health issues

When assessing a child who reports abdominal pain, what is the most appropriate nursing action? a. Use deep palpation for abdominal tenderness b. Palpate the most painful area first c. Avoid painful areas until the end of the assessment d. Palpate for rebound tenderness

c. Avoid painful areas until the end of the assessment

A nurse is preparing to examine the ear of a 2-year-old. The nurse would pull the pinna in which direction? : a. Up b. Up and back c. Down and back d. Forward

c. Down and back

Which outcome is expected in a breastfed newborn? a. Voids spontaneously with 1 hour of life b. Feeds every 2 hours c. Loses 10% of body weight in first week and gains it back in second week d. Sleeps through the night in first week

c. Loses 10% of body weight in first week and gains it back in second week -breastfed babies tend to lose more than formula fed babies

Parents of an 8-month-old girl express concern that she cries when left with the babysitter. How does the nurse best explain this behavior? a. Crying when left with the sitter may indicate difficulty with building trust. b. Stranger anxiety should not occur until toddlerhood; this concern should be investigated. c. Separation anxiety is normal at this age; the infant recognizes parents as separate beings. d. Perhaps the sitter doesn't meet the infant's needs;you may want to consider choosing a different sitter.

c. Separation anxiety is normal at this age; the infant recognizes parents as separate beings.

A mother reports that her 10 month old seems "less far along" than her previous two children at this age. Which finding concerns you most? a. The child appears to prefer to sit in the mothers lap and is apprehensive about the exam b. The child rolls from front to back c. The child is unable to sit without assistance d. The child stops tearing the exam paper when told "no"

c. The child is unable to sit without assistance

A nurse is assessing a 15-month-old and his abilities. Which of the following would the nurse expect to assess? Select all that apply. a. Hop b. Mostly understandable speech c. Uses index finger to point d. Copies a circle e. Feeds self

c. Uses index finger to point e. Feeds self

When caring for children, how does the nurse best incorporate the concept of family-centered care? a. Recognizes that families undergoing stress related to the child's illness cannot make good decisions b. Advises the family to choose a pediatric provider who is on the child's health care plan c. Uses the concepts of respect, family strengths, diversity, and collaboration with the family d. Encourages the family to allow the physician to make health care decisions for the child

c. Uses the concepts of respect, family strengths, diversity, and collaboration with the family

A 13 month old is being discharged from the hospital after a routine childhood illness. Which of the following topics should the nurse address when performing anticipatory guidance? a. obesity prevention/BMI b. bicycle safety c. poisoning safety d. when to leave the child alone

c. poisoning safety

A 14-year-old boy and his mother are in the office for an annual visit and his mother jokes openly in front of the nurse about the changes in his voice and the hair under his armpits. While he is changing in another room, the nurse addresses the mother's statement. Which response by the nurse would be most appropriate when talking with the mother? a. "Has he gone through the big change, smelly armpits and hair all over his body?" b. "I remember that time in my life; it was so awkward and uncomfortable." c. "Discuss with Evan your trials with puberty and the changes you experienced." d. "Remember that he may be modest and self-conscious and become embarrassed with the teasing."

d. "Remember that he may be modest and self-conscious and become embarrassed with the teasing."

The nurse is assessing the vital signs of a child who is being evaluated in an urgent care center. The child is to be seen by the PNP. The mother asks, "Why is my child seeing the PNP and not the doctor?" What is the best response by the nurse? a. "The child may be seen by the physician instead if you'd like." b. "Seeing the PNP is just one more step in having your child evaluated in this setting." c. "The PNP functions similar to the physician's assistant, so you should be perfectly at ease." d. "The PNP is an experienced RN with advanced education in the diagnosis and treatment of children."

d. "The PNP is an experienced RN with advanced education in the diagnosis and treatment of children."

The mother of a 3-month-old boy asks the nurse about starting solid foods. What is the most appropriate response by the nurse? a. "It's okay to start puréed solids at this age if fed via the bottle." b. "Infants don't require solid food until 12 months of age." c. "Solid foods should be delayed until age 6 months, when the infant can handle a spoon on his own." d. "The tongue extrusion reflex disappears at age 4 to 6 months, making it a good time to start solid foods."

d. "The tongue extrusion reflex disappears at age 4 to 6 months, making it a good time to start solid foods."

A 16 year old boy is hospitalized for cystic fibrosis. He will be an inpatient for 2 weeks while he receives IV antibiotics. As the nurse caring for this patient, what action can you take that will most enhance his psychosocial development? a. Encourage the teen's grandparents to visit him in the hospital b. Email the teen's teacher and have her send his homework c. Tell the teen he is free to use his phone in the hospital d. Encourage the teen's friends to visit him in the hospital

d. Encourage the teen's friends to visit him in the hospital

Father of 12 year old Ryan tells the nurse that he is concerned about his son getting fat. Ryan's body mass index for his age is at 60th percentile. The most appropriate nursing action is to: a. Reassure the father that Ryan is not fat b. Suggest a low-calorie, low fat diet c. Reassure the father that Ryan is just a growing child d. Explain that this is typical of the growth pattern of boys that age

d. Explain that this is typical of the growth pattern of boys that age

A single mother asks the nurse for suggestions on disciplining her 2-year-old son. Which suggestion would be most appropriate? a. Encourage the mother to emphasize the inappropriate behavior b. Withhold a privilege from the toddler for a week. c. Wait an hour or so before enforcing the discipline d. Have the child spend 2 minutes in time-out.

d. Have the child spend 2 minutes in time-out.

The nurse is developing a community outreach program to help reduce childhood mortality. What topic below would be essential to include? a. Human immunodeficiency virus b. Congenital anomalies c. Low birth weight d. Motor vehicles accidents

d. Motor vehicles accidents

The nurse is assessing a 9-month-old's respirations. The nurse would assess this while the infant is doing which of the following? a. Playing in the playroom b. Crying c. Laughing d. Quiet in his mother's lap

d. Quiet in his mother's lap

Family-centered care refers to caregivers working in _____________ with the family to determine goals and plans for the child's health care.

partnership

Family-centered care leads to better _____________ as well as a higher level of consumer satisfaction.

patient outcomes