Peds Exam
The nurse is providing teaching to the parents of a newborn prior to a heelstick. The nurse is describing the procedure and recommending various methods for the parents to help comfort their baby. Which statement by the parents indicates a need for further teaching? A) "It's better if we are not in the room for this." B) "We can use kangaroo care before and after." C) "We hope you are using a very tiny needle." D) "We can offer him nonnutritive sucking to calm him."
A) "It's better if we are not in the room for this."
The nurse is interviewing a 3-year-old girl who tells the nurse: "Want go potty." The parents tell the nurse that their daughter often speaks in this type of broken speech. What would be the nurse's appropriate response to this concern? A) "This is a normal, common speech pattern in the 3-year-old and is called telegraphic speech." B) "This is considered a developmental delay in the 3-year-old and we should consult a speech therapist." C) "This is a condition known as echolalia and can be corrected if you work with your daughter on language skills." D) "This is a condition known as stuttering and it is a normal pattern of speech development in the toddler."
A) "This is a normal, common speech pattern in the 3-year-old and is called telegraphic speech."
After teaching a group of parents about language development in toddlers, what if stated by a member of the group indicates successful teaching? A) "When my 3-year-old asks 'why?' all the time, this is completely normal." B) "A 15-month-old should be able to point to his eyes when asked to do so." C) "At age 2 years, my son should be able to understand things like under or on." D) "An 18-month-old would most likely use words and gestures to communicate."
A) "When my 3-year-old asks 'why?' all the time, this is completely normal."
For which child would nonopioid analgesics be recommended? A) A child with juvenile arthritis B) A child with end-stage cancer C) A child with a broken arm D) A child with severe postoperative pain
A) A child with juvenile arthritis
The nurse is performing an annual check-up for an 8-year-old child. Compared to the previous assessment of this child, which characteristic would most likely be observed? A) Breathing is diaphragmatic. B) Pulse rate is increased. C) Secondary sex characteristics are present. D) Blood pressure has reached adult level.
A) Breathing is diaphragmatic.
The nurse is developing a plan of care for a 5-year-old child with a severe hearing impairment focusing on psychosocial interventions based on assessment findings. Which behavior would the nurse have most likely assessed? A) Immature emotional behavior B) Self-stimulatory actions C) Inattention and vacant stare D) Head tilt or forward thrust
A) Immature emotional behavior
The nurse is administering a crushed tablet to an 18-month-old infant. What is a recommended guideline for this intervention? A) Mix the crushed tablet with a small amount of applesauce. B) Place the crushed tablet in the infant's formula. C) Mix the crushed tablet with the infant's cereal. D) Crushed tablets should only be mixed with water.
A) Mix the crushed tablet with a small amount of applesauce.
The nurse is planning a discussion group for parents with children who have cancer. How would the nurse describe a difference between cancer in children and adults? A) Most childhood cancers affect the tissues rather than organs. B) Childhood cancers are usually localized when found. C) Unlike adult cancers, childhood cancers are less responsive to treatment. D) The majority of childhood cancers can be prevented
A) Most childhood cancers affect the tissues rather than organs.
The nurse is describing the maturation of various organ systems during toddlerhood to the parents. What would the nurse correctly include in this description? A) Myelination of the brain and spinal cord is complete at about 24 months. B) Alveoli reach adult numbers by 3 years of age. C) Urine output in a toddler typically averages approximately 30 mL/hour. D) Toddlers typically have strong abdominal muscles by the age of 2.
A) Myelination of the brain and spinal cord is complete at about 24 months.
The nurse is conducting a physical examination of a child with a suspected cardiovascular disorder. Which finding would the nurse most likely expect to assess if the child had transposition of the great vessels? A) Significant cyanosis without presence of a murmur B) Abrupt cessation of chest output with an increase in heart rate/filling pressure C) Soft systolic ejection D) Holosystolic murmur
A) Significant cyanosis without presence of a murmur
A mother brings her 6-year-old son in for a check-up because the child is reporting stomachaches. It is the beginning of the school year. What might the mother also mention? A) The child cries before going to school. B) The child made friends the first day of school. C) The child fights with siblings more often. D) The child loves the crowds in the lunchroom.
A) The child cries before going to school.
The nurse is assessing a 8-month-old infant who has symptoms of poor feeding, a poor gag reflex, listlessness and a weak cry. What is the most important question the nurse should ask the parent about these symptoms? A. "Have you given your infant any honey?" B. "When did these symptoms begin?" C. "Has your infant had any unpasteurized milk to drink?" D. "What is the source of your family's water supply?"
A. "Have you given your infant any honey?"
The nurse is caring for a 4-year-old girl with vulvovaginitis. After instructing the girl's mother on how to help prevent subsequent episodes, which statement by the mother indicates a need for additional teaching? A. "She tells me she wipes from front to back." B. "I will make sure she changes her underwear every day." C. "She should avoid bubble baths." D. "I will help supervise her wiping after bowel movements."
A. "She tells me she wipes from front to back."
A child with Duchenne muscular dystrophy is to receive prednisone as part of his treatment plan. After teaching the child's parents about this drug, which statement by the parents indicates the need for additional teaching? A. "We should give this drug before he eats anything." B. "We need to watch carefully for possible infection." C. "The drug should not be stopped suddenly." D. "He might gain some weight with this drug.
A. "We should give this drug before he eats anything."
A child is in the emergency department with an asthma exaccerbation. Upon asucultation the nurse is unable to hear air movement in the lungs. What action should the nurse take first? A. Administer a beta-2 adrenergic agonist B. Administer oxygen C. Start a peripheral IV D. Administer corticosteroids
A. Administer a beta-2 adrenergic agonist
A child is hospitalized with pneumonia. The nurse assesses an increase in the work of breathing and in the respiratory rate. What intervention should the nurse do first to help this child? A. Elevate the head of the bed B. Administer oxygen C. Notify the health care provider D. Obtain oxygen saturation levels
A. Elevate the head of the bed
The nurse is educating the parents of a 7-year-old boy with asthma about the medications that have been prescribed. Which drug would the nurse identify as an adjunct to a β2-adrenergic agonist for treatment of bronchospasm? A. Ipratropium B. Montelukast C. Cromolyn D. Theophylline
A. Ipratropium
The nurse is conducting a well-child assessment of 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? A. Lack of social and emotional readiness for school. B. Stuttering C. Speech and language delays D. Fine motor skills delay
A. Lack of social and emotional readiness for school.
The nurse is preparing a class for a group of adolescents about promoting safety. What would the nurse plan to include as the leading cause of adolescent injuries? A. Motor vehicles B. Firearms C. Water D. Fires
A. Motor vehicles
A nurse is preparing a school-aged child for a lumbar puncture. The nurse would expect to position the child in which manner? A. On her side with the head flexed forward and knees flexed to the abdomen B. Sitting upright with the head flexed forward to the chest C. Supine with arms and legs pronated and extended D. Prone with the arms flexed under the chest
A. On her side with the head flexed forward and knees flexed to the abdomen
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? A. Parallel play B. Cooperative play C. Dramatic play D. Fantasy play
A. Parallel play
A hospitalized child suddenly begins reporting "my chest hurts," is tachypneic, and has tachycardia. The nurse auscultates the lung sounds and finds absent breath sounds on one side. After notifying the health care provide what action would the nurse take first? A. Prepare for chest tube insertion B. Administer oxygen C. Obtain oxygen saturation measurement D. Prepare for mechanical ventilation
A. Prepare for chest tube insertion
The nurse is explaining to parents that the preschooler's developmental task is focused on the development of initiative rather than guilt. What is priority intervention the nurse might recommend for parents of preschoolers to stimulate initiative? A. Reward the child for initiative in order to build self-esteem B. Change the routine of the preschooler often to stimulate initiative C. Do not set limits on the preschooler's behavior as this results in low self-esteem D. As a parent, decide how and with whom the child will play
A. Reward the child for initiative in order to build self-esteem
The nurse is caring for an 8-year-old girl who requires medication that is only available in an enteric tablet form. The nurse is teaching the mother how to help the girl swallow the medication. Which statement indicates a need for further teaching? A) "I can encourage her to place it on the back of her tongue." B) "I can pinch her nose to make it easier to swallow." C) "We cannot crush this type of pill as it will affect the delivery of the medication." D) "We can place the tablet in a spoonful of applesauce.
B) "I can pinch her nose to make it easier to swallow."
A new mother shows the nurse that her baby grasps her finger when she touches the baby's palm. How might the nurse respond to this information? A) "This is a primitive reflex known as the plantar grasp." B) "This is a primitive reflex known as the palmar grasp." C) "This is a protective reflex known as rooting." D) "This is a protective reflex known as the Moro reflex."
B) "This is a primitive reflex known as the palmar grasp."
The nurse is caring for a newborn diagnosed with an atrial septal defect (ASD). The parents voice concern and state, "I can't believe this is happening. Will our child be okay?" What is the nurse's best response? A) "If the defect isn't treated it can cause problems such as pulmonary hypertension, heart failure, atrial arrhythmias, or stroke." B) "While each case is different, the majority of these defects correct on their own. Let's see what the tests show, then speak with the healthcare provider." C) "Since there are no symptoms being exhibited right now, your child will likely not require surgery until the age of 3 years." D) "Most children have no symptoms of this defect."
B) "While each case is different, the majority of these defects correct on their
The nurse is preparing to administer a medication to a 5-year-old who weighs 35 lb. The prescribed single dose is 1 to 2 mg/kg/day. Which is the appropriate dose range for this child? A) 8 to 16 mg a B) 16 to 32 mg C) 35 to 70 mg D) 70 to 140 mg
B) 16 to 32 mg
What finding would the nurse most likely discover in a 10-year-old child in the period of concrete operational thought? A) Participation in abstract thinking B) Ability to classify similar objects C) Problem solving via the scientific method D) Ability to make independent decisions
B) Ability to classify similar objects
After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow? A) Tetralogy of Fallot B) Atrial septal defect C) Hypoplastic left heart syndrome D) Transposition of the great vessels
B) Atrial septal defect
The nurse is teaching the parents of a 2-year-old toddler methods of dealing with their child's "negativism." Based on Erikson's theory of development, what would be an appropriate intervention for this child? A) Discourage solitary play; encourage playing with other children. B) Encourage the child to pick out his own clothes. C) Use "time-outs" whenever the child says "no" inappropriately. D) Encourage the child to take turns when playing games.
B) Encourage the child to pick out his own clothes.
The nurse is assessing a child with suspected thalassemia. What would the nurse expect to assess? A) Dactylitis B) Frontal bossing C) Presence of clubbing D) Presence of spooning
B) Frontal bossing
The nurse is explaining the effects of heat application for pain relief. Which effect would the nurse be likely to include? A) Decreased blood flow to the area B) Increased pressure on nociceptive fibers C) Possible release of endogenous opioids D) Altered capillary permeability
B) Increased pressure on nociceptive fibers
When conducting a physical examination of a child with suspected Kawasaki disease, which finding would the nurse expect to assess? A) Hirsutism or striae B) Strawberry tongue C) Malar rash D) Café au lait spots
B) Strawberry tongue
The nurse is caring for a 3-month-old with nasolacrimal duct obstruction. Which intervention would be most appropriate for the nurse to implement? A) Being careful to prevent spread of infection B) Teaching the parents how to gently massage the duct C) Applying hot, moist compresses to the affected eye D) Referring the child to an ophthalmologist
B) Teaching the parents how to gently massage the duct
The nurse is assessing a 4-month-old boy during a scheduled visit. Which findings might suggest a developmental problem? A) The child does not babble. B) The child does not vocally respond to voices. C) The child never squeals or yells. D) The child does not say dada or mama.
B) The child does not vocally respond to voices.
The nurse is observing a 24-month-old boy in a day care center. Which finding suggests delayed motor development? A) The child has trouble undressing himself. B) The child is unable to push a toy lawnmower. C) The child is unable to unscrew a jar lid. D) The child falls when he bends over.
B) The child is unable to push a toy lawnmower.
The nurse is teaching a new mother about the development of sensory skills in her newborn. What would alert the mother to a sensory deficit in her child? A) The newborn's eyes wander and occasionally are crossed. B) The newborn does not respond to a loud noise. C) The newborn's eyes focus on near objects. D) The newborn becomes more alert with stroking when drowsy.
B) The newborn does not respond to a loud noise.
The nurse is preparing to administer an intramuscular injection to an 8-month-old infant. Which site would the nurse select? A) Rectus femoris B) Vastus lateralis C) Dorsogluteal muscle D) Deltoid
B) Vastus lateralis
A group of nursing students are reviewing the medications used to treat asthma. The students demonstrate understanding of the information when they identify which agent as appropriate for an acute episode of bronchospasm? A. Salmeterol B. Albuterol C. Ipratropium D. Cromolyn
B. Albuterol
The nurse is caring for a 2-month-old with cerebral palsy. The infant is limp and flaccid with uncontrolled, slow, worm-like, writhing, and twisting movements. What word would the nurse use when documenting these observations? A. Spastic B. Athetoid C. Ataxic D. Mixed
B. Athetoid
A group of nursing students are reviewing information about the variations in respiratory anatomy and physiology in children in comparison to adults. The students demonstrate understanding of the information when they identify which finding? A. Children's demand for oxygen is lower than that of adults. B. Children develop hypoxemia more rapidly than adults do. C. An increase in oxygen saturation leads to a much larger decrease in pO2. D. Children's bronchi are wider in diameter than those of an adult.
B. Children develop hypoxemia more rapidly than adults do.
A group of nursing students are reviewing the six links in the chain of infection and the nursing implications for each. The students demonstrate understanding of the information when they identify which precaution as helping to break the chain of infection to the susceptible host? A. Keeping linens dry and clean B. Maintaining skin integrity C. Washing hands frequently D. Coughing into a handkerchief
B. Maintaining skin integrity
The nurse is preparing to perform a physical examination of a child with asthma. Which technique would the nurse be least likely to perform? A. Inspection B. Palpation C. Percussion D. Auscultation
B. Palpation
The nurse is counseling parents of a picky eater on how to promote healthy eating habits in their child. Which intervention would be appropriate advice? A. Allow the child to pick out his or her own food for meals B. Present the food matter- of- factly and allow the child to choose what to eat. C. Offer high-fat snacks if the child does not eat, to get them to eat something D. Offer the child a special treat if he or she eats all the food on the plate
B. Present the food matter- of- factly and allow the child to choose what to eat.
The nurse is teaching a group of students about myelinization in a child. Which statement by the students indicates that the teaching was successful? A. Myelinization is completed by 4 years of age. B. The process occurs in a head-to-toe fashion. C. The speed of nerve impulses slows as myelinization occurs. D. Nerve impulses become less specific in focus with myelinization.
B. The process occurs in a head-to-toe fashion.
The mother of a 4-week-old infant is tearful. She reports the healthcare provider has told her that her son has a small atrial septal defect. She reports she is worried and asks the nurse more about the condition. Which statement by the parents best indicates an understanding of the nurse's teaching? A) "This greatly places my son at risk for cardiac failure." B) "If this does not resolve by the time my child is 1 year old, he will likely need surgery." C) "Most of the time this condition spontaneously resolves." D) "Since the surgery to correct this condition can be risky my son will need to be at least 40 pounds."
C) "Most of the time this condition spontaneously resolves."
The nurse is preparing to administer oral ampicillin to a child who weighs 40 kg. The safe dose for children is 50 to 100 mg/kg/day divided in doses administered every 6 hous.What would be the low single safe dose and high single safe dose per day for this child? A) 50 to 100 mg per dose B) 100 to 500 mg per dose C) 500 to 1,000 mg per dose D) 1,000 to 5,000 mg per dose
C) 500 to 1,000 mg per dose
The nurse is performing a physical assessment of a 10-year-old boy. The nurse notes that during last year's check-up, the child weighed 80 lb. According to average growth for this age group, what would be his expected current weight? A) 81 lb B) 85 lb C) 87 lb D) 89 lb
C) 87 lb
The nurse is administering pain medication to a child with continuous pain from internal injuries. Which method would be ordered to dispense the medication? A) Administer the medication PRN (as needed). B) Administer the mediation when pain has peaked. C) Administer the medication around the clock at timed intervals. D) Administer the medication when the child reports pain.
C) Administer the medication around the clock at timed intervals.
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. What is the priority intervention? A) Performing a developmental evaluation of the child B) Encouraging the parents to speak English to the child C) Asking the mother if the child uses Spanish words D) Referring the child to a developmental specialist
C) Asking the mother if the child uses Spanish words
A 4-year-old is brought to the emergency department with a burn. What would alert the nurse to the possibility of child abuse? A) Burn assessment correlates with mother's report of contact with a portable heater. B) Parents state that the injury occurred approximately 15 to 20 minutes ago. C) Clear delineations are noted between burned and nonburned skin areas. D) The burn area appears asymmetric and nonuniform.
C) Clear delineations are noted between burned and nonburned skin areas.
What activity would the nurse expect to find in an 18-month-old? A) Standing on tiptoes B) Pedaling a tricycle C) Climbing stairs with assistance D) Carrying a large toy while walking
C) Climbing stairs with assistance
A newborn is diagnosed with patent ductus arteriosus. The nurse anticipates that the healthcare provider will most likely order which medication? A) Alprostadil B) Heparin C) Indomethacin D) Spironolactone
C) Indomethacin
The nurse is administering immunizations to children in a neighborhood clinic. What is the most frequent route of administration? A) Oral B) Intradermal C) Intramuscular D) Topical
C) Intramuscular
The nurse has applied EMLA cream as ordered. How does the nurse assess that the cream has achieved its purpose? A) Assess the skin for redness. B) Note any blanching of skin. C) Lightly tap the area where the cream is. D) Gently poke the child with a needle.
C) Lightly tap the area where the cream is.
After teaching a group of parents about ear infections in children, which statement indicates that the teaching was successful? A) Infants with congenital deformities have an increased risk for ear infections. B) Ear infections typically increase as the child gets older. C) The shorter and wider eustachian tubes of an infant increase the risk D) Adenoids shrink as the child grows, allowing more bacteria to enter.
C) The shorter and wider eustachian tubes of an infant increase the risk
A child with a pneumothorax has a chest tube attached to a water seal system. When assessing the child, the nurse notices that the chest tube has become disconnected from the drainage system. What would the nurse do first? A. Notify the physician. B. Apply an occlusive dressing. C. Clamp the chest tube. D. Perform a respiratory assessment.
C. Clamp the chest tube.
The nurse is developing a teaching plan for the mother of a 4-year-old girl with cold and fever. What would the nurse include in this teaching plan? A. Keeping the child covered and warm B. Calling the doctor if the child's fever lasts more than 36 hours C. Ensuring fluid intake to prevent dehydration D. Observing for changes in alertness resulting from brain damage
C. Ensuring fluid intake to prevent dehydration
A nurse is administering 100% oxygen to a child with a pneumothorax based on the understanding that this treatment is used primarily for which reason? A. Improve gas exchange B. Bypass the obstruction C. Hasten air reabsorption D. Prevent hypoxemia
C. Hasten air reabsorption
As a result of seizure activity, a computed tomography (CT) scan was performed and showed that an 18-month-old child has intracranial arteriovenous malformation. When developing the child's plan of care, what would the nurse expect to implement actions to prevent? A. Drug interactions B. Developmental disabilities C. Hemorrhagic stroke D. Respiratory paralysis
C. Hemorrhagic stroke
The nurse is caring for a neonate who is suspected of having sepsis. Which assessment findings would the nurse interpret as most indicative of sepsis? A. Rash on face B. Edematous neck C. Hypothermia D. Coughing
C. Hypothermia
The nurse is discussing discharge instructions with the parents of a 6-year-old who had a tonsillectomy. What is the most important thing to stress? A. Administer analgesics. B. Encourage the child to drink liquids. C. Inspect the throat for bleeding. D. Apply an ice collar.
C. Inspect the throat for bleeding.
The nurse is discussing ways to promote discipline with parents who are becoming increasingly frustrated with their teenager. What would the nurse identify as most important? A. Establish rules and expectations B. Collaborate to determine consequence C. Make your responses consistent D. Explain the rules to the adolescent
C. Make your responses consistent
A 15-year-old client presents to the emergency room reporting an abrupt onset of severe, sudden pain on the right side of the scrotum while playing football. The nurse notes a blue-black swelling of the affected scrotum. Which action will the nurse complete next? A. Complete a head-to-toe assessment B. Have the client rate the pain C. Notify the primary health care provider D. Monitor the client's urine output
C. Notify the primary health care provider
The client has a heavily draining wound for which there is an order to change the dressing every 4 hours. The nurse becomes busy and does not change the dressing as ordered. Which link in the chain of infection has the nurse allowed to flourish? A. Susceptible host B. Portal of exit C. Reservoir D. Mode of transmission
C. Reservoir
A school-aged child with an infectious disease is placed on transmission-based precautions. If the child is not dehydrated or otherwise in distress, which nursing diagnosis would be the priority? A. Impaired skin integrity related to trauma secondary to pruritus and scratching B. Fluid volume deficit related to increased metabolic demands and insensible losses C. Social isolation related to infectivity and inability to go to the playroom D. Deficient knowledge related to how infection is transmitted
C. Social isolation related to infectivity and inability to go to the playroom
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? A. Multiple corrective surgeries to slowly remove diseased parts of his brain B. Physical, occupational, and speech therapy to maximize his potential C. Support for maintaining self-esteem because of his altered lifestyle D. Hyperventilation therapy to counteract the periods of decreased oxygenation
C. Support for maintaining self-esteem because of his altered lifestyle
A 7-year-old child with a family history of cardiovascular disease is being screened for hyperlipidemia. When reviewing the child's laboratory test results, which total cholesterol level would be of significant concern? A) 120 mg/dL (3.11 mmol/L) B) 150 mg/dL (3.88 mmol/L) C) 180 mg/dL (4.66 mmol/L) D) 210 mg/dL (5.44 mmol/L)
D) 210 mg/dL (5.44 mmol/L)
The nurse is administering a liquid medication to a 3-year-old using an oral syringe. Which action would be most appropriate? A) Direct the liquid toward the anterior side of the mouth. B) Keep the child's hand away from the oral syringe when squirting the medication. C) Give all of the drug in the syringe at one time with one squirt. D) Allow the child time to swallow the medication in between amounts.
D) Allow the child time to swallow the medication in between amounts.
The nurse caring for a 6-year-old client enters the room to administer an oral medication in the form of a pill. The dad at the bedside looks at the pill and tells the nurse that his daughter has a hard time swallowing pills. What is the best response by the nurse? A) Ask the child to try swallowing the pill and offer a choice of drinks to take with it. B) Crush the pill and add it to applesauce. C) Request that the healthcare provider prescribe the medication in liquid form. D) Call the pharmacy and ask if the pill can be crushed.
D) Call the pharmacy and ask if the pill can be crushed.
The parents of a child diagnosed with celiac disease ask the nurse what types of food they can offer their child. What recommendation would the nurse include in the teaching plan? A) Frozen yogurt B) Rye bread C) Creamed spinach D) Fruit juice
D) Fruit juice
The nurse is caring for a toddler who is in Piaget's sensorimotor stage of cognitive development. Which task would the nurse expect the toddler to be able to perform? A) Completing puzzles with four pieces B) Winding up a mechanical toy C) Playing make-believe with dolls D) Knowing which are his or her toys
D) Knowing which are his or her toys
Pentazocine is prescribed for a child with moderate pain. The nurse identifies this drug as an example of which type? A) Nonsteroidal anti-inflammatory drug (NSAID) B) Prostaglandin inhibitor C) Opioid D) Mixed opioid agonist-antagonist
D) Mixed opioid agonist-antagonist
Two working parents are discussing with the school nurse the possibility of their 12-year-old girl going home alone after school. What suggestion should the nurse make? A) Provide entertainment until the parents come home. B) Allow the child to go to a friend's house. C) Teach her how to take a message if someone calls. D) Purchase caller ID for the phone.
D) Purchase caller ID for the phone.
The nurse is performing a cognitive assessment of a 2-year-old. Which behavior would alert the nurse to a developmental delay in this area? A) The child cannot say name, age, and gender. B) The child cannot follow a series of two independent commands. C) The child has a vocabulary of 40 to 50 words. D) The child does not point to named body parts.
D) The child does not point to named body parts.
The school nurse knows that school-age children are developing metalinguistic awareness. Which is an example of this skill? A) The child enjoys reading books. B) The child enjoys conversations with peers. C) The child enjoys speaking on the phone. D) The child enjoys telling jokes.
D) The child enjoys telling jokes.
The nurse uses the FLACC behavioral scale to assess a 6-year-old's level of postoperative pain and obtains a score of 9. The nurse interprets this to indicate that the child is experiencing: A) little to no pain. B) mild pain. C) moderate pain. D) severe pain.
D) severe pain
The nurse is promoting nutrition to a 13 year old boy who is overweight. Which comment should the nurse expect to include in the discussion? A. "You need to go on a low-fat diet." B. "Eat what your parents eat." C. "Go out for a sport at school." D. "Keep a food diary."
D. "Keep a food diary."
The nurse is providing care to several children who have been brought to the clinic by the parents reporting cold-like symptoms. The nurse would most likely suspect sinusitis in which child? A. A 2-year-old with thin watery nasal discharge B. A 3-year-old with sneezing and coughing C. A 5-year-old with nasal congestion and sore throat D. A 7-year-old with halitosis and thick, yellow nasal discharge
D. A 7-year-old with halitosis and thick, yellow nasal discharge
Which activity would the nurse least likely include as exemplifying the preconceptual phase of Piaget's preoperational stage? A. Displays of animism B. Use of active imaginations C. Understanding of opposites D. Beginning questioning of parents' values
D. Beginning questioning of parents' values
What finding would lead the nurse to suspect that a child is beginning to develop increased intracranial pressure? A. Bradycardia B. Cheyne-Stokes respirations C. Fixed, dilated pupils D. Projectile vomiting
D. Projectile vomiting
A 4-year-old boy has a febrile seizure during a well-child visit. What action would be a priority? A. Hyperextending the child's head while placing him on his side B. Using a tongue blade to pry open the child's jaw C. Loosening the child's clothing to ensure a patent airway D. Protecting the child from harm during the seizure
D. Protecting the child from harm during the seizure
The nurse teaching safety to teens knows which of these is the leading cause of death among adolescents? A. Drowning B. Poisoning C. Disease D. Unintentional injuries
D. Unintentional injuries
The nurse is providing postsurgical care for an infant who has undergone a hypospadias repair. Which action by the nurse would be most important to help keep the area clean while maintaining proper position of the drainage tubing? A. Keeping the drainage tube taped in an upright position B. Administering antibiotics as ordered C. Administering analgesics as prescribed D. Using a double-diapering technique
D. Using a double-diapering technique
