FINAL COACHING - PEDIA

A child has diagnosed with a urinary tract infection. Which statement about appropriate dietary choices should be given to the parents? A. The child should drink adequate amounts of water and juices B. Carbonated and caffeinated beverages are recommended C. Citrus juices are highly effective in eliminating urinary tract infection D. No special recommendations should be made

A. The child should drink adequate amounts of water and juices

When teaching a parents' class, the nurse explains that medication and household cleaning products should be kept out of the reach of the pre - school because: A. They have high level of curiosity B. Their sense of taste is developing at this time C. Their appetite is greater to support rapid growth D. They rebel against parental authority during this phase

A. They have high level of curiosity

A nursing instructor ask the nursing students to present a clinical conference to peer regarding Freud's psychosexual stages of development, specifically anal stage. The student plans the conference, knowing that which of the following most appropriately relates to this stage of development. A. This stage is associated with toilet training B. This stage is associated with pleasurable and conflicting feelings about the genital organ C. This characterized by a tapering off of conscious biological and sexual urges D. The stage is characterized by gratification of self.

A. This stage is associated with toilet training

The nurse is aware that the theorist behind psychosocial theory is which of the following? A. Freud B. Erikson C. Piaget D. Kohlberg

B. Erikson

Ms. N. tells you that she found her 5-yr old daughter and her male cousin of the same age inspecting each other's private areas. What interpretation of this behavior would give to Ms. N? A. The child should be punished so this behavior won't happen again. B. Your daughter need counseling. C. Sexual curiosity is quite normal during this stage. D. Children are quite curious. Give them lots of opportunities to explore each other.

C. Sexual curiosity is quite normal during this stage.

What is the process involved when the child cannot learns to control his knees until his buttocks are strong enough A. Proximodistal B. Cephalocaudal C. Simple to complex D. Interdependent

B. Cephalocaudal

Which of these assessments of a child with a cast for correction of a clubfoot needs to be reported? A. Cast has not dried in 2 hours B. Color change and cool skin proximal C. Moves toes and capillary refill is <3 seconds D. Rough edges on the cast

B. Color change and cool skin proximal

On average, the adolescent growth spurt begins A. Earlier for boys than for girls B. Earlier for girls than for boys C. At approximately the same time for both sexes D. Between the seventh and eighth years

B. Earlier for girls than for boys

When performing a postoperative assessment on an infant with surgical correction of a myelomeningocele, the nurse observes bulging anterior fontanel and increased head size. Based on these findings the nurse knows the infant is at imminent risk for developing. A. Encephalitis B. Hydrocephalus C. Meningitis D. Fluid overload

B. Hydrocephalus

Piaget describes the main characteristic of the 2 to 7-year-old child's intellectual development as egocentric. This means: A. Stubbornness B. Inability to see another's point of view C. Sharing toys D. Preferring to play and assume responsibilities by oneself

B. Inability to see another's point of view

The nurse explained to the mother that according to Erikson's framework of psychosocial development, play as a vehicle of development can help the school-age develop a sense of A. Initiative B. Industry C. Identity D. Intimacy

B. Industry

The mother of a newly diagnosed diabetic asks why insulin needs to be injected. The nurse responds that the child cannot take oral insulin because it A. Is not tolerated well in oral form by children B. Is not available in pill form C. Is destroyed by digestive enzymes D. Will cause gastric ulcers

C. Is destroyed by digestive enzymes

A preschool-age client needs a central line dressing change. The most appropriate technique to use to explain this procedure is to: A. Show a picture of the procedure in a book B. Explain the procedure with few words C. Let the child perform a dressing change on a doll D. Explain the procedure to the child's mother as the child listens

C. Let the child perform a dressing change on a doll

The nurse assigned to the nursery understands the importance of keeping the newborn swaddled in a warm blanket to prevent heat loss because: A. Chilling leads to increased heat production and greater oxygen needs. B. The newborn's metabolic rate is decreased C. Evaporation will affect the newborn's ability to feed D. The newborn will sleep more comfortably.

A. Chilling leads to increased heat production and greater oxygen needs.

A 14-year-old child must have the capacity for self-awareness to A. Develop identity B. Eliminate fear of the dark C. Maintain self-control D. Focus on more than one dimension of an object

A. Develop identity

Preschool children role play. This is an important part of socialization because it: A. Encourages expression B. Help children think about careers C. Teaches children about stereotypes D. Provides guidelines for adult behavior

A. Encourages expression

To meet the major developmental need of a 4 month old infant in the immediate postoperative period the nurse should: A. Give the infant a pacifier B. Put a mobile over the infant's crib C. Provide the infant with a soft cuddly toy D. Warm the infant's formula before feeding

A. Give the infant a pacifier

A 7-year-old sibling of a child with special needs is acting out in school. This behavior has been attributed to jealousy over the attention the special needs child receives. The school nurse should suggest to the parents that the sibling should: A. Have a special time or activity with each parent alone. B. Be dealt with using behavior modifications. C. Be asked to participate in the care of the special needs child to understand why the child needs more attention. D. Be evaluated by a psychologist to rule out any mental illness.

A. Have a special time or activity with each parent alone.

Which action would show an infant has developed object permanence? A. He looks for a Cheerio that falls off his highchair tray. B. He cries when he is either hungry or lonely. C. He prefers a large yellow ball to a small red one. D. He smiles when the mobile on his crib jingles.

A. He looks for a Cheerio that falls off his highchair tray.

Besides adolescents, children in which of the following age groups experience the most rapid growth? A. Infancy B. Toddler stage C. Preschool age D. School age

A. Infancy

In terms of preventive teaching for the parents of a 1 year old, the nurse should speak to them about: A. Aspiration B. Toilet training C. Adequate nutrition D. Sexual development

A. Aspiration

Which of the following assessment questions and instructions used by the nurse would give information regarding relationship issues of the child? A. "Describe your infant's temperament to me." B. "What does your toddler like to do at school?" C. "Tell me about your child's after school activities." D. "How does your infant comfort himself?"

A. "Describe your infant's temperament to me."

The nurse is providing discharge teaching a 20-year-old who has had her first male child. Which statement by the mother demonstrates that she understands the discharge teaching regarding his circumcision? A. "I will observe the whitish-yellow drainage on his penis but I will not remove it." B. "I will bring him back to the clinic in 3 days to have the drainage removed." C. "I will use antibiotic ointment on his penis with every diaper change." D. "I will rub the area briskly with a washcloth to remove the discharge."

A. "I will observe the whitish-yellow drainage on his penis but I will not remove it."

The father of a 9-month-old infant tells the nurse that his wife picks up the baby immediately whenever she begins to cry. The most appropriate response by the nurse is: A. "It is important for the child to learn to comfort herself. Does the baby try to calm herself by sucking her thumb?" B. "It is OK to pick her up often; eventually, she will stop crying." C. "Most infants do not know how to calm themselves. It is important to be responsive when they cry." D. "At 9 months, she is too young to learn to calm herself. Wait until she is 2 years old before letting her cry longer."

A. "It is important for the child to learn to comfort herself. Does the baby try to calm herself by sucking her thumb?"

Negativism demonstrated by toddlers is frequently an expression of A. A quest for autonomy B. Hyperactivity C. Separation anxiety D. Sibling rivalry

A. A quest for autonomy

The nursing assessment of a 4-year-old child reveals a rounded chest, with the anterior diameter approximately equal to the lateral diameter. The most appropriate interpretation of this finding is: A. Abnormal, and could indicate a chronic obstructive lung condition. B. Abnormal, and pectus carinatum might be present. C. Normal, and no cause for concern. D. Abnormal, and pectus excavatum could be present.

A. Abnormal, and could indicate a chronic obstructive lung condition.

The nurse palpates the anterior fontanel of a 12-month-old infant. Identify the area where the nurse is palpating. A. Anterior fontanel B. Posterior fontanel C. Suture lines D. Lambdoid Suture

A. Anterior fontanel

The nurse reviews the assessment of a 10-year-old child and notes that the child has an abnormal Romberg's sign. What is the most appropriate nursing action based on this abnormal assessment finding? A. Instruct the child to get help when getting out of bed. B. Speak when entering the room. C. Explain the placement of food on the child's plate. D. Place the child in restraints.

A. Instruct the child to get help when getting out of bed.

An infant is experiencing uncontrolled vomiting. Based on this finding, the nurse would expect which acid-base imbalance? A. Metabolic alkalosis B. Metabolic acidosis C. Respiratory alkalosis D. Respiratory acidosis

A. Metabolic alkalosis

A 10-pound newborn of a diabetic mother is admitted to the intensive care unit because of the hypoglycemia. His mother is concerned that he will diabetes. The most appropriate response by the nurse is that the baby will: A. Not have any long-term consequences because of his mother's diabetes. B. Not be at risk for diabetes until he reaches puberty. C. Have to follow a diabetic diet to avoid complications D. Need to be monitored closely during his childhood years.

A. Not have any long-term consequences because of his mother's diabetes.

The clinical nurse observes that a 3-day-old baby girl is jaundiced. A bilirubin level is determined, and it is 11.4 mg/dl. What cause the bilirubin level A. Physiological jaundice B. Hemolytic disease C. Erythroblastosis fetalis. D. Sepsis.

A. Physiological jaundice

The nurse is aware that the play of a 5 month-old infant is in the oral stage. The nurse knows that this behavior most likely to consist of: A. Picking up a rattle or toy and putting it into the mouth B. Exploratory searching when a cuddly toy is hidden from view C. Simultaneously kicking the legs and batting the hands in the air D. Waving and clenching fits and dropping toys placed in the hands

A. Picking up a rattle or toy and putting it into the mouth

The nurse is aware that an appropriate toy for a 3 month old infant during hospitalization would be: A. Rattles B. Tricycle C. Ten piece puzzle D. Wagon

A. Rattles

The nurse observes parents playing with their 10 month old daughter. Which behavior indicates that the infant is developing object permanence? A. She looks for the toy that her parents hid under the blanket B. She returns the play blocks to the same spot on the table C. She recognizes that a ball of clay is the same object even when it's flattened out. D. She bangs two cubes in her hands and throws them to the floor

A. She looks for the toy that her parents hid under the blanket

When ordering a regular diet for a young toddler the nurse should choose foods such as: A. Spaghetti and bread B. Corn dog and French fries C. Hamburger with bun and grapes D. Hot dog with bun and potato chips

A. Spaghetti and bread

A nursing instructor asks the students to describe the formal operation stage. The most appropriate response would be A. The child has the ability to think abstractly B. The child develops logical thought pattern C. The child has difficulty separating fantasy from reality D. The child begins to understand the environment

A. The child has the ability to think abstractly

During physical assessment of a newborn, which of the following comparative measurements would necessitate additional investigation? A. Head circumference 34 cm; chest circumference 31 cm B. Head circumference 31 cm; chest circumference 33 cm C. Head circumference 34.5 cm; chest circumference 32 cm D. Head circumference 32 cm; chest circumference 30 cm

B. Head circumference 31 cm; chest circumference 33 cm

A child with leukemia complains of fatigue. The nurse assesses the skin color as pallor. Considering the child's diagnosis, which of the following data explain these findings? A. Cerebrospinal fluid with elevated white cells B. Hemoglobin of 8 g/dl C. Platelet count of 150,000/mm3 D. Sodium level of 130

B. Hemoglobin of 8 g/dl

Following a tonsillectomy, a child grows increasingly restless. The nurse assesses the child to find a pulse rate of 120 and frequent swallowing. Based o n this findings, the nurse should suspect the client has which of these conditions? A. Airway obstruction B. Hemorrhage C. Infection D. Usual signs following this surgery

B. Hemorrhage

A preschooler is admitted to the hospital with moderate burns sustained in a house fire. He has sustained partial-thickness burns over 20% of his body surface area, including his hands and feet. Because of the client's condition, which of these nursing diagnoses should receive priority on admission to the hospital unit? A. Altered parenting B. Fluid volume deficit C. Knowledge deficit D. Self-esteem disturbance

B. Fluid volume deficit

A mother of newly diagnosed diabetic is receiving nutritional counseling. Which of these statements by the mother indicates the need for further teaching? A. "Calories and nutrient proportions have to be consistent on a daily basis." B. "Chocolate milk with meals is accepted." C. "Meals and snacks must be eaten at the same time each day." D. "Cola may be exchanged for fruit juice."

B. "Chocolate milk with meals is accepted."

The newborn's mother is concerned about the shape of the baby's head after delivery. She states that it looks like a "cone head." The most appropriate response by the nurse is: A. "You don't need to worry about it. It is perfectly normal after birth." B. "It is molding caused by the pressure during birth and will disappear in a few days." C. "I will report it to the physician, and he will order a diagnostic scan." D. "It is a collection of blood related to the trauma of delivery and will absorb in a few weeks."

B. "It is molding caused by the pressure during birth and will disappear in a few days."

When asked about spanking as a disciplinary technique, the nurse's best response would be: A. "It really depends on the child's age." B. "It is strongly suggestive of negative role modeling." C. "This may be the only option when no other technique works." D. "Research studies have shown it to be an effective disciplinary technique."

B. "It is strongly suggestive of negative role modeling."

The father of a 2½ - year-old asks the nurse how to prevent early-childhood dental cavities. The best response by the nurse would be: A. "Your child has only baby teeth; they will eventually fall out, and so there is no need to worry." B. "Make sure your child's diet is nutritious, and limit snacks high in sugar." C. "Take the child to the dentist to see if he has any cavities." D. "Let the child watch you brush your teeth so that he can learn how to do it himself."

B. "Make sure your child's diet is nutritious, and limit snacks high in sugar."

A 2-year-old with epilepsy is showing signs of developmental delay. The nurse has been working with the family to support development. The response from the parents that indicates the need for further teaching is: A. "He has a schedule by which we abide at all times." B. "We make sure he is always in a playpen or enclosed area when he plays." C. "He has temper tantrums all the time. We stay near, but don't give in to what he gets mad about." D. "He gets his Depakote every day at the same time. He hasn't shown signs of a seizure since he was 6 months old."

B. "We make sure he is always in a playpen or enclosed area when he plays."

An adolescent client has just had surgery and has a dressing on the abdomen. Which of the following questions would the nurse expect the client to ask initially? A. "Did the surgery go okay?" B. "Will I have a large scar?" C. "What complication can I expect?" D. "When can I return to school?"

B. "Will I have a large scar?"

A 6 month old infant is admitted with a diagnosis of failure to thrive. The birth weight was 7 pounds. Based on growth and development chart, the nurse should expect an infant at 6 months to weigh approximately: A. 10 pounds B. 14 pounds C. 18 pounds D. 21 pounds

B. 14 pounds

A term neonate weighs 7 ½ pounds at birth. When he's 1 year old, approximately how much should he weigh? A. 36 lb B. 22 lb C. 28 lb D. 32 lb

B. 22 lb

Most schools include curricula regarding human sexuality. What is the most appropriate age group for the nurse to include in her instruction? A. 12-year-olds B. 9-year-olds C. 11-year-olds D. 15-year-olds

B. 9-year-olds

The nurse is preparing to assess an infant under the age of 6 months. The infant is quiet and awake, sucking on a pacifier. The nurse should start with: A. An otoscopic exam. B. A lung, heart, and abdomen exam. C. An oral exam. D. An exam for hip dysplasia.

B. A lung, heart, and abdomen exam.

The mother of a 5 year old asks, "When do the deciduous teeth usually begin to fall out?" Which of the following is the nurse's most appropriate response? A. Age 5 years B. Age 6 years C. Age 7 years D. Age 8 years

B. Age 6 years

The nurse inquires about the activity level of a 3-year-old. The mother states that the child loves to play at the park, and that they go there as much as possible. The nurse encourages the mother to continue to take the child to the park for play. What important principle is guiding the nurse's response? A. Socialization with other toddlers helps develop communication skills. B. Allowing the toddler to walk, run, and hop enhances the child's kinaesthesia. C. Maternal bonding is enhanced through play. D. Only an emotionally happy child can enjoy the park.

B. Allowing the toddler to walk, run, and hop enhances the child's kinaesthesia.

Popcorn and nuts should not be given to a toddler primarily because they A. Will spoil the child's appetite B. Are easily aspirates C. Have very little food value D. Can cause tooth decay

B. Are easily aspirates

A mother asks when to take her 2 year old to the dentist. For dental prophylaxis, the nurse encourages her to take the child: A. Before starting school B. Between 2 to 3 years old C. When the child begins to lose deciduous teeth D. The next time another family member goes to the dentist

B. Between 2 to 3 years old

The nurse is responsible for documenting the first meconium stool the newborn passes. If the newborn does not have stool in the first 24 to 48 hours of life, the nurse should first: A. Insert a rectal thermometer to facilitate the process B. Inspect the anal area for an opening C. Monitor the vital signs for a rise in temperature D. Increase oral feeding to stimulate passage of stool

B. Inspect the anal area for an opening

A 12-year-old hemophiliac client has been admitted to the medical center for an acute episode of hemarthrosis. Which of these expected outcomes should receive priority in the client's care? A. Family will receive genetic counseling B. Maximum function of the joint will be restored C. Child and family will seek support from National Hemophilia Foundation D. Child will participate in appropriate activities for present condition

B. Maximum function of the joint will be restored

The nurse needs to obtain the height of a 3-year-old as part of routine health screening. To obtain an accurate measurement, the child will: A. Be measured in a recumbent position. B. Remove his shoes and stand upright, with head level. C. Stand with his feet wide apart. D. Face the wall as he is measured.

B. Remove his shoes and stand upright, with head level.

Which statement best describes the problem of regulation of body temperature in a 3-pound premature infant? A. The surface area of the premature infant is relatively smaller than that of a healthy term infant. B. There is a lack of subcutaneous fat, which furnishes insulation. C. There are frequent episodes of diaphoresis causing loss of body heat. D. There is limited ability to produce body proteins.

B. There is a lack of subcutaneous fat, which furnishes insulation.

A 5-year-old boy believes that there are "bogeymen and monsters" in his bedroom at night. What advice can the nurse give to Eric's parent to help Eric cope with his fears? A. Let Eric sleep with his parent B. Tell Eric that bogeymen and monster do not exist C. Keep a night-light on in Eric's room D. Tell Eric that no one else sees any monsters, so he must not see them either

C. Keep a night-light on in Eric's room

Mother of a 3-year-old tells the nurse that her child has frequent nightmares. The statement by the mother that indicates the need for more teaching is: A. "I usually talk quietly and rub her back to reassure her." B. "I read her a story until she calms down." C. "I take her to my bed so she will calm down." D. "I stay with her awhile to reassure her."

C. "I take her to my bed so she will calm down."

A parent has understood the teaching for introducing solid foods to her child if she states: A. "I can start to feed rice cereal at 2 months of age." B. "I will begin with cereal, then introduce meats next." C. "I will introduce one new food at a time." D. "I will begin to wean my baby from the bottle after I start rice cereal, at 6 months of age."

C. "I will introduce one new food at a time."

The mother of a 5 year old child tells the nurse that the child scolds the floor or the table if the child hurts herself on the object. This behavior is identified as: A. Object permanence B. Egocentric speech C. Animism D. Global organization

C. Animism

The mother of an 8 year old child tells the clinic nurse that she is concerned about the child because the child seems to be more attentive to friends than anything else. The most appropriate nursing response would be which of the following A. You need to be concerned B. You need to monitor the child's behavior closely C. At this age, the child is developing his own personality D. You need to provide more praise to the child to stop this behavior

C. At this age, the child is developing his own personality

The nurse is assessing a newborn, and notes all of the findings. Which of the following nursing assessments would cause the nurse to be concerned? A. Baby enjoys sucking on a pacifier and sleeps 16 hours a day. B. Baby is nursing every 2-2½ hours and has 2 stools daily. C. Birth weight is 6 pounds, 10 ounces. Present weight is 5 pounds, 4 ounces. D. Baby is sleeping in between feedings and is not babbling

C. Birth weight is 6 pounds, 10 ounces. Present weight is 5 pounds, 4 ounces.

Which of the following statements is accurate regarding the mode of transmission for autosomal recessive disorders such as cystic fibrosis (CF)? A. Both parents must have the disease to have a child with CF B. There is a 75% chance with each pregnancy that the child will have CF C. Both parents must be carriers of the trait in order for the child to have the disease D. There is a 50% chance with each pregnancy that the child will not have CF

C. Both parents must be carriers of the trait in order for the child to have the disease

Piaget identifies that the 2- to 7-year-old child is in a preoperational stage. The nurse observes a toddler take a toy from another. The nurse recognizes the child unable to put him- or herself in the place of another is displaying: A. Concentration. B. Negativism. C. Egocentrism. D. Selfishness.

C. Egocentrism.

Which intervention is most appropriate in order to facilitate the development of trust in an infant? A. Place pictures of the child's family at the bedside. B. Play tapes of the mother's voice. C. Encourage the parents to room in and participate in care. D. Offer the infant a pacifier.

C. Encourage the parents to room in and participate in care.

A 7-year-old child complains of shakiness, hunger, and headache. Based on these findings, the school nurse should suspect the student has which of these conditions? A. Diabetic ketoacidosis B. Hyperglycemia C. Hypoglycemia D. Polyphagia

C. Hypoglycemia

By the end of the preschool period, a 6-year-old usually has mastered the developmental task of: A. Identity B. Industry C. Initiative D. Autonomy

C. Initiative

During the oedipal stage of growth and development, the child: A. Loves and hates both parents B. Loves the parent of the same sex and the parent of the opposite sex C. Loves the parent of the opposite sex and hates the parent of the same sex D. Loves the parent of the same sex and hates the parent of the opposite sex

C. Loves the parent of the opposite sex and hates the parent of the same sex

Which of the following would the nurse identify as the underlying rationale for a 4 year old who tells the nurse that her doll is in the hospital because it was bad. A. Egocentrism B. Past experience C. Magical thinking D. Decentering

C. Magical thinking

An intravenous infusion is started on a child with severe burns. The nurse should assess for signs of fluid overload, which include A. Depressed anterior fontanel B. Increased abdominal circumference C. Moist rales in lung fields D. Tea-colored urine

C. Moist rales in lung fields

When the child is about 9 months of age, he will be expected to be able to play peek-a-boo. Which critical event of the sensorimotor phase of cognitive development does this demonstrate? A. Egocentrism B. Use of symbols C. Object permanence D. Separation of self from environment

C. Object permanence

A preschool who has been burned exhibits a decreased interest in eating. Which of the following measures should the nurse take to increase the child's intake? A. Ask the mother to feed the child B. Eliminate the snacks C. Offer smaller and more frequent feedings D. Withhold dessert until the meal is eaten

C. Offer smaller and more frequent feedings

Following surgical correction for Tetralogy of Fallot, which of these goals should receive priority in a child's care? A. Adequate sleep and rest periods provided B. Adequate nutrition C. Pain management D. Prevention of vascular complications

C. Pain management

During a routine developmental screening, the nurse is concerned about the development of a 5-year-old. Which of the following would be recommended? A. Refer the child to a social worker. B. Tell the parent to take the child to a physical therapist. C. Refer the child to a trained specialist to administer developmental testing. D. Tell the mother that the child should be retested in a year.

C. Refer the child to a trained specialist to administer developmental testing.

Which of the following statements about causes of accidents during the school-age years is inaccurate? A. School-age children are more active and become more adventurous and daring B. School-age children are more susceptible to hazards in the home environment C. School-age children are the age group commonly aspirated D.. School-age children are less subject to parental control over their behavior

C. School-age children are the age group commonly aspirated

If the school-age child has an unsuccessful resolution of the psychosocial crisis according to Erikson, which of the following may result? A. Trust-fear conflict and general difficulties relating to people B. Independence-fear conflict and severe feelings of self-doubt C. Sense of inferiority and difficulty learning and working D. Aggression-fear conflict and feelings of inadequacy or guilt

C. Sense of inferiority and difficulty learning and working

A 2 year old boy, is admitted to the hospital for further evaluation, is standing in his crib crying. The child refuses to be comforted and calls for his mother. As the nurse approaches the crib to provide morning care the child screams louder. The nurse, recognizing that the behavior is typical of the stage of protest, decides to: A. Pick him up and carry him around the room B. Fill the basin with water and proceed to bathe him C. Sit by his crib and bathe him later when his anxiety decreases D. Skip the bath because the child is upset and does not really need a bath

C. Sit by his crib and bathe him later when his anxiety decreases

While in the recovery room, the best immediate postoperative position for an infant who has had a cleft lip repair is: A. Prone with the head turned to one side. B. Left Sims' position C. Supine with the head turned to the side. D. Trendelenburg's position to facilitate drainage

C. Supine with the head turned to the side.

The mother of a 4 year old child calls the clinic nurse and expresses concern because the child has been masturbating. The most appropriate response by the nurse is which of the following? A. The child is very young to begin this behavior and should be brought to the clinic B. This is not normal behavior, and the child should be seen by the physician C. This is a normal behavior at this age D. Children usually begin this behavior at 8y.o.

C. This is a normal behavior at this age

A mother tells the nurse that her 22 - month old child says "no" to everything. When scolded, the toddler becomes angry and starts crying loudly but then immediately wants to be held. What is the best interpretation of this behavior? A. The toddler isn't effectively coping with the stress B. The toddler's need for attention isn't being met C. This is a normal behavior for a 2 - year old child D. This behavior suggests a need for counseling

C. This is a normal behavior for a 2 - year old child

A nurse is assessing a newborn. What is the most accurate way for the nurse to assess the newborn's respiratory rate? A. Place a hand on the newborn's chest and count the rate for 30 seconds. B. Use the stethoscope and count the rate for 15 seconds. C. Use the stethoscope or place a hand on the newborn's abdomen, and count the rate for one minute. D. Place a hand on the newborn's back and count for 30 seconds.

C. Use the stethoscope or place a hand on the newborn's abdomen, and count the rate for one minute.

A new mother asks the nurse whether breastfeeding is better than formula for her newborn. Which response by the nurse is most appropriate? A. "It often is easier to breastfeed, because you do not have to prepare bottles." B. "Breastfeeding is best for your baby; of course you should choose this." C. "There are no advantages to breastfeeding. You should do what is best for you." D. "There are many benefits to breastfeeding; let me tell you more about it."

D. "There are many benefits to breastfeeding; let me tell you more about it."

The mother of a trainable adolescent with Down syndrome states to the school nurse, "I don't know what's going to happen to my child when I die. How will he take care of himself?" What is the nurse's best response? A. "There will always be somebody to take care of him. Don't worry, everything will be okay." B. "Is there a relative who can take care of him if something happens? You need to develop a plan for the future." C. "I am sure there is something we can do. Let me look into alternative care and see what kind of insurance you have." D. "We do have a program that will assist with vocational learning. I need to get your consent first; then, we can look at alternatives."

D. "We do have a program that will assist with vocational learning. I need to get your consent first; then, we can look at alternatives."

The nurse is aware that Freud's phallic stage of psychosexual development, which compares with Erikson's psychosocial phase of initiative vs. guilt, is best seen at: A. Adolescent B. 6 to 12 years C. Birth to 1 year D. 3 to 5 ½ years

D. 3 to 5 ½ years

The nurse would identify which situation as an indication for the administration of RhoGAM? A. A woman who has been Rh-sensitized in the past two pregnancies. B. An infant with increased hemolysis of red blood cells because of ABO incompatibility C. An infant with an increase in serum bilirubin levels as a result of the presence of Rh factor antibodies. D. A primigravida who is Rh negative is pregnant with an infant who is Rh positive.

D. A primigravida who is Rh negative is pregnant with an infant who is Rh positive.

The nurse plans to talk to a mother about toilet training a toddler, knowing that the most important factor in the process of toilet training is the: A. Child's desire to be dry B. Ability of the child to sit still C. Child's willingness to work at it D. Approach and attitude of the parent

D. Approach and attitude of the parent

A 6 year old is brought to the pediatric clinic for a routine visit. When assessing the child's relationship with other children, the nurse would expect to observe: A. Solitary play B. Parallel play C. Initiative play D. Cooperative play

D. Cooperative play

Sally, age 12 months, weighs 21 pounds. The nurse reviews the child's record and finds out that her birth weight was 7 pounds. In planning care, the nurse knows that the child: A. Has not gained the expected weight related to the birth weight. B. Must not be eating enough. C. Should be referred to Protective Services immediately for being severely underweight. D. Falls within normal weight gain related to the birth weight.

D. Falls within normal weight gain related to the birth weight.

A mother tells the nurse that each morning she offers her 24 month old son juice and he always shakes his head and says, "No." She asks the nurse what to do, because she knows the child needs fluids. The nurse suggests that the mother: A. Distract him with some food B. Be firm and hand him the glass C. Let him see that he is making her angry D. Offer him a choice of two things to drink

D. Offer him a choice of two things to drink

A 9-year-old girl has been brought to the emergency department following an automobile accident and is diagnosed with femoral fracture. Which of these goals should receive priority in the child's care? A. Adequate nutrition will be maintained B. Infection will be prevented C. Disturbance in body image will be reduced D. Pain will be reduced

D. Pain will be reduced

Practices common to school-age children include all the following except: A. Talking in code B. Starting collections C. Telling jokes D. Participating mostly in activities with both boys and girls

D. Participating mostly in activities with both boys and girls

An infant born at 28 weeks' gestation weighs 4 lb 3 oz. What does the initial nursing care of this infant include? A. Place the infant in protective isolation because of the underdeveloped immune system B. Feed him a low phenylalanine formula to increase digestion and utilization of calories. C. Provide gavage feedings every 2 hours because of an inadequate sucking and swallow reflex. D. Place the infant in a regulatory heater to maintain regulation of body temperature.

D. Place the infant in a regulatory heater to maintain regulation of body temperature.

A clinic nurse is preparing to discuss the concept of moral development with a mother. The nurse understands that according to Kohlberg's theory of moral development, in the pre-conventional level. It is thought to be motivated by which of the following: A. The parent's behavior B. Peer pressure C. Social pressure D. Punishment and reward

D. Punishment and reward

A child diagnosed with rheumatic fever is prescribed aspirin. The purpose of this medication is to A. Decrease fever B. Prevent headache C. Promote relaxation D. Reduce inflammation

D. Reduce inflammation

The adolescent's inability to develop a sense of who he is and what he can become results in a sense of which of the following? A. Shame B. Guilt C. Inferiority D. Role confusion

D. Role confusion

When performing a physical assessment on an infant with hyospadias with chordee, the nurse should expect which of the following findings? A. Bladder exposed with visible urethral opening B. Bulge in the scrotal sac C. Urethra opens on the dorsal aspect of the penis D. Urethra opens on the ventral side of the penis

D. Urethra opens on the ventral side of the penis

When teaching parents about the child's readiness for toilet training, which of the following signs should the nurse instruct them to watch for in the toddler? A. Demonstrates dryness for 4 hours B. Demonstrates inability to sit and walk C. Has a new sibling for stimulation D. Verbalizes desire to go to the bathroom

D. Verbalizes desire to go to the bathroom

Before assessing an infant for undescended testes, the nurse should plan to A. Allow the child to defecate B. Assess vital signs C. Palpate the inguinal canals D. Warm her hands and the room

D. Warm her hands and the room