G/D Final

The nurse is meeting with a group of adolescent athletes to discuss their nutritional needs. The nurse should encourage the adolescents to include which foods in their diet to increase iron intake? Select all that apply. A) Dried fruits B) Peanuts C) Milk shakes D) Grapes E) Hard-boiled eggs F) Cheese sticks

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An 8-month-old child is diagnosed with a second ear infection and the father is concerned the infections are being caused by something he is doing or by something in the child's development. Which question should the nurse prioritize to collect more information to answer this father's questions? A) "Does the baby go to bed with a bottle of formula each night?" B) "Does the baby teething appear to be teething?" C) "Are the baby's scalp and hair shampooed often?" D) "Are you supplementing the baby's home-prepared formula with vitamin C?"

A) "Does the baby go to bed with a bottle of formula each night?"

The school nurse is discussing obesity with a group of caregivers of school-aged children. Which statement by the caregivers best illustrates that they are prepared to help their child prevent obesity? A) "I always cook foods that are low in fat." B) "We eat fast foods only on weekends because we are too busy to cook." C) "Neither my husband nor I have ever had any concerns with weight." D) "I keep lots of snacks on hand because my child eats all day long."

A) "I always cook foods that are low in fat."

The nutritionist is presenting information about vegetarian diets with a group of nursing students. The nutritionist determines the session is successful when the students correctly choose which factor concerning the semi-vegetarian diet? A) "The diet excludes red meat and possibly poultry." B) "The diet excludes red meat, poultry, and fish." C) "The diet excludes meat, poultry, fish, and eggs." D) "The diet excludes dairy products, meat, poultry, fish, and eggs."

A) "The diet excludes red meat and possibly poultry."

The parents of a toddler are concerned their child is not developing correctly and are questioning the nurse concerning the child's lack of effort to join other children in a group activity. Which response should the nurse prioritize in answering the parents? A) "This is normal for this age group. It's referred to as solitary independent play." B) "You should try to get your child involved in a local Boy's and Girl's club to encourage more interaction." C) "Perhaps getting your child interested in sports will improve their other play habits." D) "Your child is involved with others, just indirectly. See how they sit next to the other children and play with the same toys?"

A) "This is normal for this age group. It's referred to as solitary independent play."

The nursing instructor is leading a discussion on school-aged children. The instructor determines the session is successful when the students correctly choose which factor as being a priority for the school-aged child? A) Needs 10 to 12 hours of sleep per night B) Should brush their teeth at bedtime C) Have a routine physical exam every 6 months D) Be screened for scoliosis once a year

A) Needs 10 to 12 hours of sleep per night

The nurse is conducting a class for new parents of infants. The nurse determines the session is successful when the parents correctly choose which instruction concerning bathing their infant? A) "When I bathe my baby, I shampoo his hair each time as well." B) "Giving my baby a bath every day during cold weather will help her stay warm." C) "My husband uses plain water on our baby's face but I use mild soap." D) "Now that my baby is bigger, she seems to enjoy having powder applied after her bath."

A) "When I bathe my baby, I shampoo his hair each time as well."

A 17-year-old female is meeting with the nurse for an annual well-visit and is asking the nurse questions about how to know when one is in love. The nurse should point out which factor to help decide if both individuals have reached a mutual agreement and are ready for an intimate relationship? A) A sense of trust and identity B) An ability to be autonomous C) A willingness to take initiative D) An understanding of socialization and of isolation

A) A sense of trust and identity

The nurse is caring for a 5-year-old who has been hospitalized after an episode of asthma. As the nurse prepares to teach the child how to use the nebulizer, which action should the nurse prioritize? A) Allow the child to touch and play with the nebulizer for a few minutes before the treatment. B) Show the child how to use the nebulizer and tell the child how much easier it is to breathe afterward. C) Explain that the child will feel better after the treatment and allow the child to ask questions. D) Use a poster or brochure to illustrate to the child how the machine works.

A) Allow the child to touch and play with the nebulizer for a few minutes before the treatment.

The nurse is preparing a presentation for a local health fair depicting the differences in maturity between preadolescents. Which differing factor should the nurse prioritize in the presentation? A) Boys grow at a slower, steadier rate than do girls. B) Girls grow at a slower, steadier rate than do boys. C) Boys grow at a rapid, sporadic rate. D) Boys and girls grow at the same rate.

A) Boys grow at a slower, steadier rate than do girls.

The mother of a 4-year-old is concerned her child is not eating well. In addressing the concerns of this mother, which foods should the nurse point out are high in protein? Select all that apply. A) Cheese and crackers B) Cookies and juice C) Whole grain granola with yogurt D) Strawberries and bananas E) Turkey sandwich

A) Cheese and crackers C) Whole grain granola with yogurt E) Turkey sandwich

The nurse is conducting a class at the local health department office for new mothers of infants who are in the various stages of weaning. Which alternative food should the nurse prioritize when questioned by a mother whose infant is refusing to drink milk from a cup to ensure the infant is consuming enough calcium? A) Cottage cheese B) Pudding C) Rice cereal D) Bananas

A) Cottage cheese

The school nurse is assessing a 6-year-old child's dentition. Which assessment should the nurse prioritize for this child? A) Has first permanent molars B) Has at least six permanent teeth C) Has two cuspid or canine teeth D) Has lost all deciduous teeth

A) Has first permanent molars

The nurse is assessing a 4-year-old on a routine well-child visit. When assessing the gross motor skills of this preschooler, which activity will the nurse predict the child to be able to successfully accomplish? A) Hop on one foot B) Walk backwards with heel to toe C) Throw and catch a ball D) Jump rope

A) Hop on one foot

The nurse is preparing a care plan for a school-age child to address her hospitalization. Which factor should the nurse incorporate into this plan? A) Increased attention span and interested in an activity for a long length of time B) Can take in new information at a rapid rate and asks "why" and "how" a lot C) Insist they can "do it" and then revert to being dependent D) Grows and develops skills more rapidly than at any other time in their life

A) Increased attention span and interested in an activity for a long length of time

The nurse is conducting a training session for families who are to receive assistance from the Women, Infants, and Children (WIC) supplemental food program. The nurse determines the session is successful after the participants correctly choose which food items they will be able to receive through the program? Select all that apply. A) Milk B) Dry beans C) Peanuts D) Juice E) Bread F) Eggs

A) Milk B) Dry beans D) Juice E) Bread F) Eggs

The caregivers of a 2-year-old are concerned the child is not learning how to share and play well with other children. While acknowledging their concern and devotion, the nurse should point out which activity would be best for this child's developmental level? A) Mowing the lawn with a toy lawnmower B) Looking at large print magazines C) Sharing finger paints and painting with the caregiver D) Throwing a baseball-sized ball

A) Mowing the lawn with a toy lawnmower

A 2-year-old child is reported to be a "picky eater" by his father. What pointers could the nurse provide the parent to help minimize stress related to mealtime? Select all that apply. A) Offer small portions of 1 to 2 teaspoons to the child. B) Food jags needs to be addressed and not given in to. C) Mealtime for a toddler should not exceed 20 minutes. D) Do not use sweets as a reward for cleaning their plate. E) Feed the toddler before the rest of the family.

A) Offer small portions of 1 to 2 teaspoons to the child. C) Mealtime for a toddler should not exceed 20 minutes. D) Do not use sweets as a reward for cleaning their plate.

The nurse has brought a group of preschoolers to the playroom to play. Which activity would the nurse predict the children to become involved in? A) Pretending to be mommies and daddies in the playhouse B) Playing a board game C) Painting pictures in the art corner of the room D) Watching a movie with other children their age

A) Pretending to be mommies and daddies in the playhouse

The nurse is preparing to participate in a community discussion on the needs of the adolescents in the local school. The nurse should point out which goal is the primary concern for these young individuals as the committee makes plans? A) Teens are busy developing their own personal identity. B) They want to successfully complete activities. C) Each child is learning to do things on his or her own. D) They understand and respond to discipline.

A) Teens are busy developing their own personal identity.

The nurse is preparing a presentation for a health fair illustrating the major milestones of infants as they grow and develop. Which fact should the nurse point out when illustrating an infant's teeth? A) The first tooth usually erupts between 6 to 8 months. B) The upper incisors are most often the first teeth to erupt. C) Fluoride should not be used on a child's teeth before 4 or 5 years of age. D) Swollen or inflamed gums during teething indicate a serious concern.

A) The first tooth usually erupts between 6 to 8 months.

The pediatric nurse is discussing the daily activities of a 4-year-old with the caregiver to assess growth and development status. The nurse would document that the child has reached the initiative stage of development if the caregiver indicates the child participates in which activity? A) Tries to sweep up spilled cereal but cries when can't do well B) Broke a dish but blamed it on some friend the caregivers don't know C) Refuses to hold anyone's hand while crossing the street D) Gets upset when a babysitter is in charge, but will do what is asked by the babysitter

A) Tries to sweep up spilled cereal but cries when can't do well

The nurse is assessing a 6-month-old infant at a well-baby visit and is answering questions from the new mother. Which response should the nurse prioritize when addressing the mother's question concerning what the infant should be learning at this point in life? A) Trust B) Feel anger C) Love D) Fear

A) Trust

The mother of an adolescent has called to talk to the pediatric nurse over concern that her daughter is not getting proper nutrition now that she has started following a vegetarian diet. Which response should the nurse prioritize for this mother? A) Vegetarian diets can be healthy; ensure she includes whole-grain products, legumes, nuts, seeds, and soy dairy substitutes. B) Lacto-ovo vegetarian diets are acceptable for teens but, until the body's growth cycle is complete, she needs some egg and dairy products for good health. C) Vegetarian diets can be healthy for teens but should be supplemented with protein drinks and megavitamins. D) A vegetarian diet is unhealthy for growing bodies, and teens are too immature to make a healthy decision.

A) Vegetarian diets can be healthy; ensure she includes whole-grain products, legumes, nuts, seeds, and soy dairy substitutes.

A first-time father calls the pediatric nurse stating he is concerned that his 4-year-old daughter still wets the bed almost every night. Remembering his own experience of being punished for wetting the bed at 4 years old, he is not sure punishment is the best approach to address this. Which nursing instruction is the most appropriate? A) "Disciplining is not likely to be effective, but if the child keeps wetting the bed it may be necessary." B) "Bedwetting is not uncommon in young children. Try to calmly change the bed without showing your frustration." C) "Setting rules is a parent's job to help the child have acceptable social behavior, so take away a privilege each time she wets the bed." D) "Nightly bedwetting up to age 12 is developmentally typical, so you will need to practice patience with your daughter."

B) "Bedwetting is not uncommon in young children. Try to calmly change the bed without showing your frustration."

The mother of an infant is confused after being told by her dentist not to let her baby go to bed with a bottle of milk. She does not agree with that suggestion. Which response should the nurse prioritize when addressing this situation with the mother? A) "Giving a bottle of milk when the infant goes to bed can lead to obesity." B) "Bottles given at bedtime can cause erosion of the enamel on the teeth." C) "Giving your baby a pacifier at bedtime will satisfy the need to suck." D) "You could occasionally give your baby a bottle of water at bedtime."

B) "Bottles given at bedtime can cause erosion of the enamel on the teeth."

The caregiver of a 6-year-old is concerned the child is not getting proper nutrition because on some days, the child will only eat one type of food. Which response should the nurse prioritize for this caregiver? A) "It is important that each time she eats, she has a variety of foods." B) "Food jags are common in this age. This probably won't last long." C) "Try having her eat with the family and she will want what others are eating." D) "She should be discouraged from having food likes or dislikes. Have her eat everything."

B) "Food jags are common in this age. This probably won't last long."

The parent of a 4-year-old is expressing concern that this child is not talking as much—or as well—as her other children did at that age. Which question should the nurse prioritize when assessing this preschooler for this concern? A) "How often do you or a family member read to your child?" B) "Has your child had her hearing tested?" C) "Does your child have opportunities to have conversations with other people?" D) "Do you praise and give your child encouragement when she tries to talk with you?"

B) "Has your child had her hearing tested?"

Which statement by a parent would best prepare the toddler for the parent's return if the parent must leave the hospital? A) "I will be back in the morning. Mommy loves you." B) "I will be back after you eat your dinner and SpongeBob goes off." C) "I will be back later this afternoon." D) "I will come back when it is time for your bath tonight."

B) "I will be back after you eat your dinner and SpongeBob goes off."

The school nurse is meeting with a group of 11-year-old girls to discuss expected puberty changes in their bodies. When one of the girls states, 'I just feel like my whole body is changing and I don't know why' what should the nurse point out to this group? A) "You will feel better about yourself as you get older." B) "You have lots of hormone changes going on right now." C) "You may feel like you are changing, but you still look the same." D) "Your other friends are feeling like this too."

B) "You have lots of hormone changes going on right now."

The nurse is preparing to assess a 2-year-old at a well-child visit and notes the child was 22 lbs (9.98 kg) and 24 in (60.96 cm) tall at 1 year old. The nurse determines the child is following a normal pattern of growth after obtaining which set of current measurements? A) 24 lbs (10.88 kg) and 26 in (66.04 cm) tall B) 30 lbs (13.60 kg) and 27 in (68.58 cm) tall C) 34 lbs (15.42 kg) and 32 in (81.28 cm) tall D) 36 lbs (16.32 kg) and 33 in (83.82 cm) tall

B) 30 lbs (13.60 kg) and 27 in (68.58 cm) tall

A nurse is preparing a presentation for a health fair discussing various aspects of toddlers. Which example should the nurse use to best illustrate dramatic play? A) Playing apart from others without being part of a group B) Acting out a troubling or stressful situation C) Playing a video game with several other children D) Watching television or videos

B) Acting out a troubling or stressful situation

Every time a toddler's mother asks her a question, the response is "No!" regardless of what the mother asks the child. What would the nurse recommend to the mother to help alleviate this behavior? A) Don't ask the child any questions and just tell her what to do each day. B) Allow the child choices when asking questions such as "Do you want to wear the red or the blue top?" C) Ask the child to please quit saying no to everything asked of her. D) Respond negatively back to the child each tine the child responds to the parent in a negative fashion.

B) Allow the child choices when asking questions such as "Do you want to wear the red or the blue top?"

The nurse is admitting a 10-year-old for surgery. What action should the nurse prioritize when caring for this child? A) Offer to help with bathing. B) Answer questions regarding pain. C) Encourage family caregivers to stay with the child. D) Avoid prolonged discussions about the child's anxiety.

B) Answer questions regarding pain.

The nurse is assessing a teenage client and notes his lower front teeth are slightly crossed over. The nurse points out to his caregiver that he should see an orthodontist about this to prevent which potential situation? A) Leaving even slightly crooked teeth will lead to more cavities later in life. B) Even slight malocclusions make chewing and jaw function less efficient. C) This could have a lasting effect on his future to include everything from dating to hiring. D) Uncorrected malocclusions lead to infection and ultimately tooth loss.

B) Even slight malocclusions make chewing and jaw function less efficient.

The nurse is meeting with a group of caregivers of adolescents and discussing sex and sexuality, including how to discuss these issues with their children. Which comment should the nurse prioritize with this group of caregivers? A) Teenagers spend so much time with their peers, and that is usually how they find out about sex. B) Being honest and straightforward with teenagers will encourage them to ask about subjects like sexuality. C) Most schools have excellent programs to teach adolescents about sex and sexuality. D) Internet resources, movies, and television have the most accurate and current information for your adolescent to learn about sexuality issues.

B) Being honest and straightforward with teenagers will encourage them to ask about subjects like sexuality.

The nurse is assessing a 3-year-old at a well-child visit and the child appears to be progressing well. Which activity will the nurse ask the child to attempt to appropriately assess the fine motor skills of this preschooler? A) Use scissors. B) Button clothes. C) Tie shoelaces. D) Print a few letters.

B) Button clothes.

While the nurse is taking a blood pressure on a 4-year-old, the child states that the blood-pressure cuff is too tight and angrily says, "That hurt, you big poo-poo head." What is the most appropriate response by the nurse? A) Scold the child for the insult while apologizing for hurting her, and loosen the cuff. B) Calmly explain that you don't mean to hurt her, loosen the cuff, and tell her that is isn't nice to call you names. C) Explain that the cuff will only hurt for minute and ask the child's caregiver to please tell the child not to speak to you that way. D) Ask the child's caregiver to please hold the child on their lap until she calms down.

B) Calmly explain that you don't mean to hurt her, loosen the cuff, and tell her that is isn't nice to call you names.

The nurse is preparing a presentation for a community health fair on the topic of helping school-aged children develop the self-confidence they will need to mature into responsible adults. Which suggestion should the nurse prioritize to caregivers to enable them to help their children in this area? A) Encourage the child to cheer on their friends at games. B) Caregivers should maintain consistent rules and expectations. C) Ensure that the child has the best teacher possible. D) Encourage older siblings to include the child in their activities.

B) Caregivers should maintain consistent rules and expectations.

A nurse is presenting a class on discipline for a group of parents of toddlers. What information would be important for the nurse to teach this group? Select all that apply. A) Toddlers cannot learn self-control until at least 3 to 4 years of age. B) Consistency in the rules is important so the child understands what is expected. C) If a child does something wrong, the parent must address the behavior immediately so the child understands what they did wrong. D) Even at this young age, children need boundaries. E) If a child hits or bites another child, the parents should scold them, saying such things as "You are very naughty for biting Rachel."

B) Consistency in the rules is important so the child understands what is expected. C) If a child does something wrong, the parent must address the behavior immediately so the child understands what they did wrong. D) Even at this young age, children need boundaries.

A group of nursing students are preparing a presentation illustrating basic safety measures which can be utilized for infants. Which measures should the students prioritize in their presentation? Select all that apply. A) Bottle should only be propped for infants 8 months or older. B) Crib and playpen bars should be no more than 2 3/8 inches apart. C) Only small pillows should be used in cribs. D) Car seats should be placed in back seats. E) A safe temperature for hot water heaters in households with infants is 120°F (48.9°C).

B) Crib and playpen bars should be no more than 2 3/8 inches apart. D) Car seats should be placed in back seats. E) A safe temperature for hot water heaters in households with infants is 120°F (48.9°C).

The 11-year-old arrives in the emergency department presenting with the following: nosebleed with no apparent trauma, disoriented, confused, difficulty walking, nausea, and coughing. The nurse should question the child concerning which potential activity? A) Falling on the playground at school B) Experimenting with an inhalant C) Eating a food he is allergic to D) Exposure to a respiratory disease

B) Experimenting with an inhalant

The nurse is assessing a 3-year-old at a routine well-child visit. Which assessment should the nurse prioritize in the vision check? A) Visual acuity B) Eye coordination C) Depth perception D) Color perception

B) Eye coordination

The parents of a 16-year-old male are worried about recent changes in his behavior, ignoring his schoolwork and sports, and spending almost all of his free time interacting with his girlfriend. Which suggestion should the nurse point out would best address this situation? A) He is not developmentally mature enough to make healthy choices about the ways in which he spends his time, so it would be helpful if they would make a schedule for him that includes about a half-hour per day to talk with his girlfriend. B) He has developed his own identity by now; being able to establish close relationships with girls is important preparation for all of his adult relationships. They should honor his need to be with, or talk to, his girlfriend as long as he has completed his schoolwork for the day. C) He is not developmentally mature enough to have an intimate relationship with one girl; they should encourage him to spend time with groups of friends rather than time alone with his girlfriend. D) He has chosen a girl who is overly dependent on him. They should talk to him about making sure he meets his own needs, including doing the schoolwork he enjoys, in any relationship.

B) He has developed his own identity by now; being able to establish close relationships with girls is important preparation for all of his adult relationships. They should honor his need to be with, or talk to, his girlfriend as long as he has completed his schoolwork for the day.

mother brings her 2-year-old child to the pediatrician's office, voicing concerns about her toddler's growth over the last year. According to the child's records, the toddler has gained 6 pounds (2.7 kg) and grown 2.5 in (6.25 cm) since his last visit a year ago. How should the nurse respond to this mother's concerns? A) Tell her that her child's growth is less than is expected and gather a nutritional history on the child. B) Inform the mother that her toddler's growth is within normal limits and there is nothing to be worried about. C) Ask the mother if there are other small people in her family. D) Tell the mother that she needs to return to the pediatrician's office in 3 months to re-weigh the child and measure his height for any changes.

B) Inform the mother that her toddler's growth is within normal limits and there is nothing to be worried about.

The nurse is assessing the motor skills of an infant who is 9 months old. Which motor skills should the nurse prepare to assess in an infant achieving normal growth and development milestones? A) Startles then cries when hearing a loud noise B) Is eating cereal using the thumb and index finger C) Moves from a prone to sitting to standing position D) Can stand and walk around furniture

B) Is eating cereal using the thumb and index finger

A group of nursing students are preparing sample menus for the lacto-ovo-vegetarian diet. The instructor determines the presentation is successful after noting the students avoided the use of which foods in planning the menus? A) Red meat and possibly poultry B) Red meat, poultry, and fish C) Meat, poultry, fish, and eggs D) Dairy products, meat, poultry, fish, and eggs

B) Red meat, poultry, and fish

The nurse is meeting with a group of caregivers of adolescents. Which example should the nurse point out is most effective for the caregiver to support the adolescent? A) Leave pamphlets about topics such as drugs and alcohol in their room so they can read them. B) Let them choose their hairstyle, even though it may not look the best for them. C) Discourage spending too much time with school friends since we know they can be a negative influence. D) Our house rules are stricter than their friends but everyone follows the same rules in our home.

B) Let them choose their hairstyle, even though it may not look the best for them.

The nurse is preparing a presentation for a health fair which will illustrate various ways to help introduce siblings to a new member of the family. Which suggestion should the nurse prioritize to help older siblings, especially toddlers, understand the change in the family dynamics? A) Plan time for the secondary caregiver to focus on the toddler while the primary caregiver focuses on the infant. B) Plan time for the primary caregiver to focus on the toddler while the secondary caregiver focuses on the infant. C) Have a grandparent or another special adult in the child's life take the toddler on an errand or a special visit. D) Move the toddler to a new bedroom with a "grown-up-bed."

B) Plan time for the primary caregiver to focus on the toddler while the secondary caregiver focuses on the infant.

A first-time parent asks the nurse what toys would be appropriate for her son's second birthday next month. What recommendations would be nurse make? A) Dress-up clothing B) Play lawn mower C) Water gun D) Colorful rattle

B) Play lawn mower

The nurse is supervising a play group of children on the unit. The nurse expect the toddlers will most likely be involved in which activity? A) Pretending to be mommies and daddies in the play house B) Playing with the plastic vacuum cleaner and pushing it around the room C) Painting pictures in the art corner of the room D) Watching a movie with other children their age

B) Playing with the plastic vacuum cleaner and pushing it around the room

The nurse is monitoring children playing in the unit's playroom. The nurse notes that some children are involved in associative play by which actions? A) Drawing pictures in the art area B) Pushing toy cars around on a large rug with roads C) Playing a board game with each other D) Several children engrossed in their own tool-and-bench set

B) Pushing toy cars around on a large rug with roads

A mother tells the nurse that her toddler does not want to go to bed at night and keeps getting back up when she is put to bed. What recommendations would the nurse make to this mother to foster sleep in the toddler? A) Place the child in her bed, tell her goodnight, and then lock the door. B) Read the child a book in bed and take time to calm the child down before turning out the lights. C) Instruct the toddler to stay in bed or she will have her favorite stuffed animal taken away from her. D) If she does not want to go to sleep at her normal bedtime, let her stay up for a little while longer.

B) Read the child a book in bed and take time to calm the child down before turning out the lights.

The nurse is working with a group of 8-year-olds who are learning about the concept of conservation of numbers. Which activity will help teach this concept to these school-aged children? A) Stacking blocks in a tower and counting how many can be stacked without falling B) Rearranging a group of coins first into a circle, then a triangle and then a square C) Forming vases from blocks of clay that are of various weights D) Measuring the weight of a handful of popcorn and then the weight of a handful of pennies

B) Rearranging a group of coins first into a circle, then a triangle and then a square

A 2-year-old child is shopping with her mother when she suddenly falls to the ground and begins to scream, "I want it!" over and over regarding a bag of candy. What would the nurse recommend to the mother to deal with this behavior? Select all that apply. A) Reason with the toddler and explain that the candy is not nutritious for her. B) Remain calm and ignore the tantrum. C) Do not reward the behavior by giving into the toddler's demands and buying the candy. D) Pick the toddler up and take her to the restroom for a spanking. E) Pick the toddler up and move her to a safe environment but do not give in to her desires.

B) Remain calm and ignore the tantrum. C) Do not reward the behavior by giving into the toddler's demands and buying the candy. E) Pick the toddler up and move her to a safe environment but do not give in to her desires.

The pediatric nurse is presenting basic safety tips at a local health fair for families. The nurse should point out the majority of hospital visits for toddlers can be prevented by exercising which precaution? A) Properly use car seats B) Safely store all chemical substances C) Use plastic protectors in all electrical outlets D)Close supervision during bath time

B) Safely store all chemical substances

The nurse is assessing a 9-year-old girl during her well-child checkup and notes the child weighs 86 lb (39 kg). After noting she weighed 9.5 lb (4.30 kg) at birth and her growth has been within normal patterns, the nurse determines this girl is within which category? A) Slightly underweight B) Slightly overweight C) Significantly overweight D) Significantly underweight

B) Slightly overweight

The nurse is assessing a 12-week-old infant in the clinic at a well-baby visit. Which assessment finding does the nurse predict to assess in this healthy infant? A) Able to sit up and roll over B) Smiles at significant others C) Grasps objects and brings them to the mouth D) Bears weight on legs when held in standing position

B) Smiles at significant others

A 6-year-old male has come to the clinic for a routine well-child visit. The nurse, after noting in the medical record that this child has followed basic growth and development standards, anticipates documenting which common assessment finding? A) Flat abdomen B) Swayed back C) Long legs D) Slender body

B) Swayed back

A 16-year-old client has been hospitalized 100 miles from home for 1 week to repair a fractured patella suffered in a skateboarding accident. She was cheerful and chatty when she first arrived, but the nurse notes in recent days she has become increasingly quiet and seems lonely. Which nursing intervention should the nurse prioritize for this client? A) Call the hospital's mental health unit to see if she can get some counseling. B) Take her to the teen lounge so she can meet other teens, use a phone, and check her e-mail. C) Suggest that she read books and magazines from the hospital bookmobile. D) Ask her caregivers to bring her siblings and friends to visit.

B) Take her to the teen lounge so she can meet other teens, use a phone, and check her e-mail.

The nurse is caring for several clients on the pediatric unit. When interacting with the preschooler, which action will the nurse predict to occur? A) Increased attention span and can be interested in an activity for a long length of time B) Takes in new information at a rapid rate and asks "why" and "how" C) Insists doing something and the next moment reverts to being dependent D) Grows and develops skills more rapidly than at any other time in their life

B) Takes in new information at a rapid rate and asks "why" and "how"

The nursing instructor is leading a class discussion on the various aspects of adolescents. The instructors determines the class is successful after the students correctly choose which milestone as the beginning of adolescence? A) The deciduous teeth falling out B) The beginning of puberty C) The child becoming self-supported D) The fine motor skills fully developed

B) The beginning of puberty

A breast-feeding mother asks the nurse about when she can begin feeding her 5-month-old infant some solids and vitamins. Which information provided by the nurse would most accurately address this mother's concerns? A) You can begin feeding the infant fruits and vegetables now followed by iron-enriched cereal to ensure that he gets enough iron. B) The first food offered to an infant is iron-enriched rice cereal and can be started now. Additionally, the infant needs to receive Vitamin D and iron. C) If you give him one or two bottles of juice each day, he should get all the vitamins he needs. You can begin fruits and cereal in 1 month. D) At 6 months, you need to quit breast-feeding because he is not getting enough iron or Vitamin C and D and that should help him transition to solids better.

B) The first food offered to an infant is iron-enriched rice cereal and can be started now. Additionally, the infant needs to receive Vitamin D and iron.

The mother has presented to the pediatric clinic with her 1-year-old infant for the next round of immunizations. The nurse would question administering the immunizations if which situation is noted on assessment? A) The infant has had a runny nose for several days. B) The infant is being treated for a case of eczema. C)The infant was given an antipyretic last week. D) The infant has a rash in the perineal area.

B) The infant is being treated for a case of eczema.

A first-time mother calls the pediatrician's office to ask the nurse about her baby's tooth eruption. The baby is 8 months old and still does not have any teeth. What information can the nurse share with this mother that would correctly respond to her anxiety about her baby's dentition? A) A baby's first teeth should erupt by 8 to 10 months of age and are the two lower front teeth. B) Tooth eruption is often genetically based, with some families having babies with early tooth eruption, while others have late tooth eruption. C) If the baby does not have any teeth come in by next month, the mother needs to bring him back for x-rays. D) Look for the baby to start running a fever and develop a stuffy nose and that will indicate his teeth are coming in.

B) Tooth eruption is often genetically based, with some families having babies with early tooth eruption, while others have late tooth eruption.

The school nurse is preparing to conduct routine health screenings of the elementary school students. Which screening will the nurse prioritize for students ages 6 to 8? A) Signs of scoliosis B) Vision and hearing C) Review immunization records D) Nutritional needs

B) Vision and hearing

The nurse is preparing an in-service training session on Erikson's theories for the pediatric nurses. Which task should the nurse prioritize as an example for the school-aged child? A) Insists on doing things their way instead of their caregivers B) Will work on a picture until it is finished C) Wants to tie their own shoes no matter how long it takes D) Understands the need for discipline

B) Will work on a picture until it is finished

The school nurse is conducting a health class with a group of high school students on the topic of sex and sexuality issues. The nurse determines the session is successful when the students correctly choose which aspect as most important? A) "It is important for adolescents to abstain from sexual activity." B) "Males as well as their partners are responsible for avoiding an unwanted pregnancy." C) "Adolescents need to know how to use condoms correctly to avoid sexually transmitted infections." D) "Girls should carry their own condoms and use them to avoid pregnancy."

C) "Adolescents need to know how to use condoms correctly to avoid sexually transmitted infections."

The nurse is presenting information about school-aged children at a community event. Which statement should the nurse prioritize for further teaching and providing more information? A) "Sometimes we have to be firm, but our children wash their hands before eating." B) "I make sure they have good teeth by giving them calcium and phosphorus." C) "Food is so expensive, we always make our children eat everything on their plates." D) "Even if the weather is cool and cloudy, our children play outside every day."

C) "Food is so expensive, we always make our children eat everything on their plates."

A male nurse is meeting with a group of 12-year-old boys to discuss expected bodily changes. After one of the boy's says, "My older brother told me my bed might be wet and that means I had a wet dream. Is that true?" What is the best response from the nurse? A) "When you are thinking about girls or having girlfriends you might have a wet dream." B) "It is not common to wet the bed or urinate when you have a wet dream." C) "Having wet dreams indicates that your body is going through a process of maturing." D) "It will be several years before you will start having wet dreams."

C) "Having wet dreams indicates that your body is going through a process of maturing."

Parents are beginning potty training their 2-year-old child and seek advice from the nurse on how to be successful in this endeavor. Which statement by the parents indicates that further teaching is needed? A) "We will place him on the potty for 5 minutes for each session." B) "I bought him big boy underwear for him to use instead of diapers." C) "He wants to accompany me to the bathroom but I prefer to go alone." D) "I will wait until he is off the toilet before flushing it."

C) "He wants to accompany me to the bathroom but I prefer to go alone."

A male nurse is meeting with a group of high school boys to discuss various health topics. After the session on testicular self-exam, the nurse determines the session is successful when one of the students responds with which comment? A) "It sounds like we will need to know how to do this when we are in our 20s, so we might as well learn now." B) "My uncle had testicular cancer after he got married and had my cousin." C) "I am almost 15 now, so that means I could possibly get this disease." D) "Men my grandfather's age will probably die if they don't do these exams."

C) "I am almost 15 now, so that means I could possibly get this disease."

The school nurse is teaching a health class on nutrition with some adolescents. Which comment by a student should the nurse prioritize and provide more teaching? A) "I hate eating with my family. I would much rather snack all day." B) "I had lunch with my boyfriend before his game and all he ate were carbohydrates." C) "I am feeling so fat. I think I need to exercise a few extra hours today." D) "I don't really like it, but I have been drinking lots of skim milk."

C) "I am feeling so fat. I think I need to exercise a few extra hours today."

The nurse is meeting with a group of new mothers of infants and is leading the discussion related to weaning. Which suggestion should the nurse prioritize to this group of mothers concerning weaning their infant? A) "It is best to just pick a day and stop breast or bottle feeding and wean the infant to a cup." B) "If the infant is eating from a dish and drinking from a cup, they no longer need a bottle or breast feeding." C) "It is important to let the infant set the pace for weaning, no matter what age they are." D) "The infant who is interested in watching others drink from a cup is ready to be weaned."

C) "It is important to let the infant set the pace for weaning, no matter what age they are."

A grandmother who is the primary caregiver of a 2-year-old is expressing concern about how to best handle the temper tantrums that can occur two or three times a day, often in public places. She explains she spanked her own children for this but she is worried this is not the best way to handle the situation. Which response from the nurse will best address this concern? A) "Spanking is controversial but sometimes necessary, so use it if it works." B) "Warn her that she will be punished when she is back at home then follow through with the punishment." C) "Remain calm, pick the child up, and move to a quiet and neutral place until she gains self-control; don't give in to her demands." D) "Remind her that she is in a public place and ask her to respect those around her; reward her if she responds by calming herself."

C) "Remain calm, pick the child up, and move to a quiet and neutral place until she gains self-control; don't give in to her demands."

The nurse is preparing a safety presentation for a health fair for families. Which instruction should the nurse prioritize when illustrating car safety and the family? A) "Stop the car any time the preschooler unbuckles the restraints." B) "Explain that wearing a seat belt is a law and the police officer will give a ticket if the seat belt is not buckled." C) "Set a good example. Wear your own seat belt every time you drive." D) "Reward the child with candy or some other treat each time the child keeps the seat belt on."

C) "Set a good example. Wear your own seat belt every time you drive."

The nurse takes a call from a concerned mother whose infant received routine immunizations the day before and now has a temperature of 101oF (38.3oC), is fussy and pulling at the injection site. The mother wants to know what she should do. Which is the best response from the nurse to this mother? A) "You need to bring the baby to the emergency department to be sure he is not having an allergic reaction." B) "All babies have similar reactions but you should call back if he is still fussy in 24 hours." C) "This is a common reaction. Give your child acetaminophen, cuddle him, and apply a cool compress to the injection site." D) "You can give your child ice cold fluids and cover the injection site so that he doesn't scratch the site and get it infected."

C) "This is a common reaction. Give your child acetaminophen, cuddle him, and apply a cool compress to the injection site."

The school nurse is meeting with a 10-year-boy who is concerned about his weight. He reports he doesn't eat much candy but loves fruit, pasta, potatoes, and bread. Which suggestion should the nurse prioritize to help him maintain a healthy weight? A) Encourage portion control at each meal B) Change to a very low-fat and no-carbohydrate diet. C) Encourage activities that will increase his physical activity. D) Encourage the child to not worry about weight until he is older.

C) Encourage activities that will increase his physical activity.

A 15-year-old client tells the nurse he has been having wet dreams and is ashamed and afraid he will get into trouble because he believes his parents think he is too young to understand or know about sex. To which statement would be the most appropriate for the nurse to respond? A) "Since your parents feel you are not ready to talk about sex, you need to honor their wishes and not bother them with this." B) "Don't worry, it is perfectly normal for 15-year-olds to have the kinds of fantasies that lead to wet dreams. You should tell your parents about this." C) "Wet dreams are not the result of anything you are doing but are simply the body's way of ridding itself of excess semen." D) "You don't need to feel ashamed. I will speak to your parents about the importance of allowing you to experiment with and feel good about your sexuality."

C) "Wet dreams are not the result of anything you are doing but are simply the body's way of ridding itself of excess semen."

The father of a 4-year-old is concerned his child is not telling the truth and blaming others for things that have happened. Which response should the nurse prioritize after the father shares that the child is blaming someone named 'Andrew' for a broken tool, and they have no idea who this is? A) "You should punish your son because no child should be telling lies at this age." B) "You need to show your child the broken tool since at this age they must see something in order to understand." C) "Your son may have a friend named Andrew, but it could be an imaginary friend." D) "You should watch this type of behavior closely since most children this age tell the truth."

C) "Your son may have a friend named Andrew, but it could be an imaginary friend."

The nurse is assessing a 1-year-old at the well-child annual visit and notes the child is meeting the growth parameters. After noting the birth weight was 8 pounds (3.6 kg) and length was 20 inches (50.8 cm) long, which measurements would the nurse prepare to document for this visit? A) 16 pounds (7.2 kg) and grown 26 inches (65 cm) B) 20 pounds (9.1 kg) and 28 inches (70 cm) C) 24 pounds (10.8 kg) and 30 inches (75 cm) D) 28 pounds (12.7 kg) and 32 inches (80 cm)

C) 24 pounds (10.8 kg) and 30 inches (75 cm)

The nurse is measuring the height of a 13-year-old girl who was 56 in (142.24 cm) tall at age 9. The nurse predicts the girl will be approximately how tall if following the normal pattern of growth? A) 58 in (147.32 cm) B) 62 in (157.48 cm) C) 68 in (172.72 cm) D) 76 in (193.04 cm)

C) 68 in (172.72 cm)

The nurse is addressing a caregiver's concerns regarding adequate sleep for an 11-year-old child who gets up at 6:30 a.m. each morning. The nurse should point out which time as the most appropriate bedtime for this child? A) 7:30 p.m. B) 8:00 p.m. C) 9:30 p.m. D) 10:00 p.m.

C) 9:30 p.m.

The nurse is leading a discussion in a health class at the high school on adolescent relationships. The nurse determines the session is successful when the students correctly choose which type of relationship as involving a member of the opposite sex? A) A homosexual relationship B) An unhealthy relationship C) A heterosexual relationship D) A bisexual relationship

C) A heterosexual relationship

The parents of 5-year-old boy are concerned about the how a recent motorcycle accident to his father will affect the child. Although the father has fully recovered, the child is very concerned if the father is away longer than expected; the child is not as talkative but appears withdrawn and quiet. The nurse should point out the child's behavior is likely related to which factor? A) Afraid of losing his father and trying show how much he loves him B) Afraid of being hurt himself and thinks being especially good will protect him from accidents C) Believes he caused the accident by telling his father he hoped he crashed when he couldn't go along D) The child is imitating the adults' behavior and just trying to be nice to everyone.

C) Believes he caused the accident by telling his father he hoped he crashed when he couldn't go along

The nurse is teaching a nutritional class to a group of Asian adolescents who are lactose-intolerant. Which food should the nurse point out will help these adolescents consume the calcium they need for proper nutrition? A) Chocolate pudding B) Nonfat milk C) Soybean curd D) Cottage cheese

C) Soybean curd

A single mother with three young children is reluctant to leave her crying and upset 16-month-old daughter overnight in the hospital but needs to go home to care for the other children. Which suggestion from the nurse will best address the fears and concerns of both the child and mother? A) Remind them staying in the hospital now will help the child get well quicker and be home soon, but the other children should not be alone. B) Distract the child with a special blanket, stuffed animal, or other "lovey" from home while the mother quietly slips out. C) Encourage the mother to give the child a personal item of the mother's to hold on to until she returns and to tell the child a specific time she will return, such as "when breakfast comes in the morning." D) Tell both the mother and child that the child will be carefully guarded and won't be in as much danger as she might be if she were home exploring her environment.

C) Encourage the mother to give the child a personal item of the mother's to hold on to until she returns and to tell the child a specific time she will return, such as "when breakfast comes in the morning."

An 8-year-old boy's foster mother is concerned about three recent cavities found in his permanent teeth and reports the child eats a nutritional diet, doesn't eat junk food, and the town water supply is fluoridated. Which suggestion should the nurse prioritize to this mother in regard to the child's dental health? A) Encourage the child to abstain from eating sugary snacks at school. B) Accept that the child is genetically predisposed to having more cavities than most children. C) Ensure that the child brushes his teeth after each meal and snacks. D) Have the child's teeth professionally cleaned every 3 months.

C) Ensure that the child brushes his teeth after each meal and snacks.

A 6-month-old arrives for a well-baby visit with a case of diaper rash that the parent believes is normal for infants. The parent reports changing the baby's diaper when he wakes up and before naps or bedtime. Which frequency should the nurse point out will better help heal and prevent future incidences of diaper rash? A) Every hour B) Every 1 to 2 hours C) Every 2 to 4 hours D) Every 3 to 5 hours

C) Every 2 to 4 hours

A toddler is hospitalized and the nurse wants to make the transition from home to hospital as easy as possible for him. Which action by the nurse would be most beneficial to assist the toddler in adapting to the hospital? A) Tell the child what is expected of him to help with compliance. B) Instruct the parents to allow the nurse to do everything for the child to aid in attachment. C) Follow the child's home routines as much as possible while in the hospital. D) Allow the child to dictate when and what they want to do and adhere to their requests.

C) Follow the child's home routines as much as possible while in the hospital.

The nurse is preparing a variety of projects for the pediatric clients on the unit to work on in the playroom. In deciding on projects, the nurse determines the 8-year-old will be best suited to work on which activity? A) Stack blocks in a tower B) Build a sandcastle with a water-filled moat C) Form vases from blocks of clay D) Put together a model plane

C) Form vases from blocks of clay

The nurse is caring for a toddler in the pediatric unit and notes the child is responding according to expected developmental stages. Which characteristic will the nurse predict this toddler to exhibit while in the hospital? A) Will be interested in an activity for a long period of time B) Learns new things quickly by asking questions C) Insists on doing a new skill and then asking for help D) Will go home knowing how to do more things

C) Insists on doing a new skill and then asking for help

The nurse is reviewing the diet of an 8-month-old infant with the mother who reveals she has been using evaporated milk to make the formula. Which additional ingredient should the nurse ensure she is including in the formula? A) Vitamin D B) Vitamin E C) Iron D) Calcium

C) Iron

A 15-month-old toddler is brought to the pediatrician's office for a well-child checkup and the nurse is reviewing health promotion with the family. What recommendations would the nurse make to the family to help ensure the child's health? Select all that apply. A) Begin dental examinations at age 3 to 4 years. B) Provide foods rich in calories and carbohydrates for the child. C) Keep all medications locked up and out of reach for the child. D) Turn the hot water heater temperature down to 120℉ (48.9℃). E) Never allow the child to ride in the car unless he is secured in a car seat.

C) Keep all medications locked up and out of reach for the child. D) Turn the hot water heater temperature down to 120℉ (48.9℃). E) Never allow the child to ride in the car unless he is secured in a car seat.

A nursing instructor is leading a class discussion exploring the various aspects of Erikson's theories of the developmental tasks of toddlers. The instructor determines the session is successful when the students correctly choose which task as a priority for toddlers? A) Learning to trust B) Learning to speak C) Learning to act on one's own D) Learning to understand and respond to discipline

C) Learning to act on one's own

A parent is giving the toddler a tub bath. What behavior is not recommended by healthcare personnel regarding bathing? A) Allow the toddler to have toys in the tub during bath time. B) Never leave the toddler alone in the tub at any time. C) Let the toddler take bubble baths and play in the bubbles. D) Give the toddler his bath every day at the same time.

C) Let the toddler take bubble baths and play in the bubbles.

The pediatric nurse is meeting with a group of young mothers of newborn infants who are questioning the 'soft spot' on the head and when it will close. Which fact should the nurse point out to the mothers? A) Can be expected to close between months 2 and 3 of life B) Will close and the bones hardened by the time the child is 1 year old C) May increase slightly in size the first few months of life D) Decreases in size rapidly during the first month of life

C) May increase slightly in size the first few months of life

The caregiver of a 17-year-old girl is concerned she is not getting enough nutrition since starting a lactovegetarian diet and asking for menu ideas. Which food items should the nurse point out the child is choosing not to eat based on this diet? A) Red meat and possibly poultry B) Red meat, poultry, and fish C) Meat, poultry, fish, and eggs D) Dairy products, meat, poultry, fish, and eggs

C) Meat, poultry, fish, and eggs

The nurse is monitoring a playgroup of children on the pediatric unti. The nurse predicts the school-age child will most likely be participating in which activity? A) Pretending to be mommies and daddies in the playhouse B) Playing with the plastic vacuum cleaner, pushing it around the room C) Painting pictures in the art corner of the room D) Watching a movie with other children their age

C) Painting pictures in the art corner of the room

The nurse is presenting an in-service on the types of playing that children may engage in. The nurse determines the session is successful when the attending nurses correctly choose which example as representing cooperative play? A) Playing apart from others without being part of a group. B) Playing together in an activity without organization. C) Playing in an organized group with each other. D) Playing independently and are side-by-side.

C) Playing in an organized group with each other.

The 6-year-old at a well-child office visit tells the nurse, "I can't play on teams because I am not as good at doing things as my big sister is." What suggestion should the nurse point out to the caregiver that will help increase the child's feelings of self-confidence? A) Ask the child's older siblings to compliment her more often. B) Praise the child for trying even when she can't complete the same activities as the older sibling. C) Set up some play dates that include projects or activities in which the child can be successful. D) Start a rock collection with the child to show her that she can have fun doing activities that don't involve other children.

C) Set up some play dates that include projects or activities in which the child can be successful.

The nurse is presenting nutritional information at a community health fair. Which suggestion should the nurse prioritize when illustrating proper nutrition for preschoolers? A) Need three big meals a day due to rapid growth B) Need extra calcium for proper muscle growth C) Snacks throughout the day help the child meet nutritional requirements D) Should drink at least 4 cups of milk each day

C) Snacks throughout the day help the child meet nutritional requirements

The nurse is meeting with a group of older siblings of infants to discuss various aspects of infant care. Which instruction should the nurse prioritize with this group? A) The infant should be dressed more warmly than older children and caregivers. B) The infant should wear hard-soled shoes in order to protect their feet from injury. C) The infant sleeps 10 to 12 hours at night and can take two to three naps during the day. D) The infant should be sound asleep before being put into the crib for sleeping.

C) The infant sleeps 10 to 12 hours at night and can take two to three naps during the day.

The nursing instructor is conducting a class discussion exploring the normal dentition progression of the school-aged child. The instructor determines the session is successful when the students correctly choose which factor as most likely occurring in 10-year-olds? A) All four central incisors have erupted. B) The child has only six permanent teeth. C) Two of the cuspid teeth have erupted. D) There are eight molars.

C) Two of the cuspid teeth have erupted.

A new mother reports that she is exhausted and that the little sleep she gets is determined by her baby. Which suggestion should the nurse prioritize to help the mother establish healthy sleeping patterns in her infant? A) Put the baby to bed at various times of the evening. B) Let the baby cry during the night and she will eventually fall back to sleep. C) Use the crib for sleeping only, not for play activities. D) Wake the baby from afternoon naps after 1 hour to ensure she is sleepy by nighttime.

C) Use the crib for sleeping only, not for play activities.

The nursing students working with a group of 8-year-olds have determined they will illustrate the concept of conservation of weight. Which activity would best help these children grasp this concept? A) Weighing and measuring each child and comparing the number of pounds to the number of inches for each person B) Using a balance scale to weigh a variety of objects and counting how many pennies must be used to balance the scales C) Weighing a pound of oranges and a pound of bricks and counting how many of each make a pound D) Measuring the weight of a handful of popcorn and then the weight of a handful of pennies

C) Weighing a pound of oranges and a pound of bricks and counting how many of each make a pound

When collecting data on a preschool-aged child during a well-child visit, the nurse discovers the child has gained 12 lb (5.4 kg) and grown 2.5 inches (6.3 cm) in the last year. The nurse interprets these findings to indicate which situation? A) Weight and height are within expected patterns of growth. B) Weight falls within an expected range and height is less than what would be expected. C) Weight is above an expected range and height is within an expected range. D) Weight is below an expected range and height is above an expected range.

C) Weight is above an expected range and height is within an expected range.

The nurse is assessing an adolescent in the clinic at a routine well-visit. Which question should the nurse prioritize to encourage the adolescent to share detailed information? A) "Do you like members of the opposite sex?" B) "Do you go out on dates frequently?" C) "Are you sexually active?" D) "Do you have oral, anal, or vaginal sex?"

D) "Do you have oral, anal, or vaginal sex?"

The pediatric nurse is meeting with a group of preschoolers' family members to discuss various health topics. The nurse determines the sexual development session is successful after overhearing which comment by one of the participants? A) "When I find my son masturbating, I will tell him that is unacceptable." B) "I will tell my daughter that she will have time to explore her body as she gets older." C) "I will encourage my son to ask his father any questions that are sexual in nature." D) "I feel better knowing that her curiosity is normal."

D) "I feel better knowing that her curiosity is normal."

During a well-child visit, the caregiver expresses concern that the 3-year-old child often stutters when speaking. Which response should the nurse prioritize to best assist this family? A) "Stuttering is common in young children because they are not physically capable of forming all the sounds." B) "Stuttering is usually indicative of a hearing loss." C) "Difficulties with speaking generally indicate that the adults in the child's life are not reading to the child enough." D) "Children of this age may stutter while they search for just the right word."

D) "Children of this age may stutter while they search for just the right word."

The mother of a 6-year-old is asking the nurse how to handle the child's lying and fabricated stories when confronted with questionable actions. Which response would be most appropriate by the nurse? A) "Your child could be in serious trouble in school if he continues to tell lies." B) "The child should have privileges taken away for several days each time he tells a lie." C) "Is there any possibility he is telling the truth and you just don't know it is the truth?" D) "Children this age sometimes can't distinguish between fantasy and reality."

D) "Children this age sometimes can't distinguish between fantasy and reality."

The mother of an 8-month-old infant appears frustrated and shares with the nurse she can't leave the room without her baby crying. Which is the best response from the nurse to help this mother? A) "He knows you are in the next room and he is attempting to get your attention." B) "By ignoring his crying you will help him develop patience." C) "It is important for him to be with you, so you should take him with you." D) "If he cannot see you he thinks you are gone and that is frightening."

D) "If he cannot see you he thinks you are gone and that is frightening."

A mother calls the pediatrician's office upset because her toddler has begun acting out now that the new baby is home. He wants to have a bottle like the newborn and has begun to have accidents in his pants. Which statement by the nurse would best address this problem? A) "Often, the first child is jealous of the new baby. Just ignore his acting out and he will stop." B) "You need to scold him for wetting his pants and have him change his underwear himself." C) "Offer to let him drink some formula in a cup. He will see that being a baby is not so much fun. " D) "Set aside time to spend one-on-one with your older child and make him understand that he is still loved and very special."

D) "Set aside time to spend one-on-one with your older child and make him understand that he is still loved and very special."

A frustrated mother with a 9-month-old baby comes to the clinic because her son is refusing all solid food. When talking with this mother, the nurse discovers the mother has struggled with a weight problem all her life, which she attributes to being forced to eat even when she was full. Not wanting to treat her child the same way, each time her son pushes food away with his tongue she believes that he doesn't want it. Which statement would be most appropriate for the nurse to say to this mother? A) "The baby might be allergic to the particular foods you offered, so try different kinds of food." B) "Because your baby is a fussy eater, have more than one food available at each feeding so he can choose a food he likes." C) "The baby might not be ready for solid food, so wait a month or so and try again." D) "The baby needs to learn how to swallow, so catch the food and offer it again until the baby learns this."

D) "The baby needs to learn how to swallow, so catch the food and offer it again until the baby learns this."

The nurse is assessing a 16-year-old girl at an annual well-clinic visit and notes the girl started menses at 13 years of age and grew 1 inch (2.5 cm) over the past year. When questioned by the young lady if this is normal, which answer should the nurse prioritize? A)"Your height is less than expected." B) "You're taller than what would be expected." C) "Your weight is more revealing than your height." D) "You're following expected patterns of growth."

D) "You're following expected patterns of growth."

The nurse is conducting an assessment on a 1-year-old healthy child and commends the parents for maintaining routine visits. When questioned by the parents as to the recommended schedule for future visits, which schedule should the nurse recommend? A) Quarterly until year 2, then every 6 months until the child enters school B) At 15 months, 18 months, then every 6 months until the child enters school C) At 15 months, 24 months, then annually until the child enters school D) At 15 months and at least annually thereafter

D) At 15 months and at least annually thereafter

The nurse is preparing to teach a class to a group of young parents with infants the basics of introducing solid foods into the diet. Which factor about the food should the nurse point out the infants respond to best when introducing solid foods into the diet? A) Well heated B) Thickened C) An interesting texture D) Bland

D) Bland

The nurse is meeting with a group of young parents to discuss nutrition and their preschooler. Which response should the nurse prioritize when asked if using desserts as a reward for good behavior is an appropriate idea? A) Child may only behave on days when dessert is something that is liked B) Will learn to choose sweets over nutritious food C) Will result in the child being overweight D) Can use food to manipulate others' behavior

D) Can use food to manipulate others' behavior

The nurse in an emergency department is assessing a 17-year-old girl who is complaining of a gap in her memory of the previous night. She reports after drinking only one drink that she felt dizzy and disoriented. She woke up in a friend's bed but has no recollection of getting there. What action should the nurse prioritize for this client? A) Call Social Services to counsel her about blackouts related to alcohol abuse. B) Call Neurology so they can see her to rule out a neurological impairment. C) Have the client call her caregivers to get their permission to treat and counsel her. D) Complete a rape kit to rule out possible sexual abuse while she was blacked out.

D) Complete a rape kit to rule out possible sexual abuse while she was blacked out.

The school nurse is presenting information to a group of high school students who are asking about vegetarian diets? Which foods will the nurse point out are not eaten when following the vegan diet? A) Red meat and possibly poultry B) Red meat, poultry and fish C) Meat, poultry, fish and eggs D) Dairy products, meat, poultry, fish, and eggs

D) Dairy products, meat, poultry, fish, and eggs

The pediatric nurse is careful to monitor and assess the growth and development of all clients. Which characteristic should the nurse prepare to assess in the infants? A) Has an increased attention span and can be interested in an activity for a long length of time. B) Takes in new information at a rapid rate and asks "why" and "how". C) Insists they can "do it" and the next moment they revert to being dependent. D) Grows and develops skills more rapidly than at any other time in their life.

D) Grows and develops skills more rapidly than at any other time in their life.

The nurse notes a school-aged child in the pediatric unit playroom is busy sorting through the Legos and putting them in certain groupings. The nurse determines this child is illustrating which developmental concept? A) Conservation of numbers B) Decentration C) Reversibility D) Hierarchical arrangement

D) Hierarchical arrangement

The nursing instructor is illustrating the various types of play. The instructor determines the class is successful when the students correctly choose which example as best representing onlooker play? A) Playing apart from others without being part of a group B) Acting out a troubling situation C) Playing in an organized group with each other D) Observing without participating

D) Observing without participating

The nurse is presenting an in-service training to a group of pediatric nurses on the topic of play. The nurse determines the session is successful when the group correctly chooses which example as best displaying toddlers playing? A) Playing apart from others without being part of a group B) Playing together in an activity without organization C) Playing in an organized group with each other D) Playing independently and are side by side

D) Playing independently and are side by side

The school nurse is preparing for a career fair at the local high school. Which factor should the nurse point out when presenting various medical career options to the students? A) The adolescent should seriously consider the parents' choice for the best career. B) The career choices may be limited after high school depending on location. C) Many individuals have already chosen what they want to do. D) The individual's sex no longer decides which career options are available.

D) The individual's sex no longer decides which career options are available.

The father of a 15-year-old daughter is concerned she is not getting adequate nutrition to play high school basketball. Her games are on Friday nights. Which suggestion should the nurse point out will best suit the needs of this adolescent? A) Pasta with a small amount of meat sauce and two slices of bread for dinner on Wednesday and Thursday evenings and again at 2 p.m. on Friday. B) Boiled eggs with bacon or ham and a glass of orange juice for breakfast on Thursday and Friday mornings along with some sliced turkey and a salad at noon on Friday. C) Three daily meals that include choices from each of the food groups with an additional serving of fruit and several extra glasses of water on Friday. D) Three daily meals that include choices from each of the food groups; Friday's lunch eaten around 2 p.m. with a small amount of fat and a somewhat larger than usual portion of complex carbohydrates.

D) Three daily meals that include choices from each of the food groups; Friday's lunch eaten around 2 p.m. with a small amount of fat and a somewhat larger than usual portion of complex carbohydrates.

A 7-year-old seen in the clinic for a routine well-child visit is noted on assessment to have gained 5 lb (2.26 kg) and grew 5 in (12.70 cm) over the past year. The nurse determines this child is within which parameters? A) Weight and height are within expected patterns of growth. B) Weight is within expected range and height is less than expected. C) Weight is above expected range and the height is within an expected range. D) Weight is within expected range and height is above expected range.

D) Weight is within expected range and height is above expected range.