Exam 1 practice
d
The nurse observes a toddler riding a tricycle and decides that the parents need additional safety education. What did the nurse observe? a- toddler wearing a helmet b- toddler wearing long pants c- toddler wearing tennis shoes d- toddler not wearing a helmet
b
The nurse sees a 15-month-old at a health maintenance visit. Of the following assessments, which one is generally included in a 15-month checkup? a- Blood pressure b- Height and weight measurements c- Clean-catch urine d- IQ testing
d
The nurse sees a 2-year-old girl playing roughly with a truck. What is the nurse's best interpretation of this? a- She may wish that she were a boy. b- She is not comfortable with a boy's toy. c- She should not be allowed to have the truck anymore. d- She may be using the toy to express emotion.
d
The nurse would assess respirations in a 9-month-old infant when the client is: a- playing in the playroom. b- crying. c- laughing. d- quiet in the parent's lap.
b
A nurse is providing a routine wellness examination for a 5-year-old boy. Which response by the parents indicates a need for an additional referral or follow-up? a-"He can count to 30 but gets confused after that." b-"We often have to translate his speech to others." c-"He is always talking and telling detailed stories." d-"He knows his name and address."
b
"When I tell my child it's time for bed, he/she screams and cries for almost an hour each night before going to sleep." The client and the nurse decide that the next course of action is: a-let the child set the time to go to bed. b-follow a routine and set a bedtime. c-promise the child a new toy in the morning for good behavior. d-let the child fall asleep wherever he/she wants and then carry the child to bed.
c
A 16-year-old girl who has been confined to a wheelchair since early childhood has been acting rebellious and rude. Her parents ask the nurse, "Are all adolescents like this?" What is the nurse's best response? a-"Yes. Although your daughter's behaviors are more like those of an adolescent boy." b-"No. Your daughter must need some help in dealing with her feelings." c-"Your daughter's behavior seems to be typical adolescent behavior. Let's talk more about it." d-"Your daughter's behavior results from feelings about her disability; ignore them."
a
A 17-year-old girl has been diagnosed with bulimia nervosa. Which complication should the nurse carefully assess for in this client? a-Severe erosion of teeth b-Hypertension c-Diabetes mellitus d-Atherosclerosis
a
A 2-year-old child has been diagnosed with autism spectrum disorder. The parents ask the nurse for a treatment that will cure the disorder. Which is the best response by the nurse? a-"There are no medications available to cure autism spectrum disorder." b-"Your child can be put on a strict diet to guarantee that the medication works." c-"When your child is older, you can try nutrition supplements for a cure." d-"Sometimes hiring a professional to give your child music therapy can cure this."
b
A 3-year-old is punching a doll used to teach about procedures. What is the best action by the nurse? a-Remove the child from the playroom. b-Observe for verbal and nonverbal cues about feelings related to hospitalization. c-Take the doll away from the child. d- Report the finding to child protective services.
b
A 4-year-old child was recently poisoned when the child found a bottle of ibuprofen on the bathroom counter and swallowed the entire contents. At the emergency room, the child was treated successfully, and now the nurse is counseling the parents before discharge. Which nursing instruction is best to give the parents? a-Tell your child "no" when playing with empty medicine bottles. b-Store all medications out of reach or in locked cabinet. c-Take medications in front of children so that they know how to do it properly. d-Store medications in a place the child would not expect to find them, such as in a desk drawer.
a
A child is refusing to use the potty and having accidents, even though he has achieved toilet training. This is an example of which type of behavior? a- regression b- positive redirection c- desensitization d- phobia
b
A child with poor eye alignment cannot establish single binocular vision but has double vision. Which nursing action is most appropriate for this client? a-Ask if the child has had a computed tomography (CT) before b-Refer the child to a pediatric ophthalmologist c-Schedule the child for botulinum toxin injections d-Discuss surgical options for treatment
a
A client has confided in a nurse that her 13-year-old daughter has recently changed dramatically in her social interactions with others. What is a social behavior most likely to be exhibited by a girl at this age? a-Banding together with other girls and dressing like them b-Banding together with boys and girls but maintaining her own unique style c-Hanging out primarily with boys her own age d-Hanging out with girls but maintaining her own unique style
c
A client is 2 years old. What toy would be appropriate for this client to play with? a-marbles b-small Legos c-big stuffed animals d-jewelry-making kit with beads
b
A mother brings her daughter to the office for a physical examination that is required prior to the child attending preschool. The client starts screaming immediately when the nurse begins to examine her. What is the nurse's best action at this time? a-Stop and tell the client's mother that she will need to bring the child back another time. b-Give the child a stethoscope to play with and allow the preschooler to listen to her heart. c-Tell the child that you will give her a surprise if she quiets down. d-Tell the mother that she needs to quiet the child down so that you can complete the examination.
d
A mother calls the pediatrician's office upset because her 2-year-old son has begun acting out now that the new baby is home. He wants to have a bottle like the newborn and has begun to have accidents in his pants. Which statement by the nurse would best address this problem? a- "Often, the first child is jealous of the new baby. Just ignore his acting out and he will stop." b- "You need to scold him for wetting his pants and have him change his underwear himself." c- "Offer to let him drink some formula in a cup. He will see that being a baby is not so much fun. " d- "Set aside time to spend one-on-one with your older child and make him understand that he is still loved and very special."
d
A mother reports to the nurse that her 4-year-old does everything that she does. She says she is becoming somewhat frustrated with these actions. What would be the best response by the nurse to this mother? a- "I can imagine that it would be very irritating." b- "I am sure there are ways to get your daughter to stop imitating you." c-"This is not normal behavior. I am going to get the doctor's advice." d-"Preschoolers' imitating is a healthy behavior. It is part of their imagination and normal growth and development."
a
A mother tells the nurse that her 5-year-old son always pretends his toy rake is a fishing pole no matter how many times she shows him how a rake is used. How should the nurse respond? a-"Preschoolers have a vivid imagination so it is very common for them to invent ways to use their toys." b-"This is a sign of high intelligence since your child has thought of alternative uses for a toy." c-"Developmentally your child should be using toys for what they were intended. I will let the pediatrician know." d-"Do you model how to use a rake for your child? This may help your child use the toy rake the correct way."
b
A mother tells the nurse that her toddler does not want to go to bed at night and keeps getting back up when she is put to bed. What recommendations would the nurse make to this mother to foster sleep in the toddler? a-Place the child in her bed, tell her goodnight, and then lock the door. b- Read the child a book in bed and take time to calm the child down before turning out the lights. c- Instruct the toddler to stay in bed or she will have her favorite stuffed animal taken away from her. d-If she does not want to go to sleep at her normal bedtime, let her stay up for a little while longer.
a
A nurse in the teen clinic is using anticipatory guidance to educate parents about preventing suicide in teens. Which of the following responses by a parent would show the nurse that the teaching on suicide was effective? a- "I will check for signs of depression and a lack of peers." b- "I will watch for aggressive behavior." c- "I will become good friends with my child's peers." d- "I will monitor all electronic games and TV."
a
A nurse is administering ear drops to a 7-year-old girl. What should the nurse do? a-Pull the pinna of the ear up and back to straighten the external ear canal. b-Warn the child that the drops will hurt. c-Administer the medication while it is still cold from the refrigerator. d-Hold the child's head in the sideways position while counting to 5 to ensure the medication fills the entire ear canal.
a
A nurse is assessing a 5-day-old infant and documents a positive Babinski sign. Which finding did the nurse observe? a- dorsiflexion of the great toe with fanning of other toes b- rapid stepping motion of the feet c- crawling movements of the arms and legs d- back moving to the side being stroked
b
A nurse is assessing a teenager with a chronic condition in preparation for transition to adult services. The nurse would expect to assess which of the following as a factor to promote successful transitioning? a-Family members foster medical dependence. b-The teen talks about functioning as an adult. c-A change in reimbursement for services is necessary. d-There is minimal planning for the future.
a,b,d
A nurse is conducting an assessment of a 16-year-old's cognitive development. The nurse determines that the adolescent's cognitive development is within acceptable parameters for the adolescent's age based on which assessment finding? Select all that apply. a-demonstrates thinking that the adolescent is invincible b-uses scientific methods to solve verbal problems c-exhibits limited abstract thought processes d-shows a beginning interest and concern with societal and political issues. e-able to develop career plans
d
A nurse is having difficulty administering a bitter drug to a 5-year-old child. The nurse should: a-have the parent gently force the child's mouth open. b-give the drug in pill form. c-involve the child in a play therapy session and then tell the child that the medicine is candy. d- offer the child a flavored ice chip or ice pop prior to administering the drug.
a
A nurse observes a child engaged in parallel play in a nursery. Which behavior would the nurse likely observe? a- A boy sitting beside a girl in the floor, each playing independently with a separate set of blocks b- A girl sitting by herself and alternating between playing with a doll for a time and then with a toy truck for a time c- Two boys playing cooperatively with stuffed animals, pretending that the toys are fighting each other d- A group of children playing hide and seek on the playground
b
A nursing instructor is teaching about eye disorders in childhood. Which statement made by a student indicates a need for further instruction? a-"Glaucoma is caused by increased intraocular pressure." b-"Cataracts are only present in adults." c-"Cataracts can be present at birth." d-"A cataract is a marked opacity of the lens."
a
A parent asks why a physical therapist is needed for the 6-month-old child diagnosed with Down syndrome. What is the best response by the nurse? a-"To optimize the child's development and functioning" b-"To ensure that the child meets all developmental milestones on time" c-"The earlier the intervention, the more likely we are to cure the problem" d-"To prevent contractures"
a
A school-aged child with a motor deficit is attempting to feed herself independently, with little success. When speaking to the child after the attempted feeding, the nurse should: a-provide genuine praise for the child's efforts. b-ask who the child would like to feed her next time. c-talk about a subject unrelated to feeding. d-tell the child that her attempt was successful.
c
A teenage girl and her mother are in the office. When the teen uses the restroom, her mother asks the nurse about the changes that Linda is going through. She would like to talk to her about sexuality and its changes but she is unsure of how to do this. What reminders should the nurse give to the mother for when she discusses sex? a-Discuss with the teen the experiences that you had so that she can connect on a personal level. b-Encourage her to talk to her peers and teachers in health class. c-Promote open lines of communication; listen instead of lecture; and share family values. d- Do not initiate any conversation; let the teen come and seek the advice of the parent.
b
An adolescent admits to using marijuana on a daily basis. What should the nurse explain to the client to help improve performance in school? a-The effect of marijuana fades fastest if eating occurs after use. b-Marijuana causes memory gaps that interfere with learning. c-Marijuana leads to muscle laxness, so it should not be used close to gym class. d-Marijuana increases blood pressure; running should not be done after smoking it.
a
An adolescent confides in the nurse about a current sexual relationship with a same-sex classmate. The adolescent states, "I am not sure if I am really gay?" What is the best response by the nurse? a-"Some adolescents experiment with same-sex relationships at this age. It may take some time before you determine if you are gay." b-"It is too early for you to determine if you are gay or not. A lot of adolescents experiment with same-sex relationship behavior." c-"It would probably be best for you to talk with your health care provider about this. Your health care provider may be able to help you determine if you are gay." d-"Maybe your parents could help you figure out if you are gay. They know you better than anyone."
a
The nurse is caring for a 4-year-old boy with mild cerebral palsy. The mother shares with the nurse that she is struggling because all of her other friends have "normal" preschoolers. The mother feels that her friends are often insensitive and occasionally compare their children's milestones to her son. Which of the following would be the best way to address the mother's concerns? a-Refer the mother to a support group for parents. b-Provide positive encouragement to the mother. c-Encourage the mother to discuss her feelings. d-Discuss coping mechanisms used in the past.
d
The nurse is caring for a 4-year-old child who is hospitalized and in traction. The child talks about an invisible friend to the nurse. Which action by the nurse is indicated? a-The nurse should document the reports of hallucinations by the child. b-The nurse should explain to the child that there are no friends present. c-The nurse should discourage the child from talking about the imaginary friend. d-The nurse should recognize this behavior as normal for the child's developmental age and do nothing.
d
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? a-"The child's best friends will continue playing soccer." b-"The children will cheer for each other regardless of the sport being played." c-"Your child will rarely talk to you about his friends." d-"Acceptance by friends, especially of the same sex, is very important at this age."
a
During a well-child visit, an 11-year-old girl states to the nurse that she looks different from her friends who are wearing bras. What is an appropriate response? a-"It is normal for there to be differences in the time and rate girls your age develop." b-"You are doing well in school. Be happy with this success." c-"It is common for girls your age to worry about being different." d-"Remember the methods you have been taught to manage peer pressure."
c
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? a- "I'll be able to tell you more after I do his physical." b- "Fill out the questionnaire and then I can let you know." c- "Tell me what concerns you." d- "All mothers worry about their babies. I'm sure he's doing well."
b
Every time a toddler's mother asks her a question, the response is "No!" regardless of what the mother asks the child. What would the nurse recommend to the mother to help alleviate this behavior? a- Don't ask the child any questions; just tell her what to do each day. b- Allow the child choices when asking questions, such as "Do you want to wear the red or the blue top?" c- Ask the child to please quit saying no to everything asked of her. d- Respond negatively back to the child each time the child responds in a negative fashion.
b
Jenny is a 15-year-old who is being seen today in the clinic, and her mom comments on the fact that Jenny seems to always choose the opposite of what everyone else wants and that her mood swings are a common occurrence. After teaching the mother about adolescents and developmental changes, the nurse determines that the teaching was successful when the mother states which of the following? a-"I know that she is doing this because of all the hormones." b-"This is common for this age group and it will get better with time." c-"This is her temperament and we will have to learn how to deal with her." d- "She will never find anyone to live with her if she acts like this."
a
Julie is an 18-year-old new mother. When the nurse discharges the mom and infant, she notices that the car seat is in the front seat of the car. Which of the following responses would be most appropriate? a- "Let me go over car seat safety with you so you can install your car seat properly." b- "You should never put the car seat in the front." c- "I see you have a car seat; that is great." d- "With the car seat in front, you can keep an eye on your baby."
a
The nurse is caring for a 5-year-old boy. The boy's mother complains that they are constantly fighting about the boy's choice of clothing. Her son insists on selecting his own clothes. The mother is tired of the power struggle and is embarrassed by her son's mismatched apparel. The mother asks for guidance. How should the nurse respond? a-"Offer two or three coordinated outfits and let the child choose." b-"Lay his clothes out in the order in which they are to be put on." c-"Only give your son clothes that are easy to put on." d-"Remind him of the importance of dressing appropriately."
a
Prior to conducting a blood-drawing procedure, the nurse teaches a child to imagine swimming in a cool, shady park with friends and family. Which technique did the nurse use with this client? a-imagery b-park therapy c-thought-stopping d-nerve stimulation
d
The nurse is caring for a 5-year-old in a clinic setting. The client is due for a scheduled immunization. Which approach is the best for the nurse to take when administering the IM injection? a-Tell the child to hold very still and be very quiet during the injection. b-Ask the child if the nurse can give the injection now. c-Tell the child it won't hurt a bit. d-Allow the child to pick which arm the injection will go in.
a
The nurse is caring for a 6-month-old client who has been hospitalized since birth. Which nursing intervention is the most beneficial to this client's psychosocial health? a- Maintain consistent caregivers to promote trust and attachment. b- Provide a teacher for schooling. c- Provide a personal space for the child in the room. d- Teach the child to perform activities of daily living such as dressing oneself.
c
The nurse is caring for an 8-year-old girl. She is reviewing her nutritional requirements and describing interventions that promote healthy eating habits. Which response by the girl's mother indicates a need for further discussion? a-"My daughter eats one item at a time." b-"My daughter likes to have a glass of milk with her meal." c-"My daughter must stay at the table until she has cleaned her plate." d-"My daughter likes many different kinds of fruits and vegetables."
d
The nurse is caring for an infant who will have surgery. What type of pain assessment would the nurse use? a- None, because infants do not remember pain b- None, because infants do not feel pain c- A self-pain rating scale from 1 to 10 d- Observation of facial and body actions
d
The clinic nurse talks with the parent of a child with Down syndrome. The parent states, "I thought my 1-year-old would be walking by now. I am concerned." What response by the nurse is best? a-"We should ask a physical therapist to address your concern." b-"How old was your child when he or she first begin to smile?" c-"How many other children do you and your husband have?" d-"Milestones are often delayed for children with Down Syndrome."
b
The mother of an obese 10-year-old child asks the nurse what she can do at home to help the child have a more healthy weight. Which is the best response made by the nurse? a-"Eliminate all snacks from the child's diet." b-"Encourage the child to increase daily physical activity." c-"Encourage the child to skip breakfast to reduce calories." d-"Eliminate all fat from the child's diet."
c
The nurse enters her patient's room and finds the infant on a pillow with a bottle propped up while mom is dressing. Which response by the nurse would be most appropriate? a- "Look how cute she is." b- "Are you almost ready to be discharged?" c- "Always hold your baby for feedings instead of propping the bottles." d- "Is she almost done feeding?"
b
The nurse has been caring for a family with a school-age child who has school phobia. Which observation indicates that interventions have been successful? a-The child stays home from school. b-The child attends school every day. c-The child decides daily about attending school. d-The child's teacher is asked if attending school is a requirement.
d
The nurse has just completed an assessment on a child who voices an interest in how things are made and who needs support when they are not successful. The child further reports he is involved in clubs and sports outside the home. The nurse is aware that this child is in which of Erikson's states of development? a-Initiative versus guilt b-Autonomy versus shame and doubt c-Trust versus mistrust d-Industry versus inferiority
b
The nurse is admitting a 12-month-old to the medical unit. During the admission process the parents tell the nurse that their child is very advanced because he says "ball" when he picks up a football. How should the nurse respond? a- "He really isn't any more advanced than most 12-month-old children." b- "That is great that he is recognizing objects and is able to name them. He is right on target for language skills." c- "If he were advanced in language skills he would be putting several words together to form short sentences." d- "Parents usually think their child is far more advanced than other children."
b
The nurse is admitting a 15-year-old female with severe weight loss from anorexia nervosa. She also has a fluid and electrolyte imbalance. The nurse is preparing the care plan. Which nursing diagnosis will be the highest priority? a-Caregiver role strain b-Imbalanced nutrition, less than body requirements c-Ineffective individual coping d- Impaired social interaction
b
The nurse is assessing growth and development in a 24-week-old infant. The mother is concerned that her baby is too fat. The infant currently weighs 14.5 lb (6.59 kg) and weighed 7 lb (3.18 kg) at birth. An appropriate response to the mother would be: a- "Your baby is too heavy, and you should change her formula to a lower-calorie formula." b-"Normally infants double their birth weight by 6 months of age. It looks like your infant is growing well at this point." c-"Babies are supposed to be fat. Don't worry." d- "Dilute the formula half and half with water to reduce the calories your infant is receiving."
d
The nurse is caring for a 10-year-old child with bacterial conjunctivitis of the right eye. The eye is inflamed and drains a thick, yellow discharge. What should the nurse teach the parents about the care of the eye? a-Keep the child out of school for at least 2 weeks. b-Use liquid tear ophthalmic drops for 3 days. c-Ensure that the child keeps the eye patch on to cover the eye all at all times. d-Wipe the drainage away from the inner to the outer canthus of the eye.
a
The nurse is caring for a 17-year-old client recovering from a failed suicide attempt. Which factor should the nurse recognize as potentially causing the client to reattempt suicide? a-The client states feeling sad. b-The client has three other siblings. c-The client performs in the school band. d-The client is on the honor roll at school.
d
The nurse is using blowing bubbles during a procedure with a child as an alternative pain-management technique. What type of alternative pain management is this considered? a-hypnosis b-thought stopping c-imagery d-distraction
d
The nurse is caring for the parents of a toddler recently diagnosed with an autism spectrum disorder. The parents ask the nurse, "Will our child ever be able to live alone and unsupervised as an adult?" What is the best response by the nurse? a-"No, most children with an autism spectrum disorder are unable to function independently as adults." b-"Yes, because your child will be treated with medications to enhance intellectual ability." c-"Each child is different, but we know using loose boundaries and flexible discipline helps children." d-"Our goal is for your child to function at the highest level within the limitations of the autism spectrum disorder."
c
The nurse is collecting data from an adolescent being seen for a well-child check. During the interview, the teen reports he sleeps about 6 hours per night during the week but is able to sleep 8 to 9 hours on the weekend. What response by the nurse is most appropriate? a-"I am glad to see you are getting the amount of rest you need." b-"You would benefit by trying to sleep a little less on the weekends." c-"Let's talk about ways to increase the amount of rest you get during the week." d-"Sleeping during the weekend to catch up on missed rest is a good thing to do."
c
The nurse is discussing an adolescent's development with the client's parents. Which statement by the parents indicate an understanding of the nurse's teaching? a-"We will work toward ensuring our adolescent is developing trusting relationships." b-"It is most important for our adolescent to achieve independence from our dominance." c-"Our adolescent is working toward achieving a sense of personal identity." d-"It is vital our adolescent learns to help others achieve their goals."
b
The nurse is discussing home safety with the parents of a 10-year-old client. Which statement by the client's parents most concerns the nurse? a-"Our child is home alone for an hour each day." b-"Our child swims alone before we get home from work." c-"Our child refuses to eat any green vegetables." d-"We do our best to keep no-cook snacks in the home."
a
The nurse is documenting the bonding and nurturing relationship of Ruby and her infant Rose. What observation would be a positive documentation of nurturing? a- "The client was noted to be kissing and hugging the infant during all care given." b-"The client rarely spoke to the infant throughout care." c-"The client holds the infant but doesn't speak much." d- "The client holds the infant out on the lap and does not make eye contact."
b?
The nurse is educating a first-time mother who has a 1-week-old infant. Which anticipatory guidance is accurate? a- describing the effect of neonatal teeth on breastfeeding b- explaining that the child will need frequent feedings every 2 to 3 hours c- informing that fontanels (fontanelles) will close by 6 months d- telling the mother that the step reflex persists until the infant walks
d
The nurse is educating an adolescent's parents on the importance of self-esteem. Which factor will the nurse include as being most important to an adolescent's self-esteem? a-Strong authority figures b-Friends selected by the adolescent c-Morals and values d-Body image
a
The nurse is observing the behavior of a preschool-aged child and becomes concerned. Which observation suggests that the child's thinking is inconsistent with normal preschooler growth and development? a-refusing to play with "real" children b-refusing to go to bed without the imaginary friend c-insisting that an imaginary friend have dinner with the family d-insisting that an imaginary friend watch television with the child
c
The nurse is performing a physical assessment of a 3-year-old girl. What finding would be a concern for the nurse? a-The toddler gained 4 pounds in weight since last year. b-The toddler gained 3 inches in height since last year. c-The toddler's anterior fontanel (fontanelle) is not fully closed. d-The circumference of the child's head increased 1 inch since last year.
c
The nurse is performing an admission assessment of an adolescent with the teen and the parents. During the assessment the nurse suspects that the teen may be pregnant. What is the best way for the nurse to address this situation? a-Ask the teen, with the parents present, if she might be pregnant. b-Ask the parents to step out of the room and tell them the nurse's suspicion. c-Ask the parents to wait in the family lounge while finishing the assessment, then ask the teen during the assessment. d-Ask the teen's physician to talk to the parents and the teen about the possibility of pregnancy.
c
The nurse is playing a game with a toddler in the hospital room. What is the most important benefit of this nurse-client interaction? a- Occupying the toddler's time while the parents are meeting with the physician. b- Distracting the toddler from expending too much energy with active playing. c- Developing a trusting relationship with the nurse. d- Utilizing clinical time when the unit is not busy.
a
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
b
The nurse is preparing to discharge a 9-month-old infant with a new gastrostomy tube in place. To facilitate proper medication administration for when the child is at home, the nurse gives a gastrostomy tube medication demonstration to the parents. Which step would the nurse take to ensure the parents learned the correct procedure for gastrostomy tube medication administration? a-Have the parents write down the proper procedure. b-Have the parents perform a return demonstration. c-Have the parents recite the proper procedure to the nurse. d-Ask the parents if they understand after the teaching is completed.
b
The nurse is speaking to a parent of a 5-year-old child. Which statement by the parent would indicate a potential hearing impairment in the child? a-"My daughter loves to talk on the phone to her grandparents." b-"When my son is watching TV, I can't stand to be in the room. The sound is always turned up so loud." c-"My son is always listening to music with headphones on." d-"My daughter is learning sign language in school."
a,c,d
The nurse is teaching the family of a client with a developmental disorder about things that encourage development. Which of the following would the nurse include? Select all that apply. a-maintaining affectionate, developmentally sensitive patterns of caregiver-child interactions b-limiting time the child spends with peers c-structuring the environment appropriately d-building on previous learning e-keeping the child away from adults other than the parents
d
The parents of a 12-year-old girl report their daughter is missing an increasing amount of school. They further share that the child says she feels ill and begs to stay home. What action by the parents will be most therapeutic? a-The parents need to demand the child go to school. b-The parents need to establish a contract with their child about attending school. c-The parents should allow the child to stay home if necessary. d-The parents need to attempt to determine why the child is avoiding school.
a
The parents of a 9-year-old child tell the nurse, "We are so frustrated with our child. We do not know what to do. Our child makes careless mistakes on tests and homework despite being intelligent, is very disorganized, and never follows through with chores at home." The nurse anticipates this child may have which disorder? a-attention deficit disorder b-bipolar disorder c-obsessive-compulsive disorder d-antisocial personality disorder
b
The parents of a preschool-aged child want to begin preparing the child to attend school. What would the nurse suggest the parents discuss with the child to help with this preparation? a-Point out how to go to school. b-Talk about school as an enjoyable experience. c-Warn about how many rules there will be in school. d-Encourage working on projects lying on the floor so school tables will be appreciated.
a
The school nurse is assessing a student complaining of left eye pain. Upon visual inspection, the nurse notes left conjunctivae redness and thick, colored discharge. The nurse understands that these signs and symptoms are consistent with which diagnosis? a-bacterial conjunctivitis b-allergic conjunctivitis c-viral conjunctivitis d-chalazion
a
The school nurse is performing a vision screening for a 7-year-old child. Which finding should trigger a referral? a-Slight misalignment of the eyes b-Ability to color discriminate c-Peripheral vision similar to that of the school nurse d-Visual acuity of 20/20 in both eyes
c
The school nurse is speaking with a child who is a latch-key kid. Which statement by the child would need further investigation? a- "I know I'm not allowed to have my friends over until my mom gets home from work." b-"I always check the caller ID before I answer the phone. I don't answer it if I don't know who the caller is." c-"I answered the door yesterday and the salesman wanted to come in even though my mom wasn't home." d-"My dad has every emergency number I could want posted next to the phone."
c
The teenager with severe edema is reluctant to return to school but avoids discussing the reasons for this. From knowledge of adolescent growth and development and awareness of the manifestations of edema, what does the nurse assume is the main reason for the teen's feelings? a-impaired mobility due to joint motion restriction b-diet and fluid intake modifications c-changes in physical appearance d- need to urinate frequently
b
What two areas of the home are the most hazardous for infants? a- dining room and living room b- kitchen and bathroom c- bedroom and basement d- kitchen and bedroom
a
When 12-year-old Chelsie comes in for her annual check-up, the nurse must take a health history and do a physical exam. What is the most appropriate manner for the nurse to obtain a health history? a-Ask Chelsie if she minds if her mother is in the room with her. b-Ask Chelsie to wait outside while the nurse talks with her mother. c-Ask Chelsie's mom to leave the room. d-Ask Chelsie to fill out the health form and return it herself.
d
Which nursing intervention will help reduce a child's anxiety about hospitalization? a-Explain how pain is needed to heal properly. b-Give a strict schedule to follow during the hospitalization. c-Allow quiet time for the child by asking the parents to leave for 1 hour. d-Show the child all equipment to be used, including sounds.
b
Which of the following is a congenital condition? a-HIV disease b-Down syndrome c-spinal cord injury d-stroke
c
Which statement by the parent of a 5-year-old child with special needs indicates to the nurse additional teaching is needed? a-"I hope my child will be toilet trained soon. We are working on it." b-"My child has an imaginary playmate who has a place at our dinner table." c-"I do not take my child to the park when other kids are there because they tend to stare." d-"My child enjoys knocking down tall block towers I build."
d
Which statement by the parents of a school-age client with special needs indicates to the nurse that additional teaching is needed? a-"She goes to school on the special school bus every day." b-"She points to what she wants to wear and definitely has favorites." c-"She likes to play certain computer games with her younger brother. She isn't always a good loser." d-"She is so slow that we don't have her help with the dishes."
a
While evaluating the development of a 10-month-old boy, a nurse hides the boy's stuffed animal behind her back. The boy crawls around the examination table to look behind the nurse's back for the stuffed animal. Which developmental phenomena has this infant demonstrated? a- Object permanence b- Hand regard c- Binocular vision d- Depth perception
