Elimination, Nutrition & Mobility Mastery Assessment

Which statement is true regarding the importance of play for children? 1. Pretend play hampers the cognitive development of children. 2. Playing is important because it helps children to release frustration. 3. Children should be introduced to reality if they have imaginary playmates. 4. Children should completely avoid television, electronic games, and computer programs.

2

During an infant's routine visit to the pediatric clinic the nurse identifies white patches adhering to the mucosa of the infant's mouth. What is the initial action by the nurse? 1. Swabbing a patch to obtain a specimen for a culture 2. Scraping off the patches with a tongue blade or cotton swab 3. Recording the finding and continuing the physical examination 4. Telling the mother to cleanse the mouth thoroughly after each feeding

1

Which should the nurse include in the plan of care for an adolescent who is diagnosed with a chronic illness? 1. Achieving independence from family 2. Forming same-sex peer relationships 3. Learning through concrete operations 4. Developing a sense of accomplishment

1

What suggestions should the nurse give to a family to foster developmental changes in an adolescent child? Select all that apply. 1. "Start focusing on midlife material and career issues." 2. "Shift your attention to the concerns of older people." 3. "Concentrate more on strengthening your marital system." 4. "Work on letting your adolescent move in and out of the family." 5. "Work on adjusting your marital system to make space for the adolescent."

1, 2, 4

Which are clinical manifestations the nurse would anticipate when providing care to a toddler-age client who is diagnosed with acute lead poisoning? Select all that apply. 1. Emesis 2. Nausea 3. Diarrhea 4. Anorexia 5. Hypophosphatemia

1, 2, 4, 5

What is the maximum recommended length for enema tube insertion in an adolescent? Record your answer using a whole number. _____ cm

10

A high cleansing enema is prescribed for a client. What is the maximum height at which the container of fluid should be held by the nurse when administering this enema? 1. 30 cm (12 inches) 2. 37 cm (15 inches) 3. 51 cm (20 inches) 4. 66 cm (26 inches)

2

A nurse is helping an adolescent with type 1 diabetes establish a consistent meal pattern. What feedback from the adolescent indicates that further teaching is needed? 1. Weighs portion sizes for several months 2. Reads nutrition labels on prepared foods 3. Avoids complex carbohydrate substitutes 4. Limits sugar alternatives containing sorbitol

3

A nurse is caring for an infant with bacterial meningitis. The parents ask how their baby could have contracted the illness. What does the nurse consider as the most likely route of transmission to the central nervous system? 1. Genitourinary tract 2. Gastrointestinal tract 3. Skin or mucous membranes 4. Cranial apertures or sinuses

4

Which foods should the nurse include when teaching a group of school-age clients regarding appropriate nutritional intake? Select all that apply. 1. Bananas 2. Fried chicken 3. Low-fat yogurt 4. Whole-wheat dinner rolls 5. Sugary, carbonated beverages

1, 3, 4

A 9-year-old child who has successfully completed the emergency (resuscitative) phase of treatment for a severe burn injury is started on a high-protein, high-calorie diet. Which snacks should the nurse encourage between meals? Select all that apply. 1. Crackers and cheese 2. White bread and honey 3. Orange juice and cookies 4. Banana pudding and whipped cream 5. Frozen yogurt and chocolate sprinkles

1, 4, 5

During a regular checkup, a pregnant client reports constipation. Which strategies should the nurse recommend? Select all that apply. 1. Exercise regularly. 2. Take a mild laxative before breakfast. 3. Drink at least one caffeinated beverage daily. 4. Add a few tablespoons of wheat bran to cereal at breakfast. 5. Plan to have a bowel movement at the same time every day.

1, 4, 5

The mother of a boy with recently diagnosed hemophilia is pregnant with her second child. She asks the nurse what the chances are that her baby will also have hemophilia. How should the nurse respond? 1. There is a 5% chance that the baby will be affected. 2. There is a 25% chance that the baby will be affected. 3. There is a 50% chance that the baby will be affected. 4. There is a 75% chance that the baby will be affected.

2

The nurse is providing nutritional guidance to the parents of a preschool-age client. Which parental comment would prompt the nurse to provide further education? 1. "We allow our child to drink only pasteurized apple cider." 2. "We let our child sample cookie dough while making cookies." 3. "We always wash our hands well before any food preparation." 4. "We use separate utensils for food preparation and for eating."

2

When assessing the progress of a client being treated for myasthenia gravis, the nurse expects what change in muscle strength? 1 Partial improvement of muscle strength with mild exercise 2 Fluctuating weakness of muscles innervated by the cranial nerves 3 Little change regardless of the therapy initiated 4 Dramatic worsening with anticholinesterase drugs

2

Which age group does the nurse observe engaging in parallel play? 1. Infants 2. Toddlers 3. Adolescents 4. Preschoolers

2

Which gross motor skill should the nurse anticipate when assessing a 15-month-old toddler-age client during a scheduled health maintenance visit? 1. Using a cup well 2. Creeping up stairs 3. Scribbling spontaneously 4. Building a tower of two blocks

2

An adolescent client is reported to have inflammatory acne lesions. Which medication would the primary healthcare provider prescribe? 1. Tazarotene 2. Isotretinoin 3. 5% dapsone gel + adapalene 4. Erythromycin + benzoyl peroxide

3

As a nurse plans to teach a 9-year-old boy with a learning disability about his diabetes, the parents intervene and state, "That won't be necessary. With our son's learning issues, we recognize that he can't care for himself." What is the best response by the nurse? 1. "Then I will teach you what he needs to have done." 2. "He seems bright enough to me. I think he can learn this." 3. "Including your son now will help him take on more of his own care in the future." 4. "This material is not difficult. Even a slow child can learn how to care for himself."

3