NURS 3444. CP (Exam 1)

The nurse in a pediatric clinic is reviewing the chart of an infant who is 12 months old. The infant weighed 8 lb 3 oz (3720 g) at birth. What does the nurse anticipate the infant's weight to be in kilograms if the infant meets normal growth expectations? Record your answer using one decimal place.

11.2

Linda and her mother are in the office. As Linda uses the restroom, her mother asks you 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. As the nurse, what reminders should you give her when she discusses sex? a) Promote open lines of communication; listen instead of lecture; and share family values. b) Discuss with the teen the experiences that you had so that she can connect on a personal level. c) Encourage her to talk to her peers and teachers in health class. d) Do not initiate any conversation; let the teen come and seek the advice of the parent.

a) Promote open lines of communication; listen instead of lecture; and share family values.

The nurse is assessing the abdomen of a preschooler admitted for lower right quadrant pain. Which assessment questions provide helpful data? Select all that apply. a. "Choose the face that shows how you feel now." (FACES pain rating scale) b. "Touch the spot on your tummy where it hurts." c. "The hurt—is it sharp or dull?" d. "Does your tummy ache?" e. "Is your hurt getting better?"

a. "Choose the face that shows how you feel now." (FACES pain rating scale) b. "Touch the spot on your tummy where it hurts."

A 12-year-old girl is experiencing prepubescence, and tells the school nurse that she feels "very out of place" in her school. What would be acceptable responses by the nurse? Select all that apply. a. "It must be difficult for you. Why don't you sit down and we can talk about it." b. "I would suggest that you talk to your parents about your feelings. This isn't something that I can talk to you about." c. "All of the girls and boys will be going through the same thing as you so that should make you feel a little better." d. "Tell me how this makes you feel. Talking about your feelings may help you feel better about school." e. "I went through the same thing when I was in school. I know it doesn't feel like it now but I promise it will get easier."

a. "It must be difficult for you. Why don't you sit down and we can talk about it." d. "Tell me how this makes you feel. Talking about your feelings may help you feel better about school."

The nurse is admitting a 10-year-old for surgery. What action should the nurse prioritize when caring for this child? a. Answer questions regarding pain. b. Encourage family caregivers to stay with the child. c. Avoid prolonged discussions about the child's anxiety. d. Offer to help with bathing.

a. Answer questions regarding pain.

Johnny exhibits the following growth pattern. Which interpretation of the data is accurate? Select all that apply. 3 yrs: Ht. 37 inches Wt. 32 pounds 4 yrs: Ht. 39 inches Wt. 39 pounds 5 yrs: Ht. 40 inches Wt. 46 pounds a. Johnny's height and weight should be plotted on a growth chart. b. Johnny may be at risk for overweight or obesity. c. Johnny is following a normal pattern of growth for the preschool years. d. Johnny is growing slowly in height but rapidly in weight.

a. Johnny's height and weight should be plotted on a growth chart. b. Johnny may be at risk for overweight or obesity. d. Johnny is growing slowly in height but rapidly in weight.

During an emergency department visit for an asthma attack, a child receives care from two nurses. Which intervention(s) represents care that provides atraumatic therapeutic care? Select all that apply. a. One nurse uses distraction techniques while the other nurse inserts an intravenous catheter. b. The nurse requests the parent stay in the room with the child during the nebulizer treatment. c. The nurse utilizes closed-ended questions when obtaining the child's medical history from the parent. d. One nurse talks with the parent while the other nurse assists the radiology technician in obtaining a chest x-ray. e. The nurse includes the parent in discharge teaching because the parent is the primary caregiver.

a. One nurse uses distraction techniques while the other nurse inserts an intravenous catheter. b. The nurse requests the parent stay in the room with the child during the nebulizer treatment. d. One nurse talks with the parent while the other nurse assists the radiology technician in obtaining a chest x-ray. e. The nurse includes the parent in discharge teaching because the parent is the primary caregiver.

A nurse is working with an 8-year-old child and obtaining assent. Place the steps listed below in the order that the nurse would complete them to obtain the child's assent. Use all options 1. Determine the child's willingness to participate 2. Assist the child in understanding the child's condition 3. Evaluate the child's understanding of the situation 4. tell the child about the treatment being planned, including what to expect

2. Assist the child in understanding the child's condition. 4. Tell the child about the treatment being planned, including what to expect. 3. Evaluate the child's understanding of the situation. 1. Determine the child's willingness to participate.

After assessing a 10-year-old girl, the nurse documents the appearance of breast buds, identifying this as what body change? A) Menarche B) Thelarche C) Puberty D) Tanner stage 5

B) Thelarche

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. "You are doing well in school. Be happy with this success." B. "It is common for girls your age to worry about being different." C. "It is normal for there to be differences in the time and rate girls your age develop." D. "Remember the methods you have been taught to manage peer pressure."

C. "It is normal for there to be differences in the time and rate girls your age develop."

A nurse caring for children and their families must respect the rights of the parents and guardians and their charges relevant to child health issues. Which statements best describe these rights? Select all that apply. a. Parents and guardians can give permission for treatment. b. The right to education is not viewed as an entitlement for children. c. What is best for the child is always considered when parents choose a course of action for their child. d. Parents are able to raise the child according to their religion. e. The mother of the child assumes parental responsibility when the couple is not married. f. Court-appointed guardians are usually the closest relatives of the child.

a. Parents and guardians can give permission for treatment. d. Parents are able to raise the child according to their religion. e. The mother of the child assumes parental responsibility when the couple is not married.

The nurse is assessing the neurological status of a 10-month-old infant. Which finding(s) does the nurse determine to be abnormal when performing this assessment? Select all that apply. a. The infant turns to the right side, searching with mouth, when the right side of the cheek is stroked. b. The infant reflexively grasps when the nurse touches the palm. c. With sudden extension of the infant's head, the arms abduct and move upward and the hands form a "C". d. The infant demonstrates reflexive sucking when nipple or finger is placed in infant's mouth. e. The infant fans and extends the toes when the nurse strokes along the lateral aspect of the sole and across the plantar surface of the foot.

a. The infant turns to the right side, searching with mouth, when the right side of the cheek is stroked. b. The infant reflexively grasps when the nurse touches the palm. c. With sudden extension of the infant's head, the arms abduct and move upward and the hands form a "C". d. The infant demonstrates reflexive sucking when nipple or finger is placed in infant's mouth.

Nursing students are reviewing information about preschooler growth and development. The students demonstrate understanding of the information when they identify which of the following as a common fear during this period? Select all that apply. a. Fear of independence b. Fear of mutilation c. Fear of the dark d. Fear of abandonment e. fear of separation

b. Fear of mutilation c. Fear of the dark d. Fear of abandonment e. fear of separation

The parents express concern about their child who has an imaginary friend. The nurse explains that as long as the imaginary friend does not become the center of attention and also the child has real friends, this can be beneficial. What benefits are discussed? Select all that apply. a. Protects the child by separating from those who are unkind. b. Provides an outlet by which the child can express innermost feelings. c. Serves as someone to blame or decrease the child's guilt. d. Encourages language development by conversation. e. Helps the child know what is real and what is not.

b. Provides an outlet by which the child can express innermost feelings. c. Serves as someone to blame or decrease the child's guilt. d. Encourages language development by conversation.

The 6-year-old child is being prepared for a venipuncture. The child is tearful and reports feeling afraid. Which response by the nurse is most therapeutic? a. "Let's scream very loudly now and then you can sit quietly until we are finished." b. "If you cannot sit still we will need to hold you so that it is safe for you." c. "It is ok to cry if it hurts or you are afraid." d. "When we are done you can pick a treat from the toy box." e. "You are a big girl and big girls do not get scared of needles."

c. "It is ok to cry if it hurts or you are afraid."

During a health check-up without the parents present, a 17-year-old adolescent tells the nurse about being gay. Which statement from the nurse is best? a. "This puts you in an at-risk category." b. "We need to talk about safe sex." c. "Tell me what makes you think you are gay." d. "You are not gay; you are confused."

c. "Tell me what makes you think you are gay."

A nurse is determining whether or not informed consent has been obtained from the family of a child who is going to have abdominal surgery. Which statement by the family would lead the nurse to suspect that informed consent is lacking? a. "Although there are risks involved, our son needs the surgery to cure the problem." b. "We are amazed that he'll be up and walking around the day after surgery." c. "We had to sign the form right away so the surgery could get scheduled." d. "He might miss some school afterwards, but he'll be feeling much better."

c. "We had to sign the form right away so the surgery could get scheduled."

The nurse is caring for a 9-year-old male child who is being seen for a well-child care visit. During the visit, the child's parent reports the child is one of the shorter children in his class. The parent asks how much more the child will grow in the next few years. Which response by the nurse is appropriate? a. "Children in this age range can expect to grow about 1 in (2.5 cm) per year until they are about 15 years old." b. "It is hard to tell at this point." c. "Your child should grow approximately 10 in (25 cm) over the next 4 years." d. "Your child will likely get taller; it may take at least 5 years for growth to begin."

c. "Your child should grow approximately 10 in (25 cm) over the next 4 years."

The experienced nurse is providing shift handoff to a graduate nurse. Which statement of pain management by the graduate nurse requires clarification by the expert nurse? a. "Opiates can be given to children without untoward effects." b. "Adults as well as children can suffer from respiratory depression if given too much morphine." c. "There is no more danger of respiratory depression in children than in adults." d. "Children should not be given morphine, because they are at risk for respiratory depression."

d. "Children should not be given morphine, because they are at risk for respiratory depression."

A 3 ½-year-old girl is admitted to the hospital with a severe respiratory infection. The parents tell the nurse that they have noticed that their child has been using "baby talk" and has been wetting the bed. The parents are concerned and ask the nurse what they should do. How should the nurse respond? a. "It's advisable to discipline your child if she is displaying behaviors that are not typical of her daily routines so that she won't continue this behavior at home." b. "I think it would be a good idea if you talked with your child to determine if there is anything that is bothering her." c. "There may be some underlying issues with developmental milestones. We should talk to the pediatrician about this." d. "It is normal for children to regress during a stressful event like a hospitalization. Just praise her good behavior and don't give attention to the regressive behavior."

d. "It is normal for children to regress during a stressful event like a hospitalization. Just praise her good behavior and don't give attention to the regressive behavior."

The nurse is providing instructions to a mother on how to use thought stopping to help her child deal with anxiety and fear associated with frequent painful injections. Which statement indicates the mother understands the technique? a. "We can talk about our favorite funny movie and laugh." b. "We will imagine that we are on the beach in Florida." c. "She can let her body parts go limp, working from head to toe." d. "We'll repeat 'quick stick, feel better, go home soon' several times."

d. "We'll repeat 'quick stick, feel better, go home soon' several times."

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. Blood pressure has reached adult level. b. Secondary sex characteristics are present. c. Pulse rate is increased. d. Breathing is diaphragmatic.

d. Breathing is diaphragmatic.

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. Utilizing clinical time when the unit is not busy. c. Distracting the toddler from expending too much energy with active playing. d. Developing a trusting relationship with the nurse.

d. Developing a trusting relationship with the nurse.

A toddler's parents want to begin toilet training. As a rule, the best instruction the nurse could give them is: a. all children should be toilet trained by age 2 years. b. if children can remain dry during the night, they can do so during the day. c. toilet training is a 12-month process. d. bowel training is easier than urine training.

d. bowel training is easier than urine training.

The nurse would assess respirations in a 9-month-old infant when the client is: a. crying. b. playing in the playroom. c. laughing. d. quiet in the parent's lap.

d. quiet in the parent's lap.