411 Test 3 Practice Questions

Enuresis refers to continued incontinence of urine past the age of toilet training. True False

true

The nurse is performing the physical examination of a child with bulimia. What findings would the nurse identify as supporting this disorder? (Select all that apply.) Pink moist gums Dry sallow skin Eroded dental enamel Split fingernails Bradycardia

Eroded dental enamel Split fingernails

The nurse is teaching a group of school-age children about physical development. Which statement made by one of the children indicates the correct understanding of the teaching? "There are not many physical differences among school age boys." "I will grow an average of 2.5 in (6.5 cm) per year." "I will have improved gross motor skills." "I will appear heavier due to an increase in fat production."

"I will grow an average of 2.5 in (6.5 cm) per year."

The parent of a Black adolescent voices concern to the nurse because the child, "has gotten her period before all of her friends." How should the nurse respond? "Some girls just get their period earlier than others." "That must be difficult, but on average Black girls start their period earlier than other ethnicities." "I will be sure to let the health care provider know this. We don't want to miss something that may be wrong." "How old are most of her friends? Maybe that's the issue instead of it being a sign of something abnormal."

"That must be difficult, but on average Black girls start their period earlier than other ethnicities."

What finding would suggest that a 5-year-old boy might have a developmental disorder? The child knows what a dog and a cat sound like. The child is not able to follow directions. The child must be supervised when brushing his teeth. The child has trouble with R, L, and Y sounds.

The child is not able to follow directions.

The nurse is assessing a healthy 2-year-old client. Which assessment finding most concerns the nurse? The child has difficulty with stairs. The child speaks in one-word sentences. The child is pointing to named body parts. The child can stand on his tiptoes.

The child speaks in one-word sentences.

A nurse is talking to and making facial expressions at a 9-month-old baby girl during a routine office visit. What is the most advanced milestone of language development that the nurse should expect to see in this child? The infant coos, babbles, and gurgles The infant squeals with pleasure The infant imitates her father's cough The infant says "da-da" when looking at her father

The infant says "da-da" when looking at her father

Autism spectrum disorder is characterized as a pervasive developmental disorder. True False

True

The nurse is developing a teaching plan for the parents of an 11-month-old infant with gastroesophageal reflux disease (GERD). The child will be managed medically. What actions would the nurse incorporate into the teaching plan? Select all that apply. a.Giving the child small frequent feedings b.Burping the infant at the end of the feeding c.Thinning the formula with water to ease flow d.Keeping the child upright for 30 minutes after feeding

a.Giving the child small frequent feedings d.Keeping the child upright for 30 minutes after feeding

The nurse is caring for a child with epididymitis. When planning care, which intervention may be included? a.Scrotal elevation b.Warm compresses c.Corticosteroid therapy d.Catheterization

a.Scrotal elevation

A nurse is working at a facility that provides care to children with developmental disabilities. Which role would be the nurse's most important? educator care provider advocate counselor

advocate

Rumination disorder is a poorly understood condition of young children. This refers to: a habit of eating nonfood substances. rechewing undigested food. excessive worrying about friendships. fear of moving objects.

rechewing undigested food.

At a physical examination, a nurse asks the father of a 4-year-old how the boy is developing socially. The father sighs deeply and explains that his son has become increasingly argumentative when playing with his regular group of three friends. The nurse recognizes that this phenomenon is most likely due to: playing in an even-number group of children (four). regression. preschoolers having a harder time sharing than toddlers. testing and identification of group role.

testing and identification of group role.

A child is hospitalized for nephrotic syndrome. Which measurement is best for the nurse to determine the child's edema? urine output, every shift weight, daily amount of protein in urine abdominal circumference

weight, daily

The nurse is observing several children interacting during a community health event. Which observed behavior would be indicative of a 4-year-old child? "I told the other child no, when he asked me to cheat at the game." "I ran the race better than my best friend because he was slow." "Look! I am a nurse, and I am helping people feel better!" "I lost the game because I did not play good, and I am sad."

"Look! I am a nurse, and I am helping people feel better!"

The clinic nurse is collecting vital signs on a 4-year-old client being seen for a yearly well check-up. Which measurements should the nurse collect? height, weight, abdominal girth, and head circumference height, weight, and abdominal girth height and weight height, weight, and head circumference

height and weight

The parent of 3 1/2-year-old preschooler tells the nurse that the child argues quite a bit and says that the child is always right. The nurse interprets this information as indicating: initiative. conservation. centering. guilt.

centering.

A nurse is caring for a 4-year-old child. The parents indicate that their child often reports that objects in the house are his friends. The parents are concerned because the child says that the grandfather clock in the hallway smiles and sings to him. Which response by the nurse is best? "Has your child suffered any type of physical trauma lately?" "Your child is demonstrating animism, which is common." "Is there any family history of mental health disorders?" "Attributing lifelike qualities to inanimate objects is quite normal at this age."

"Attributing lifelike qualities to inanimate objects is quite normal at this age."

A parent is discussing the 10-month-old child with the nurse. Which comment indicates a need for teaching? "My child loves being in the walker and 'zips' around the house." "We have safety gates at the top and bottom of our stairs." "My child gets a few sips of apple juice each day from a regular cup, not a sippy cup." "I wipe my child's teeth every day with a fresh washcloth."

"My child loves being in the walker and 'zips' around the house."

The school nurse is preparing a presentation for a group of teachers about teen suicide. When discussing risk factors for this occurrence which should be included? (Select all that apply.) History of mental illness Homosexuality Sexual promiscuity Family history of depression Substance use disorder

History of mental illness Homosexuality Substance use disorder

The nurse is caring for a 6-month-old child with diarrhea and dehydration. The parent is concerned because the child has some patches on the tongue. Which feature indicates a geographic tongue rather than thrush? The patches are thick, white plaques on the tongue. There are plaques on the buccal mucosa. There are white patches on the erupted teeth. The patches are light in color on the tongue.

The patches are light in color on the tongue.

The parent of a 3-month-old infant is concerned because the infant does not yet sit by oneself. Which statement best reflects average sitting ability? Most infants sit steadily at 3 months; this infant is slightly delayed. Sitting ability and the age of first tooth eruption are correlated. Most infants do not sit steadily until 8 months; this infant is normal. Most infants sit steadily at 4 months; this infant is normal.

Most infants do not sit steadily until 8 months; this infant is normal.

The mother of a 7-year-old girl is asking the nurse's advice about getting her daughter a 2-wheel bike. Which response by the nurse is most important? "Learning to ride the bike will improve her coordination." "She won't need a helmet if she has training wheels." "Teach her where she'll land on the grass if she falls." "Be sure to get the proper size bike."

"Be sure to get the proper size bike."

The father of a preschool boy reports concerns about the short stature of his son. The nurse reviews the child's history and notes the child is 4 years old and is presently 41 in (104 cm) tall and has grown 2.5 in (6.35 cm) in the past year. Which response by the nurse is mostappropriate? "Is there a reason you are concerned about your child's height?" "Your son is slightly below the normal height for his age group but may still grow to be a normal height in the coming year." "Both your son's height and rate of growth are within normal limits for his age." "Your son is slightly below the normal height for his age but he had demonstrated a normal growth rate this year."

"Both your son's height and rate of growth are within normal limits for his age."

The father of a 2-year-old girl tells the nurse that he and his wife would like to begin toilet training their daughter soon. He asks when the right time is to begin this process. What should the nurse say in response? "It is best to wait a little longer, until she is 3; only then will she be socially developed enough to understand what you are asking her to do." "When she starts tugging on a wet or dirty diaper, she is letting you know she's ready." "The best time to start toilet training is as soon as the child begins walking." "She's well past the age to begin toilet training; most children are ready by age 1, when they have developed the needed nervous system control."

"When she starts tugging on a wet or dirty diaper, she is letting you know she's ready."

by age 5 kids should know how many words

2100

If the child is gaining weight at an expected rate, a child who weighs 36 lb (16.3 kg) at 3 years of age would weigh what amount at age 5? 38 lb to 40 (17.2 to 18.1 kg) 44 to 46 lb (20 to 21 kg) 50 to 52 lb (22.7 to 23.6 kg) 58 to 60 lb (26.3 to 27.2 kg)

44 to 46 lb (20 to 21 kg)

A nurse is observing a group of 4-year-old children in a play area. What action, when observed by the nurse, would alert the nurse to typical play for this age group? A child plays with a toy while another child sits next to him and plays with a different toy. A child plays alone, with a set of children's kitchen utensils, pots and pans. A group of children play a board game involving matching colored cards to shapes. A child pretends to be a teacher and asked another child to be the pretend student in "class."

A child pretends to be a teacher and asked another child to be the pretend student in "class."

A 3-year-old is hospitalized unexpectedly and is frightened about the experience. What action could the nurse take to minimize the anxiety the child is experiencing? Tell the child that everything will be fine and not to worry. Allow the child to handle the equipment before it is used on the child. Insist that the parents stay with the child at all times. Provide all of the child's care, including all ADLs.

Allow the child to handle the equipment before it is used on the child.

What would be most effective in helping promote initiative and nutritional health for a preschooler? Encouraging the child to cut up small pieces of apple for a snack Praising the child for cleaning his large plate of food Allowing the child to spread soft cheese on crackers Giving the child a high carbohydrate snack after preschool

Allowing the child to spread soft cheese on crackers

The school nurse is monitoring a student athlete that experienced a concussion 2 weeks ago during a soccer game. The student reports having academic issues in a course in which the student previously had no difficulty. Which action should the nurse's take first? Ask the student to describe the academic issues the student is having in the class Perform a neurologic assessment on the student to see if there are any changes in neurologic status Immediately notify the student's parents that their child should see the healthcare provider Ask the student's teacher if the student is following the recommendations given to him or her for cognitive activity

Ask the student to describe the academic issues the student is having in the class

A family includes a 9-year-old child. The nurse suspects that the family has caregiver-fabricated illness (formerly Munchausen syndrome by proxy). Which nursing intervention is best when assessing the child and family in the pediatrician's office? Turn off the video surveillance in the room. Ask the parents together how the child is doing. Keep both parents in the room at all times. Ask to speak to the child separate from the family.

Ask to speak to the child separate from the family.

The nurse is completing the physical assessment of a 12-year-old child who has a series of bruises in various stages of healing. When asked about the bruises the child appears frightened and offers inconsistent accounts about how the child got the bruises. The nurse suspects abuse. Which initial action of the nurse is most appropriate? Take photographs of the bruises. Document the bruises and any statements made by the child relating to them. Interview the child's parents about the origin of the bruises. Ask the child to provide a written statement of how he or she got the bruises.

Document the bruises and any statements made by the child relating to them.

The mother of a 4-year-old boy reports her son has voiced curiosity about her breasts. She asks the nurse what she should do. Which information is best for the nurse to give the parent? Encourage the parent to provide a detailed discussion about human sexuality with the child. Advise the parent that sexual curiosity is unusual at this age. Encourage the parent to determine what the child's specific questions are and answer them briefly. Advise the parent to explain to the child that he is too young to discuss such things.

Encourage the parent to determine what the child's specific questions are and answer them briefly.

________________ is caused by infection with bacteria. It is the most common cause of pain in the scrotum.

Epididymitis

The mother of a 6-year-old is asking the nurse how to handle the child's lying and fabricated stories when confronted with questionable actions. Which response would be most appropriate by the nurse? "Children this age sometimes can't distinguish between fantasy and reality." "The child should have privileges taken away for several days each time he tells a lie." "Your child could be in serious trouble in school if he continues to tell lies." "Is there any possibility he is telling the truth and you just don't know it is the truth?"

"Children this age sometimes can't distinguish between fantasy and reality."

The nurse is speaking with the parent of a 2-year-old child recently diagnosed with an autism spectrum disorder. The parent asks about educational programs for her child. What is the best response by the nurse? "Children with an autism spectrum disorder enrolled in public schools can have an individualized educational plan to help meet their specific needs." "Children with an autism spectrum disorder are not eligible to participate in any of the local early educational programs provided since they are only open to children with cognitive impairment." "Children with an autism spectrum disorder can only go to special schools, not public schools, so you will need to get your name on a waiting list soon." "Children with an autism spectrum disorder are able to function on their own and do not need any special support at school

"Children with an autism spectrum disorder enrolled in public schools can have an individualized educational plan to help meet their specific needs."

A 9-month-old has been brought to the clinic for a well-child visit. The mother reports her son was born 6 weeks prematurely. During the data collection, the child's mother reports her son seems to be a few months "behind" what she recalls from her older children. What is the bestresponse by the nurse? "Delays are normal when a child is premature." "All children mature and develop at different rates so it is unwise to compare them in this way." "You should talk with the doctor about getting your son tested." "We will need to check this out since any delays related to prematurity should be resolved by the time a child is 6 months old."

"Delays are normal when a child is premature."

The nursing educator has completed an educational program for new nurses on eating disorders in adolescents. Which statement by a participant would indicate a need for further education? "We need to stay with them for at least 30 minutes after they eat so they don't try to vomit or dispose of the food." "Meal time should be structured but pleasant and relaxed without distractions." "If they refuse to eat, we need to sit with them and not let them leave the table until they do eat something." "We need to allow the client to participate in developing the treatment plan."

"If they refuse to eat, we need to sit with them and not let them leave the table until they do eat something."

The mother of a 4-year-old child is concerned that she caught him masturbating in the bath tub. Which is the most appropriate response by the nurse? "You will need to speak with the doctor about that behavior since I cannot address sexual issues in a child." "Masturbation is a normal part of preschool development." "If you catch your child masturbating, you should immediately make them stop." "Masturbation is not a normal behavior for a child of that age."

"Masturbation is a normal part of preschool development."

A school nurse has completed an educational program for parents of preschool children. Which statement by a participant indicates a need for further education? "My 5-year-old son still needs me to dress and undress him." "My 3-year-old is doing fine, he can hop on one foot already." "I need to work with my 4-year-old; she should be able to cut paper with scissors on her own." "I'm glad to know that it's okay that my 5-year-old is learning to skate."

"My 5-year-old son still needs me to dress and undress him."

The nurse has completed an educational program on normal growth and development in children. Which statement by a participant would indicate a need for further education? "My four-year-old will be getting a tricycle for her birthday. I'm glad it's a good gift for her." "I will add some crayons, chalk and finger paints to my three-year-old's birthday gifts." "I am so glad I can get rid of all of those bath toys because they take up so much room." "It is okay for my four-year-old to still play in his sandbox."

"My four-year-old will be getting a tricycle for her birthday. I'm glad it's a good gift for her."

A pediatric client has recently been prescribed methylphenidate. The parent calls the office and insists the medication is not working. How will the nurse respond? "Tell me how you are administering the medication." "Tell me why you believe the medication is not working." "Perhaps another medication will be better for your child." "Your child's dosage may need to be increased."

"Tell me why you believe the medication is not working."

The parents of a 13-year-old tell the nurse that they have done some research and they think their daughter has conduct disorder. The parents report the child excessively argues with them, throws tantrums when not getting her way, and stays mad at them for long periods of time. How should the nurse respond? "I think you should let your physician do the diagnosing since they have the qualifications to do so." "It's hard to say with teenagers. They all seem to have some degree of behavior issues." "I'm not really sure if the behavior you are describing fits the criteria for conduct disorder. Where did you do your research?" "The behavior you are describing sounds more like oppositional defiant disorder than conduct disorder."

"The behavior you are describing sounds more like oppositional defiant disorder than conduct disorder."

The parent of an infant questions the nurse about the baby's teething. The nurse provides client education. Which statement by the parent indicates understanding of the information provided? "The first teeth that will likely appear are the lower incisors." "By 1 year my baby should have about three teeth." "My baby will most likely have the upper middle teeth come in first." "My baby's first tooth will likely appear between 5 and 6 months."

"The first teeth that will likely appear are the lower incisors."

The nurse is organizing an indoor play area for preschoolers. What play materials are least important? Dress-up clothes and hats and puppets Electronic teaching toys Cut, paste, drawing, and painting materials Balls, blocks, and puzzles

Electronic teaching toys

When considering the psychosocial development of a school-aged child, which is the primary developmental task? Establishing a social network Reflecting on recent activities of accomplishment Establishing trust in friends outside the home family unit Planning for future events

Establishing a social network

Number of words understood at 15 months

What are 100-150 words?

The nurse recognizes that which client has the greatest risk for suicidal behavior? a.A 16-year-old girl who just failed a math test b.A 16-year-old boy who has had 12 girlfriends over the past year c.A 12-year-old girl whose parents have just gotten a divorce d.A 9-year-old boy who had an uncle who died unexpectedly

b.A 16-year-old boy who has had 12 girlfriends over the past year

The nurse is watching a 4-year-old child play with another preschool child. The children are playing a game with rules. The nurse notes that the child is demonstrating what type of play? dramatic play parallel play cooperative play associative play

cooperative play

An 11-year-old child is continually late for the bus, resulting in asking if it's okay to stay home that day from school. The parents ask the school nurse for advice on what they should do. What is the best response by the nurse? "Could both of you and your child come in for a conference so we can discuss this situation?" "It is best if you make him get on the bus whether he is ready or not in order to let him know you are in control." "I am sure he has school phobia. We will need to speak with the school counselor." "Is there anything happening at home that is making him want to stay there instead of school?"

"Could both of you and your child come in for a conference so we can discuss this situation?"

The nurse is interviewing a 13-year-old girl with depression. During the course of the interview, the girl reveals that her best friend is thinking about committing suicide. Which response by the nurse would be most appropriate? "Do you know how she is planning to kill herself?" "Why do you think she wants to kill herself?" "Are you the only person who knows?" "Do her parents know she wants to kill herself?"

"Do you know how she is planning to kill herself?"

Parents of a 36-month-old child confide in the clinic nurse that their child does not speak and spends hours staring at their ceiling fan. They are worried that their child may have autism spectrum disorder. Which question would be important for the nurse to ask the parents? "Does your child have siblings?" "Does your child already attend therapies such as speech therapy?" "Does your child come and hug you or seek comfort from you?" "Do you have trouble keeping child care providers for your child?"

"Does your child come and hug you or seek comfort from you?"

The nurse is preparing an 18-month-old for discharge after treatment for dehydration following diarrhea. What instruction would the nurse most likely include in the discharge teaching? "Offer her flavored gelatin if she is hungry." "Encourage bananas, applesauce, and crackers." "Give her plenty of fruit juice or soda." "Make sure she gets lots of clear liquids."

"Encourage bananas, applesauce, and crackers."

The parent of a 4-year-old is expressing concern that this child is not talking as much—or as well—as her other children did at that age. Which question should the nurse prioritize when assessing this preschooler for this concern? "Has your child had their hearing tested?" "How often do you or a family member read to your child?" "Does your child have opportunities to have conversations with other people?" "Do you praise and give your child encouragement when the child tries to talk with you?"

"Has your child had their hearing tested?"

The nurse is discussing sensory development with the mother of a 2-year-old boy. Which parental comment suggests the child may have a sensory problem? "He doesn't respond if I wave to him." "I dropped a pan behind him and he cried." "He wasn't bothered by the paint smell." "He was licking the dishwashing soap."

"He doesn't respond if I wave to him."

A nurse in a residential foster home is caring for a 17-year-old client with oppositional defiant disorder. The client is using profanity and refusing to complete assigned chores. The nurse reminds the client that there are only 5 minutes in which to finish the chores. The client throws a dirty plate at the wall. How should the nurse respond? "If you calm down right now I will give you a few extra minutes to complete your chores." "You only have a few minutes to complete your chores." "I am sorry you are feeling so angry tonight but you must still complete your chores." "I find your language offensive and you need to stop talking that way."

"I am sorry you are feeling so angry tonight but you must still complete your chores."

A 3-year-old child and parent are in the office for a well visit. Which statement by the parent will the nurse highlight for the health care provider? "I have noticed my child does not look at people when talking to them." "My child is now able to read at the same level as other classmates." "My child does not like to share with the neighborhood kids." "I have seen my child make progress in motor skills over the past several months."

"I have noticed my child does not look at people when talking to them."

The nurse has performed client teaching to a 15-year-old child with Crohn disease, and parents regarding the cobblestone lesions in the child's small intestine. Which comment by the child indicates learning occurred? "I may end up with a colectomy because the disease is continuous from the beginning to the end of my intestines." "I have to be careful because I am prone to not absorbing nutrients." "It's unusual for someone my age to get Crohn disease." "I have a lot of diarrhea every day because of how my small intestine is damaged."

"I have to be careful because I am prone to not absorbing nutrients."

The nurse is caring for a child with celiac disease. The parents and the child have attended a class with a group of other clients with the disorder. Which statements by the child or the parents indicate the need for further teaching? (Select all that apply.) "I must be careful to eat only 100% whole grain foods." "I love pasta, so as long as I only eat it occasionally I should be fine." "I hope they find a cure for celiac disease some day." "Celiac disease is the same as gluten intolerance that everyone is talking about these days." "My brother and sister are more likely to develop celiac disease since I have it."

"I must be careful to eat only 100% whole grain foods." "I love pasta, so as long as I only eat it occasionally I should be fine." "Celiac disease is the same as gluten intolerance that everyone is talking about these days."

After teaching the parents of a child with Tourette syndrome about motor and vocal tics, the nurse determines that the teaching was successful when the parents state: "Drugs are the primary method for controlling the symptoms." "He can control the tics if he really concentrates on doing so." "If we get him focused on an activity, the tics will be less pronounced." "Vocal tics are harder to control than the motor tics are."

"If we get him focused on an activity, the tics will be less pronounced."

The nurse is taking a health history for a 12-year-old child who is seriously overweight. Which general question would the nurse direct to the child's parents? "What beverages are preferred?" "Is there a family history of hypertension, heart disease, or diabetes?" "Is breakfast eaten regularly?" "How important is exercise?"

"Is there a family history of hypertension, heart disease, or diabetes?"

A mother is concerned because her 14-month-old son, who had a big appetite when breastfeeding a few months ago, seems uninterested in eating solid food. She still breastfeeds him daily but is thinking of weaning him soon. How should the nurse respond to this mother? "It is normal for toddlers to lose their appetites; try weaning him all at once so that he will be more interested in the solid food." "It is normal for toddlers to lose their appetites; try starting him with just a tablespoonful of food on his plate." "It is not normal for toddlers to lose their appetites; spoon feed him yourself to make sure he gets proper nutrition." "It is not normal for toddlers to lose their appetites; have him tested for a gastrointestinal condition."

"It is normal for toddlers to lose their appetites; try starting him with just a tablespoonful of food on his plate."

The nurse is preparing a 7-year-old girl for discharge after treatment for nephrotic syndrome. Which instructions would the nurse include in the discharge teaching plan for the parents? "Here is some written information from the dietitian." "She must severely restrict her sodium intake." "Let's meet with the dietitian and plan some meals." "She should try to avoid protein."

"Let's meet with the dietitian and plan some meals."

A 10-year-old girl with ADHD has been on methylphenidate for 6 months. The girl's mother calls and tells the nurse that the medication is ineffective and requests an immediate increase in the child's dosage. What should the nurse say? "Let's wait a few more weeks before we do anything." "Let me talk to the doctor about this." "Let's set up an appointment as soon as possible." "What does the teacher say?"

"Let's set up an appointment as soon as possible."

During the toddler years, the child attempts to become autonomous. Which statement by a 3-year-old toddler's caregiver indicates that the toddler is developing autonomy? "When my toddler falls down, they always wants me to pick them up." "My toddler uses the potty chair and is dry all day long." "My toddler has temper tantrums when we go to the store." "Every night my toddler follows the same routine at bedtime."

"My toddler uses the potty chair and is dry all day long."

The parents of a 10-year-old tell the clinic nurse that they are concerned because they noticed that their child has gained about 10 pounds over the past 2 years. What is the best response by the nurse? "I understand why you are concerned. Is your child sedentary quite a bit? Encouraging activity may limit weight gain." "Your child doesn't seem to be overweight, so it isn't a concern." "Normal growth and development for this age results in an average weight gain of 7 pounds per year." "We see most children of this age in our clinic gaining similar amounts."

"Normal growth and development for this age results in an average weight gain of 7 pounds per year."

The nurse comes into an infant's room on the pediatric floor. The nurse wants to try to feed the infant for the first time since her surgery. How does the nurse know what state the infant is in by what the mother says, and that it's fine to try and feed the infant? "She is still sleeping; I guess she is worn out." "She has been crying every time someone picks her up." "She is so quiet today; that is not like her." "She has been a chatterbox and smiles just like her brother."

"She has been a chatterbox and smiles just like her brother."

The nurse is caring for a child with attention deficit hyperactivity disorder (ADHD) who is experiencing insomnia related to the prescribed psychostimulant. The parents are considering stopping the medication and want to know if there are other options. Which response by the nurse would be most appropriate? "Perhaps the health care provider will prescribe long-acting dextroamphetamine." "Talk to the health care provider about dextroamphetamine." "Ask the health care provider about long-acting methylphenidate." "Speak to the healthcare provider about atomoxetine."

"Speak to the healthcare provider about atomoxetine."

While interviewing a depressed adolescent, it is revealed that the client has considered hurting oneself. What question is the nurse's priority? "Tell me exactly how you would hurt yourself." "Do your parents know that you want to hurt yourself?" "Tell me why you would want to hurt yourself." "Have you discussed this with anyone else?"

"Tell me exactly how you would hurt yourself."

A young breastfeeding parent calls the telephone nurse because the parent is concerned about the 3-month-old's stools. Which information indicates a possible problem? "The infant grunts and squirms when filling the diaper." "The infant hasn't had a stool for 3 days." "The infant's stools are loose and seedy." "The stools are foamy and smell terrible."

"The stools are foamy and smell terrible."

The parents of an 18-month-old toddler are concerned that their toddler no longer makes eye contact, does not respond to their smiles or other facial expressions, does not point to toys, and no longer speaks. They said that their toddler used to be able to say "mama" or "dada." The parents started noticing these changes in behavior 3 months ago. Which information can be provided to the parents? "Autism spectrum disorders are curable, so make sure to let your health care provider know about your concerns as soon as possible." "There are many behaviors that can be thought of as signs of autism spectrum disorders, but only a health care provider can confirm the diagnosis." "Once your toddler begins to speak, it will be easier to make a determination." "A toddler who is on the autism spectrum may have difficulty establishing or maintaining eye contact."

"There are many behaviors that can be thought of as signs of autism spectrum disorders, but only a health care provider can confirm the diagnosis."

A child is being referred to a mental health specialist, and the parent expresses worry about being a bad parent and failing the child. What is the nurse's best response? "There are so many stressors on children today that can't be prevented." "Don't worry, everything will turn out better when your child gets mental health care." "This is the best thing for your child right now." "I know just how you feel; I would feel the same myself."

"There are so many stressors on children today that can't be prevented."

A nurse is providing a routine wellness examination for a 5-year-old boy. Which response by the parents indicates a need for an additional referral or follow-up? "He is always talking and telling detailed stories." "He can count to 30 but gets confused after that." "He knows his name and address." "We often have to translate his speech to others."

"We often have to translate his speech to others."

The nurse is teaching parents how to avoid a power struggle with their 2-year-old child. Which comment indicates that more teaching is needed? "We will make sure our child shares toys with cousins of this age." "Childproofing our home will make it less necessary to say 'No!'" "We will give our child a choice whenever possible." "Both of us, as parents, will agree on and consistently enforce the limits we set."

"We will make sure our child shares toys with cousins of this age."

A 5-year-old girl is pretending to be a crocodile during a physical examination. Her mother just smiles and rolls her eyes at the nurse. What would be the best response for the nurse to give the child? "What happened to my client? Did you eat her?" "Oh no! I have a crocodile in my room. Please don't bite me!" "My dear, you are a girl, not a crocodile. Now sit still so that I can examine you." "What a wonderful imagination you have! I've never seen anyone who was so good at pretending to be a crocodile."

"What a wonderful imagination you have! I've never seen anyone who was so good at pretending to be a crocodile."

An advance practice pediatric nurse practitioner (APPNP) is conducting a mental status examination with a 6-year-old girl. Which question would be most appropriate? "What is the name of the president of the United States?" "Why does your pink doll hit all the other dolls?" "Do you like the doll with pink hair the best or the doll with green hair?" "Isn't it fun to play with dolls?"

"Why does your pink doll hit all the other dolls?"

The parents of a 4-day-old infant report concern about the infant's weight loss. What is the best response by the nurse? "Babies may lose up to 10% of their body weight in the first month of life." "Babies will begin to rapidly regain weight and will double birth weight around 6 months of age." "Weight loss after birth is normal." "With appropriate nutrition weight gain will commence with a return to the birth weight within 2 weeks."

"With appropriate nutrition weight gain will commence with a return to the birth weight within 2 weeks."

The mother of a 10-year-old boy with attention deficit hyperactivity disorder (ADHD) contacts the school nurse. She is upset because her son has been made to feel different by his peers because he has to visit the nurse's office for a lunchtime dose of medication. The boy is threatening to stop taking his medication. How should the nurse respond? "He will need to learn to ignore the children; he needs this medication." "You may want to talk to your physician about an extended-release medication." "I can have the teacher speak with the other children." "Remind him that his schoolwork may deteriorate."

"You may want to talk to your physician about an extended-release medication."

A mother asks the nurse where the microwave is so that she can warm up breast milk to feed her baby. What is the best response by the nurse? "Breast milk can be given cold, so there is no need to heat it." "Make sure that you test the milk on your wrist before feeding." "You should only give fresh breast milk to an infant." "You should warm the milk under warm water instead."

"You should warm the milk under warm water instead."

A 3-year-old child is hospitalized. The parents are concerned because the child is now refusing to use the potty and is wetting the bed even though the child has achieved toilet training. Which response by the nurse is most appropriate? "Your child is experiencing regression as a result of stress." "Do not worry. This is a normal response to being in the hospital." "Once discharged, your child will quickly learn to use the toilet again." "Why do you believe your child is refusing to use the potty?"

"Your child is experiencing regression as a result of stress."

The mother of a 3-year-old tells the nurse that she is concerned that her child is not developing motor skills quickly enough. She states that, "My son can't skip and cannot stand on one foot for any length of time while playing." How should the nurse respond? "Maybe practicing these activities with him would help him improve these motor skills." "I wouldn't be too concerned since he seems fine during my assessment." "Your child is not expected to be able to perform those activities at 3 years of age." "I am sure he will become more proficient in these activities soon."

"Your child is not expected to be able to perform those activities at 3 years of age."

While observing a 13-month-old and her parents in the playroom of the hospital unit, the nurse notes that the toddler is using her index finger to point towards a toy. What should the nurse say to the parents? "I notice your daughter is using her index finger to point. This is something we should tell the doctor." "Your daughter is demonstrating fine motor skills appropriate to her age by pointing with her index finger." "How long has your daughter used her index finger to point to objects?" "Has your daughter started turning book pages on her own yet."

"Your daughter is demonstrating fine motor skills appropriate to her age by pointing with her index finger."

The age where toddlers are able to ask "why"

3 year old

For fine motor skills in infancy how many months are they able to grasp a rattle? 3 months 5 months 7 months 9 months

5 months

The nurse is providing care to a child who has had an appendectomy for a perforated appendix. The nurse would anticipate intravenous antibiotic therapy for which time frame? 1 to 3 days 3 to 5 days 5 to 7 days 7 to 14 days

7 to 14 days

The parents of a 30-month-old toddler have brought the toddler into the emergency department because of a seizure. During the health history, the nurse learns that the toddler was frustrated and angry immediately preceding the seizure. The nurse suspects the toddler had a breath-holding spell. Which parental report suggests breath-holding? A tantrum preceded the event. The toddler became unconscious. The toddler was lethargic afterward. The event took place during a nap.

A tantrum preceded the event.

The nurse is helping the mother of a 5-month-old boy understand the importance of developmentally appropriate play. Which one of the toys best meets the needs of this child? A push-pull toy Brightly colored stacking toy A yellow rubber duck for the bath Pots and pans from the kitchen cupboard

A yellow rubber duck for the bath

A group of students are reviewing the role of neurotransmitters in the development of depression. The students demonstrate a need for additional study when they identify which neurotransmitter as being involved? Serotonin Aminobutyric acid (GABA) Dopamine Norepinephrine

Aminobutyric acid (GABA)

A child with attention deficit hyperactivity disorder (ADHD) is prescribed methylphenidate hydrochloride. What should the nurse instruct the parents regarding an adverse effect of this medication? Anorexia Garbled speech Rapid increase in height Sleepiness

Anorexia

A child is diagnosed with short bowel syndrome. What would the nurse expect to be included in the child's plan of care? (Select all that apply.) Antibiotics Vitamin supplements Immunosuppressants Total parenteral nutrition Laxatives

Antibiotics Vitamin supplements Total parenteral nutrition

The nurse is to obtain a stool specimen from a 4-year-old child who has very liquid stool. The child is ambulatory but weak. Which collection method would be most effective for the nurse to use? Have the child defecate into a container in the toilet. Use a tongue blade to scrape a specimen from a diaper. Apply a urine bag to the anal area. Use a clean bedpan to collect the specimen.

Apply a urine bag to the anal area.

The nurse is promoting language and cognitive development to the parents of a 3-year-old boy. Which guidance about reading with their child will be most helpful? Have the child sit still during the story. Keep story time a reward for being good. Ask the child questions as you read. Read a different book if he knows the story.

Ask the child questions as you read.

answers to questions

B, D, C, 288, A (#6), B (#7) SELECT ALL THAT APPLY: A, C #9 - B, 10- D, 11 SELECT ALL THAT APPLY - A, B, C, F 12- D, B

The nurse is providing client education to the parent about bathing the infant. What would be important to instruct the parent? Bath time provides an opportunity for play Never use soap on an infant's hair Soap lubricates and oils an infant's skin Infants need a daily bath

Bath time provides an opportunity for play

Which suggestion by the nurse meant to promote good dental health in the 15-month-old is inappropriate? Brush your child's teeth with a pea-sized amount of fluoride-containing toothpaste. Arrange for your child's first dental visit as soon as possible. Wean the child from the bottle. Avoid grazing (continual snacking) throughout the day.

Brush your child's teeth with a pea-sized amount of fluoride-containing toothpaste.

What are the top areas of concern for the safety of an infant? Nutrient deficient foods Car, home, and water safety stranger danger and neighborhood safety rattles and unbreakable mirrors

Car, home, and water safety

A 17-year-old child needs to increase iron intake but is concerned about weight gain. The nurse will suggest which foods? Cottage cheese, crackers, oranges Raspberry yogurt, granola, apple Chicken, whole-wheat bread, watermelon Egg white omelet, broccoli, pear

Chicken, whole-wheat bread, watermelon

A nurse is assessing an infant who has been vomiting and experiencing diarrhea. Which findings would indicate to the nurse that the infant is experiencing severe dehydration? (Select all that apply.) Cool mottled extremities Bradycardia Sunken fontanels Slightly decreased urine output Pink moist oral mucosa

Cool mottled extremities Bradycardia Sunken fontanels

A child needs to collect urine for 24 hours. The nurse explains to the parents and child that this test assesses glomerular filtration rate and how the kidneys are functioning. What results would be expected in this type of test? Red blood cell (RBC) casts Culture and sensitivity Creatinine clearance Casts and bacteria

Creatinine clearance

The nurse is obtaining the history of an adolescent who is suspected of having anorexia nervosa. What findings would the nurse expect? (Select all that apply.) Desire for perfectionism Secondary amenorrhea Warm hands and feet Diarrhea Syncope

Desire for perfectionism Secondary amenorrhea Syncope

A parent tells the nurse about being frustrated because the preschool-aged child screams every time the parent attempts to buckle the child's seat belt. What advice should the nurse give this parent? Warn the child of punishment for not buckling up and then follow through. Arrange for a babysitter to avoid taking the child in the car. Do not start the car until seat belts are in place. Tell the child that you will give a treat for buckling up.

Do not start the car until seat belts are in place.

The nurse is caring for a 13-year-old adolescent with a nursing diagnosis of ineffective coping related to inability to deal with life stressors as evidenced by few or no meaningful friendships and low self-esteem. Which intervention would be the priority to promote coping skills? Role model appropriate social and conversation skills. Set clear limits on behavior. Encourage the adolescent to discuss thoughts and feelings. Demonstrate unconditional acceptance of the adolescent as a person.

Encourage the adolescent to discuss thoughts and feelings.

A 10-year-old girl has been referred for evaluation due to difficulties integrating with her peers at her new school. The counselor believes she is at risk for situational low self-esteem due to problematic relationships with both family members and peers. What is the best approach? Remind her of the importance of good hygiene for better appearance. Introduce the concept of accepting differences to reduce conflict. Explore the girl's feelings about changes in her body with the onset of puberty. Engage the girl in dialogue regarding feelings about self/personal appearance.

Engage the girl in dialogue regarding feelings about self/personal appearance.

The nurse establishes the following plan of care based on the nursing diagnosis: Caregiver role strain related to infant crying throughout night as manifested by parents stating, "We are exhausted." Which nursing interventions are included in the plan of care? Select all that apply. Add rice cereal to the evening bottle to prevent hunger and awakening. At bedtime, ensure the child is in a deep sleep then place in crib. Having one parent awake at a time with infant During night awakening, keep interactions minimal. Establish a quieting ritual for infant before bed.

Establish a quieting ritual for infant before bed. During night awakening, keep interactions minimal. Having one parent awake at a time with infant

A 13-month-old child is brought to the clinic for a well-child visit. The child's parent expresses concern that the child has not started to walk yet. What is the best action should the nurse take? Ask the parent if the child has been ill recently. Explain that children can take their first steps as late as 18 months of age. Refer the child to a developmental specialist for evaluation. Explain that the child could start walking any day.

Explain that children can take their first steps as late as 18 months of age.

The mother of a 4-year-old child reports she has been trying in vain to teach her son to tie his shoelaces. She states she fears he may be "slow". Which action by the nurse is mostappropriate? Demonstrate a few methods for the parent to use to teach this skill to her child. Explain that she may need to change the way she is instructing him to do this. Ask to assess the child's fine motor skills for developmental delays in light of her reports. Explain to the parent her child likely does not have the needed motor skills to achieve this task at his current age.

Explain to the parent her child likely does not have the needed motor skills to achieve this task at his current age.

The nurse is providing anticipatory guidance regarding the respiratory development of a 4-week-old infant for the parent. Which action is accurate? Explaining to the parent the risk for infection is high due to the lack of antibodies Advising the parent that the infant's usual respiratory rate should slow to about 20 breaths per minute by age 6 months Informing the parent that the respiratory system reaches maturity similar to the adult's by 12 months of age. Telling the parent that abdominal breathing disappears by 9 month of age

Explaining to the parent the risk for infection is high due to the lack of antibodies

Pica is an eating disorder occurring in infants in which a baby regurgitates partially digested food or formula and expels or swallows it. True False

False

The nurse is caring for a child diagnosed with acute post-streptococcal glomerulonephritis. When assessing the child, what findings does the nurse anticipate? Select all that apply. Headache A recent gastrointestinal infection resulting in severe diarrhea Weight gain Clear, straw colored urine Generalized edema

Headache Weight gain Generalized edema

The school nurse is assessing the nutritional status of an overweight 12-year-old girl. Which question is appropriate for the nurse to ask? Does your family have rules about foods and how they are prepared? What does your family do for exercise? Have you gained weight recently? How often does everyone in your family eat together?

How often does everyone in your family eat together?

The nurse is assessing a newly admitted 14-year-old adolescent and notes that the adolescent makes very little eye contact, becomes very frustrated with questions and conversation, and does not smile or laugh. What nursing diagnoses will the nurse add to the care plan based on these assessment findings? (Select all that apply.) Impaired social interaction Imbalanced nutrition, less than body requirements Ineffective individual coping Disturbed thought process Delayed growth and development

Impaired social interaction Ineffective individual coping

The infant in the exam room has these signs and symptoms. Which will the nurse attribute to teething? (Select all that apply.) Fever and diarrhea Increased sucking on hands Refusing to eat Irritability and awakening from sleep Drooling and biting

Increased sucking on hands Refusing to eat Irritability and awakening from sleep Drooling and biting

A 9-year-old boy was in a car accident. The child is suffering from posttraumatic stress disorder. Which would be the best approach for treatment? Psychostimulant medications Individual psychotherapy sessions Sensory integration technique Antipsychotic medications

Individual psychotherapy sessions

The mother of a school-age child is distraught over the ongoing oppositional behavior demonstrated by the child at home and at school. Which nursing diagnosis should the nurse select as appropriate for the child and family? Impaired social interaction related to short attention span and distractibility Risk for self-directed violence related to impulsivity Situational low self-esteem related to lack of successful coping strategies Interrupted family processes related to inability of child to follow instructions

Interrupted family processes related to inability of child to follow instructions

The nurse is reviewing the diet of an 8-month-old infant with the mother who reveals she has been using evaporated milk to make the formula. Which additional ingredient should the nurse ensure she is including in the formula? Vitamin D Vitamin E Iron Calcium

Iron

The nurse is talking with parents of a depressed 16-year-old child. Which question is of the most importance? Does your child exercise? How is your child's personal hygiene? Is there a gun in your home? Have your child's sleeping and eating habits changed?

Is there a gun in your home?

The nurse is developing a teaching plan for the parents of an 11-month-old infant with gastroesophageal reflux disease (GERD). The child will be managed medically. What actions would the nurse incorporate into the teaching plan? (Select all that apply.) Burping the infant at the end of the feeding Keeping the child upright for 30 minutes after feeding Giving the child small frequent feedings Thinning the formula with water to ease flow Administering prokinetics to empty the stomach quickly

Keeping the child upright for 30 minutes after feeding Giving the child small frequent feedings Administering prokinetics to empty the stomach quickly

A child has been admitted to the acute care facility for the management of dehydration. The nurse is preparing to administer intravenous fluid replacement to the child. Which fluids are suitable for use? (Select all that apply.) Lactated Ringer 10% dextrose in water 0.45% saline Normal saline 5% dextrose in water

Lactated Ringer Normal saline

The nurse is caring for a neonate who has undergone an intestinal pull-through procedure for an imperforate anus. Which action would be most important for the nurse to do postoperatively? Turning the infant every 4 hours Determining the infant's ability to suck on a pacifier Listening for bowel sounds Observing the abdominal skin

Listening for bowel sounds

A mother states that her 6-year-old has starting biting nails and regressing to baby talk since beginning school. What instructions are best for the nurse to give the mother regarding this behavior? Apply a nail biting product to the nails to deter biting. Remind the child to stop each time the behavior is witnessed. Get a description of the classroom behavior from the teacher. Make time each day to spend with the child individually.

Make time each day to spend with the child individually.

A child with an intellectual disability is evaluated and found to have an intelligence quotient (IQ) of 65. The nurse interprets this as reflecting which category of intellectual disability? Moderate Severe Profound Mild

Mild

The nurse is caring for a 7-year-old child with conduct disorder. The child is very aggressive and at risk for self-harm. To promote the child's adaptive and social skills, the nurse refers the family to a therapist who specializes in which type of therapy? Cognitive therapy Milieu therapy Family therapy Play therapy

Milieu therapy

The nurse is assessing the newborn. Which would the nurse assess to be an abnormal finding? Gluteal folds are present and symmetrical The newborn startles to loud sounds The neck is short, thick and mobile Natal teeth noted in the mouth that are loose

Natal teeth noted in the mouth that are loose

When teaching parents of a child with encopresis, what would the nurse stress? Necessity for giving 4 to 6 tablespoons of bismuth subsalicylate per day Need for keeping the child close to bathroom facilities at all times Importance of cleaning the child immediately after an accident occurs Not punishing the child for encopresis

Not punishing the child for encopresis

What exercise recommendation should nurses give to adolescents? Participate in 60 minutes of moderate to vigorous physical activity each day. Engage in aerobic exercise for 30 minutes 3 days per week. Engage in at least one competitive sport during the school year. Participate in physical activities that cause sweating and hard breathing weekly.

Participate in 60 minutes of moderate to vigorous physical activity each day.

The nurse is triaging clients as they come in to an express care facility. Which assessment finding is clinically significant for early nephrotic syndrome? Facial puffiness Edema in the hands Sacral edema Periorbital edema

Periorbital edema

The nurse is educating the parents of a child requiring renal replacement. The parents express concern because they live in a remote, rural area with no access to pediatric specialty dialysis units. Which would the nurse recommend to the parents? In home hemodialysis Hemodialysis Renal transplant Peritoneal dialysis

Peritoneal dialysis

What feeding practice used by the parents of an 8-month-old should the nurse discourage? Including the infant at family meals in the high chair Continuing to offer foods the child rejects Placing all liquids given the child in a "no spill" sippy cup Giving the child soft table food and finger foods

Placing all liquids given the child in a "no spill" sippy cup

The nurse is presenting an in-service on the types of playing that children may engage in. The nurse determines the session is successful when the attending nurses correctly choose which example as representing cooperative play? Playing in an organized group with each other. Playing apart from others without being part of a group. Playing together in an activity without organization. Playing independently and are side-by-side.

Playing in an organized group with each other.

The nurse is promoting a healthy diet to the parent of a 6-month-old infant. What action would have the most effect on the infant's neurologic development? Promoting continuation of breastfeeding Requiring more solid foods in the diet Establishing an adequate level of dietary iron intake Adding fruit juice daily

Promoting continuation of breastfeeding

A female client tells the nurse about noticing an increase in weight and fat deposits during the past year. The nurse reviews the client's chart and recognizes that the client is most likely going through puberty. Which nursing action is most appropriate at this time? Share what foods can be eaten on a low-fat diet to prevent fat deposits. Review dietary measures to assist in controlling weight gain. Provide reassurance that these are normal changes. Encourage increased exercise to control weight gain.

Provide reassurance that these are normal changes.

Which activity will the nurse encourage new parents to complete in order to assist their infant in accomplishing Erikson's developmental task for the first year of life? Respond promptly when the infant cries. Read age-appropriate books to the infant daily. Appropriately enunciate words when speaking to the infant. Praise the infant when a new milestone is reached.

Respond promptly when the infant cries.

The nurse is caring for a preschool-age child in the hospital with severe developmental delays. The parents have three other younger children at home and both parents work full-time outside the home. The family has just moved to this area. Which nursing diagnosis would be the highest priority in regard to the parents at this time? Interrupted family processes Risk for caregiver role strain Imbalanced nutrition, less than body requirements Readiness for enhanced parenting

Risk for caregiver role strain

Which developmental milestone would the nurse expect an 11-month-old infant to have achieved? Turning a doorknob Building a tower of four cubes Sitting independently Walking independently

Sitting independently

What suggestions regarding the evaluation of a childcare center would the nurse share with a preschooler's mother? Specific program goals to be accomplished should be available. Research local newspapers to see if there are any complaints against the center. A ratio of 10 children to 1 teacher is adequate. The longer the center has been in operation, the better it is.

Specific program goals to be accomplished should be available.

A group of nursing students are reviewing information about celiac disease. The students demonstrate understanding of this disorder when they identify which classic symptoms? (Select all that apply.) Polycythemia Steatorrhea Diarrhea Sunken abdomen Constipation Failure to thrive

Steatorrhea Diarrhea Constipation Failure to thrive

The nurse is caring for several clients on the pediatric unit. When interacting with the preschool-age child, which action does the nurse predict will occur? Grows and develops skills more rapidly than at any other time in their life Insists doing something and the next moment reverts to being dependent Increased attention span and can be interested in an activity for a long length of time Takes in new information at a rapid rate and asks "why" and "how"

Takes in new information at a rapid rate and asks "why" and "how"

A nurse is preparing an educational seminar about the moral and spiritual development of preschoolers. When describing this topic, which information would the nurse include? Ease in transferring rules to new situations Tendency to do good out of self-interest Determination of right and wrong based on the reason for rules Enjoyment of religious rituals based on the understanding of an outside force

Tendency to do good out of self-interest

The parent of a 14-year-old girl voices concerns that the child is likely to be not getting enough nutrients. How many calories should be ingested by the child daily? The adolescent should not consume more than 2,500 calories per day. At least 1,800 calories per day is recommended for an adolescent girl. The range for caloric intake for an adolescent girl is 1,700--2,000 per day. The adolescent girl who is active should consume about 2,000 calories per day.

The adolescent girl who is active should consume about 2,000 calories per day.

The nurse is conducting an assessment of a 5-year-old client. During the assessment, the nurse notes that the child does not maintain eye contact or speak. The nurse suspects an autism spectrum disorder. Which additional finding would help support the nurse's suspicion? The child has a slight decrease in head circumference. The child constantly opens and closes the hands. The child has a long face and prominent jaw. The child is highly active and inattentive.

The child constantly opens and closes the hands.

The nurse is examining a 3-year-old girl during a regular visit. Which finding would disclose a developmental delay in this child? The child follows directions when made one at a time. The child demonstrates separation anxiety. The child imitates the nurse in use of a stethoscope. The child copies a circle on a piece of paper.

The child demonstrates separation anxiety.

Parents of an 11-year-old child are bewildered that their child was caught stealing. Which reason for this behavior would the nurse suggest? The child was attempting to escape punishment. The child had a strong desire to own the item. This is one way for the child to increase self-esteem. The child has not attained the ability to understand ownership and property rights.

The child had a strong desire to own the item.

The nurse is assessing a 2-year-old toddler. Which observations would alert the nurse that the child may be developmentally delayed? (Select all that apply.) The child is unable to stack one block on top of another. The child pushes and pulls the play vacuum cleaner in the toy room. The child claps hands in response the nurse clapping hands. The child will not pick up a toy or touch the nose when directed by the nurse. The child's vocabulary consists of the words "ball," "dada," "mum," "drink" and "up."

The child will not pick up a toy or touch the nose when directed by the nurse. The child's vocabulary consists of the words "ball," "dada," "mum," "drink" and "up."

The nurse is assessing a hospitalized child diagnosed with nephrotic syndrome. What assessment(s) is most important for the nurse to complete to help identify hypoalbuminemia in this child? The heart rate and blood pressure The respiratory rate and heart rate The heart and lung sounds The blood pressure and oxygen saturation

The heart rate and blood pressure

The nurse is conducting a physical examination of a 5-month-old infant. Which observation may be cause for concern about the infant's neurologic development? The toes hyperextend when the bottom of the foot is stroked. The infant displays an asymmetric tonic neck reflex (fencing reflex). The infant grasps a finger when it is placed in the palm. The anterior fontanel is open and easily palpated.

The infant displays an asymmetric tonic neck reflex (fencing reflex).

The nurse is completing a developmental assessment on a 6-month-old infant. Which findings indicate the need for additional follow-up? Select all that apply. The infant babbles. The infant has frequent episodes of crossed eyes. The infant does not pay attention to noises behind him. The infant is unable string together 2 word sentences. The infant seems disinterested in the surrounding environment.

The infant does not pay attention to noises behind him. The infant has frequent episodes of crossed eyes. The infant seems disinterested in the surrounding environment.

The home care nurse is conducting an in-home visit for a child who had corrective surgery for hypospadias 3 days prior. What would alert the home care nurse to provide additional teaching? The parent expresses relief that the child was not also diagnosed with cryptorchidism at birth. The parent states, "I cannot wait until I can bath him the tub again...he enjoys it so much." The parent states, "I have had to buy more diapers since having to double diaper him." The parent indicates the child is fussy, but calms down when held on the parent's hip.

The parent indicates the child is fussy, but calms down when held on the parent's hip.

The nurse is assessing speech development in the 2-year-old whose family uses both Spanish and English in the home. What finding is of concern? The parents understand the child much of the time. The toddler speaks 15 words between the two languages. The child mixes words from the two languages within a sentence. Some words the toddler speaks are a blend of English and Spanish.

The toddler speaks 15 words between the two languages.

The nurse is assessing a 6-year-old child with attention deficit hyperactivity disorder (ADHD). The nurse observes the child making repeated clicking noises and notes the child has a slight grimace. The nurse recommends the child receive further evaluation for: Tourette syndrome. autism spectrum disorder. Asperger syndrome. anxiety disorder.

Tourette syndrome.

A new mother reports that she is exhausted and that the little sleep she gets is determined by her baby. Which suggestion should the nurse prioritize to help the mother establish healthy sleeping patterns in her infant? Use the crib for sleeping only, not for play activities. Let the baby cry during the night and she will eventually fall back to sleep. Wake the baby from afternoon naps after 1 hour to ensure she is sleepy by nighttime. Put the baby to bed at various times of the evening.

Use the crib for sleeping only, not for play activities.

Parents and their nearly 3-year-old child have returned to the clinic for a follow-up appointment. Which of the findings may signal a speech delay? Talks about a past event Asks "why" often Half of speech understood by outsider Uses two-word sentences or phrases

Uses two-word sentences or phrases

The parents of a 5-year-old call the nurse for advice about night terrors. The child has had them nightly for almost 2 weeks. What is the most appropriate intervention? Explain that this is a developmental phase that will not last. Wake the child up nightly 30 to 45 minutes after going to sleep. Encourage the parents to let the child fall asleep in a safe place such as their bed. Tell the parents to be sure to wake the child up during the next episode.

Wake the child up nightly 30 to 45 minutes after going to sleep.

A nurse instructor is educating the parents about activities preschoolers can successfully perform independently. Which activities would the nurse include? Select all that apply. Washing hands Brushing teeth Flossing teeth Dressing self Playing active games

Washing hands Brushing teeth Dressing self Playing active games

With summer approaching, the nurse discusses sun safety with a group of adolescents. Which suggestion is most likely to be followed? Wear a hat when in the sun. Wear sunglasses. Do not attempt to get a tan. Limit sun exposure between 10:00 AM and 2:00 PM.

Wear sunglasses.

When collecting data on a preschool-aged child during a well-child visit, the nurse discovers the child has gained 12 lb (5.4 kg) and grown 2.5 inches (6.3 cm) in the last year. The nurse interprets these findings to indicate which situation? Weight and height are within expected patterns of growth. Weight is below an expected range and height is above an expected range. Weight falls within an expected range and height is less than what would be expected. Weight is above an expected range and height is within an expected range.

Weight is above an expected range and height is within an expected range.

The nurse is taking a health history of a 2-year-old girl presenting with a sudden onset of severe vomiting. Which description would suggest an obstruction? a.Bilious vomiting b.Projectile vomiting c.Effortless vomiting d.Bloody vomiting

a.Bilious vomiting

A school-aged child is brought to the emergency room with severe abdominal pain. The nurse performs a physical assessment. Which assessment parameters indicate appendicitis? Select all that apply. a.Normal to hyperactive bowel sounds early b.Hypoactive bowel sounds with perforation c.Irritation and pain in the right lower quadrant d.Rebound tenderness present with palpation in the left upper quadrant e.Distended abdomen with unperforated appendicitis f.Low-grade fever, nausea, anorexia, and vomiting

a.Normal to hyperactive bowel sounds early b.Hypoactive bowel sounds with perforation c.Irritation and pain in the right lower quadrant f.Low-grade fever, nausea, anorexia, and vomiting

An adolescent has been diagnosed with oppositional defiant disorder. Which symptom does the nurse anticipate? angry outbursts directed at authority figures disruptive behavior toward siblings and peers typical teenage defiance behavior with parents frequent arrests and conflict with legal authorities

angry outbursts directed at authority figures

An adolescent has been diagnosed with oppositional defiant disorder. Which symptom does the nurse anticipate? typical teenage defiance behavior with parents arrests and conflict with legal authorities angry outbursts directed at authority figures

angry outbursts directed at authority figures

A 4-year-old girl has begun stuttering. Which practice by the parents will the nurse discourage? giving the child opportunity to speak and finish her ideas asking the girl to slow down and to think before she talks enunciating clearly and slowing down parental speech looking at the child while she is speaking

asking the girl to slow down and to think before she talks

During adolescence, alcohol is connected to what problem frequently seen in this age group? automobile accidents drug usage violence teen suicide

automobile accidents

The nurse is assessing a toddler and palpates a sausage-shaped mass in the upper mid abdomen. When taking the toddler's history, what question would the nurse ask the parent first? a."Can you describe any pain your toddler is having?" b."Has your toddler been having different colored stools?" c."How is your toddler's appetite?" d."Has your toddler been around anyone who has been sick?"

b."Has your toddler been having different colored stools?"

The nurse is caring for an adolescent with anorexia nervosa. What intervention should the nurse include in the care of this client? a.Take daily weights to document weight gain. b.Encourage the client and the client's family to participate in family therapy. c.Encourage at least 30 minutes of exercise daily to help the client feel like he or she is not gaining weight too fast. d.Encourage the family to vary their daily routine at home so the client does not get bored.

b.Encourage the client and the client's family to participate in family therapy.

In caring for a child with a urinary tract infection, the nurse would perform all ofthe following nursing interventions. Which two interventions would the nurse identify as the priority? a.Record and report any indications of urinary burning, frequency, or urgency. b.Observe the child for signs of any reactions to the antibiotics. c.Observe for possible indications of sexual abuse. d.Collect a "clean catch" voided urine. e.Teach girls to wipe from front to back. f.Instruct caregivers to avoid bubble baths, especially in young girls.

b.Observe the child for signs of any reactions to the antibiotics. d.Collect a "clean catch" voided urine.

The school nurse is presenting a class on substance abuse to a group of school-age children. Which tactic would be least effective in persuading these children to not begin using illegal substances? a.Explain how drugs affect their bodies. b.Tell the children that they can die if they use them. c.Openly discuss the good, as well as the bad, parts of substance abuse to give the child an honest picture. d.Set clear rules and consequences for breaking the rules related to drug abuse.

b.Tell the children that they can die if they use them.

The nurse is assessing a hospitalized child diagnosed with nephrotic syndrome. What set of assessments is most important for the nurse to complete to help identify hypoalbuminemia in this child? a.heart and lung sounds b.heart rate and blood pressure c.respiratory rate and heart rate d.blood pressure and oxygen saturation

b.heart rate and blood pressure

In assessing the bilingual 4-year-old's speech and language development, the nurse should find that the child will: be prone to stuttering. mix the two languages in the same sentence. be able to use each language as a separate system. avoid asking questions.

be able to use each language as a separate system.

Parents of a school-age child have begun a program of therapy that includes giving the child a token each time the child follows directions. Which theoretical framework provides the background for such a program? systems theory psychodynamic theory behavioral theory token economy theory

behavioral theory

Which activity is most beneficial in the development of the newborn? In a swing in a position to allow observation of the family's activities listening to classical music being sung to by his mother

being sung to by his mother

Which client most likely has ulcerative colitis rather than Crohn disease? a.14-year-old female with full-thickness chronic inflammation of the intestinal mucosa b.18-year-old male with abdominal pain c.16-year-old female with continuous distribution of disease in the colon, distal to proximal d.12-year-old with oral temperature of 101.6° F (38.7° C)

c.16-year-old female with continuous distribution of disease in the colon, distal to proximal

The nurse is caring for a girl with anorexia who has been hospitalized with unstable vital signs and food refusal. The girl requires enteral nutrition. The nurse is alert for which complications that signal refeeding syndrome? bradycardia with ectopy and seizures hypothermia and irregular pulse orthostatic hypotension and hypothermia cardiac arrhythmias, confusion, seizures

cardiac arrhythmias, confusion, seizures

A 17-year-old child has been admitted with complications of anorexia nervosa. What diagnostic tests can be anticipated in the plan of care/treatment? Select all that apply. MRI complete blood cell count CT scan metabolic panel chest X-ray

complete blood cell count metabolic panel

What are some indications of gross motor development delay in the infant? crawl by 12 months stand by 9 months roll from prone to supine by 4 month sit unsupported by 6 months

crawl by 12 months

A 1-year-old child below 5% on the growth chart has been admitted to the hospital. The nursing diagnosis for this child is Imbalanced nutrition, less than body requirements, related to inadequate intake secondary to emotional deprivation. Which nursing intervention would be most effective for this child? a.Contact child protective services to report abuse. b.Discourage the parents from visiting their child. c.Maintain strict intake and output plus calorie count. d.Have one consistent nurse feed and care for the child.

d.Have one consistent nurse feed and care for the child.

The nursing instructor is teaching a student about the management of children with cognitive impairment. The student demonstrates understanding when making which statement? a.Children with cognitive impairment do not need to learn socialization skills. b.Play therapy is used rarely with children with cognitive impairment. c.Behavior management is easily provided by anyone caring for children with cognitive impairment. d.No specific medical interventions exist for children with cognitive impairment.

d.No specific medical interventions exist for children with cognitive impairment.

To help prevent obesity, which intervention would the nurse include in an adolescent's plan of care? plan a diet of 1,500 calories per day describe a normal serving size describe sources of low calorie proteins plan a diet of 2,000 calories per day

describe a normal serving size

A nurse is working with a child who has been psychologically neglected by the parents. The nurse would anticipate which complication for this child? developmental delay and mental health issues rocking behaviors and loss of muscle tone cognitive disabilities and growth retardation social isolation and stuttering speech disorder

developmental delay and mental health issues

Epispadias refers to a urethral defect resulting in the opening occurring on the ________ surface of the penis.

dorsal

Children with ________ experience difficulty with reading, writing, and spelling.

dyslexia

The nurse is talking to the parent of a 19-month-old toddler about setting limits and supervising activities. In which situation will the nurse recommend letting the toddler do as he or she pleases? exploring one's body playing on the picnic table deciding one's bedtime schedule choosing one's own foods

exploring one's body

The parents of a 2 year old are concerned with her behavior. Which would the nurse share their concern? plays by herself even when other children are present likes to change toys frequently frequently babbles to herself when playing refuses to share toys with other siblings

frequently babbles to herself when playing

The football coach notices that one of the players has been more energetic and overly happy lately during practice. The player also got in fight with a teammate last week. The coach contacts the health care provider, concerned that the student is using anabolic steroids. What physical sign would the nurse advise the coach to be on the lookout for that would further validate the illicit drug use? gynecomastia fainting headaches extended periods of fatigue

gynecomastia

The 18-month-old toddler has been brought into the pediatrician's office by his parents. The nurse interviews the parents regarding the child's abilities. Which findings are warning signs that the toddler may have autism spectrum disorder? Select all that apply. does not speak in short sentences does not exhibit attempts to communicate by pointing to objects cannot stand on tiptoe has never "babbled" does not use any words

has never "babbled" does not exhibit attempts to communicate by pointing to objects does not use any words

The most common anomalies associated with cleft lip and palate include ________ defects, ear malformations, skeletal deformities, and genitourinary abnormality.

heart

What is the most difficult risk factor for a child to overcome related to substance abuse? peer pressure home environment where there is drug or alcohol abuse

home environment where there is drug or alcohol abuse

The nurse is assessing a 4-year-old on a routine well-child visit. When assessing the gross motor skills of this preschooler, which activity will the nurse predict the child to be able to successfully accomplish? hop on one foot jump rope ride a bicycle walk backwards with heel to toe

hop on one foot

A nurse is describing growth and development during the preschool period. What would the nurse identify as a predominant and heightened characteristic for this age group? gross motor skills imagination vocabulary fine motor skills

imagination

Which statement would be most appropriate to say to the toddler to decrease the behavior known as negativism? it's time for lunch, I am going to put your bib on are you getting hungry and ready for lunch? do you want help getting into your chair so we can have lunch? do you want apples again with lunch?

it's time for lunch, I am going to put your bib on

The nurse is examining a child with fetal alcohol spectrum disorder. Which assessment finding should the nurse expect? low nasal bridge with short upturned nose macrocephaly clubbing of fingers short philtrum with thick upper lip

low nasal bridge with short upturned nose

The nurse is assessing the oral cavity of a 6-month-old child. When palpating the location in which the first primary teeth erupt, which location is being assessed? upper central gumline lower central gumline lower lateral gumline upper lateral gumline

lower central gumline

A 5-year-old child has frequent visits to the school nurse's office. Which assessment data should alert the nurse that this child may be a victim of physical neglect? isolated from classmates with poor self-esteem evidence of bruising on multiple parts of the body malnourished with frequent absences from school inappropriate knowledge of sexual terms and actions

malnourished with frequent absences from school

Bipolar disorder and depressive disorders are classified as ___________ disorders.

mood

Most common cause of severe injury and death in school-age children

motor vehicle crashes—pedestrian and passenger

The school nurse is preparing health promotion presentations regarding unintentional injuries for a high school health fair. On which topic should the nurse place as the priority when preparing the presentation? poison prevention drug and alcohol use prevention motor vehicle safety water sports injuries

motor vehicle safety

Nurses should provide anticipatory guidance to males to prepare them for what particular pubertal change in middle-to-late adolescence? nocturnal emissions lengthening of the penis reddening of the scrotum pubic hair growth

nocturnal emissions

A father and his 4-year-old son are waiting in an exam room when the nurse enters and greets them. Which activity that the nurse observes the boy doing would best demonstrate the primary developmental task of the preschool-age child, according to Erikson? reading a book opening drawers in the room, pulling out supplies, and examining them roughhousing with his father singing a song he learned at preschool

opening drawers in the room, pulling out supplies, and examining them

The nurse is caring for a 10-year-old girl with an anxiety disorder. During a physical examination, which physical finding would the nurse expect? patches of hair loss dilated eyes absence of nasal hair watery eyes

patches of hair loss

During a well-child check at the ambulatory clinic, the mother of a 10-year-old boy reports concerns about her son's frequent discussions about death and dying. Based upon knowledge of this age group, the nurse understands that: consistent thoughts of death and dying at this age lead to the later development of depression. discussing death and dying may hint at a psychological disorder. at this age, children are not afraid of death. preoccupation with death and dying is common in the school-aged child.

preoccupation with death and dying is common in the school-aged child.

The nurse pulls the 5-month-old to sitting position from supine and notes head lag. The nurse's response is to: suggest more awake tummy time for the child. refer the infant for developmental and/or neurologic evaluation. conclude the earlier assessments carried out fatigued the infant. consider this a normal response for the age.

refer the infant for developmental and/or neurologic evaluation.

The nurse is working with a child diagnosed with encopresis. After a complete medical workup has been done, no organic cause has been found for the disorder. What follow-up will the nurse expect? put on a high-calorie, high-protein diet started on methylphenidate referred for counseling administered antidiarrheal medications

referred for counseling

Which gross motor developmental milestone is least likely for a 2 year old? jumps in place rides a tricycle climbing stairs with assistance stands on one foot with help

rides a tricycle

The nurse is talking with a school-aged child about her interests. In which interest do most school-aged children place the most focus? family school pets church

school

A group of nursing students are reviewing the actions of various drugs used to treat mental health disorders in children. The students demonstrate understanding of the information when they identify which drug as potentiating the activity of serotonin in the brain? sertraline trazodone lithium buspirone

sertraline

Secondary sex characteristics

the Result of hormone changes: voice change, hair growth, breast enlargement, fat deposits Play no direct role in reproduction

The nurse is examining a 2 year old girl, which finding would suggest a delay in speech development? The child repeats what the parents say out of context and at random moments the child does not use the names of familiar objects The child does not speak clearly but shows understanding of what is said the child puts together sentences of two words

the child does not use the names of familiar objects

A 5-month-old infant being assessed was born at 32 weeks. The nurse doing the well-child check-up should compare the baby to what norms? the growth of a 5-month-old the development of a 10-week-old the growth of a 2-month-old the development of a 3-month-old

the development of a 3-month-old

The nurse is educating the mother of a newborn about feeding practices. The nurse correctly advises the mother that: the best feeding schedule offers food every 4 to 6 hours. most newborns need to eat about 4 times per day. demand scheduled feeding is associated with increased difficulty getting the baby to sleep through the night. the newborn's stomach can hold between 0.5 oz and 1 oz.

the newborn's stomach can hold between 0.5 oz and 1 oz.