CH: Foundations of child health (ATI)
A nurse is providing teaching about age-appropriate activities to the guardian of a two year old. Which of the following statements by the guardian indicates and understanding of the teaching? a. " I will send my child's favorite stuffed animal when napping away from home will occur." b. "My child should be able to stand on one foot for a second." c. " The soccer tram my child will be playing on starts practicing next week." d. "I should expect my child to be able to draw circles."
a. " I will send my child's favorite stuffed animal when napping away from home will occur."
A nurse is providing teaching about expected changes during puberty to a group of guardians of early adolescent girls. Which of the following statements by one of the guardians indicates an understanding of the teaching? a. "girls usually stop growing about 2 years after menarche." b. "girls are expected to gain about 65 pounds during puberty." c. "girls experience menstruation prior to breast development." d. "girls typically grow more than 10 inches during puberty."
a. "girls usually stop growing about 2 years after menarche."
A nurse is preparing to assess a preschooler. Which of the following actions should the nurse take to prepare the child? a. allow the child to role-play using miniature equipment b. use medical terminology to explain what will happen c. separate the child form the caregiver during the examination d. keep the medical equipment visible to the child
a. allow the child to role-play using miniature equipment
A nurse is assisting a group of guardians of adolescents to develop skills that will improve communication within the family. The nurse overhears one guardian state, "My son knows he better do what I say." Which of the following parenting styles is the parent exhibiting? a. authoritarian b. permissive c. authoritative d. passive
a. authoritarian
A nurse is providing anticipatory guidance of the caregiver of a 13-year-old adolescent. Which of the following screenings should the nurse recommend for the adolescent? (select all that apply) a. body mass index b. blood lead level c. 24-hr dietary recall d. weight e. scoliosis
a. body mass index d. weight e. scoliosis
A nurse is performing a neurologic assessment on an adolescent. Which of the following responses should the nurse expect the adolescent exhibit when assessing the trigeminal nerve? (select all that apply) a. clenching teeth together tightly b. recognizing sour tastes on the back of the tongue c. identifying smells through each nostril d. detecting facial touches with eyes closed e. looking down and in with the eyes
a. clenching teeth together tightly d. detecting facial touches with eyes closed
A nurse is providing anticipatory guidance to the caregivers of a toddler. Which of the following should the nurse include? (select all that apply) a. develop food habits that will prevent dental caries b. meeting caloric needs results in an increased appetite c. expression of bedtime fears is common d. expect behaviors associated with negativism and ritualism e. annual screenings for phenylketonuria are important
a. develop food habits that will prevent dental caries c. expression of bedtime fears is common d. expect behaviors associated with negativism and ritualism
A nurse is conducting a well-child visit with a 5 year old child. Which of the following immunizations should the nurse plan to administer to the child? (select all that apply) a. diphtheria, tetanus, pertussis (DTaP) b. inactivated poliovirus (IPV) c. Measles, mumps, rubella (MMR) d. pneumococcal (PCV) e. haemophilus influenzae type B (Hib)
a. diphtheria, tetanus, pertussis (DTaP) b. inactivated poliovirus (IPV) c. Measles, mumps, rubella (MMR)
A nurse is preparing a toddler for an intravenous catheter insertion using atraumatic care. Which of the following actions should the nurse take? (select all that apply) a. explain the procedure using the child's favorite toy b. ask the parents to leave during the procedure c. perform the procedure with the child in his bed d. allow the child to make one choice regarding the procedure e. apply lidocaine and prilocaine cream to three potential insertion sites
a. explain the procedure using the child's favorite toy d. allow the child to make one choice regarding the procedure e. apply lidocaine and prilocaine cream to three potential insertion sites
A nurse is performing a developmental screening on a 10-month-old infant. Which of the following fine motor skills should the nurse expect the infant to perform? (select all that apply) a. grasp a rattle by the handle b. try building a two-block tower c. use a crude pincer grasp d. place objects into a container e. walks with one hand held
a. grasp a rattle by the handle c. use a crude pincer grasp
A nurse is providing education about age appropriate activities for the caregivers of a 6-year-old child. Which of the following activities should the nurse include in teaching? a. jumping rope b. playing card games c. solving jigsaw puzzles d. joining competitive sports
a. jumping rope
A nurse is performing family assessment. Which of the following should the nurse include? (Select all that apply) a. medical history b. parents education level c. child's physical growth d. support systems e. stressors
a. medical history b. parents education level d. support systems e. stressors
A nurse is planning care for an infant who is experiencing pain. Which of the following interventions should the nurse include in the plan of care? (select all that apply) a. offer a pacifier b. use guided imagery c. use swaddling d. initiate a behavioral contract e. encourage kangaroo care
a. offer a pacifier c. use swaddling e. encourage kangaroo care
A nurse often cares for children who are dying. Which of the following are actions for the nurse to take to maintain professional effectiveness? (select all that apply) a. remain in contact with the family after their loss b. develop a professional support system c. take time off from work d. suggest that a hospital representative attend the funeral e. demonstrate feelings of sympathy toward the family
a. remain in contact with the family after their loss b. develop a professional support system c. take time off from work
A nurse is performing a developmental screening on a three-year-old child. Which of the following skills should the nurse expect the child to perform? a. ride a tricycle b. hop on one foot c. jump rope d. throw a ball overhand
a. ride a tricycle
A nurse is conducting a well-child visit with a child who is scheduled to receive the recommended immunizations for 11-to-12 year olds. Which of the following immunizations should the nurse administer? (select all that apply) a. trivalent inactivated influenza (TIV) b. pneumococcal (PCV) c. meningococcal (MCV4) d. tetanus and diphtheria toxoids and pertussis (Tdap) e. rotavirus (RV)
a. trivalent inactivated influenza (TIV) c. meningococcal (MCV4) d. tetanus and diphtheria toxoids and pertussis (Tdap)
A nurse is providing teaching about dental care and teething to the caregiver of a 9-month-old infant. Which of the following statements by the caregiver indicates an understanding of the teaching? a. "I can give my baby a warm teething ring to relieve discomfort." b. "I should clean my baby's teeth with a cool, wet, washcloth." c. "I can give my baby Advil for up to 5 days while my baby is teething." d. "I should place diluted juice in the bottle my baby drinks while falling asleep."
b. "I should clean my baby's teeth with a cool, wet, washcloth."
A nurse is completing a pain assessment on an infant. Which of the following plain scales should the nurse use? a. FACES B. FLACC c. Oucher d. Non-communicating children's pain checklist
b. FLACC
A nurse is conducting a well-baby visit with a 4-month-old infant. Which of the following immunization should the nurse plan to administer? (select all that apply) a. Measles, mumps, rubella (MMR) b. Polio (IPV) c. Pneumococcal vaccine (PCV) d. Varicella e. Rotavirus vaccine (RV)
b. Polio (IPV) c. Pneumococcal vaccine (PCV) e. Rotavirus vaccine (RV)
A nurse is teaching a guardian of an infant about administration of oral medications. Which of the following should the nurse include in the teaching? (select all that apply) a. use a universal dropper for medication administration b. ask the pharmacy to add flavoring to the medication c. add the medication to a formula bottle for feeding d. use the nipple of a bottle to administer the medication e. hold the infant in a semi-reclining position
b. ask the pharmacy to add flavoring to the medication d. use the nipple of a bottle to administer the medication e. hold the infant in a semi-reclining position
A nurse is preparing an education program dor a group of caregivers of preschool-age children about promoting optimum nutrition. Which of the following information should the nurse include in the teaching? a. saturated fats should equal 20% of total daily caloric intake b. average calorie intake should be 1,800 calories per day c. daily intake of fruits and vegetables should total 2 servings d. healthy diets include a total of 8g of protein a day
b. average calorie intake should be 1,800 calories per day
A nurse on a pediatric unit is caring for a toddler. Which of the following behaviors is an effect of hospitalization? (select all that apply) a. believes the experience is a punishment b. experiences separation anxiety c. displays intense emotions d. exhibits regressive behaviors e. manifests disturbance in body image
b. experiences separation anxiety c. displays intense emotions d. exhibits regressive behaviors
A nurse is assessing a 2 1/2 year old toddler at a well-child visit. Which of the following findings should the nurse report to the provider? a. height increased by 7.5 cm (3in) in the past year b. head circumference exceeds chest circumference c. anterior and posterior fontanels are closed d. current weight equals four times the birth weight
b. head circumference exceeds chest circumference
A nurse is providing education about introducing new foods to the guardians of a 4-month-old infant. The nurse should recommend that the caregiver introduce which of the following foods first? a. strained yellow vegetables b. iron-fortified cereal c. pureed fruits d. whole milk
b. iron-fortified cereal
A nurse is assessing an infant. Which of the following are findings of pain in an infant? (select all that apply) a. pursed lips b. loud cry c. lowered eyebrows d. rigid body e. pushes away stimulus
b. loud cry c. lowered eyebrows d. rigid body
A nurse is assessing a 6-month-old infant. Which of the following reflexes should the infant exhibit? a. moro b. plantar grasp c. stepping d. tonic neck
b. plantar grasp
A nurse is teaching a caregiver of a preschool child about factors that affect the child's perception of death. Which of the following factors should the nurse include in the teaching? a. preschool children have no concept of death b. preschool children perceive death as temporary c. preschool children often regress to an earlier stage of behavior d. preschool children experience fear related to the disease process
b. preschool children perceive death as temporary
A nurse is caring for an infant who needs otic medication. Which of the following is an appropriate action for the nurse to take? a. hold the infant in an upright position b. pull the pinna downward and straight back c. hyperextend the infants neck d. ensure that the medication is cool
b. pull the pinna downward and straight back
A nurse is caring for an adolescent whose guardian expresses concerns about the child sleeping such long hours. Which of the following should the nurse inform the guardian as requiring additional sleep during adolescents? a. sleep terrors b. rapid growth c. elevated zinc levels d. slowed metabolism
b. rapid growth
A nurse is caring for a preschooler. Which of the following is an expected behavior of a preschool-age child? a. describing manifestations of illness b. relating fears to magical thinking c. understanding cause of illness d. awareness of body functioning
b. relating fears to magical thinking
A nurse is performing a developmental screening on an 18 month old. Which of the following skills should the toddler be able to perform? (select all that apply) a. build a tower with six blocks b. throw a ball overhand c. walk up and down stairs d. stand on one foot for a few seconds e. use a spoon without rotation
b. throw a ball overhand e. use a spoon without rotation
A nurse is teaching a course about safety during the school-age. Which of the following information should the nurse include in the course? (select all that apply) a. gaiting stairs at the top and bottom b. wearing helmets when riding bicycles or skateboarding c. riding safely in bed of pickup trucks d. implementing firearm safety e. wearing seat belts
b. wearing helmets when riding bicycles or skateboarding d. implementing firearm safety e. wearing seat belts
A nurse is caring for a preschool age child who expresses the need to leave because their doll is scared to be at home alone. Which of the following characteristics of pre operational thought is the child exhibiting? a. egocentrism b. centration c. animism d. magical thinking
c. animism
A nurse is assessing a 12-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? a. closed anterior fontanel b. eruption of six teeth c. birth weight doubled d. birth length increased by 50%
c. birth weight doubled
A nurse is preparing to administer medication to a toddler. Which of the following actions should the nurse take? (select all that apply) a. identify the toddler by asking the caregiver b. tell the caregiver to administer the medication c. calculate the safe dosage d. ask the toddler to pick a toy to hold during administration e. offer juice after the medication
c. calculate the safe dosage d. ask the toddler to pick a toy to hold during administration e. offer juice after the medication
A nurse is caring for a child who is dying. Which of the following are findings of impending death? (select all that apply) a. heightened sense of hearing b. tachycardia c. difficulty swallowing d. sensation of being cold e. cheyne-stokes respirations
c. difficulty swallowing e. cheyne-stokes respirations
A nurse is discussing prepubescence and preadolescence with a group of guardians of school-age children. Which of the following information should the nurse include in the discussion? a. initial physiologic changes appear during early childhood. b. changes in height and weight occur slowly during this period. c. growth differences between boys and girls become evident. d. sexual maturation becomes highly visible.
c. growth differences between boys and girls become evident.
A nurse is checking the vital signs of a 3-year-old child during a well child visit. Which of the following findings should the nurse report to the provider? a. temperature 37.2 (99.0) b. heart rate 106/min c. respirations 30/min d. blood pressure 88/54 mm Hg
c. respirations 30/min
A nurse is teaching a class about puberty in boys. Which of the following should the nurse include as the first manifestation of sexual maturation? a. pubic hair growth b. vocal changes c. testicular enlargement d. facial hair growth
c. testicular enlargement
A nurse is providing teaching to the guardian of a preschool-age child about methods to promote sleep. Which of the following statements by the parent indicates understanding of the teaching? a. " I will sleep in the bed with my child if she wakes during the night" b. "I will let my child stay up an additional 2 hours on weekend nights." c. "I will let my child watch television for 30 minutes just before bedtime each night." d. "I will keep a dim light on in my child's room during the night."
d. "I will keep a dim light on in my child's room during the night."
A nurse is caring for a child who has a terminal illness and reviews palliative care with an assistive personnel (AP). Which of the following statements by the AP indicates understanding of this review? a. "I'm sure the family is hopeful that the new medication will stop the illness" b. "I'll miss working with this client now that only nurses will be caring for the child." c. "I will get all the client's personal objects out of the room." d. "I will listen and respond as the family talks about their child's life."
d. "I will listen and respond as the family talks about their child's life."
A nurse is teaching a guardian about complicated grief. Which of the following statements should the nurse make? a. "complicated grief occurs when little time is spent thinking about the loss" b. "personal activities are rarely affected when experiencing complicated grief" c. "guardians will experience complicated grief together." d. "counselings can be helpful in resolving complicated grief"
d. "counselings can be helpful in resolving complicated grief"
A nurse is teaching a guardian about parallel play in children. Which of the following statements should the nurse include in the teaching? a. "children sit and observe others playing" b. "children exhibit organized play when in a group" c. "the child plays alone" d. "the child plays independently when in a group"
d. "the child plays independently when in a group"
A nurse is planning care for a child following a surgical procedure. Which of the following interventions should the nurse include in the plan of care? a. administer NSAIDs for a pain greater than 7 on a scale of 0-10 b. administer intranasal analgesics PRN c. administer IM analgesics for pain d. administer IV analgesics on a schedule
d. administer IV analgesics on a schedule
A nurse is assessing a child's ears. Which of the following findings would the nurse expect? a. light reflex is located at the 2 o'clock position b. tympanic membrane is red in color c. bony landmarks are not visible d. cerumen is present bilaterally
d. cerumen is present bilaterally
A nurse manager on a pediatric unit is preparing an education program on working with families for a group of newly hired nurses. Which of the following should the nurse include when discussing the developmental theory? a. describes that stress is inevitable b. emphasizes that change with one member affects the entire family c. provides guidance to assist families adapting to stress d. defines consistencies in how families change
d. defines consistencies in how families change
A nurse is preparing to administer an intramuscular (IM) injection to a child. Which of the following muscle groups is contraindicated? a. deltoid b. ventrogluteal c. vastus lateralis d. dorsogluteal
d. dorsogluteal
A nurse is teaching a group of caregivers about separation anxiety. Which of the following information should the nurse include in the teaching? a. it is often observed in the school-age child b. detachment is the stage exhibited in the hospital c. it results in prolonged issues of adaptability d. kicking a stranger is an example
d. kicking a stranger is an example
A nurse is planning to administer the influenza vaccine to a toddler. Which of the following actions should the nurse take? a. administer subcutaneously in the abdomen b. use a 20-gauge needle c. divide the medication into two injections d. place the child in the supine position
d. place the child in a supine position
