Ped1

Which clinical manifestation noted during a physical examination causes the nurse to suspect physical abuse? A) Traumatic alopecia B) Extremity fractures C) Unilateral ecchymosis of the eye D) Weight below the 10th percentile

A) Traumatic alopecia

At which age should the nurse suggest introducing rice cereal to the infant's diet? A) 3 months B) 6 months C) 9 months D) 12 months

B) 6 months

Which percentage of reported cases of child abuse in the United States reflects child neglect? A) 12% B) 16% C) 24% D) 52%

D) 52%

Which data collected during the health history process cause the nurse to assess for autism? A) Using pronouns incorrectly B) Sleeping less than 14 hours per day C) Using two-word sentences at 20 months of age D) Lacking interest in games such as hide-and-go-seek

D) Lacking interest in games such as hide-and-go-seek

Which question allows the nurse to assess a preschool-aged child for delayed peer relationships? A) "Can your child independently dress each day?" B) "Does your child play with the other children in the playroom?" C) "Has your child ever thought that asthma is a punishment?" D) "Does your child become anxious before respiratory treatments?"

B) "Does your child play with the other children in the playroom?"

The licensed practical nurse (LPN) notes annular ecchymosis on a school-aged child's back. The LPN is not sure if this is due to abuse or a cultural practice. Which is the priority action by the LPN? A) Contacting child protective services B) Asking the registered nurse to assist with the assessment C) Instructing the parent to proceed to the waiting room for the remainder of the examination D) Initiating a child life specialist consult for a more in-depth assessment of the current situation

B) Asking the registered nurse to assist with the assessment

Which tool should the nurse use to monitor pain in a toddler-aged patient? A) FACES pain scale B) FLACC pain scale C) Oucher pain scale D) Numeric pain scale

B) FLACC pain scale

Which is an example of an anthropometric measurement the nurse documents for the infant in the medical record? A) Heart rate B) Pain rating C) Blood pressure D) Head circumference

D) Head circumference

For which topic, considered an adolescent stressor, should the nurse include interventions in the plan of care for a hospitalized teenage patient? A) Fear of the dark B) Separation anxiety C) Mutilation concerns D) Loss of privacy

D) Loss of privacy

For which stage of development must the nurse engage in total safety perception when providing patient care? A) Toddler B) Preschooler C) Older infant D) Younger infant

D) Younger infant

Which parental statement regarding the sleep needs of a younger infant is accurate? A) "My baby requires 22 to 23 hours of sleep each day." B) "My baby requires a 1- to 2-hour nap in the afternoon." C) "My baby requires a 1- to 2-hour nap in the morning." D) "My baby requires 16 hours of sleep each day, including two naps."

A) "My baby requires 22 to 23 hours of sleep each day."

Which pediatric patient can best tolerate separation from parents during hospitalization? A) A 3-month-old B) A 15-month-old C) A 24-month-old D) A 36-month-old

A) A 3-month-old

Which growth and developmental change indicates increased maturity during the school-aged stage of development? A) An increase in leg length in relation to height B) A decreased head circumference in relation to standing height C) The face growing faster in relation to the remainder of the cranium D) Little increase in the size of the skull and the brain, which grow very slowly

A) An increase in leg length in relation to height

Which anatomical difference between adults and children places a pediatric patient at risk for insensible losses? A) Large body surface area B) Obligatory nose breathing C) Disproportionate head size D) Poorly developed intercostal chest muscles

A) Large body surface area

The school nurse is performing annual height and weight screenings. The nurse notes that three adolescent girls who are close friends have each lost 15 pounds over the past year. Which is the priority nursing action? A) Obtaining a nutritional history for each of these adolescents B) Referring these adolescents to the school psychologist C) Calling the respective parents to discuss the eating pattern of each adolescent D) Speaking with the adolescents in a group to discuss the problems associated with anorexia nervosa

A) Obtaining a nutritional history for each of these adolescents

Which should the nurse keep in mind when providing care to an adolescent patient during the initial health maintenance visit at the provider's office? A) The importance of explaining procedures and introducing personnel to adolescents B) Many adolescents are quiet and will offer no opinions. C) The importance of attending to and discharging the adolescent quickly D) Many adolescents are comfortable with their surroundings.

A) The importance of explaining procedures and introducing personnel to adolescents

The nurse prepares a child to receive oxygen via a tent delivery system by allowing the child to place a teddy bear in and out of the tent and then rewarding the child with a sticker. Which practice is the nurse using? A) Therapeutic play B) Therapeutic rewards C) Therapeutic interventions D) Therapeutic communication

A) Therapeutic play

The pediatric nurse is explaining the procedure for débriding a wound to a preschool-aged patient. Which is an age-appropriate method to describe this process? A) Use play to demonstrate the procedure B) Allow the child to see all of the equipment C) Allow the child to refuse the procedure D) Use pamphlets to describe the procedure

A) Use play to demonstrate the procedure

Which activity is easier for a school-aged child because of changes in proportions from the preschool stage of development? A) Climbing B) Handwriting C) Problem-solving D) Cooperative play

A) Climbing

Which code should the nurse call if a newborn is missing from the nursery? A) Code red B) Code blue C) Code pink D) Code grey

C) Code pink

Which type of play should the nurse encourage when providing age-appropriate care to a preschool-aged child? A) Team B) Parallel C) Solitary D) Associative

D) Associative

Which behavior noted by the school-aged patient indicates the development of conservation? A) Learning to spell B) Becoming interested in collections C) Developing a sense of cause and effect D) Being able to classify objects according to mass

D) Being able to classify objects according to mass

Which initiative is the nurse following by not using the abbreviation QOD when documenting care that is provided every other day? A) Read back verbal orders B) Do Not Use Abbreviations C) Handoff reports D) Critical test results

B) Do Not Use Abbreviations

Which psychosocial concern should the nurse monitor for when providing care to a school-aged child who is diagnosed with pediculosis? A) Itching of the scalp B) Feeling dirty C) Applying medication appropriately D) Educating the family on prevention

B) Feeling dirty

Which is a psychological and developmental task of adolescence? A) Being engaged in tasks B) Forming a self-identity C) Having highly imaginative thoughts D) Wanting to participate in organized activities

B) Forming a self-identity

Which is a priority teaching point regarding nutrition for the toddler-aged child? A) Limiting milk consumption B) Offering water with each meal C) Offering the child finger foods only D) Emphasizing the need for two snacks per day

A) Limiting milk consumption

Which is a priority nursing action when providing care to a school-aged child who is experiencing abuse? A) Meeting the child's immediate psychological needs B) Planning for the child's long-term physical needs C) Earning the trust of the child's parents D) Engaging the child in play to encourage expression of anxiety

A) Meeting the child's immediate psychological needs

Which toy should the nurse provide to the infant patient to promote development? A) Music box B) Board game C) Pail and shovel D) Large-piece puzzle

A) Music box

According to Erikson, which person has the most influence over the adolescent? A) Peers B) Siblings C) Parents D) Teachers

A) Peers

Which should the nurse monitor when assisting with the rapid assessment of body systems to assess a child's integumentary system? A) Presence of petechiae B) Retinal hemorrhage C) Paradoxical breathing D) Abnormal heart sounds

A) Presence of petechiae

Which physical change noted by the nurse during a growth and developmental assessment for a 7-year-old patient necessitates further action? A) Pubescent changes B) Weight gain of 4 lb (2 kg) per year C) Eruption of central incisors D) Height increase of 1 to 2 feet (30 to 60 cm) during the entire period

A) Pubescent changes

Which action should the nurse include when providing education regarding methods to enhance health promotion during a scheduled health maintenance visit for a 4-year-old child? A) Recognizing that food jags are common B) Mentioning the importance of foods high in sodium C) Encouraging the use of a high chair with a safety strap D) Recommending that the child consume high-fat foods

A) Recognizing that food jags are common

Which immunizations should the nurse prepare the parents of an infant for during the 4-month well-child visit? (Select all that apply.) A) Rotavirus B) Hepatitis B C) IPV D) MMR E) Diphtheria, tetanus, pertussis (DTP)

A) Rotavirus C) IPV E) Diphtheria, tetanus, pertussis (DTP)

Which type of relationship is most important to the school-aged child? A) Same-sex peer relationship B) Opposite-sex peer relationship C) Same-sex parental relationship D) Opposite-sex parental relationship

A) Same-sex peer relationship

In which position should the nurse place a child who is experiencing a medical emergency in order to use color-coded resuscitative response tape? A) Supine B) Prone C) Side-lying D) Trendelenburg

A) Supine

Which action by the nurse is appropriate when using the "B" of the SBAR system? A) Identifying the reason for the phone call B) Giving the patient's presenting complaint C) Providing the most recent vital signs D) Asking if the provider will be coming to assess the patient

B) Giving the patient's presenting complaint

Which immunization should the nurse plan to give prior to newborn discharge from the hospital? A) Rotavirus B) Hepatitis B C) Inactivated polio virus (IPV) D) Measles, mumps, rubella (MMR)

B) Hepatitis B

A mother reports that her adolescent daughter is always late. The mother states, "She was born late and has been late every day of her life." Which response by the nurse is appropriate? A) "Setting specific alarms and then reinforcing the value of being 'on time' may be helpful strategies." B) "Just let it go for now. Teachers and employers are the best people to help her be on time." C) "You need to establish specific time frames for your adolescent and be certain she adheres to them." D) "You have a major problem. There must be a lot of screaming in your home."

A) "Setting specific alarms and then reinforcing the value of being 'on time' may be helpful strategies."

Which questions related to socialization should the nurse include when assisting with the assessment of a school-aged child who is new to the pediatric practice? (Select all that apply.) A) "What grade are you currently attending?" B) "At what age did your child cut the first tooth?" C) "Do you have a best friend at your new school?" D) "What was your child's approximate length at 1 year of age?" E) "What was your child's approximate weight at 6 months and at 1, 2, and 5 years of age?"

A) "What grade are you currently attending?" C) "Do you have a best friend at your new school?"

Which pediatric anatomical factor increases the risk for airway occlusion when care is provided to a child? A) A large posterior head bone occiput B) An increase in total body surface area C) A decrease in circulatory blood volume D) Intercostal chest muscles that are poorly developed

A) A large posterior head bone occiput

Which data cause the nurse to provide the parents of an infant with education regarding colic? A) Abdominal pain accompanied by crying 3 days per week B) No weight gain since the last well-child visit C) Muscle mass that has decreased D) Frequent emesis

A) Abdominal pain accompanied by crying 3 days per week

The nurse is preparing to assess a preschool-aged child who states, "This is Bella, my bear. People tell me that they can't hear Bella talking, but that hurts her feelings and makes her cry." When documenting this interaction in the child's medical record, which term should the nurse use? A) Animism B) Seriation C) Conservation D) Object permanence

A) Animism

Which nursing action is appropriate when assisting with the assessment of a toddler-aged patient who is diagnosed with a communicable disease? A) Asking the parents if the child has been exposed to anyone who has been sick B) Determining if the child has received the human papillomavirus (HPV) vaccine C) Establishing if the mother was exposed to any sexually transmitted infections (STIs) during pregnancy D) Monitoring for any musculoskeletal abnormalities

A) Asking the parents if the child has been exposed to anyone who has been sick

The parent of a toddler states, "My child wants to do everything by herself." Which term should the nurse use to describe this behavior in the medical record? A) Autonomy B) Egocentric C) Negativism D) Temperament

A) Autonomy

Which is a responsibility of the nurse when implementing safety precautions for pediatric patients each shift? A) Checking that the bedside equipment is functional and the right size B) Verifying a dose of insulin with another nurse prior to administration C) Using the 10 rights of medication administration with each drug given D) Verifying the patient prior to administering a prescribed treatment

A) Checking that the bedside equipment is functional and the right size

Which code should the nurse call for a fire in a patient care area? A) Code red B) Code blue C) Code pink D) Code grey

A) Code red

Which intervention is meant to enhance medication safety for inpatient pediatric units? A) Computerized order entry B) Hospital-based pharmacies C) Double-checking drug orders with three nurses D) Interaction with other nurses in the medication room

A) Computerized order entry

Which is a nursing responsibility when providing care to a child who is being abused? A) Filing a report with child protective services B) Taking photographs of the child's injuries on a personal cell phone C) Determining who is abusing the child D) Washing a child who is being sexually abused upon arrival to the department

A) Filing a report with child protective services

Which circumstance requires the nurse to obtain assistance from local law enforcement when providing care to a child who is being abused? A) For a child who is at risk for further abuse B) For a child who is emotionally abused C) For any child who is sexually abused D) For any child who is physically neglected

A) For a child who is at risk for further abuse

Which complementary therapy might the nurse encourage for an infant who is experiencing colic? A) Herbal tea B) Acupressure C) Stone therapy D) Massage therapy

A) Herbal tea

Which screenings are appropriate for an adolescent who admits to being sexually active during a scheduled health maintenance visit? (Select all that apply.) A) Herpes simplex virus B) Gonorrhea C) Chlamydia D) Impetigo E) Mononucleosis

A) Herpes simplex virus B) Gonorrhea C) Chlamydia

Which action by the nurse is appropriate when using the "S" of the SBAR system? A) Identifying the reason for the phone call B) Giving the patient's presenting complaint C) Providing the most recent vital signs D) Asking if the provider will be coming to assess the patient

A) Identifying the reason for the phone call

Which should the nurse recommend to the parents of a toddler who is exhibiting tantrums? A) Ignoring the child's behavior B) Locking the child in the bedroom C) Swatting the child on the backside D) Giving in to the demands of the child

A) Ignoring the child's behavior

Which should the nurse include when assessing the central nervous system (CNS) of a child who is acutely ill? (Select all that apply.) A) Irritability B) Lethargy C) Hypoventilation D) Vomiting E) Seizures

A) Irritability B) Lethargy E) Seizures

The nurse is providing care to a pediatric patient who is experiencing separation anxiety as a result of hospitalization. Which data indicate the patient is experiencing the "despair" stage? A) Lies quietly in bed B) Does not cry when parents return and leave again C) Appears to be happy and content with staff D) Screams and cries when parents leave

A) Lies quietly in bed

Which nursing action is appropriate when assessing an infant for respiratory distress? A) Palpating for masses B) Inspecting for head bobbing C) Documenting the frequency of stools D) Monitoring for visible loops of bowel

B) Inspecting for head bobbing

The nurse witnesses a child collapsing in the cafeteria. Which is the priority action by the nurse? A) Calling for help B) Determining unresponsiveness C) Performing chest compressions D) Giving a resuscitative breath

B) Determining unresponsiveness

The nurse is providing care for a child of Asian descent who is experiencing an exacerbation of asthma. The nurse notes bruising on the child's back in the shape of a Christmas tree. Which question exhibits therapeutic communication when conducting the health history assessment on the basis of the current data? A) "Why are you subjecting your child to this treatment?" B) "Do you use spooning when caring for your child's breathing issues?" C) "Have you ever been accused of abusing or neglecting your child?" D) "Do you require a medical translator during the interview process?"

B) "Do you use spooning when caring for your child's breathing issues?"

Which statement regarding plotting anthropometric measurements indicates correct parental understanding? A) "Body mass index (BMI) is monitored closely during the first year of life." B) "Height, weight, and BMI are monitored from 3 to 18 years of age." C) "You will plot my baby's weight, length, and head circumference through 4 years of age." D) "There are four charts used to monitor physical growth from birth to 18 years of age."

B) "Height, weight, and BMI are monitored from 3 to 18 years of age."

The nurse is planning to teach a group of adolescents about what can happen during unprotected sex. Which nursing action allows effective communication with the group? A) Offering personal opinions on the topic B) Allowing for discussion among the participants C) Lecturing on the topic for the allotted time without any discussion D) Discussing sex education related to religious belief

B) Allowing for discussion among the participants

Which nursing action is most appropriate when providing emergency care to a child whose parents do not wish to leave the room? A) Asking the health-care provider if the parents can stay with the child B) Allowing the parents to stay with the child C) Escorting the parents to the waiting room and assuring them that they can see their child soon D) Telling the parents that they do not need to stay with the child

B) Allowing the parents to stay with the child

Which pediatric patient is at greatest risk for experiencing separation anxiety if the parents are unable to stay with the child at all times? A) A 3-month-old infant B) An 18-month-old toddler C) A 4-year-old, preschool-aged child D) A 6-year-old, school-aged child

B) An 18-month-old toddler

Which toy should the nurse provide to the school-aged patient to promote development? A) Music box B) Board game C) Pail and shovel D) Large-piece puzzle

B) Board game

Which deciduous teeth should the nurse anticipate the school-aged child will lose first? A) Lateral incisors B) Central incisors C) Third molars D) Second molars

B) Central incisors

Which code should the nurse call for a pediatric patient who is not breathing? A) Code red B) Code blue C) Code pink D) Code grey

B) Code blue

A pediatric nurse assesses the language skills of a preschool child. This nurse is assessing an aspect of which developmental domain? A) Physical B) Cognitive C) Psychosocial D) Moral/spiritual

B) Cognitive

During a health maintenance visit, an adolescent says, "I have no friends in my new school, and I no longer want to go to college. I know I will be lonely there, too." Which priority screening should the nurse implement? A) Substance abuse B) Depression C) Anorexia nervosa D) Pregnancy

B) Depression

Which intervention should be included in the plan of care for an infant who is experiencing diaper rash? A) Changing the diaper three times per day B) Keeping the diaper area clean and dry C) Using scented lotion on the diaper area D) Applying nystatin cream four times per day

B) Keeping the diaper area clean and dry

The parents of a toddler have not sought the recommended dental care for their child. Which type of abuse should the nurse identify in this situation? A) Physical abuse B) Physical neglect C) Emotional abuse D) Emotional neglect

B) Physical neglect

The nurse is assessing an adolescent patient to determine her relationships with others. Which nursing action is appropriate? A) Telling the parents that information will be shared with them after the examination B) Providing separate times to communicate with the adolescent and the parents C) Avoiding asking the parents their opinions of the adolescent's friends D) Telling the parents they are not allowed to come into the examination room

B) Providing separate times to communicate with the adolescent and the parents

Which should the nurse identify as most important to social development during the toddler stage of development? A) Peers B) Siblings C) Religious figures D) Day-care providers

B) Siblings

Which is the best method for providing orientation to a novice pediatric nurse to enhance communication skills when working with this population? A) Real-time training B) Simulation activities C) Computer-based training D) Written module instructions

B) Simulation activities

Which data obtained during an infant's health history interview cause the nurse to provide specific information about SIDS? A) Sleeping on the back B) Smoking in the home C) Attending day care each day D) Being behind on current vaccinations

B) Smoking in the home

Which child factor that contributes to abuse should the nurse assess for when abuse is suspected? A) Low self-esteem B) Temperament that is demanding C) Stress that is chronic in nature D) Poverty-level socioeconomic status

B) Temperament that is demanding

On which new morbidity topic should the pediatric nurse focus when providing health promotion to families? A) Dietary fads B) Unsafe neighborhoods C) Cost of health insurance D) Post-traumatic stress disorder

B) Unsafe neighborhoods

Which nursing action supports the National Patient Safety Goals for 2016? A) Securing oxygen and suction equipment at each bedside B) Using two identifiers prior to medication administration C) Teaching the pediatric patient how to use the call button D) Ensuring the bed is left in the lowest position when leaving the room

B) Using two identifiers prior to medication administration

Which parental statement about newborn and infant stooling patterns indicates the need for further education? A) "A formula stool has a soft consistency." B) "A transitional stool is less thick and sticky." C) "A breastfed baby will stool only once per day." D) "A meconium stool is the first stool my baby will have."

C) "A breastfed baby will stool only once per day."

The nurse is teaching the parents of a 6-year-old child what to expect in terms of normal growth and development. Which parental statement indicates the need for further education? A) "My child's vision has reached maturity." B) "I should expect my child to be constantly active." C) "Finger feeding is abnormal and indicates the need for intervention." D) "A coloring book is a developmentally appropriate activity for my child."

C) "Finger feeding is abnormal and indicates the need for intervention."

The nurse is providing care to a toddler-aged client whose laboratory data indicate anemia. Which question should the nurse include in the health history of this patient? A) "Does your child eat green leafy vegetables?" B) "Does your child have a history of bleeding?" C) "How much milk does your child drink each day?" D) "Does your child eat the same types of foods as the rest of the family?"

C) "How much milk does your child drink each day?"

Which parental statement indicates understanding of methods to prevent newborn neurological injury? A) "I should cover my baby's head." B) "I should place my baby on her back to sleep." C) "I should never shake my baby, even if she won't stop crying." D) "I should use the bulb syringe to remove secretions from my baby's nose.

C) "I should never shake my baby, even if she won't stop crying."

An obese adolescent who adamantly denies sexual activity has a positive pregnancy test. Which response by the nurse is most appropriate? A) "When was your last menstrual period (LMP)?" B) "Tell me how you feel about your body image." C) "Let's discuss some activities that you have done within the past few months that could possibly lead to pregnancy." D) "Why are you denying sexual intercourse?"

C) "Let's discuss some activities that you have done within the past few months that could possibly lead to pregnancy."

Which parental statement indicates the need for further education regarding newborn safety? A) "I should lay my baby on his back when I put him to sleep." B) "It is important to support my baby's head when I hold him." C) "My baby doesn't require a hat unless I am wearing one also." D) "I shouldn't overextend my baby's shoulders when changing his clothing."

C) "My baby doesn't require a hat unless I am wearing one also."

Which parental statement during a scheduled health maintenance assessment for a preschool-aged child causes the nurse concern? A) "We have dinner together as a family each evening." B) "We are so proud that our child is able to recognize letters of the alphabet." C) "Our child wakes up each night screaming because of nightmares." D) "Our child attends a day-care program 3 days per week."

C) "Our child wakes up each night screaming because of nightmares."

Which teaching point regarding safety should the nurse include in instructions for the parents of a school-aged patient? A) "Consider getting a pet for your child." B) "Plan play dates for your child to attend on afternoons you are not home." C) "Teach your children not to let others know that they are home alone after school." D) "Encourage your child to use a helmet when riding a bike. Other equipment is not necessary."

C) "Teach your children not to let others know that they are home alone after school."

Which goal should the nurse include in the plan of care for a toddler-aged client who is diagnosed with seasonal flu? A) "The child will verbalize the need to have a bowel movement." B) "The child will ask for fever reducers when hyperthermia occurs." C) "The child will sneeze and cough into a tissue provided by the caregiver." D) "The child will use hand sanitizer prior to touching other children in the day-care environment."

C) "The child will sneeze and cough into a tissue provided by the caregiver."

Which statement regarding infant physical growth patterns should the nurse share with the parents of an infant? A) "Your baby will double his birth weight by 3 months of age." B) "Your baby should double his birth weight by 9 months of age." C) "Your baby should triple his birth weight by 12 months of age." D) "Your baby will lose 15% of his body weight by 1 month of age."

C) "Your baby should triple his birth weight by 12 months of age."

How many hours of sleep should the nurse recommend for an 11-year-old patient? A) 6 to 8 B) 8 to 10 C) 10 to 12 D) 14 to 16

C) 10 to 12

The nurse is conducting a growth and development assessment and must calculate the body mass index (BMI) of a pediatric client. The child's weight is 33 lb and 4 oz. The child's height is 37 and 5/8 in. tall. What is the child's BMI? A) 14.5 B) 15.5 C) 16.5 D) 17.5

C) 16.5

Which pediatric patient is at increased risk for child abuse, necessitating a focused nursing assessment? A) A 3-year-old child who is toilet-trained B) A 1-year-old child who was born at 41 weeks' gestation C) A 9-month-old child, born prematurely, who is diagnosed with reflux D) A 10-year-old child who is active in sports and recently made the honor roll

C) A 9-month-old child, born prematurely, who is diagnosed with reflux

The home-care nurse is conducting a home visit for the family of a toddler-aged patient. Which finding necessitates education related to safety? A) Drugs kept in a medicine cabinet in the bathroom B) Knives stored on the counter out of reach C) A bucket of water used for mopping in the hallway D) Cleaning supplies stored in a locked cabinet under the sink

C) A bucket of water used for mopping in the hallway

Which data cause the nurse to report to the charge nurse that an infant is experiencing moderate dehydration? A) A 5% weight loss B) A 15% weight loss C) A decrease in urine output D) A delayed capillary refill time

C) A decrease in urine output

Which risk is increased for a child during the toddler stage of development because of exploration and curiosity? A) SIDS B) Suffocation injuries C) Accidental poisoning D) Motor vehicle accidents

C) Accidental poisoning

When planning community health promotion activities, which should the nurse consider when catering an educational session to the adolescent? A) More females smoke cigarettes than males. B) Marijuana is not an issue until college. C) Alcohol and drug use often goes hand-in-hand with sexual intercourse. D) There is no risk of texting and driving during adolescence.

C) Alcohol and drug use often goes hand-in-hand with sexual intercourse.

The nurse is conducting a health history for a preschool-aged patient. Which should the nurse anticipate regarding language development at the age of 4 years? A) Using 50 words B) Knowing 900 words C) Answering simple questions with simple answers D) Articulating complex and compound sentences

C) Answering simple questions with simple answers

The nurse is conducting a physical assessment for a preschool-aged child. When plotting the child's body mass index (BMI), the nurse notes that the child is in the 90th percentile. Which action by the nurse is most appropriate? A) Referring the child to a nutritionist B) Conducting a developmental assessment C) Assessing the child's level of activity D) Checking the child's blood glucose level

C) Assessing the child's level of activity

Which is a child factor that may increase the risk for abuse? A) Substance abuse B) Lack of respite care C) Developmental delay D) History of divorce

C) Developmental delay

Which result does the nurse anticipate when providing care to a preschool-aged child who successfully completes tasks associated with this stage of Erikson's theory of psychosocial development? A) Faith and optimism B) Devotion and fidelity C) Direction and purpose D) Self-control and willpower

C) Direction and purpose

Which action should the nurse implement in order to apply the principles of family-centered care in the hospital environment? A) Implementing strict visitation policy for siblings B) Allowing a child to "cry it out" when parents leave the bedside C) Encouraging parents to continue bedtime routines, such as reading a story D) Discouraging cultural foods because they cannot be provided by the dietary department

C) Encouraging parents to continue bedtime routines, such as reading a story

According to Erikson, which should the nurse anticipate when assessing a preschool-aged child? A) Being engaged in tasks B) Questioning sexual identity C) Having highly imaginative thoughts D) Wanting to participate in organized activities

C) Having highly imaginative thoughts

Which form of discipline should the nurse encourage when providing care to the family of a toddler-aged child? A) Saying "no" B) Ignoring the behavior C) Implementing "time-outs" D) Implementing corporal punishment

C) Implementing "time-outs"

Which nursing action exemplifies safe practice when providing care to pediatric patients? A) Using therapeutic play for teaching B) Allowing the parents to remain at the bedside as long as they wish C) Implementing the rapid response team for a child who is experiencing complications D) Scheduling a child life specialist for a patient who is on contact precautions

C) Implementing the rapid response team for a child who is experiencing complications

For which immunization booster does the nurse provide parental education during the health maintenance visit for a 4-year-old patient? A) Hepatitis B B) Haemophilus influenzae type B C) Inactivated poliovirus (IPV) D) Human papillomavirus (HPV)

C) Inactivated poliovirus (IPV)

Which assessment data increase the risk for newborn airway compromise? A) Long torso B) Long neck C) Large tongue D) Large mandible

C) Large tongue

At which stage of development should the nurse anticipate that pediatric patients will begin to show differences in play activities that are related to gender? A) Preschool B) Adolescence C) Late school age D) Early school age

C) Late school age

A preschool-aged child is admitted to the pediatric unit for surgery. The parents request to stay with their child. Which is the best response by the nurse? A) Tell the parents they can stay in the hospital but not on the unit B) Read the rules and regulations of rooming in with the child C) Let the parents know they are allowed to stay with the child D) Explain to the parents why they cannot stay with the child

C) Let the parents know they are allowed to stay with the child

Which is a component of constructing patient-centered goals when planning care for a school-aged patient who is being abused? A) Family-centered B) Past-oriented C) Measurable D) Based on medical principles

C) Measurable

The parent of a toddler states, "My child is constantly saying 'no.'" When documenting this in the medical record, which term should the nurse use? A) Autonomy B) Egocentric C) Negativism D) Temperament

C) Negativism

Which is the most common form of child abuse around the world that the nurse should assess for when caring for children? A) Physical B) Emotional C) Neglect D) Sexual

C) Neglect

Which toy should the nurse provide to the toddler-aged patient to promote development? A) Music box B) Board game C) Pail and shovel D) Large-piece puzzle

C) Pail and shovel

Which should the nurse encourage for a school-aged patient to enhance a sense of accomplishment? A) Wearing makeup B) Going on a date C) Participating in sports activities D) Gaining weight during the school year

C) Participating in sports activities

The mother of a 4-year-old male tells the clinic nurse that her son asked her about the differences in his anatomy and that of his baby sister. The nurse reassures the mother that this is normal behavior for her son because the child is in which of Freud's developmental stages? A) Oral stage B) Anal stage C) Phallic stage D) Latency stage

C) Phallic stage

Which toys should the nurse include in the plan of care to promote age-appropriate development for the toddler? (Select all that apply.) A) Rattles B) Music boxes C) Picture books D) Cubes for stacking E) Black-and-white mobiles

C) Picture books D) Cubes for stacking

Which point should the nurse include in a teaching session for the parents of a toddler-aged patient who live in a home with stairs? A) Allowing the child to walk up and down the steps to enhance autonomy B) Ensuring that the child is instructed not to use the steps without assistance C) Placing a gate so the child is unable to access the steps without supervision D) Suggesting that the family consider moving to a home that does not have steps

C) Placing a gate so the child is unable to access the steps without supervision

Which activity should the nurse recommend to the parents of a toddler-aged child to challenge object permanence? A) Jumping rope B) Stacking blocks C) Playing hide-and-go-seek D) Reading books about colors

C) Playing hide-and-go-seek

Which action is most appropriate when providing care to a hospitalized pediatric patient who is on contact precautions because of a communicable disease? A) Asking the parents to visit the child once per day B) Scheduling physical therapy for the child C) Providing age-appropriate stimulation for the child D) Discouraging the parents from holding their child during the visit

C) Providing age-appropriate stimulation for the child

Which action by the nurse is appropriate when using the "A" of the SBAR system? A) Identifying the reason for the phone call B) Giving the patient's presenting complaint C) Providing the most recent vital signs D) Asking if the provider will be coming to assess the patient

C) Providing the most recent vital signs

Which nursing action is appropriate when providing care to an adolescent patient who is accompanied to an appointment by a parent? A) Instructing the parent to stay in the waiting room, with the explanation that the adolescent will provide a report after the examination B) Telling the parent it is against policy for a parent to accompany the adolescent to the examination room C) Reassuring the parent that the nurse will discuss any parental concerns or questions after the examination D) Allowing the parent to come into the examination room with the adolescent

C) Reassuring the parent that the nurse will discuss any parental concerns or questions after the examination

Which stage of development is characterized by a slower, steadier pattern of growth and development? A) Toddler B) Preschool C) School-age D) Adolescence

C) School-age

Which action is appropriate when assisting a preschool-aged child with hand washing? A) Offering a hand towel to dry the hands B) Using hot water to wash the hands C) Singing the Happy Birthday song while washing the hands for timing purposes D) Rinsing the hands, ensuring that the hands are upright

C) Singing the Happy Birthday song while washing the hands for timing purposes

Which nursing action is most appropriate when updating the family of a preschool-aged patient? A) Providing the update at the bedside B) Giving the parents a written report from the providers C) Stepping out of the room to discuss the information D) Asking the provider to discuss all of the information with the family

C) Stepping out of the room to discuss the information

Which action enhances crib safety when providing care to a pediatric patient in the hospital setting? A) Ensuring that all patients wear nonskid footwear B) Keeping a name badge on the patient at all times C) Storing items such as diapers and wipes at the bedside table D) Allowing a toddler to sleep in an adult bed with side rails engaged

C) Storing items such as diapers and wipes at the bedside table

Which nursing action exemplifies the therapeutic communication required when a child is moved to a higher level of care in an acute care facility? A) Asking the provider on call to communicate why the child was transferred to intensive care B) Calling the hospital social worker to communicate with the parents during the transfer process C) Talking to the family in a calm, matter-of-fact manner, explaining each step of the transfer process D) Instructing the family to go to the waiting room until a provider is available to update them on their child

C) Talking to the family in a calm, matter-of-fact manner, explaining each step of the transfer process

Which nursing action is appropriate for the parents of a hospitalized patient to enhance safety? A) Allowing the parent to sleep in the bed with the patient B) Keeping supplies on the bedside table to enhance their use C) Teaching the use of the call bell system D) Encouraging the child to walk barefoot to the bathroom Table for Individual Question Feedback

C) Teaching the use of the call bell system

Which nursing action is most appropriate to reduce stress during the preoperative period for a 4-year-old patient? A) Explaining to the child that the surgery will fix her "broken" heart B) Waiting until the child is in the holding room to insert the Foley catheter C) Telling the child what will be seen, heard, and felt while awake prior to the procedure D) Asking the parents to wait in the waiting room when it is time to take the child to the holding area

C) Telling the child what will be seen, heard, and felt while awake prior to the procedure

Which factors associated with Munchausen syndrome by proxy should the nurse include in an educational session regarding this topic? (Select all that apply.) A) The child is usually under the age of 10 years. B) The child often displays symptoms during the hospitalization. C) The child has had multiple hospitalizations in the medical history. D) The perpetrator is usually the father with some knowledge of health care. E) The claimed history is not supported by evidence found by health-care providers.

C) The child has had multiple hospitalizations in the medical history. E) The claimed history is not supported by evidence found by health-care providers.

Which is often the reason why an adolescent engages in self-harm activities such as cutting? A) For peer approval B) For attention C) To release anger D) To seek medical attention

C) To release anger

The nurse suspects that a child is being sexually abused. Which nursing action is appropriate? A) Using a personal cell phone to collect images for documentation B) Asking a novice nurse to assist in the data collection C) Reviewing institutional policy regarding reporting abuse to authorities D) Bathing the child after the collection of evidence

D) Bathing the child after the collection of evidence

The nurse is planning care for an overweight adolescent. Which topic is appropriate to include in the plan of care? A) Preventing substance abuse B) Assessing for school phobia C) Monitoring for spiritual distress D) Determining self-esteem

D) Determining self-esteem

Which term describes assisting a family to feel supported, listened to, and competent? A) Enable B) Empathy C) Egocentric D) Empowerment

D) Empowerment

The mother of a school-aged patient says, "My daughter appears much thinner than she did a few years ago. Should I be worried?" Which response by the nurse is most appropriate? A) "Does your child vomit after meals?" B) "How many meals does your child eat each day?" C) "It is important that we monitor your concern closely with frequent visits." D) "Body fat diminishes and distribution changes during this stage of development."

D) "Body fat diminishes and distribution changes during this stage of development."

Which parental statement regarding the sleep needs of a toddler indicates the need for additional education from the nurse? A) "My child should sleep a total of 14 hours per day." B) "My child will need only one afternoon nap versus two naps per day." C) "I should not put my child down for a nap too late in the afternoon." D) "I should expect my child to sleep 14 hours each night in addition to an afternoon nap.

D) "I should expect my child to sleep 14 hours each night in addition to an afternoon nap."

The nurse is providing education to the parents of a preschool-aged child. Which statement regarding infectious disease should the nurse include in the teaching session? A) "Immunizations are voluntary prior to entering the public school system." B) "Immunizations can increase the risk of your child developing ovarian cancer." C) "Immunizations decrease your child's risk for developing autism spectrum disorder." D) "Immunizations can decrease the risk for serious complications associated with communicable diseases."

D) "Immunizations can decrease the risk for serious complications associated with communicable diseases."

For which patient scenario should the nurse activate the rapid response team? A) An infant who requires an IV catheter for antibiotic administration B) A toddler-aged patient who is experiencing separation anxiety C) A preschool-aged patient who requires a procedure with the implementation of restraints D) A school-aged patient who has a grand mal seizure in the playroom

D) A school-aged patient who has a grand mal seizure in the playroom

Which growth characteristic should the nurse anticipate when assisting with the physical examination process? A) An increase in physical growth B) The need for snacks due to blood glucose instability C) The eruption of 15 of the 20 deciduous teeth D) A weight gain of 5 lb per year

D) A weight gain of 5 lb per year

Which should the nurse monitor when assisting with the rapid assessment of body systems to assess a child's cardiovascular system? A) Presence of petechiae B) Retinal hemorrhage C) Paradoxical breathing D) Abnormal heart sounds

D) Abnormal heart sounds

Which strategy is most appropriate for administering a medication to a toddler-aged child who has a history of being difficult? A) Put the medication in a favorite drink in the child's sippy cup B) Notify the health-care provider to change the route to IV C) Hold the child down and squirt the medication into the corner of his mouth D) Allow the mother to administer the medication to the child

D) Allow the mother to administer the medication to the child

Which action by the nurse is appropriate when using the "R" of the SBAR system? A) Identifying the reason for the phone call B) Giving the patient's presenting complaint C) Providing the most recent vital signs D) Asking if the provider will be coming to assess the patient

D) Asking if the provider will be coming to assess the patient

Which nursing action is most appropriate to minimize stress for a pediatric patient who will have a planned hospitalization for a tonsillectomy and his or her family? A) Telling the client and family that everything will be fine B) Explaining to the client and family how the child will benefit from the surgery C) Telling the client and family that the surgeon is very good D) Giving the client and family a tour of the hospital unit or surgical area

D) Giving the client and family a tour of the hospital unit or surgical area

Which toy should the nurse provide to the preschool-aged patient to promote development? A) Music box B) Board game C) Pail and shovel D) Large-piece puzzle

D) Large-piece puzzle

The nurse is providing care to a school-aged patient who is overweight. Which nursing action is appropriate to enhance the child's intake of a healthy diet? A) Offering food as a reward for good grades B) Encouraging the consumption of high-fat foods C) Educating on the importance of soda consumption D) Making fruits and vegetables available for daily snacks

D) Making fruits and vegetables available for daily snacks

Which developmental theorist stated that the adolescent is able to logically manipulate abstract, observable, and nonobservable concepts with greater depth? A) Erikson B) Freud C) Kohlberg D) Piaget

D) Piaget

Which pediatric anatomical factor increases the risk for respiratory failure when care is provided to a child? A) Smaller airway B) Obligatory nose breathing C) Large posterior head bone occiput D) Poorly developed intercostal chest muscles

D) Poorly developed intercostal chest muscles

Which is a behavioral indicator of abuse when providing care to a pediatric patient? A) Ecchymosis B) Rash C) Vaginal discharge D) Radar gaze

D) Radar gaze

Which health-care provider is mandated by law to report suspected child abuse? A) Baptist priest B) Day-care provider C) Basketball coach D) Registered nurse

D) Registered nurse

The parent of an adolescent states, "My daughter slouches all the time. She is so lazy." Which should the nurse assess in order to provide the parent with the most appropriate anticipatory guidance? A) Asthma B) Depression C) Alcohol use D) Scoliosis

D) Scoliosis

Which is a common fear for hospitalized pediatric patients between the ages of 6 and 18 months? A) Death B) Disfigurement C) Bodily mutilation D) Stranger anxiety

D) Stranger anxiety

Which activity should the nurse identify as a safety risk for a preschool-aged patient? A) The parents are participating in a methadone program. B) The parents consume alcohol on a daily basis. C) The child watches television for 2 hours each day. D) The child is permitted to swim in the family pool unsupervised.

D) The child is permitted to swim in the family pool unsupervised.

Which environmental influence should the nurse include when assessing a child's risk for abuse? A) A history of cruelty to animals B) A lack of follow-through for medical follow-up C) The use of multiple health-care providers D) The family frequently relocates to different geographical locations

D) The family frequently relocates to different geographical locations.

Which guideline should the nurse include in the education provided to the parents of pediatric patients regarding the implementation of the rapid response team? A) The team should be activated for customer service issues. B) The team should be activated when an immediate care conference is required. C) The team can be activated only by the family, but the nurse can assist with this process. D) The team can be activated for signs and symptoms indicating the child is deteriorating, such as trouble breathing.

D) The team can be activated for signs and symptoms indicating the child is deteriorating, such as trouble breathing.

Which is a theoretical reason for why adolescents engage in risky behavior? A) As a coping mechanism B) To impress a teacher C) As a cry for help D) To receive peer approval

D) To receive peer approval