Lifespan Final accumulative part
Parents of an 8-year-old boy tell the nurse that they are concerned about their son because he occasionally sleepwalks. Which of the following is the best response from the nurse?
"This is not abnormal for a child of this age. He will most likely outgrow this tendency as his nervous system matures."
The provider has ordered intermittent catheterization for an infant due to the infant having no urine output in 3 hours. When the nurse explains this procedure to the parents, they begin to cry. What is the best response by the nurse?
"This procedure is important for the health of the infant. It may be uncomfortable, but it will not cause any long term effects."
The president of the Parent-Teacher Association asks the school nurse about the appropriateness of sponsoring a health fair that focuses on oral health for school-age children. Which of the following statements indicates the nurse's correct understanding of this issue?
"Up to 52% children age 2 to 19 have dental caries, so a health fair that focuses on oral care is very appropriate."
The nurse provides educational information to a group of adolescents on decreasing the incidence of acne. Which of the following should the nurse include in her teaching?
"Wash your face with soap and water 2 times per day."
When assessing the sleep habits of a school age child, the nurse recognizes that children between 8 and 10 years old need ____ hours of sleep per night.
10-12 hours
How much blood loss determines postpartum hemorrhage.
1000 ml
Approximately how much sleep do toddlers require each day?
12 hours
A 5-month-old boy was born weighing 6 pounds, 7 ounces. He is being seen in the pediatric provider's office for a well-child visit. The nurse would expect the child to weigh approximately:
12 pounds, 14 ounces.
When educating parents about expected physiological changes during the toddler years, the nurse states that voluntary control of internal and external sphincters usually occurs when the child is around ____
18 months
A nurse is developing a plan of care concerning growth and development for a hospitalized adolescent. What interventions should the nurse implement?
Apply developmental theories when making observations of the adolescent's patterns of growth and development, Compare the adolescent's assessment findings to normal/expected finding, and Recognize one's own (the nurse's) moral developmental level.
The nurse is providing discharge teaching for an older-adult patient who will need tube feedings at home. The spouse is the only source of care and states "I will not be able to perform the feedings alone." Which action should the nurse take?
Arrange for home care services.
According to Erikson, which of the following teenagers is at risk for not meeting his developmental task?
Arrested for petty theft
A woman who is 32 weeks pregnant tells the nurse that she and her husband are having sexual difficulties. Which of the following actions would be most appropriate for the nurse take?
Ask her to elaborate on the difficulties they are experiencing.
The provider has ordered 0.2 mg of methylergonovine, which is available in a vial containing 0.8 mg/mL. How many milliliters of methylergonovine should the nurse draw up in the syringe? Enter numeric value only. If rounding is necessary, round to the hundredth.
0.25
The provider's order for morphine reads, "Administer morphine sulfate 0.2 mg/kg IV every 3 to 4 hours." The client weighs 33 pounds. The vial of morphine contains 5 mg/mL. How many mL of medication should the nurse administer? Enter numeric value only. If rounding is necessary, round to the nearest tenth. Note: 1kg = 2.2lbs
0.60
A 2-year-old Asian American boy is being seen for a well-child visit. While examining the child, the nurse notices round bruises on his back. The mother does not volunteer any information during the exam. Which of the following actions should the nurse take after examining the child?
Ask the mother about the bruises.
A 2-year-old Asian American boy is being seen for an office visit. While examining the child, the nurse notices round bruises on his back. The mother does not volunteer any information during the exam. Which of the following actions should the nurse take after examining the child?
Ask the mother about the bruises.
A 15-month-old infant has been brought into the office by his Spanish-speaking mother for symptoms of an upper respiratory infection. Which of the following should be the initial action taken by the nurse?
Ask the mother if she would like an interpreter.
All of the following are true about toddlers and preschool age children EXCEPT:
Both preschoolers and toddlers take daytime naps.
A health care professional is leading a community action coalition to address the problem of homelessness within the neighborhood. Which of the following statements would most likely be made by health care professional?
Homelessness should be of concern to everyone in the neighborhood.
A high school sophomore engages in risky behavior to fit in with their peers. According to Erikson's Theory of Development, which of the following developmental conflicts is this student currently facing?
Identity versus role confusion
The nurse know that accidents are one of the leading causes of death in children. Where do most accidents occur?
In the home
Which of the following changes is expected in the pregnant person's urinary system during pregnancy?
Increased urinary output due to an increase in total amount of fluid in the body
The increasing diversity of ethnic groups in the United States has been influenced by which of the following?
Increasing immigration
Which of the following represents a method of primary prevention?
Informational session about healthy lifestyles
Which of the following is an example of passive immunity?
Ingestion of breast milk containing maternal antibodies
During a well-child visit, a father tells the nurse that the preschool-aged child has been enjoying their "road trips" that they take together. On such occasions, the child gets to sit in the front seat of the car with him. Which of the following actions should the nurse take next?
Instruct the father on the dangers of having small children in the front seat.
Which of the following statements is correct concerning Telehealth/Telemedicine?
It can encompass both spoken and written word.
Autism Spectrum Disorder is common and is often encountered by nurses providing care for children. Which of the following statements is correct concerning this disorder?
It is has been linked to genetics but no single gene has been identified.
The nurse is teaching the parents of 8- and 9 year-old children about safe bicycling. Which of the following safety guidelines should the nurse emphasize?
It is important to wear an approved helmet when bicycling.
In the context of Healthy People 2020 and 2030, both of which strive to provide health equity for all, which of the following groups of persons represents a vulnerable population?
LGBTQ persons
Which of the following statements summarizes Vygotsky's Theory of Development?
Learning precedes development.
The nurse is conducting a physical exam on a 3-year-old child. Which of the following would be the best way for the nurse to approach the child during the exam?
Let the child listen to the nurse's heart with the stethoscope.
A mother is concerned because her 22-month-old has been skipping meals lately. Which of the following actions should the nurse recommend to the mother?
Limit the child's consumption of juice, soda, and candy.
A nurse is providing education about improving self-awareness to a small group of women who have been victims of domestic violence. Which of the following should the nurse recommend the care recipients do first to improve their self-awareness?
Listen to oneself and pay attention to emotions, thoughts, and reactions.
Which of the following actions would NOT be considered appropriate for the nurse engaging in family health promotion and disease prevention?
Making decisions on behalf of the family when members are unable to do so
Which of the following would NOT be considered an appropriate role for the nurse in with respect to the family for purposes of health promotion and disease prevention?
Making decisions on behalf of the family when members are unable to do so
Baby Wong is an 18-hour old newborn born that has just arrived to the postpartum unit. The nurse is providing education to the parents regarding safety measures. Which safety measure should the nurse teach the infant's parents?
Place in the backseat in a rear-facing car seat when traveling.
All of the following are true about the developmental achievements of preschool age children EXCEPT:
Preschoolers are unable to relate event to their causes.
Which of the following is a hallmark of Piaget's preconceptual substage?
Using language to function symbolically
Which of the following statements about values is true?
Values evolve over time; they are not static.
During a prenatal visit, a pregnant patient informs the nurse that they and their partner have chosen godparents for the baby. Under which functional health pattern will the nurse note this assessment data?
Values-beliefs pattern
A nurse is counseling a patient recently been diagnosed with diabetes. The nurse says, "Tell me more about how this diagnosis has affected your daily activities." Which of the following best describes the type of communication the nurse is using?
Verbal communication
For which theorist would the social, cultural, and political environment be important factors influencing learning and development?
Vygotsky
___Theory of Cognitive development proposes that differing ___ experiences influence a child.
Vygotsky; cultural
A nurse is completing a well-child assessment of a 6-month-old infant. Which of the following guidelines should be used when assessing the infant's height and weight?
WHO growth standards
A nurse visits a 3-month-old infant of a single mother for a weight check. She finds two older children running around the home, the infant is crying, the mother is yelling at the two children and a half-lit cigarette is in an ashtray. The mother tells the nurse that the visit needs to be cut short today because she has to pick up her other children from the bus stop. Which of the following would be the most beneficial intervention the nurse can provide during this visit?
Weigh the infant and offer community resources to the mother.
Which statement made by the nursing student indicates the need for further teaching?
"Adolescents accept their society and its values."
The nurse is caring for a family with 16-year-old twins. Based on the age of the children, which health promotion advice is most important for the nurse include in this family's plan of care?
Avoid participating in dangerous activities like drug use with peers.
Which of the following statements about race and culture related to childbearing in the United States is correct?
Ethnic minority populations have higher rates of low birthweight infants.
Which of the following statements regarding substance abuse among teenagers is correct?
Heroin is now purer than in the past and is sometimes laced with fentanyl.
A nurse who is using Gordon's functional health patterns is planning to assess its roles-relationships pattern. Which of the following questions would be most appropriate for the nurse to ask?
How are problems in the family resolved?
A nurse is planning activities to help children learn about good nutritional practices. Which of the following strategies should the nurse implement?
Incorporate nutrition education into the general curriculum
A nurse is discussing sleep patterns in school-age children. Which of the following should the nurse emphasize?
School-age children generally agree with and adhere to a regular bedtime.
The nurse is teaching a group of mothers about toddlers and their play activities by explaining that toddlers
participate in parallel play.
The nurse assesses a family's coping-stress tolerance pattern by exploring their
the family's adaptive strategies
Nurses caring for the toddler population instruct parents that one of the leading causes of visits to health care providers is
otitis media.
The nurse teaches parents that the most important factor in a child's physical, emotional, and cognitive development is:
parental influence
A nurse is working with a 16-year-old patient who is concerned about managing their weight. To support the adolescent's need for controlling his/her own behaviors, the nurse implements an intervention that:
partners with the adolescent to develop a plan for healthy eating and increased physical activity.
The nurse recognizes that a marginalized group is perceived as
people who receive less than their share of wealth, power, or social status.
The nurse facilitates the adolescent's self-perception/self-concept development by:
praising the adolescent for who he or she is.
Nurses are regularly involved in supporting active health promotion strategies such as
promoting participation in a daily exercise program for seniors
The time during which infants develop the coordination to master activities which allow them to interact with the environment is known as the
sensorimotor period.
A new parent asks about creating stimulating experiences for development of their infant. Stimulating experiences appropriate for infants would include:
singing lullabies to the baby.
An individual's style of emotional and behavioral response across situations, especially those involving change or stress, is known as
temperament.
The nurse is presenting a class on strategies to prevent drowning in toddlers. As a part of this teaching, the nurse instructs parents to
use personal flotation devices on the toddler when boating.
A nurse and her care recipient are engaged in meaningful conversation when suddenly there is silence between the two. To facilitate effective care patient-centered communication, the nurse should
wait quietly to give the person time to reflect where he wants to lead the conversation.
A nurse and her care recipient are engaged in meaningful conversation when suddenly there is silence between the two. To facilitate effective care recipient-centered communication, the nurse should
wait quietly to give the person time to reflect where he wants to lead the conversation.
A nurse is measuring an infant's head circumference and height. Which area is the nurse assessing?
Biophysical development
All of the following are positive signs of pregnancy EXCEPT:
Enlargement of the uterus
A single mother recently discovered that her teenage daughter has been consuming alcohol on a regular basis. She asks the nurse for advice on how best to help her daughter. In addition to closer supervision, which of the following recommendations should the nurse provide to the parent?
Enroll her daughter in a peer support group focused on teenage drinking.
A nurse is beginning the admission process for a new client on home care and wants to establish a therapeutic relationship. Which of the following would be the most important thing for the nurse to do?
Establish open communication with the client
A nurse has started admitting a new person on home care and is beginning to establish a relationship. Which of the following would be the most important thing for the nurse to do?
Establish open communication.
Which of the following statements concerning the effects of exercise on the immune system is correct?
Exercise may be protective against some types of cancer.
Which of the following statements is correct concerning hearing and language development in the toddler?
Toddlers characteristically endlessly repeat sounds, words, and word combos.
During a parent-nurse conference, the parent tells the nurse that her child sleeps approximately 7 hours per night. Which of the following potential health problems would be of concern to the nurse?
Type 2 Diabetes
The nurse is caring for a family with 2-year-old twins. Based on the age of the children, which health promotion advice is most important for the nurse include in this family's plan of care?
Use caution around the family swimming pool.
According to Erikson, which of the following teenagers is at risk for not meeting their developmental task?
A 17-year-old male arrested for petty theft
A nurse is assessing the home environment of a toddler. Which of the following poses the greatest and most immediate risk to the child?
An entertainment center with the remote control on the top shelf
Which of the following statements best describes Erikson's Theory of Development?
An individual must successfully master one developmental stage before proceeding to the next stage.
Which of the following represents a method of tertiary prevention?
Physical therapy (PT) and occupational therapy (OT) after a rock climbing accident with head trauma
Kohlberg's Theory of Moral Development is based on
Piaget's theory of cognitive development.
An individual reveals to the nurse that he is having an affair with his wife's best friend. Which of the following statements will enhance effective therapeutic communication between him and the nurse?
"This affair seems to be troubling you. Please tell me more about what you're feeling."
Which of the following statements about Gilligan's Theory of Development is accurate?
This theory is gender specific.
A mother tells the nurse that ever since she started toileting training, the toddler has been touching his genitals. Which of the following statements is the most appropriate response by the nurse?
"This behavior is developmentally normal."
A mother comes to the pediatric clinic and says to the nurse, "I am worried about my 10-month-old baby because he is not crawling yet. His brother crawled when he was 9 months old, and all the other 10-month-olds in our family were crawling already. Is something wrong with my child?" Which of the following statements should the nurse make to the parent?
"All babies reach developmental milestones at different rates."
A woman who is 24 weeks pregnant is concerned because her baby seems to be moving less than it was a few weeks ago. Which of the following statements would be the most appropriate response by the nurse?
"At this point in your pregnancy, the baby moves less frequently because of lack of space in the uterus."
The mother of a 13-year-old girl is concerned because her daughter has not started menstruating yet. The girl developed breast buds and started her height spurt at 12 years of age. Which of the following statements should the nurse make to the mother?
"Based on when the breast buds first appeared, she will likely start menstruating around age 14."
A nurse is discussing the harmful effects that chemical agents can have on an unborn child with a pregnant patient. Which of the following statements made by the patient indicates a need for further teaching?
"Consumption of one drink per day will not cause any harm to my unborn baby."
During a routine clinic visit, a pregnant woman expresses concern about reflux she is experiencing. Which statement should be made by the nurse when addressing the woman's concern?
"Frequent heartburn is a result of gastrointestinal system changes that occur during pregnancy."
A mother expresses concern and frustration over the fact that her toddler has not been successful at toilet training yet. Which of the following would be the best response by the nurse?
"How long does the child stay dry during the day?"
On a Pediatrics Unit, the nurse notices that a mother appears teary-eyed and is not making an effort to console her crying infant. Which of the following statements is the most therapeutic response by the nurse?
"I can see that you are upset. Would you like to talk?"
Which statement, if made by a parent after attending a teaching session on initiating a toilet training program for toddlers, indicates a need for further teaching?
"I require my child to sit on the potty until she goes."
Which of the following statements made by a parent is most helpful when the child has not completed an assigned household chore?
"I was upset when you did not feed the dog like you promised. We all need to help take care of him because he depends on us. Let's talk about what happened."
During a well-child visit, parents report to the nurse that they are concerned that their 8-year-old son has started wetting the bed at night. Which of the following statements should the nurse make to the parents?
"I'm going to collect a urine sample from him and then we will talk about bed wetting."
A nurse is exploring values with a person who has chosen to smoke during her pregnancy. Which of the following statements would be the most appropriate for the nurse to assist in this process?
"Is your decision to smoke consistent with your values?" or "What do you value most in life?"
A mother asks the nurse when she should start feeding her infant solid foods. Which of the following is the most appropriate response by the nurse?
"It is recommended that solid foods are introduced no earlier than 6 months of age."
A nurse is caring for a client who is 30 weeks pregnant at a prenatal visit. Which of the following statements made by the client would be most concerning to the nurse?
"My husband complains every time I ask him to do something for me."
The school nurse is conducting an education program for teachers, and is asked about the growth and development of school-age children. Which of the following statements is most accurate?
"Overall growth in school-age children is slower than during infancy and adolescence."
A patient reports to the nurse that she has been seeing an acupuncturist to help relieve the chronic pain associated with fibromyalgia. Which of the following statements would be the most appropriate response from the nurse?
"Please tell me more about your treatments from the acupuncturist."
A nurse is conducting a class for parents of preschool age children on injury prevention. Which of the following statements will the nurse make to the parents in attendance?
"Preschool age children are at risk for head injuries from riding a tricycle."
An 8-year-old child has recently experienced the death of a sibling. The child begins to ask a lot of questions about what happens to the body after death. The parent asks the nurse whether this is abnormal behavior learned from playing violent video games. Which is the best response by the nurse?
"School age children are curious and ask a lot of questions about death."
A nurse is providing education to parents of school age children about medication safety. Which of the following recommendations is most appropriate for the nurse to share with parents?
"Store medications in a locked storage container."
A teenager asks the school nurse for advice before getting a tattoo. Which of the following responses would be most appropriate for the nurse?
"Tattoos are very popular but they can lead to infection and/or bleeding."
The parent of a child recently diagnosed with Attention Deficit/Hyperactivity Disorder (ADHD) asks the nurse what caused the child's condition. What is the most appropriate response by the nurse?
"The etiology of ADHD is unknown."
The nurse is explaining the concept of growth to a parent. Which of the following statements should be made by the nurse?
"We continue to grow in various ways throughout life."
A delivery room nurse senses disappointment when a mother is told she just delivered a baby girl. Which of the following would be the most therapeutic response by the nurse?
"Yes, you just delivered a healthy, beautiful baby girl."
A nurse is working with a person to increase his daily exercise and activity. Which of the following statements by the nurse best demonstrates the use of reflection?
"You said that you have difficulty making time in your day for exercise."
The mother of a 4-month-old infant is concerned about the possibility of SIDS because her neighbor's daughter passed away last year as a result of SIDS. The mother reports she is so nervous that she has taken up smoking again. The mother informs you that the 4-month-old sleeps supine and takes a pacifier to help her fall asleep. Which of the following statements would be the best response from the nurse?
"You should try to stop smoking."
A child with Attention Deficit/Hyperactivity Disorder (ADHD) is brought to the Pediatrics Clinic after experiencing an adverse reaction to their current medication. When the nurse shares that the provider is recommending a new medication, the child's father expresses concern about the child becoming addicted to the medication. Which of the following statements is the nurse's best response to the parent's concern?
"You sound concerned about your son being on this medication."
In relation to male patients, when do female patients usually begin puberty?
2 years before males
Expected physiological changes during the toddler years include weight gain of ___ pounds per year.
4-6
A pregnant patient is being seen at the OB Clinic in her 39th week of gestation. At which gestational age would the nurse begin to have concerns about the health of the fetus?
42 weeks
At a well-child visit, a 2-year-old measures 2 feet 8 inches tall. The nurse estimates that the child's approximate final adult height will be:
5 feet 4 inches.
Which of the children below would the nurse identify as being at risk for a learning disability and in need of follow-up care?
A 10-year-old boy who is inattentive, impulsive and who fidgets constantly.
The school nurse has seen several students in the health office. For which of the following students should the nurse suggest a follow-up exam?
A 10-year-old girl who has gained 11 pounds in the past year
Which of the following children is at risk for developing encopresis?
A 5-year-old child with chronic constipation.
Which of the following children is most likely to experience difficulty with Erikson's "industry versus inferiority" stage of development?
A Spanish-speaking child who cannot speak English fluently.
According to Piaget's Theory of Cognitive Development, which of the following statements is accurate?
A child's greatest task is to make sense of the world around him or her.
A nurse makes a home visit to a 15-month-old following a hospitalization for an asthma exacerbation. Which of the following findings would be most concerning to the nurse?
A decorative bowl filled with colorful marbles is on the coffee table
Which of the following exchanges best illustrates person-centered communication?
A patient says to the nurse, "I think my husband is cheating on me." The nurse responds by saying, "You think your husband is cheating on you? Can you tell me more about that?"
Which of the following teenagers is exhibiting behavior that requires further evaluation?
A teen who is agitated and has trouble sleeping with lethargy on some days.
Which of the following is the greatest threat to a toddler's health?
Accidents
Healthy people 2030 will be built upon the goals of Healthy people 2020 and is currently underway. Which of the following is one of the four overreaching goals for Healthy People 2020/2030 (US Department of Health and Human Services)?
Achieve health equality and eliminate disparity for all groups
A nurse is conducting an environmental assessment as part of a family assessment. Which of the following should the nurse assess?
All of the above
A nurse is discussing being a safe driver as part of a driver's education course. Which of the following recommendations would the nurse include in this presentation?
All of the above
A nurse is educating new parents about normal growth and development for their child. Which of the following topics should the nurse include in this discussion?
All of the above
A nurse is providing care for a Hispanic family in the community. Which of the following characteristics would the nurse assess to determine the health of the family?
All of the above
Health promotion programs are designed to help patients:
All of the above
The nurse emphasizes warning signs of suicidal risks in adolescents during a health-education class. These signs include
All of the above
The nurse is teaching parents about strategies concerning injury prevention for preschoolers. Instructions for parents would include which of the following?
All of the above
Which of the following individuals will most likely experience a disparity in health and health care?
All of the above
Which scenario places a toddler at risk for injury?
All of the above
Which of the following statements is correct about overweight and obesity in children?
All of the above statements are correct
Which of the following statements concerning nutritional patterns in school-aged children is accurate?
All of the above statements are correct.
The school nurse is teaching parents of children and adolescents about dietary guidelines. Which of the following statements should the nurse include in her teaching?
All of the answers are correct.
When assessing breath sounds in a crying toddler, what action should the nurse take?
Allow the child to initially play with the stethoscope, and distract the child during auscultation.
All of the following will help an infant succeed in the developmental task of trust vs. mistrust EXCEPT:
Allowing the infant to cry to avoid spoiling them
A patient reports to the nurse that her family will be moving because her husband is taking a new job in another country. She is very unhappy about the decision because does not want to move away from her parents. What action should the nurse take next?
Assess the coping mechanisms in handling stress for the patient and her family.
In a family in which the mother and the father differ on how to spend and save money, the parents are constantly arguing with each other. Which of the following interventions should the nurse include in the plan of care for this couple?
Assist them with developing financial strategies that are consistent with their values.
An 18-month-old patient is brought into the clinic for evaluation because the parent is concerned that the child hits siblings and says only "No!" when communicating verbally. Which recommendation by the nurse will be best for this situation?
Assure the mother that the child is developmentally within specified norms.
According to Erikson's Theory, what is the primary developmental task of toddlers?
Autonomy
According to Erikson, what is the developmental task of toddlers?
Autonomy
The nurse is caring for a family with a 15-year-old daughter. Based on the age of the child, which health promotion advice is most important for the nurse include in this family's plan of care?
Avoid participating in dangerous activities like drug use with peers.
The parent of a 10-month-old infant asks a nurse her opinion about decorating the home for the holidays. Which of the following recommendations should the nurse provide to the parent?
Avoid placing bowls of small, round ornaments around the home.
The nurse is educating the parents of a 2-year-old child about ways to improve the child's nutritional health pattern. The nurse advises the parents to do which of the following?
Avoid using food to bribe, reward or punish the child
The school nurse is conducting an in-service program for teachers that discusses the development of elementary school children. According to Piaget's Theory of Cognitive Development, which of the following information would the nurse include?
Be influenced by his or her friends and Listen to a peer's point of view about a playground situation.
A parent brings his 10-year-old son to the Pediatrics Clinic for a routine visit. The child's father states that he seems to have trouble falling asleep at night. What is the first behavior the nurse should ask about when assessing the sleep problem?
Bedtime routine
A family has recently become homeless. Which of the following factors most likely contributed to this situation?
Being unable to find affordable housing.
The nurse sits down with a family to discuss a plan of care for their 1-month-old infant. The family tells the nurse they do not have a pediatrician, but take their children to the local clinic when sick. The infant's length and weight are plotted on a growth chart at the 5th percentile for both, which shows that the client is small for their age.
Bright, dangling mobile
Which of the following represents a developmental task(s) normally accomplished in infancy?
Builds a trusting relationship with his/her caregivers
A nurse is assessing a toddler during a well-child visit. Which of the following findings require further assessment by the nurse?
Burns with sharply demarcated edges on the child's legs
A mother thinks her 5-year-old child drank Drano. What should the nurse tell the mother to do next?
Call the Poison Control Center.
A Mexican American patient comes to their physician's office for a routine visit. The patient is found to be 32 weeks pregnant. Which of the following conclusions can the nurse draw from this finding?
Client education may require a different approach because of dissimilar cultural beliefs.
A nurse is collecting data for a family assessment using Gordon's Functional Health Patterns. The nurse learns that the family has no books in the home for the preschool-age children to read. To which of the following functional health patterns does this information pertain?
Cognitive-perceptual
A nurse is making a final home visit with a family to evaluate the nursing care plan. Which of the following actions would the nurse most likely complete during this visit?
Collect data similar to that which was collected at the initial visit for comparison.
A school nurse is obtaining the height and weight of a 9-year-old child. Which of the following is the best method to assess the child's growth?
Compare measurements collected for this child over time.
According to Piaget, which of the following operations are displayed as the child begins to add flexibility and control to their thinking?
Concrete
Which of the following nursing interventions represents a recommended method of secondary prevention?
Conducting annual mammograms on patients at risk for breast cancer
Which of the following best describes an abnormality in structure or function that occurs during fetal development?
Congenital defect
A child is focused on peer approval and avoidance of "not fitting in." According to Kohlberg's Theory, this child is experiencing which of the following stages of moral development?
Conventional
The nurse is teaching about breastfeeding during a childbirth education class for new parents. Which of the following statements reflects correct teachings or nursing actions related to breastfeeding?
Help mother initiate breastfeeding within 30 minutes after birth.
A toddler has been diagnosed with amblyopia. Which of the following treatment measures would most likely be prescribed for the child?
Covering the eye with a patch for a prescribed period of time
A 2-month-old infant has arrived at the pediatrics clinic for a well-baby visit. Which of the following immunizations should the nurse prepare to administer to the infant?
DTaP-1
Research has shown that ___ is one of the strongest predictors of adolescent obesity.
Depression
A nurse is caring for a family with an adolescent child. Which of the following problems would the nurse anticipate that the family would report?
Difficulty maintaining open communication with the child
A nurse is caring for a woman who is in labor. The nurse anticipates that the labor will progress through which of the following sequences?
Dilation stage, pushing stage, placental stage, recovery stage
A nurse is discussing with parents how to prevent burns in a preschooler. Which of the following recommendations is the nurse most likely to give the parents?
Do not leave cigarettes and matches on the kitchen counter.
The school nurse has been asked to conduct a community awareness program about accidents that impact the school-age child. Which of the following facts should be included in the program?
Drowning and motor vehicle accidents are the leading causes of fatality for this age group.
A 9-month-old has mastered the pincer grasp. Which of the following tasks would the nurse anticipate that the infant can do by himself?
Eat Cheerios off a hard surface.
Which of the following demonstrates a nurse taking action to promote health and prevent disease?
Educating a person about the advantages of a heart-healthy diet during a home visit
A home care nurse is planning interventions for a family focused on decreasing susceptibility to respiratory infections. This issues has been a problem for the family previously. Which of the following nursing interventions would be most appropriate to implement?
Education about hand hygiene
A nurse has recently accepted a position as a school nurse at a middle school and plans to offer sex education to the students and parents. Which of the following statements is NOT correct concerning how the nurse should implement this program?
Education on sexually transmitted diseases should not be provided until high school.
Which of the following statements concerning sleep patterns in adolescents is correct?
Electronic devices have been associated with sleep deprivation in adolescents.
The school nurse is developing an informational pamphlet on the prevention of obesity in school-age children. Which of the following interventions should be included in the pamphlet?
Encourage children to participate in food preparation.
The nurse is teaching the parents of a 3-year-old child who is at risk for developmental delays. Which instruction will the nurse include in the teaching plan?
Encourage play as your child is exploring the surroundings.
When caring for school age children who are obese, the nurse recognizes that:
Family norms influence childhood eating habits.
A nurse is assessing the family unit to determine their ability to adapt to the change required of a member having surgery. Which area is the nurse monitoring?
Family resiliency
Which of the following statements is NOT true concerning adolescent sexual issues?
Fantasizing about sexual activities has been shown to lead to promiscuity.
The nurse performs assessments of the mother and her fetus throughout the labor process. Which finding requires immediate follow-up by the nurse?
Fetal heart rate below 100 beats/min
A nurse is caring for a client who is homeless and has recently been diagnosed with Hypertension. Which of the following should be the nurse's priority when planning care for this client?
Finding appropriate housing for the individual
A health care professional is caring for an individual who is homeless and who has recently been diagnosed with Hypertension. Which of the following factors is the most important to consider when planning care?
Finding appropriate supportive housing for the individual
According to Piaget, which of the following developmental stages describes the teenage years?
Formal operations
The mother of a 2-year-old child recently lost her job and her husband asked for a separation. Which of the following actions should the nurse take based on this information?
Give the mother information about local support groups.
Which of the following statements is correct related to the concept of growth?
Growth occurs throughout the life cycle.
Needle-exchange programs are found in many communities, but this policy is condemned by many based on political and moral beliefs. Supporters of this approach defend the practice based on which of the following concepts?
Harm-reduction initiatives are a realistic solution to a complex problem
A 4-year-old boy had an episode of enuresis. Which of the following actions should be taken by the parents?
Have him change his own pajamas before returning to bed.
An 18-month-old toddler is being seen for a well-child visit. Which of the following strategies would the nurse use to enlist the toddler's cooperation?
Have him hold the stethoscope diaphragm on his chest while the nurse listens to his chest.
During a home visit for a new mother and infant, the nurse observes that the infant does not have a regular feeding schedule, is not changed promptly, and cries for long periods of time before being comforted. Which of the following problems is the infant most at risk for developing in the future?
Having difficulty forming healthy relationships
During a home visit for a newborn, the nurse observes that the infant does not have a regular feeding schedule, is not changed promptly, and cries for long periods of time before being comforted by the caregivers. Which of the following problems is the infant most at risk for developing in the future?
Having difficulty forming healthy relationships
Gordon's Functional Health Patterns outline eleven areas that should be addressed during a family health assessment. Of the eleven patterns, which one should be assessed first to provide an overview of the family's health and to identify other patterns requiring further assessment?
Health perception-health management patterns
Which of the following diseases has recently increased among adolescents and subsequently resulted in a recommendation for routine administration of a preventive vaccine to adolescents?
Meningococcal disease
At the height of the pandemic, Black Americans were dying of Covid-19 at significantly higher rates than other ethnic groups. Which of the following is NOT considered a possible explanation for this disparity?
More frequent failure to observe recommended precautions
Which of the following is NOT a risk factor for Sudden Infant Death Syndrome (SIDS)?
More than 30 minutes per day of "tummy time"
Which of the following statements about nonverbal communication is true?
Nonverbal behavior is culturally and situationally bound.
A 6-year-old child has hives. Of the following items ingested, which is most likely to have caused the allergic reaction?
Oatmeal-peanut cookies
A woman tells the nurse that she is very nervous about their meeting today. Which of the following relationship stages are the nurse and woman most likely experiencing?
Orientation phase
A nurse on the Pediatrics Unit is orienting a Graduate Nurse Extern. When the Graduate Nurse Extern asks about health problems common in the toddler years, the nurse states that ___ is one of the leading cause for clinic visits.
Otitis Media
A nurse is developing an educational program about Sudden Infant Death Syndrome (SIDS) for a new parent support group in the community. Which of the following information should the nurse include in this presentation?
Parents should be encouraged to place their infants in the supine sleeping position.
The nurse is teaching parents about typical sleep disturbances of the preschooler. Which recommendation would the nurse make to the parents?
Parents should help the child differentiate between "pretend" and "real" occurrences.
All of the following are factors that increase risk for injury among school age children EXCEPT:
Participation in extracurricular activities
Which of the following groups of people are likely to show an increase in numbers between the years 2010 to 2030?
Persons age 65 and older
School nurses can promote health by helping to create nut-free schools. This would protect hypersensitive children from life-threatening allergic reactions to peanuts and other nut products. This type of program is an example of which level of prevention?
Primary
Which of the following statements accurately reflects the central theme of primordial prevention?
Primordial prevention is a health-promotion strategy which reflects policy-level interventions to prevent the development of disease risk factors.
Which action indicates the nurse is meeting a primary goal of culturally competent care for marginalized patients?
Provides care to transgender patients.
Which of the following behaviors exemplifies a toddler working through the primary developmental task for his age?
Refusing to take a bath
Which of the following is expected behavior for a teenager?
Riding an ATV without a helmet.
Which of the following statements is correct concerning the Apgar scoring system?
Scoring is done at 1 and 5 minutes
A nurse is caring for a laboring patient and the fetus has descended into the lower birth canal. Which stage of labor is the patient currently in?
Second
Which of the following statements about self-esteem development in a school age child is correct?
Self-esteem develops with the successful completion of the psychosocial tasks of this period.
Which of the following best describes an individual who has an illness?
Someone with a headache
During a prenatal visit, a nurse discovers that a Black woman has been occasionally craving and eating chalk. Which of the following actions should be taken by the nurse?
Stress the importance of an appropriate diet and avoiding consumption of non-food items in a culturally sensitive way.
A nurse is planning a home visit for a family. Which of the following actions would be most appropriate for the nurse to take before the visit?
Study information regarding the family from agency records and other sources.
Which of the following is the SECOND leading cause of death for teens and young adults ages 15 to 24 years?
Suicide
Which of the following is the SECOND leading cause of death for teens and young adults, 15 to 24 years?
Suicide
The James family includes Jimmy (44 years old) and Jane (45 years old), plus their 3 children: Julia (13 years old), Jessie (19 years old), and Jerry (9 years old). Last year, Jessie was arrested and convicted for drug possession. The family was distraught, but they worked to keep things together while dealing with Jessie's behavior. Jessie initially resisted attending a rehab program, but finally agreed to go in exchange for a reduced sentence. He has not had any further issues with law enforcement. Which of the following statements is correct concerning this family?
The family shows good family resilience.
A nurse is caring for a patient during the fourth stage of labor. Which of the following would be the most appropriate action for the nurse to take during this stage?
Teaching the new mother how to position the infant to assist with breastfeeding
A nurse is caring for a woman during the fourth stage of labor. Which of the following actions would the nurse would take during this stage?
Teaching the new mother how to position the infant to assist with breastfeeding
A school nurse is planning a series on nutrition. Which of the following factors should the nurse take into account?
Television commercials frequently advertise food-related products.
A teenager with a family history of Type 2 DM asks the nurse what he can do to try to prevent developing the disease. Which of the following instructions should the nurse provide?
Tell him to be active, eat a balanced diet, and maintain normal weight.
A teenager with a family history of Type 2 Diabetes asks the nurse what he can do to try to prevent developing the disease. Which of the following instructions should the nurse provide?
Tell him to be active, eat a balanced diet, and maintain normal weight.
The school nurse is evaluating children for signs and symptoms of depression. Which of the following children should the nurse follow up on?
The 9-year-old and 11-year-old children
Which change would the nurse expect as a child transitions from toddler to preschool age?
The child develops a later bedtime.
The nurse assessing conventional level moral development in 12-year-old children would expect to see which behaviors?
The child looks to others for approval.
A nurse is working with an African-American patient who is homebound as a result of a recent stroke. She insists that she has to attend Sunday worship services at her church. What is the most likely explanation for her insisting that she participate in this cultural practice?
The church serves as a social support system for its members.
Which physical growth and development change in toddlers places them at risk for airway obstruction?
The diameter of the upper respiratory tract is small.
The Wilson family comprises Ray (49 years old), and Marianne (45 years old), plus their 3 children: Maria (19 years old), Nicholas (17 years old), and Mark (13 years old). Last year, Nicholas was arrested and convicted for drunk driving and underage drinking. The family members were distraught, but they worked together to keep the family together and also to deal with Nicholas' behavior. Nicholas initially resisted attending a rehab program but subsequently agreed to do so in order to avoid a juvenile detention sentence. Thus far, he has not re-offended. Which of the following statements is correct concerning this scenario?
The family shows good family resilience.
A nurse is assessing a 4-month-old infant during a well-child visit. Which of the following findings requires the nurse to collect additional information from the parents?
The infant has gained less than the predicted amount since her 2-month visit based on the WHO growth charts.
A nurse is assessing a 4-month-old infant during a well-child visit. Which of the following findings will require the nurse to collect additional information?
The infant has gained less than the predicted amount since her 2-month visit based on the WHO growth charts.
An infant is going through the toys in his toy box. He looks at each one before dropping it to the floor and picking the next toy out of the box. Using a growth and development perspective, which of the following conclusions can the nurse draw by assessing this behavior?
The infant is exploring his environment.
Which of the following infants is most at risk to experience child abuse?
The infant of parents who have low self-esteem.
A new father is installing a car seat for an infant in the car. Which of the following information should be given to the father by the nurse?
The infant should be in a rear-facing car seat in the back seat.
A 14-year-old female is in for a physical exam. Which finding requires further investigation?
The lack of breast buds or breast development
An infant is lying in a crib watching and listening to a colorful mobile. Which of the following statements is correct concerning the mobile?
The mobile provides stimulation necessary for continued growth and development for the infant
A 10-year-old child presents to the community health clinic with their parent. The nurse notes that the child's BMI is in the 80th percentile. How should the nurse chart this information?
The patient is a normal weight.
A 10-year-old male child presents to the community health clinic with their parent. The nurse notes that the child's BMI is 18.3. How should the nurse chart this information?
The patient is a normal weight.
A patient follows all the instructions a nurse provides because the patient wants to be perceived as a "good" patient. How should the nurse interpret this information according to Kohlberg's Theory of Moral Development?
The patient is demonstrating conventional reasoning.
A nurse is caring for an individual who is homeless. Which of the following statements should the nurse consider relevant to this patient's care?
The percentage of the population who has health insurance is much lower among the homeless compared to the general population.
A nurse tells a Childbirth Education class of pregnant patients that alcohol use poses serious risks to the growing fetus. After the class, a patient asks the nurse, "Do you really think that drinking a little wine once in a while is bad for the baby? I'm so sick of being told what I can and can't do because I'm pregnant!" Which of the following concepts is most important for the nurse to consider when formulating a reply to the patient?
The pregnant patient's values
According to the 2015-2016 National Health and Nutrition Examination Survey (NHANES), which of the following statements about childhood obesity is accurate?
The prevalence of obesity in children, adolescents, and adults is epidemic and has increased in recent years.
Which of the following toddlers would require immediate follow-up by the nurse?
The toddler sitting quietly on the couch during a home visit
A nurse is assessing the nutritional-metabolic pattern of a pregnant patient. Which of the following findings would be of concern to the nurse?
The woman does not like vegetables.
Which of the following statements about Gilligan's Theory of Moral Development is accurate?
This theory is gender specific.
According to Vygotsky's Theory of Cognitive Development, the distance between the actual and potential level of development is called ____.
Zone of proximal development
Which of the following scenarios does NOT place the toddler at risk for injury?
a 25-pound toddler sitting in a forward-facing car seat in the back seat of a car
The nurse knows that the most common cause of death among adolescents is/are
accidents
In addition to changes in the ethnic and racial makeup of the population, it is expected that changes in _______ distribution will affect health promotion and disease prevention.
age
Erikson's Theory of Psychosocial Development identifies the primary conflict of the toddler stage as
autonomy vs shame and doubt.
The nurse is assessing the cognitive abilities of an adolescent. According to Piaget, this client will likely:
be intolerant of things as they are (status quo).
During a home visit, a nurse discusses the dangers of smoking with an individual. In this scenario the nurse is acting as a(n)
educator.
The inability of a toddler to put him- or herself in another's shoes is known as
egocentrism
A state of physical, mental, spiritual, and social functioning that realizes a person's potential and is experienced within a developmental context is known as:
health
The primary goal for the couple who attends childbirth education classes is to:
increase the parents' knowledge of labor and delivery.
A major cause of death in the early 1900s was
infections.
One concern that a nurse may have have when using self-disclosure during therapeutic interactions is that
it may cross a boundary from a professional to a personal relationship.
Health outcomes among marginalized communities are affected greatly by
lack of access to preventive health care services.
Parents of a 7-year-old boy request a discussion with the school nurse on how they can resolve the child's nighttime enuresis. The nurse advises the parents that nighttime enuresis:
might require treatment that includes an alarm and waking schedules.
