Pedi test 1

The mother of a 14-year-old girl complains to the nurse that her daughter is moody, shuts herself in her room, and fights with her younger sister. Which of the following comments is most valuable to the mother?

"Calmly talk to her about your concerns."

The nurse is providing teaching about car safety to the parents of a 5-year-old girl who weighs 45 pounds. What should the nurse instruct the parents to do?

"Place her in a booster seat with lap and shoulder belts in the back seat."

During the health history, the mother of a 4-month-old child tells the nurse she is concerned that her baby is not doing what he should be at this age. What is the nurse's best response?

"Tell me what concerns you."

The mother of a 5-year-old boy calls the nurse and seeks advice on how to assist the child with the recent death of his paternal grandfather. The boy keeps asking when his grandpa is coming back. How should the nurse respond?

"This is normal; children his age do not understand the permanence of death."

The nurse is discussing vaccination for haemophilus influenza type B (Hib) with the mother of a 6-month-old child. Which of the following comments provides the most compelling evidence to get the vaccination?

"Young children are especially susceptible to these bacteria."

The nurse is providing home care for a 6-year-old girl with multiple medical challenges. Which of the following activities is part of the tertiary level of service?

Arranging for a physical therapy session

The nurse is assessing a 12-month-old boy with an English-speaking father and a Spanish-speaking mother. The boy does not say mama or dada yet. Which of the following is the priority intervention?

Asking the mother if the child uses Spanish words

The mother of a 5-year-old child with eczema is getting a checkup for her child before school starts. Which of the following will the nurse do during the visit?

Assess the compliance with treatment regimens

The nurse is promoting a healthy diet to the mother of a 2-week-old girl. Which of the following is the most effective anticipatory guidance?

Discouraging the addition of fruit juice to the diet

The nurse is functioning in the primary role to care for a 12-year-old boy with metastatic cancer in the liver. Which of the following activities is typical of advocacy?

Educating family about choices they have

The nurse is caring for a 10-year-old boy with neuroblastoma. Which of the following activities would deviate from the basic principles of case management?

Ensuring quality care regardless of the cost.

The nurse is teaching the parents of a 2-year-old girl how to deal with common toddler situations. Which is the best advice?

Have the child help clean up a bowel accident.

The nurse has determined that an 8-year-old girl is at risk for being overweight. Which of the following interventions would be a priority prior to developing the care plan?

Interviewing the parents about their eating habits

The nurse is promoting nutrition to a 13-year-old boy who is overweight. Which of the following comments should the nurse expect to include in the discussion?

Keep a food diary

A mother is concerned about her infant's spitting up. Which suggestion would be most appropriate?

Keep the baby sitting up for about 30 minutes afterwards."

The nurse is conducting a well-child assessment for a 5-year-old boy in preparation for kindergarten. The boy's grandmother is his primary caregiver because the boy's mother has suffered from depression and substance abuse issues. The nurse understands that the child is at increased risk for which developmental problem?

Lack of social and emotional readiness for school

The nurse is assessing the neck of an 8-year-old child with Down syndrome. Which of the following findings would the nurse expect during the examination?

Lax neck skin

When observing a group of preschoolers at play in the clinic waiting room, which type of play would the nurse be least likely to note?

Parallel play

The nurse is providing suggestions to a female adolescent about foods to help meet her nutritional requirements for iron. Which food would the nurse suggest as a good source of iron?

Peanut butter

The nurse is caring for a 3-year-old boy with encephalitis. Which of the following actions would demonstrate atraumatic care?

Providing EMLA prior to lumbar puncture

The nurse is preparing to assess the pulse of an 18-month-old. Which pulse would be most difficult for the nurse to palpate?

Radial

A 3-year old child is scheduled for a hearing screening. The nurse would prepare the child for screening by which method?

Conditioned play audiometry

A 3-year-old child is scheduled for a hearing screening. The nurse would prepare the child for screening by which method?

Conditioned play audiometry

After teaching a group of students about therapeutic play, the instructor determines that additional teaching is needed when the students identify which of the following as a characteristic?

Use of a highly structured format

The mother of a 4-year-old boy tells the nurse that her son occasionally wets his pants during the day. How should the nurse respond?

Tell me about the circumstances when this occurs."

Which of the following would be least effective in gaining the cooperation of a toddler during a physical examination?

Tell the child that another child the same age wasn't afraid.

The parents of 1-year-old girl, both of whom have perfect teeth, are concerned about their child getting dental caries. Which is the best advice the nurse can provide?

Tell the parents to limit eating to meal and snack times.

The nurse is caring for a 4-week-old girl and her mother. Which of the following is the most appropriate subject for anticipatory guidance?

Telling how to introduce rice cereal

The nurse is providing guidance after observing a mother interact with her negative 2--year-old boy. For which interaction will the nurse advise the mother that she is handling the negativism properly?

Telling the child firmly that we don't scream in the office

A mother has brought her 6-year-old son in for a check-up because the child is complaining of stomachaches. It is the beginning of the school year. Which of the following might the mother also mention?

The child cries before going to school

The nurse is caring for an 11-year-old girl preparing to undergo an MRI scan. Which of the following statements would best help prepare the girl for the test and decrease anxiety?

The machine makes a very loud rattle; however, headphones will help."

The nurse emphasizes that a toddler under the age of 18 months should never be spanked primarily for which reason?

There is an increased risk for physical injury in this age group.

Which of the following would be least effective in gaining the cooperation of a toddler during a physical examination

These are normal findings.

The nurse is assessing the motor skills of a 5-year-old girl. Which finding would cause the nurse to be concerned?

beginning to tie her own shoelaces

Assessment reveals that a child weighs 73 lbs and is 4 ft 1 in tall. The nurse calculates this child's body mass index as:

21.4

The nurse is caring for a 10-year-old boy with a neuroblastoma. Which of the following activities would deviate from the basic principles of case management?

Collaborating with the family throughout the care path

At which age would the nurse expect to find the beginning of object permanence?

8 months

The nurse is providing teaching about accidental poisoning to the family of a 3-year-old. The nurse understands that a child of this age is at increased risk of accidental ingestion due to which sensory alteration?

A less discriminating sense of taste

Which of the following would the nurse most likely find in a 10-year-old child in the period of concrete operational thought?

Ability to classify similar objects

The school nurse is preparing a program on sexuality and birth control for a class of 14- to 16-year-olds. Which of the following behaviors will have the most influence on how the information is presented?

Adolescents tend to take risks.

The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which of the following topics would be most appropriate?

Advising how to create a toddler-safe home

The nurse is providing anticipatory guidance to the parents of an 18-month-old girl. Which guidance will be most helpful for toilet teaching?

Advising them to use praise, not scolding

When assessing the vision of a 2-month-old, the nurse would use which of the following?

Balck and white checkerboard

During a well-child check-up, the parents of a 9-year-old boy tell the nurse that their son's friends told him that soccer is a stupid game, and now he wants to play baseball. Which comment by the nurse best explains the effects of peer groups?

Beginning questioning of parents' values

Which activity would the nurse least likely include as exemplifying the preconceptual phase of Piaget's preoperational stage?

Beginning questioning of parents' values

During a physical assessment of a 5-month-old child, the nurse observes the first tooth has just erupted and uses the opportunity to advise the mother to schedule a dental examination for her baby. Which of the following is the correct time for the dentist visit?

By the first birthday

When integrating the principles of the family-centered care, the nurse would include which of the following?

Childbirth results in changes in relationships

When integrating the principles of family-centered care, the nurse would include which of the following?

Childbirth results in changes in relationships.

When describing the various changes that occur in organ systems during adolescence, which of the following would the nurse include?

Decrease in heart rate

The nurse is educating a first-time mother with a 1-week-old boy. Which of the following is the most accurate anticipatory guidance?

Explaining that the stomach holds less than 1 ounce

The nurse is talking with a chatty 7-year-old girl during her regular check-up. Which of the following behaviors would the child also be expected to exhibit?

Explaining what is right and what is wrong

The nurse is caring for a 7-year-old girl who is scheduled for a hernia repair and is very scared. Which of the following fears would she also most likely have at this age?

Fear of being kidnapped

When assessing a family for barriers to health care, the nurse would consider which factor to be most important?

Finanaces

The nurse is talking with the parents of a 10-year-old child who was caught stealing at school. Which of the following topics should the nurse cover?

Finding out what is currently going on at home

The nurse is discussing ways to promote discipline with parents who are becoming increasingly frustrated with their teenager. Which of the following would the nurse identify as most important?

Make your responses consistent

The nurse is caring for a 13-year-old girl hospitalized for complications from Type 1 diabetes. The girl has a nursing diagnosis of powerlessness related to lack of control of multiple demands associated with hospitalization, procedures, treatments, and changes in usual routine. How can the nurse help promote control?

Offer the girl as many choices as possible.

The nurse is caring for a 7-year-old hospitalized in isolation. The nurse notices that the girl has begun sucking her thumb and changing her speech pattern to those of a toddler. What is the girl exhibiting signs of?

Regression

The nurse is teaching the parents of an overweight 18-month-old girl about diet. Which intervention will be most effective for promoting proportionate growth?

Remove high-calorie, low-nutrient foods from diet.

Saved The nurse is measuring the blood pressure of a 12-year-old boy with an oscillometric device. The boy's reading is greater than the 90th percentile for gender and height. What is the appropriate nursing action?

Repeat the blood pressure reading using auscultation.

The nurse is measuring the blood pressure of a 12-year-old boy with an oscillometric device. The boy's reading is greater than the 90th percentile for gender and height. What is the appropriate nursing action?

Repeat the blood pressure reading using auscultation.

The nurse is preparing a presentation for a local parent-teacher organization about the growth and development of school-age children. Which of the following would the nurse include?

Secondary sex characteristics are often embarrassing for both sexes

The nurse is examining a 10-month-old boy who was born 10 weeks early. Which of the following findings is cause for concern?

The child's head size is 19.5 inches.

The nurse is caring for a premature baby in the NICU. The mother reports that the infant's normally happy and outgoing 5-year-old sister is acting sad and withdrawn. The nurse understands that due to her developmental stage, the girl is at risk of which of the following?

Viewing her baby sister's illness as her fault

The nurse is preparing a presentation to a local parent group about pediatric health supervision. Which of the following would the nurse emphasize as the focus?

Wellness

After teaching the mother about follow-up immunizations for her daughter, who received varicella vaccine at age 14 months, the nurse determines that the teaching was successful when the mother states that a follow-up dose should be given at which time?

When the child is 4 to 6 years of age

When observing a group of preschoolers at play in the clinic waiting room, which type of play would the nurse be least likely to note

parallell play

Which reflex, if found in a 4-month-old infant, would cause the nurse to be concerned?

step

After assessing a 10-year-old girl, the nurse documents the appearance of breast buds, identifying this as which of the following?

thelarche

The nurse is assessing a 3-year-old boy's development during a well-child visit. Which response by the child indicates the need for further assessment?

He laughs when his brother cries getting vaccinated.

The parents of a 5-year-old boy tell the nurse that their son is having frequent episodes of night terrors. Which of the following statements would indicate that the boy is having nightmares instead of night terrors?

He will tell us about what happened in his dreams

When preparing to administer the polio vaccine to an infant, the nurse would expect to administer the vaccine by which route?

Subcutaneous

The parents of an 8-year-old boy are interested in promoting learning through reading to their son. Which of the following suggestions by the nurse would best promote this goal?

Take the child to the library to check out some books.

The nurse is providing guidance after observing a mother interact with her negative 2-year-old boy. For which interaction will the nurse advise the mother that she is handling the negativism properly?

Telling the child firmly that we don't scream in the office

A preschool child is scheduled to undergo a diagnostic test. Which action by the nurse would violate a child's bill of health care rights?

Telling the child the test will not hurt

The parents of a 2-year-old girl are frustrated by the frequent confrontations they have with their child. Which is the best guidance the nurse can offer them?

"Respond in a calm but firm manner."

The nurse is teaching the parents of a 12-year-old boy about appropriate approaches when raising an adolescent. Which of the following comments should be included in the discussion?

"Try to be open to his views."

The parents of an 11-year-old child ask the nurse for suggestions to promote good nutrition for their child. Which response by the nurse would be most appropriate?

"Use whole-grain or enriched breads and cereals."

During a health-maintenance visit, a 15-year-old girl mentions that she is not happy with how overweight she is. Which of the following approaches is best for the nurse to take?

"What specifically have you been noticing?"

When providing anticipatory guidance to parents about lying during the preschool period, which of the following would the nurse emphasize?

"You need to determine the reason for lying before punishing the child."

The nurse is assessing a 2-year-old boy who has missed some developmental milestones. Which finding will point to the cause of motor skill delays?

The child is homeless and has no toys.

The nurse is caring for a 10-year-old in traction. The boy has a nursing diagnosis of deficient diversional activity related to confinement in bed that is evidenced by verbalization of boredom and lack of participation in play, reading, and schoolwork. Which of the following would be the best intervention?

Enlist the aid of a child life specialist.

The nurse is caring for a 7-year-old boy who needs his left leg immobilized. What is the priority nursing intervention?

Explain to the boy that he must keep his leg very still.

Two working parents are discussing with the school nurse the possibility of their 12-year-old girl going home alone after school. Which of the following suggestions should the nurse make?

Purchase caller ID for the phone

The mother of a 15-month-old child is questioning the nurse about the need for the hepatitis B vaccination. Which of the following comments provides the most compelling reason for the vaccine?

This protects your child from infection that can cause liver disease."

The nurse is administering a number of therapeutic interventions for neonates, infants, and children on the pediatric unit. Which of these interventions contributes to an increase in chronic illness seen in early childhood?

Using mechanical ventilation for premature infants