life span
Which of the following is the most common cause of absenteeism in school-age children? Asthma Lice Communicable diseases Unintentional Injuries
Asthma
What is the reason for a slight loss of height during the middle years? Slight loss of bone density Slumping while walking Lordosis Decrease in muscle tone
Slight loss of bone density
At what age is HPV vaccine recommended for both boys and girls? 9 years of age 11 years of age 13 years of age 15 years of age
11 years (before they are sexually active; after puberty)
When measuring the newborn at birth, the nurse should expect to the length to be: 14 to 19 inches 16 to 24 inches 18 to 22 inches 20 to 25 inches
18 to 22 inches
A healthy female client has just found out she is pregnant. Her current caloric intake is 2,200 calories per day. What minimum caloric intake should she have now that she is pregnant? Enter numeral only.
2,420 (increase by 10%)
Which describes a normal head circumference for a newborn infant? 13 to 14 cm 17 to 18 cm 33 to 35 cm 43 to 45 cm
33 to 35 cm
Which describe competencies of cognitive development according to Piaget's theory? Select all that apply. Growth Adaptation Maturation Assimilation Accommodation
Adaptation Assimilation (integration of new experiences ) Accommodation
The nurse is working with an adolescent around issues that affect health. Which of the following should the nurse stress about the adolescent's diet? Adolescents can eat whatever they want, as long as they exercise. Nutrition is only a concern if the adolescent is obese or anorexic. Adolescents should intake 1300 mg of calcium and 400 IU of vitamin D daily Sugar and fat intake do not need to be monitored because growth is so rapid.
Adolescents should intake 1300 mg of calcium and 400 IU of vitamin D daily
A middle-aged patient is admitted with a diagnosis of cardiovascular disease. What two factors for this disease process are not in the patient's control? Select all that apply. Age Excessive weight Sedentary lifestyle Smoking Family history
Age family history
Which of the following instructions should the nurse provide parents, when an antibiotic has been prescribed for their child? Select all that apply. Antibiotics should not be prescribed for a cold or the flu. It is important for children to take the entire course of medication, even if the symptoms are gone. When your child is no longer contagious, they can stop taking the antibiotic. Your doctor may prescribe antibiotics for symptoms of the flu. Children never develop antibiotic resistant infections.
Antibiotics should not be prescribed for a cold or the flu. (infections only) It is important for children to take the entire course of medication, even if the symptoms are gone.
Which of the following are risks faced by adolescent girls who are pregnant? Select all that apply. Bone density loss Iron Deficiency Anemia Loss of educational opportunities Increased risk for gestational diabetes Interruption of developmental tasks
Bone density loss (lack of Ca intake during pregnancy) Iron Deficiency Anemia Loss of educational opportunities Interruption of developmental tasks
Which is a leading cause of death in the middle adult years? Diabetes Cardiovascular disease Joint Pain Obesity
Cardiovascular disease
The nurse is interviewing a sexually active young adult who has multiple partners. Which of the following Sexually Transmitted Diseases would be a possible risk? Pregnancy Chlamydia Genital Warts Candida Gonorrhea
Chlamydia Genital Warts Gonorrhea
When assessing a young adult, what characteristics might alert the nurse to potential diabetes or heart disease? Clients who are overweight Clients who abuse alcohol Clients who have no family history of cardiac problems Clients who do not exercise
Clients who are overweight
A recently admitted 32-year-old female client has just been told she has Stage IV breast cancer. She immediately tells her family members to leave the room and not to come back and becomes agitated with the nursing staff when trying to implement the nursing plan. Which best describes this type of behavior? Id Ego Unconscious mind Defense mechanism
Defense mechanism
While working in a pediatrician's office, the nurse notices an 11-month-old has not met developmental milestones and appears to be distant and not engaged. After questioning the young mother, she states he "eats good" and she hasn't "paid much attention" to his play habits. The physician admits the infant with failure to thrive. What would be an appropriate nursing diagnosis for this client? Delayed growth and development related to parental deficient knowledge, lack of stimulation, and nutrition deficit Client (newborn) will achieve realistic developmental and growth milestones based on existing abilities, extent of disability, and functional age Nurse will encourage setting of short-term, realistic goals for achieving developmental potential Delayed development and improper nutrition
Delayed growth and development related to parental deficient knowledge, lack of stimulation, and nutrition deficit
Which of the following is an example of the intimacy vs isolation phase of social development for young adults? Caring for their aging parents Developing lasting friendships and associations Getting married and having children Completing college and getting a job
Developing lasting friendships and associations
How often should children over age 5 be screened for visual acuity? Every 1 to 2 years Every 6 months Every 2 to 3 years Visual screening is not necessary unless indicated
Every 1 to 2 years
The nurse is obtaining a health history from a 22-year-old female client. Which of the following would be an appropriate recommendation from the nurse regarding exercise? No aerobic exercise is necessary at this age. Exercise at a moderate intensity for 2.5 hours a week As long as you eat healthy, exercise should not be a concern Women of childbearing age should not exercise.
Exercise at a moderate intensity for 2.5 hours a week
Neural tube defects such as spina bifida are due to which? Folic acid deficiency Heart disease Gestational diabetes Use of methamphetamines
Folic acid deficiency (first weeks of pregnancy, women is at risk for neural tube defects)
The nurse is working with a client who is about to start preschool. What are some important teaching points for this client and her parents? Frequent handwashing Proper brushing and flossing of teeth Essentials of a balanced diet Importance of rest Social behaviors
Frequent handwashing Proper brushing and flossing of teeth Essentials of a balanced diet Importance of rest
A nurse in the neonatal unit is assigned a newborn who exhibits tremors, restlessness, hyperactive reflexes, poor temperature control, and high-pitched cries. The nurse also notices the infant is at risk for seizures. Upon assessment, it is determined the infant has been exposed to which teratogen? Alcohol Nicotine Cocaine Heroin
Heroin (crack/ coke: growth retardation & sleep disturbances, feeding difficulty) (Nicotine: interferes w/ O2, premature birth, low birth wt, learning disabilities) (alcohol: birth defects, growth retardation, developmental delay, impaired intellectual development)
Which of the following examples of age and demographics would likely have the longest lifespan at birth according to data from National Center for Health Statistics (2017)? White male Non-Hispanic black male' White female Hispanic female
Hispanic female
Which of the following vaccines should middle adults be encouraged to have? MMR Influenza Shingles Pneumonia
Influenza
Which are possible contributing factors to obesity in school-aged children? Select all that apply. Less time playing outside More fast food consumption Busy lifestyle Reading more books Increased incidence of illness
Less time playing outside More fast food consumption Busy lifestyle
For the hospitalized school-age child, what is one way that the nurse can minimize his or her discomfort at being separated from family and friends? Maximize the child's contact with outside friends and school. Have the child read books to use their imagination. Make sure the child is completing their homework assignments. Offer choices regarding how they spend their time.
Maximize the child's contact with outside friends and school.
Which is the term for the onset of menses in female adolescents? Menarche Menopause Puberty Bulimia
Menarche (2 years after puberty)
An infant has an Apgar score of 9 at 5 minutes after birth. The nurse assessing the infant knows that this indicates which situation? A medical emergency requiring Normal function, but continued monitoring Robust, excellent health Observed in intensive care
Normal function, but continued monitoring
A sixth-grade female is undergoing her physical examination. What should the nurse assess for during this visit? Nutrition and BMI Scoliosis Visual Acuity Hepatitis B immunization Risky sexual behaviors
Nutrition and BMI Scoliosis Visual Acuity Hepatitis B immunization
Which are common health problems of middle adulthood? Select all that apply. Obesity Hypertension Unintentional Injury Cancer Eating disorders
Obesity Hypertension cancer
What is the definition of growth? Physical changes that occur over time, such as an increase in height, weight, sexual maturation, and muscle tone The process of adapting to one's own body and environment over time Mastering skills of increased complexity and function Ability to discern different types of decisions and functions
Physical changes that occur over time, such as an increase in height, weight, sexual maturation, and muscle tone
When discharging a mother and her infant, it is important to educate the parent on what topics? Placing the baby on its back when sleeping Proper use of a car seat The dangers of shaking a baby or picking up a baby by arm/leg What to look for in the developmental stages of an infant The CDC's recommendations on immunizations
Placing the baby on its back when sleeping (reduce risk for SIDS) Proper use of a car seat The dangers of shaking a baby or picking up a baby by arm/leg
During her 13-week check, an obstetrics client complains of extreme fatigue, sore throat, headache, and body aches. It is determined she has cytomegalovirus (CMV). What complications should be expected with the infant upon delivery? Poor brain growth Enlarged liver Bleeding problems Pneumonitis Low birth weight
Poor brain growth Enlarged liver Bleeding problems Pneumonitis
What type of advanced thinking develops during young adulthood? Post-Formal Operations Formal Operations Rational Thought Future Thinking
Post-Formal Operations (able to accept contradictions and fine points in thinking)
The nurse is teaching a group of middle-age adults. What is the focus of the nurse when educating this group? Promotion of a healthy lifestyle Support for chronic health problems Focus on the changes in their body Preparation for declining health.
Promotion of a healthy lifestyle
An infant is being admitted for diagnostic testing to determine why there are developmental delays. You notice the 10-month-old is not using his arms and legs as he should and is not crawling or pushing himself up. Which developmental pattern has been affected by this delay? Proximodistal Cephalocaudal Proximocaudal Cephalodistal
Proximodistal (baby begins to focus the eyes, lifts his head, and then pushes upward to roll over, crawl)
Which of the following would be important components of an adolescent health history? Psychosocial profile Driving history Nutrition and body image Tattoos and piercings Sleep patterns
Psychosocial profile' Nutrition and body image Tattoos and piercings Sleep patterns
Which describe reflexes present in newborns? Select all that apply. Rooting Grasp Sleeping Chewing Startle
Rooting Grasp Sleeping Chewing Startle
During her prenatal check, an OB client explains she has been experiencing a feeling as if "there are butterflies" in her abdomen. How would the nurse explain which phase of her pregnancy is she in? First trimester Second trimester Morula phase Embryonic phase
Second trimester (16-20 week can feel fetus move)
During the first 8 hours after birth, what should the nurse assess the newborn for? Sleep stage Elimination Parent-infant attachment Focus ability Response to bathing and care
Sleep stage (during first 2-4 hrs newborn will sleep w/ decreased HR) Elimination (first urine ) Parent-infant attachment (the bond especially during feeding, changing, and comforting)
Which strategy might help facilitate trust when a nurse is performing an examination of an adolescent? Speak only to the parent. Remember that the client is a child, and be firm with instructions. Do not tell the client any assessment findings, as he or she will not understand the relevance. Speak directly to the client and ask if he or she wants the parent present for the examination.
Speak directly to the client and ask if he or she wants the parent present for the examination.
Which strategy might help facilitate trust when a nurse is performing an examination of an adolescent? Speak only to the parent. Remember that the client is a child, and be firm with instructions. Do not tell the client any assessment findings, as he or she will not understand the relevance. Speak directly to the client and ask if he or she wants the parent present for the examination.
Speak directly to the client and ask if he or she wants the parent present for the examination. (speaking w/ client will validate their independence and asking their preferences will improve the trust relationship)
Which of the following best defines intimate partner violence? Intimate violence between two people who do not know each other. The abuse of power and control within an intimate relationship. When the rape victim knows their perpetrator. The physical abuse from a paid caregiver to an elderly person.
The abuse of power and control within an intimate relationship.
A nurse suspects that a young adult being evaluated is in an abusive relationship. What are some observations that may lead the nurse to that conclusion? Select all that apply. The client avoids eye contact. The client has bruises in various stages of healing. The client mentions that she has just lost 10 lb. The client does not speak; her partner answers questions for her. She is of a low socioeconomic class.
The client avoids eye contact. The client has bruises in various stages of healing. The client does not speak; her partner answers questions for her.
Why is understanding theories and stages of development important in the nursing process? To determine if behaviors are typical of the client's average age or if intervention is needed To support and encourage developmental progress and health outcomes To identify developmental tasks for each stage To be cognizant of any changes in mental health status, such as depression and anxiety To assess societal needs of the client
To determine if behaviors are typical of the client's average age or if intervention is needed To support and encourage developmental progress and health outcomes To identify developmental tasks for each stage
What is the purpose of treating the eyes with antibiotics immediately after delivery? To prevent blindness caused by gonorrhea To prevent infection due to staphylococcal bacteria in the vaginal tract For preventive measures against foreign objects that may have entered the eye during the birthing process For protection of the eyes against the atmosphere outside the womb
To prevent blindness caused by gonorrhea
What is a leading cause of health problems in toddlers? Cancer Cardiovascular disease Unintentional injury Complications from childhood illnesses
Unintentional injury (todlers and elders)
Which of the following safety interventions should the nurse review with the school-age child and his or her parents? Use a helmet while bicycling Use safety equipment while playing sports Wear a seatbelt in the car The importance of good nutrition The CDC's recommendations on immunizations
Use a helmet while bicycling Use safety equipment while playing sports Wear a seatbelt in the car
Due to social media, adolescents are more likely to contract an STD. Which of the following is contributing to this growing trend? Select all that apply. Use of social media for "hooking up" Concurrent sexual partners and multiple sexual partners The belief that condoms protect from all STIs All sexually active teens use condoms. Oral sex has increased in prevalence among adolescents
Use of social media for "hooking up" Concurrent sexual partners and multiple sexual partners The belief that condoms protect from all STIs Oral sex has increased in prevalence among adolescents
Which of the following skin conditions might be present at birth? Cherry angiomas Vernix caseosa Milia Atopic dermatitis Mongolian spot
Vernix caseosa (a cheese-like protective covering for the skin) Milia (tiny white spots on face) Mongolian spot (dark pigmented area on butt or lower back)
Which should be assessed at each prenatal visit? Weight and vital signs Medication use Fetal heart tones Nutritional Status Testing for gestational diabetes
Weight and vital signs Medication use Fetal heart tones Nutritional Status
Which of the following is a leading cause of death for toddlers that parents may need education about? Drowning Falls Poisoning Choking
drowning (unsupervised pool & bath)
Which of the following is the most common cause of nonfatal injury sustained by school age children? Falls Motor vehicle accidents Organized sports activities Traffic accidents
falls
