Pediatrics NCLEX

Which are the greatest risks for injury among adolescents? Select all that apply a) suicide b) poisoning c) child abduction d) home accidents e) substance abuse f) automobile accidents

A, E, F

A newborn has an asymmetric Moro reflex, which cause would the nurse suspect?

An injury to shoulder during the birth (dystocia)

The onset of puberty in boys is characterized by a) voice changes b) testicular enlargement c) growth of dark pubic hair d) increased size of penis

B

The theorist who viewed development as a lifelong series of conflicts that need resolution is a) Freud b) Erikson c) Kohlberg d) piaget

B

Which condition is commonly seen following infestation with pediculosis capitis (head lice) a) eczema b) impetigo c) cellulitis d) folliculitis

B

Which gross motor skill would the nurse anticipate when assessing a 15 month old child during a scheduled health maintenance visit? a) using a cup well b) creeping up stairs c) scribbling d) building tower of blocks

B

Which nursing intervention would be provided to a hospitalized client during the identity versus role confusion stage? a) choosing creative ways to promote social participation b) providing information to the client about the treatment plan c) encouraging the client to participate actively in treatment procedures d) involving the client's partners or family members in the caring process

B

Which characteristics develop in an adolescent according to Piaget's theory of cognitive development? Select all that apply a) animism b) ability to understand the process of reversibility c) ability to reason with respect to possibilities d) action patterns for dealing with the environment e) feelings and behaviors characterized by self consiousness

C, E (formal operations stage)

What is an important consideration for the nurse who is communicating with a very young child? a) initiate contact with child when parent is not Present B) disguise own feelings, attitudes, and anxiety c) speak loudly, clearly, and directly d) use transition objects such as a doll

D

Which period of Piaget's theory explains self consiousness in an adolescent? a) 1 b) 2 c) 3 d) 4

D ( 1 involves infants)

Which statement describes stage 4 of Kohlberg's theory? Select all that apply a) the child recognizes that there is more than one right view b) the child shows respect for authority and maintains the social order c) adolescents choose to avoid a party where they know beer will be served d) the individual wants to win approval and maintain the expectations of one's immediate group e) the child's response to a moral dilemma is in terms of absolute obedience to authority and rules

B and C

Which toy would the nurse offer two 6 year old children in the playroom ?

Building set

The nurse is teaching the parents of an 18 month old child the procedure for instilling ear drops. How would this procedure be done?

By pulling the pinna down and back to straighten the auditory canal before instillation of the drops

A child wants to be on time for a family dinner. According to Kohlberg's Theory, which stage of development is the child experiencing? a) good boy nice girl orientation B) society maintaining orientation c) instrumental relativist orientation d) universal ethical principle orientation

C

A mother of a child with mumps calls the health care clinic to tell the nurse that the child has been lethargic and vomiting. What instruction should the nurse give to the mother? a) to continue to monitor the child b) that lethargy and vomiting are normal with mumps c) to bring the child to the clinic to be seen d) that, as long as there is no fever, there is nothing to be concerned about

C

On assessment of a child admitted with a diagnosis of acute stage Kawasaki disease, the nurse expects to note which clinical manifestation o f the acute stage of the disease? a) cracked lips b) normal appearance c) conjunctival hypermedia d) desquamation of the skin

C

What is the stage at which an adolescent develops abstract thinking? a) genital stage b) conventional reasoning c) formal operations d) identity vs role confusion

C

Which child would have the most difficult with separation from parents due to hospitalization? a) 4 year old b) 3 month old c) 16 month old d) 7 year old

C

Which clinical finding is associated with strabismus? a) bloodshot sclera b) excessive blinking c) frequent squinting d) continuous tearing

C

According to Kohlberg's theory of moral development, which stage is a part of conventional reasoning?

Society-maintaining orientation

Which client/ parent education would the nurse include about a potential complication of mumps? a) sterility b)hypopituitarism c) decrease in libido d) decrease in androgens

Sterility

According to piaget, which statement describes the concrete operation stage?

During this stage, children are able to perform mental operations

Which statement describes the latency stage of Freud's psychoanalysis model of personality development?

During this stage, sexual urges are repressed and channeled into productive activities

Identify the stage at which an adolescent develops abstract thinking

Formal operations period

According to Erikson's theory, in which stage would the nurse expect a preschooler to start to pretend?

Initiative vs guilt stage

Which language development milestone is seen in 4 year olds?

Knows simple songs

Which education would the nurse provide parents about the side effects of the Haemophilus influenza (Hib) vaccine?

Low grade fever

In which age group would the nurse anticipate observing associative play?

Preschoolers

Which age client may have concerns related to sexuality when hospitalized with a chronic illness? a) 8 b) 10 c) 12 d) 18

18 year old

At which age would the nurse anticipate the appearance of an imaginary friend for a preschool age client

3 years old

Which age should an infant develop binoculatiry

3-4 months

The parents of a child recently diagnosed with cerebral palsy ask the nurse about the disorder. The nurse bases the response on the understanding that cerebral palsy is which type of condition? 1. An infectious disease of the central nervous system 2. An inflammation of the brain as a result of a viral illness 3. A congenital condition that results in moderate to severe retardation 4. A chronic disability characterized by impaired muscle movement and posture

4

The nurse performs a gross motor skills assessment on an infant. Which age should the infant obtain the ability to crawl?

9 months

According to piaget's theory of cognitive development, which milestone would the nurse expect a 6 month old infant to demonstrate?

Beginning of object permanence

Which would the nurse anticipate when assessing a toddler-age client's respirations? a) dyspnea b) tachypnea c) nasal breathing d) abdominal breathing

Abdominal breathing

Which is the most common cause of death amongst adolescents?

Accidents

Which reflex would the nurse expect to see while examining an 8 month old who is developing normally? Select all that apply a) landau b) parachute c) neck righting d) body righting e) otolith righting

All of the above

Which cognitive developmental milestone is characteristic of preschoolers? a) do not fear bodily harm b) are aware of cause and effect relationships c) most rapid growth occurs in temporal lobes of brain d) unable to classify objects according to size

B (" the sun sets because people want to go to bed")

Which treatment would the nurse anticipate for an infant admitted with bronchiolitis caused by RSV?

Humidified cool air and adequate hydration

A 10 year old child has been working on earning all of the scouting badges. Which of Erikson's stages of psychosocial development is this child achieving?

Industry (sense of accomplishment is important at this age)

Which statement correctly describes the initiative versus guilt stage? a) individuals like to pretend and try out new roles b) individuals are more accomplished in some basic self care activities c) individuals show marked preoccupation with appearance and body image d) individuals are eager to apply themselves to learning socially productive skills and tools

Individuals like to pretend and try out new roles

The nurse confirms that a 9 month old infant's immunization schedule is up to date. Which immunization will the infant receive at 15 months of age?

MMR

Which sign related to rubeola (measles) should alert parents to seek medical help?

Macular rashes

Which toys are developmentally appropriate for a 3 month old? a) push pull toy b) stuffed animal c) metallic mirror d) colorful mobile e) large plastic ball

Metallic mirror, colorful mobile (interested in self recognition and need visual stimulation)

During testing of the neurological reflexes of an infant, which reflex would the nurse expect to appear at 3 months and persist until 24 to 36 months of age? a) neck righting b)body righting c) otolith righting d) labyrinth righting

Neck righting

Which symptom would lead the nurse to suspect strabismus in a child?

One eye moves inward

An unimmunized toddler has had a fever, runny nose, cough, and white spots in the mouth for 3 days. A rash has also started on the face and spread to the whole body. Which communicable disease would the nurse suspect the child suffers from? A) rubella b)rubeola c)pertussis d) varicella

Rubeola (rubella does not cause the white spots like rubeola does)

Which period of Piaget's theory describes the idea of object permanence?

Sensorimotor period

Which type of pretension is exhibited by a 5 month old infant? a) grasp is palmar b) Hands are mostly open c) the grasp is a crude pincer d) hands are predominantly closed

The grasp is palmar

Which is true about the effect of grief and loss in toddlers?

They express a sense of change in sleeping

The nurse notes documentation that a child is exhibiting an inability to flex the leg when the thigh is flexed anteriorly at the hip. Which condition does the nurse suspect? a) meningitis b) spinal cord injury c) intracranial bleeding d) decreased cerebral flow

a

The nurse is performing an assessment of fine motor skills on an infant. Which actions would the nurse observe?

-holding a rattle -picking up objects -holding a baby bottle

Which reflex would the nurse expect to see while examining an 8 month old who is developing normally?

-landau -parachute -neck righting -body righting -otolith righting

Which is the max recommended dose of an intramuscular injection in a toddler?

1 mL

Children's patterns of play change as they grow from infancy through school age. Rank the order of appearance of each type of play, starting with infant play 1) associate 2) cooperative 3) parallel 4) solitary

1) solitary 2) parallel 3) associative 4) cooperative

At which age should the anterior fontanel of an infant close?

12-18 months

A child with meningitis suddenly assumes an opisthotonic position. In which position would the nurse position the child? a) side lying b) knee chest c) high Fowler d) trendelenburg

A

According to Erikson's theory, in which stage would the nurse expect a preschooler to start to pretend? a) initiative vs guilt stage b)integrity vs despair stage c) autonomy vs sense of shame and doubt stage

A

According to Erikson's theory, which of these actions can predispose an adolescent to being in a state of confusion? a) if they fail to establish a sense of identity b) if they have a feeling of isolation or rejection c) if their parents fail to establish a sense of trust in them d) if their parents try to control them and limit their choices

A

According to Kohlberg's theory of moral development, which statement about conventional reasoning is true? a) wanting to fulfill family expectations b) thinking is mostly based on likes and pleasures c) child recognizes that there is more than one correct view d) child moves away from moral decisions based on authority

A

How does the onset of the pubertal growth spurt compare in girls and boys? a) in girls, it occurs about 2 years before it appears in boys b) in girls, it occurs about 3 years before it appears in boys c) in boys, it occurs about 1 year before girls d) it is the same

A

In which age range would the nurse expect a client to understand the concept of conservation related to liquids and numbers when conducting a developmental assessment? a) 5-7 b) 6-7 c) 9-10 d) 9-12

A

Which belief would the nurse expect a preschooler to hold regarding the concept of death?

A temporary condition

Which of these features is exhibited by an adolescent? Select all that apply a) invulnerability b) personal fable c) temper tantrums d) attempts to control situations e) eagerness for formal education

A, B

Which behaviors would the nurse anticipate when conducting a developmental assessment for a newborn? Select all that apply a) sucking on a pacifier b) grasping a parent's finger c) discovering hands and feet d) swallowing while breast feeding e) rooting when the cheek is stroked

A, B, D, E

The student nurse is learning about the developmental characteristics of vision. Which characteristics does an infant exhibit at 6 weeks of age? Select all that apply a) having binocular vision b) having doll's eye reflex c) having peripheral vision to 180 degrees d) having strabismus if binocular vision is absent

A, C

Which characteristics observed in a 5 year old child are considered age appropriate? Select all that apply a) involvement in parallel play b) picky eating c) ability to swim and skate d) interest in trying new foods e) ability to draw triangles and diamonds

Ability to swim and skate, interest in trying new foods, ability to draw triangles and diamonds

Which type of play would the nurse encourage when providing age appropriate care to a preschool age child who is hospitalized?

Associative

Against which condition is a 6 month old with up to date vaccines not protected? a) polio b) tetanus c) measles d) hep B

C

Which characteristic is observed during late adolescence stage? a) changes in puberty b) changes in dressing c) dominant peer orientation d) developing adult relationships

D

Which type of play would the nurse recognize as age appropriate for a 5 year old client? Select all that apply a) solitary b)parallel c)dress up d) team sport e) cooperative play

Dress up and cooperative play

Which type of play would the nurse recognize as age-appropriate for a 5 year old? -solitary play -parallel play -dress up play -team sport play -cooperative play

Dress up play, cooperative play (magical thinking)

Which psychosocial changes does a toddler exhibit? a) achieves full independence b) engages in temper tantrums c) exhibits weak determination d) performs very few muscular activities

Engages in temper tantrums

What is the correct order of the stages according to Kohlberg's theory of moral development? 1. Social contract orientation 2. Good boy- nice girl orientation 3. Society maintaining orientation 4. Instrumental relativist orientation 5. Universal ethical principle orientation 6. Punishment and obedience orientation

1. Punishment and obedience orientation 2. Instrumental relativist orientation 3. Good boy nice girl orientation 4. Society maintaining orientation 5. Social contract orientation 6. Universal ethical principle orientation

The nurse prepares to discharge a newborn from the hospital. Which placement of the infant by the father would indicate an understanding of the nurse's education regarding car seat safety?

Back seat, facing backward

According to Erikson's theory, which behaviors will the nurse notice in 13 year olds? Select all that apply a) students will want to know "who am I" b) exhibit the sense of care for others c) show eagerness to learn social skills d) like to pretend and try out different new roles e) show a marked preoccupation with body appearance

A, E

In which stage of piaget's theory of growth and development does an infant develop an action pattern to deal with the environment?

Sensorimotor

Which statement is true for collecting a urine sample in toddlers?

Single use bags can be placed over the child's urethral meatus

Which assessment finding would the nurse recognize as common in infants with Down syndrome? A) bulging fontanel b) stiff lower extremities c) abnormal heart sounds d) unusual pupillary reactions

C

Which immunizations would the nurse expect a 5 1/2 month old infant to have already received if the immunization status is considered up to date? a) measles, mumps, and rubella vaccine b) booster dose of inactivated polio c) two doses of diphtheria, tetanus, and pertussis vaccine d) first booster dose of diphtheria, tetanus, and pertussis vaccine

C

Which is the most common cause of death Among adolescents? a) suicide b) homicide c) accidents d) substance abuse

C

Which stage of development classifies boys and girls as differing very little in terms of size? a) toddler b) preschool c) school-age d) adolescence

C

Which technique is best for dealing with the negativism of the toddler a) provide no choices B) remain serious and intent c) offer the child choices d) quietly ask them to cooperate

C

Which transformations occur during the mid puberty stage of a normally developing female? a) scanty and irregular periods b) appearance of pubic hair and increase in discharge c) breast enlargement and pubic hair growth d) changes in the nipple and Arellano and a small bud of breast tissue

C

Which stage of Kohlberg's theory of moral development is associated with a person following a law even if it is discriminatory to a racial group? a) social contract orientation b) society maintaining orientation c) instrumental relativist orientation d) universal ethical principle orientation

A

What is the correct order of the different stages in Piaget's theory of cognitive development? - formal operations -sensorimotor -preoperational -concrete operations

1. Sensorimotor (0-2) 2. Preoperational 2-7) 3. Concrete operations (7-11) 4. Formal operations (11+)

At which age is a toddler physiologically and psychologically prepared for toilet training

22 months

The best explanation for a 2 year old who's quiet and withdrawn on the 4th day of admission is a) the child is experiencing the despair stage of separation b) the child has adjusted to the hospitalization c) the child has reached the stage of detachment d) the child is protesting her separation from her caregivers

A

The nurse is caring for a child with erythema infectiosum ( fifths disease). Which clinical manifestation should the nurse expect to note in the child? a) an intense fiery red edematous rash on the cheeks b) pinkish rose maculopapular rash on the face, neck, and scalp c) reddish and pinpoint petechiae spots found on the soft palate d) small bluish white spots with a red base in the mouth

A

The nurse is using Piaget's theory to assess the cognitive development in a child. Which age most likely correlates a child who has reached a developmental milestone grasping the concept of conservation of numbers for the first time? a) 5 years b) 7 years c) 9 years d) 12 years

A

What would a nurse expect to be a hospitalized 13 year old's biggest concern about her illness? a) appearance b) invasive procedures c) separation from boyfriend d) loss of control

A

Which statement is true about the instrumental relativist orientation stage? a) an individual recognized that there is more than 1 correct point of view b) an individual finds a balance between societal rules and basic human rights c) response to a moral dilemma is in terms of absolute obedience to authority and rules d) sees moral reasoning based on his or her own personal internalization of societal and other's expectations

A

Which statement made by a toddler would the nurse identify as an example of animism? A) that chair is mean, it made me fall b) i want that cup of juice because it has more c) i dont like to eat that because its green d) my grandpa died because he yelled at me for making a mess

A

Which assessment data would cause the nurse to suspect that a toddler is experiencing physical neglect? a) abdominal distention b) bloody underclothing c) recurrent UTI d) bruises in various healing stages

A ( associated with malnutrition)

According to piaget's theory, which of these statements about the period of concrete operations is true?

A child is able to describe a process without actually doing it

Which developmental skills should a preschooler exhibit? A) personal identity b) specific reasoning c) increased curiosity d) magical thinking e) understanding of others

Specific reasoning, increased curiosity, magical thinking

Which behavior patterns may be exhibited by teens in late adolescence? a) concealed temper b) introspective nature c) consistent emotions d) feeling of inadequacy e) intense daydreaming

A, C

The nurse is preparing for the admin of a child with RSV. Which interventions should the nurse include in the plan of care? Select all that apply a) place child in private room b) ensure child's head is in a flexed position c) wear a mask, gown, gloves when in contact d) place child in a tent that delivers warm humidified air e)position the child on their side, with the head lower than the chest f) ensure that nurses caring for the child do not care for other high risk children

A, C, F

Which factors influence vocabulary, speech, and comprehension in preschoolers? Select all that apply a) environment b) health status c) temperament d) cognitive ability e) physical development

A, D

Which would the nurse anticipate when assessing a school age child according to Erikson? Select all that apply a) being engaged in tasks b) questioning sexual identity c) having highly imaginative thoughts d) wanting to participate in organized activities

A, D

Which cognitive development is seen in early adolescence? a) having established abstract thoughts b) developing capacity for abstract thinking c) exploring the ability to attract opposite sex d) exploring a newfound ability for limited abstract thoughts

D

Which intestinal obstruction is a concern for hospitalized preterm infants? a) meconium ileus b) imperforate anus c) duodenal atresia d) necrotizing enterocolitis

D

Which is true about the preoperational period of piaget's theory? a) the child develops a scheme for dealing with the environment b)the child is able to describe a process without actually doing it c) the child has the capacity to reason with respect to possibilities d) the child believes that everyone experiences the world exactly as he or she does

D

The day care nurse is observing a 2 y/o child and suspects that the child may have strabismus. Which observation indicates the presence of this condition? a) child has difficulty hearing b) child consistently tilts head to see c) child does not response when spoken to d) child consistently turns head to hear

B

According to Erikson's stages of life, which is the stage of development when a child begins walking, feeding, and using the toilet?

Autonomy versus sense of shame and doubt

According to Erikson's theory of psychosocial development, which task does the nurse recognize as the chief psychosocial task of preschoolers? a) control over bodily functions b) development of a sense of initiative c) toleration of separation from parents d) ability to interact with others

B

According to Erikson, the psychosocial task of adolescence is developing: a) independence b) identity c) intimacy d) initiative

B

An RN is about to perform a physical assessment on a toddler. Which approach should the RN use? a) always proceed in a head to toe direction b) use minimal physical contact initially c) perform traumatic procedures first d) demonstrate use of equipment

B

During the preschool period, injury prevention efforts should emphasize a) punishment for unsafe behaviors b) education for safety and potential hazards c) limitation of physical activities d) constant vigilance and protection

B

How many words are expected in the vocabulary of a 3 year old? A) 500 b) 900 c) 1500 d) 2100

B

How many words would the nurse expect the 3 year old to acquire each day? a) 2-3 b) 5-6 c) 8-10 d) 11-13

B

How would the nurse position the auricle when administering ear drops to a 4 year old child? a) down and back b) up and back c) down and out d) up and out

B

One method of providing atraumatic care when doing venipuncture on a 6 year old is to a) show the child the equipment to be used before procedure b) restrain child only as needed to perform stick safely c) have another nurse try if not successful d) use an 18 gauge needle if possible

B

The mother of a 6 y/o child arrives at a clinic because the child has been experiencing itchy red and swollen eyes. The nurse notes discharge from the eyes and sends a culture to the lab for analysis. Chlamydia conjunctivitis is diagnosed. On the basis of this DX, the nurse determines that which requires further investigation? a) possible trauma b) possible sexual abuse c) presence of an allergy d) respiratory infection

B

The nurse is caring for an infant with bronchiolitis, and diagnostic tests have confirmed respiratory syncytial virus (RSV). on the basis of this finding, which is the most appropriate nursing action? a) initiate strict enteric precautions B) move the infant to a private room c) leave the infant in the present room d) inform the staff that using standard precautions is all that is necessary

B

The nurse is discussing the neurological reflexes seen in an infant with the parents. Which reflex would the nurse state as being present indefinitely? a) Landau b)Parachute c) body righting d) neck righting

B

The nurse is measuring the blood pressure of toddlers. Which blood pressure finding is the nurse most often to find in the toddlers? a) 85/54 b) 95/65 c) 105/65 d) 110/65

B

Which developmental milestone would the nurse emphasize while providing safety education to the parents of a 6 month old infant? a) sits up b) rolls over c) crawls short distances d) stands while holding on to furniture

B

Which of these stages is followed by the society maintaining orientation according to Kohlberg's theory? a) social contract orientation b) good boy nice girl orientation c) instrumental relativist orientation d) punishment and obedience orientation

B

Which parent education would the nurse provide the mother of a 5 month old boy who is concerned that her son no longer turns his head toward her breast when she touches his cheek? a) is he able to sit unsupported? b) usually this reflex disappears around 4 months c) do his toes still flare out when you stroke the sole of his foot? d) please have him evaluated

B

Which toy would be developmentally appropriate for a 3 year old child and help foster creativity? a) plastic animal b) mold and clay c) pencil and paper d) simple video game

B

Which would the nurse claim is an acceptable respiratory rate range in a 2 year old toddler? a) 20-30 b) 25-32 c) 30-50 d) 35-40

B

Which areas are sources of stress in 4 year old children? Select all that apply a) school b) attention c) insecurity d) activity level e) separation anxiety

B, C, D

Which statement would the nurse include when educating parent of the prevention of SIDS a) Do not prop your infants bottle b) place an infant monitor where your baby sleeps c) place your infant in an appropriately sized rear facing car seat d) encourage your infant to use a pacifier for the first 6 months of life

D

Which are the leading causes of accidental death in infants under 1 year of age? Select all that apply. a) falls b)drowning c) aspiration d) suffocation e) motor vehicle-related injuries

B drowning, d suffocation, e MVA

In which period of Piaget's theory does the adolescent feel a sense of invulnerability? a) sensorimotor b) preoperational c) formal operations d) concrete operations

C

Where is the best site for giving an IM injection to a 15 month old? a) dorsogluteal b)ventrogluteal c) vastus lateralis d) deltoid

C

Which birth factors place the neonate at risk for SIDS? a) birth order b)post maturity c) multiple births d) method of delivery e) low apgar scores

Birth order, multiple births, low apgar scores

A nurse knows that which descriptive of the preschooler's understanding of time? a) can tell time on a clock b) has no understanding of time c) associates time with events d) uses terms like yesterday appropriately

C

How would the nurse describe the clinic phase of a tonic-clinic seizure? a) generalized rigidity b) loss of consiousness c) rhythmic body jerking d) tremors of upper extremities

C

Which vaccines would the nurse expect a 5 month old to have already received? a) rubella, polio, TB, rotavirus, pertussis, varicella b) pertussis, tetanus, polio, rotavirus, measles, pneumococcal c) measles, mumps, rubella, rotavirus, pertussis, TB d) rotavirus, DTaP, haemophilus influenzae, polio, pneumococcal

D

Which period of Piaget's theory covers the prevalence of egocentrism in adolescents? a) sensorimotor b) preoperational c) formal operations d) concrete operations

C ( 4th stage, become self conscious)

Which of these stages would the nurse include when explaining Piaget's theory of child development to a parent? Select all that apply a) phallic stage b) latency stage c) sensorimotor stage d) formal operations stage e) punishment orientation stage

C, D

Which activities can a child perform at 3 years of age? Select all that apply a) jumping rope b)drawing triangles c) turning doorknobs d) holding crayons with fingers e) eating with a spoon without rotating it f) classifying objects based on size and color

C, D, E

The nurse is discussing the neurological reflexes seen in an infant with the parents. Which reflex would the nurse state as being present indefinitely? a) landau b) parachute c) body righting d) neck righting

Parachute ( appears 7-9 months and persists indefinitely)

Which cognitive developmental stage would the nurse expect for a 3 year old?

Preconception (imaginary play)

Which fine motor development milestone emerges in 4 year olds? a) using scissors well b) builds a tower of 9-10 cubes c) can lace shoes but may not be able to tie the bow d) cannot draw a stick figure but may make a circle with facial features

Can lace shoes but may not be able to tie the bow

Which gross motor skill would the nurse anticipate when assessing a 15 month old child during a scheduled health maintenance visit?

Creeping up stairs

The clinic nurse reviews the record of an infant and notes that the primary health care provider has documented a diagnosis of suspected Hirschprung's disease. The nurse reviews the assessment findings knowing that which sign most likely led the mother to seek health care? a) diarrhea b) projectile vomiting c) regurgitation of feedings d) foul smelling ribbon like stools

D

The nurse creates a plan of care for a child at risk for tonic-clinic seizures. In the plan of care, the nurse identifies seizure precautions and documents that which items be placed at the bedside? a) emergency cart b) tracheostomy set c) tongue blade d) suctioning equipment and oxygen

D

The nurse is caring for a child diagnosed with rubeola ( measles) notes that the doctor has documented the presence of koplik's spots. On the basis of this documentation, which observation is expected? a) pinpoint petechiae noted on both legs b) whitish vesicles located across the chest c) petechiae spots that are reddish and pinpoint on the soft palate d) small, blue white spots with a red base found on the baccalaureate mucosa

D

The parents of a preschooler inform the nurse that their child often develops diarrhea and ask whether there might be anything wrong with the child's stomach. The nurse also finds that the child has poor oral care and has dental caries. Which is the most likely cause for the child's health issues? a) fast food consumption b) neglect of child's dietary needs c) bad hygiene d) consumption of excessive amounts of fruit juice

D

The nurse provides home care instructions to the parents of a child hospitalized with pertussis who is in the convalescent stage and is being prepared for discharge. Which statement by a parent indicates need for further teaching? a) We need to encourage our child to drink more fluids b) coughing spells may be triggered by dust or smoke c) vomiting may occur when our child has coughing episodes d) we need to maintain droplet precautions and a quiet environment for 2 weeks

D ( isn't infectious during this stage)

According to piaget's theory, which period describes a child's stage of egocentrism?

Preoperational

Which age group would the nurse recommend that children be taught to swim under guided supervision? a) toddlers b)adolescents c)preschoolers d) school age children

Preschoolers

Which self care skill would the nurse expect a 4 year old child to be capable of performing?

Putting on a shirt and buttoning it

Which happens during the transition from infanthood to toddlerhood? a) reduced activity levels b) increased need for fats c) increased food choices d) reduced need for sleep

Reduced need for sleep

According to Piaget, during which developmental stage is the pediatric client egocentric?

Early childhood

Which pain scale is used to measure the intensity of pain in preschoolers?

FACES scale

Which developmental Norm would the nurse recognize as likely to influence a preschoolers response to hospitalization? a) fear of separation b) fear of bodily harm c) belief in death's finality d) belief in the supernatural

Fear of bodily harm

Which stages are a part of conventional reasoning, according to the kohlberg's theory of moral development? Select all that apply a) social contract orientation b) good boy nice girl orientation c) society maintaining orientation d)intstrument relativist orientation e) universal ethical principle orientation

Good boy nice girl orientation, society maintaining orientation

Which manifestation would the nurse expect when a preschooler thinks that he or she has done something wrong? a) guilt b) mistrust c) isolation d) shame and doubt

Guilt

According to the erikson's theory, which stage describes the will of an adolescent to achieve a goal?

Identity versus role confusion

The parents of a 2 year old child are watching the nurse administer the Denver II Developmental screening test to their child. They ask, "why did you make our child draw on paper? We don't let our child draw at home." Which is the best response by the nurse?

It lets us test the child's ability to perform tasks requiring the hands

Which language developmental milestone is seen in 4 year olds? a) names four or more colors b) knows simple songs c) has a vocab of about 2100 words d) uses sentences of six to 8 words, with all parts of speech

Knows simple songs

At which stage of development would the nurse anticipate that pediatric clients will begin to show differences in play activities that are related to gender?

Late school age

Which gross motor skill is found in children between 2 to 4 months of age? a) the child can creep on its hands and knees b) the child has predominant inborn reflexes c) the child can sit alone without any kind of support d) the child can bear weight on forearms when prone

The child can bear weight on forearms while prone

Which of these skills should be present in a 6-8 month old? a)child pulls himself up to stand or sit b)child is able to pick up small objects c) the child can sit alone without support d) the child can place objects into containers

The child can sit alone without support

According to erikson's theory, which behavior would a toddler exhibit? a) the child is casual about body appearance b) the child starts performing self care activities c) the child suppresses feelings of the superego d) the child becomes dependent on his or her siblings

The child starts performing self care activities

The nurse is educating parents about the changes to expect when their child enters toddlerhood. Which information would the nurse include? a) body appears slender b) toddler has a protruded abdomen c) the toddler's feet are severely everted d) the toddler has inconspicuous cervical curves

The toddler has a protruded abdomen

Parallel play is common amongst what age group?

Toddlers

Using Erikson's theory of development, which task would the nurse determine that a healthy 9 month old infant is in the process of achieving? a) trust b) industry c) initiative d) autonomy

Trust ( comes when caregiver meets baby's needs)