Module 7 Quiz

When reviewing the medical record of a child, what would the nurse interpret as the most sensitive indicator of intellectual disability?

Language delay

The nurse assesses a child's level of consciousness, noting that the child falls asleep unless he is stimulated. The nurse documents this finding as:

Obtunded

A child with increased intracranial pressure is being treated with hyperventilation. The nurse understands the need for this treatment is based on what?

PaCO2 levels decrease, causing vasoconstriction.

A nurse is preparing a teaching session for a group of parents with children newly diagnosed with attention deficit/hyperactivity disorder (ADHD). When explaining this disorder to the parents, what would the nurse include as being involved? Select all that apply.

inattention, impulsivity, distractibility, and hyperactivity

The nurse is caring for a 3-year-old boy. The parents are concerned that he is exhibiting signs of cognitive delays. Which statement by the parents would lead the nurse to suspect autism spectrum disorder rather than possible learning disability?

"He seems to be speaking words less and less frequently."

After teaching the parents of a child with attention deficit/hyperactivity disorder about ways to control the child's behavior, the nurse determines a need for additional teaching when the parents state:

"If he misbehaves, we need to punish him instead of reward him."

The nurse is teaching the mother of a 12-year-old boy about the risk factors associated with drug and alcohol abuse. Which response by the mother indicates a need for further teaching?

"Just because his friends are experimenting does not mean that he will."

A child with attention deficit/hyperactivity disorder is prescribed long-acting methylphenidate. What information would the nurse include when teaching the child and his parents about this drug?

"Take this drug every day in the morning when you wake up."

A nurse is preparing a program for a parent group about various techniques that can be used to manage behavior. What would the nurse be least likely to include?

Focus the child's attention on the negative behavior.

A 4-year-old boy has a history of seizures and has been started on a ketogenic diet. Which food selection would be most appropriate for his lunch?

Fried eggs, bacon, and iced tea

The nurse knows that children have larger heads in relation to the body and a higher center of gravity. When developing a teaching plan for parents, the nurse includes information about an increased risk for which problem?

Head trauma

A nurse is conducting a screening program for autism in infants and children. What would the nurse identify as a warning sign?

Inability to say a single word by 16 months

The nurse is caring for a child hospitalized with Reye syndrome who is in the acute stage of the illness. The nurse would assess the child most carefully for what finding?

Indications of increased intracranial pressure

A 4-year-old boy has a febrile seizure during a well-child visit. What action would be a priority? Question 11 options:

Protecting the child from harm during the seizure

The nurse is caring for a 5-year-old. The child's mother reports that he is extremely sensitive to sounds that most people do not notice and that he prefers complete silence. She explains that the boy is resisting going to school due to the noise and commotion. Additionally, the mother states that he will only wear 100% cotton clothing with all of the tags cut out. The nurse interprets these findings as indicating which disorder or condition?

Sensory processing disorder

The nurse has developed a teaching plan for the family of a 2-year-old boy who holds his breath when he gets frustrated. What will be most important to include in this plan?

Stay close to prevent injury when he gets frustrated.

A 16-year-old boy reports to the school nurse of headaches and a stiff neck. Which sign or symptom would alert the nurse that the child may have bacterial meningitis?

Sunlight is "too bright"

The nurse is caring for an 8-year-old boy who has chronic epilepsy. What would be most important to address when teaching the child and parents about living with this condition?

Support for maintaining self-esteem because of his altered lifestyle

During a well-child visit, the nurse assesses an infant's ability to suck on a pacifier. The nurse is assessing which cranial nerve?

Trigeminal

A nurse is reviewing the medical record of an 11-year-old child with a conduct disorder. What would the nurse identify as characteristics of this disorder? Select all answers that apply.

Truancy, Arrest for arson, and Initiator of physical fights