Peds Exam Two TB Questions
The nurse is providing teaching about accidental poisoning to the family of a 3 year old. The nurse understands that a child of this age is at increased risk of accidental ingestion due to which sensory alteration? a. A less discriminating sense of taste b. A lack of fully developed hearing c. Visual acuity that has not fully developed d. A less discriminating sense of touch
A
The nurse caring for infants in the NICU relies on the use of behavioral and physiological indicators for determining pain. Which examples are behavioral indicators? SATA a. The infant grimaces b. The infant's heart rate is elevated c. The infant flails his arms and legs d. The infant's respiratory rate is elevated e. The infant is crying uncontrollably f. The infant's oxygen saturation is low
A, C, E
The nurse is providing instructions to a mother on how to use thought stopping to help her child deal with anxiety and fear associated with frequent painful injections. Which statement indicates the mother understands the technique? a. We will imagine that we are on the beach in Florida. b. We an talk about our favorite funny movie and laugh. c. She can let her body parts go limp, working from head to toe. d. We'll repeat 'quick stick, feel better, go home soon' several times.
D
The pediatric nurse is planning quiet activities for hospitalized 18 month old. What would be an appropriate activity for this age group? a. Painting by number b. Putting shapes into appropriate holes c. Stacking blocks d. Using crayons to color in a coloring book
C
What activity would the nurse expect to find in an 18 month old? a. Standing on tiptoes b. Pedaling a tricycle c. Climbing stairs with assistance d. Carrying a large toy while walking
C
After teaching a group of parents about language development in toddlers, what is stated by a member of the group indicates successful teaching? a. When my 3 year old asks "why?" all the time, this is completely normal. b. A 15 month old should be able to point to his eyes when asked to do so. c. At age 2 years, my son should be able to understand things like under or on d. An 18 month old would most likely use words and gestures to communicate
A
When observing a group of preschoolers at play in the clinic waiting room, which type of play would the nurse be least likely to note? a. Parallel play b. Cooperative play c. Dramatic play d. Fantasy play
A
The nurse is caring for preschoolers in a day care center. For this age group, of what developmental milestones should the nurse be aware? SATA a. Counting 10 or more objects b. Correctly naming at least four colors c. Understanding the concept of time d. KNowing everyday objects e. Understanding the differences of others f. Forming concepts as logical as an adult's
A, B, C, D
THe school nurse is helping parents choose books for their preschoolers. What literacy skills present in the preschooler would the nurse consider when making choices? SATA a. Preschoolers enjoy books with pictures that tell stories b. Preschoolers like stories with repeated phrases as they help keep their attention. c. Preschoolers like stories that describe experiences different from their own. d. Preschoolers demonstrate early literacy skills by reciting stories or portions of books. e. Preschoolers may retell the story from the book, pretend to read books, and as questions about the story. f. Preschoolers do not have enough focus and expanded attention to notice when a page is skipped during reading.
A, B, D, E
The nurse is managing children who have chronic diseases in a neighborhood clinic. What are some examples of chronic conditions? SATA a. Diabetes mellitus b. Myocardial infarction c. Rheumatoid arthritis d. Compound fracture e. Acute asthma f. Bronchopneumonia
A, C, E
The nurse is helping parents prepare a healthy meal plan for their toddler. Which guidelines for promoting nutrition should be followed when planning meals? SATA a. The child younger than 2 years of age should have his or her fat intake restricted b. Extending breastfeeding into toddlerhood is believed to be beneficial to the child. c. Weaning from the bottle should occur by 6 to 12 months of age d. Adequate calcium intake and appropriate exercise lay the foundation for proper bone mineralization e. The toddler requires an average intake of 500 mg calcium per day.
B, D, E
The nurse is choosing foods for a toddler's diet that are high in vitamin A. What foods could be added to the menu? SATA a. Applesauce b. Avocados c. Broccoli d. Sweet potatoes e. Spinach f. Carrots
D, E, F
The nurse is assessing a 7 year old boy with pharyngitis. What assessment finding would suggest the child has developed a peritonsillar abscess? a. Palatal edema b. Difficulty swallowing c. Rash on the abdomen d. Sore throat and headache
A
The nurse hears wheezing when auscultating a 4 year old. Which condition would the nurse most likely rule out based on the assessment findings? a. Bronchiolitis b. Asthma c. Influenza d. Cystic fibrosis
C
Which food suggestion would be most appropriate for the mother of a preschooler to ensure an adequate intake of calcium? a. Spinach b. White beans c. Enriched bread d. Fortified cereal
B
The nurse is monitoring a child who has received epidural analgesia with morphine. The nurse is careful to monitor for which adverse effect of the medication? a. Epidural hematoma b. Arachnoidits c. Spinal headache d. Respiratory depression
D
The nurse is performing a cognitive assessment of a 2 year old. Which behavior would alert the nurse to a developmental delay in this area? a. The child cannot say name, age, and gender b. The child cannot follow a series of two independent commands c. The child has a vocabulary of 40 to 50 words d. The child does not point to named body parts
D
The nurse is providing teaching about car safety to the parents of a 5 year old girl who weighs 45 lbs. What should the nurse instruct the parents to do? a. Place her in a booster seat with lap and shoulder belts in the front seat. b. Place her in the back seat with the lap and shoulder belts in place. c. Place her in a forward facing car set with a harness and top tether. d. Place her in a booster seat with lap and shoulder belts in the back seat.
D
The nurse is educating the parents ofa 7 year old boy with asthma about the medications that have been prescribed. Which drug would the nurse identify as an adjunct to a b2 adrenergic agonist for treatment of bronchospasm? a. Ipratropium b Montelukast c. Cromolyn d. Theophylline
A
For which child would nonopioid analgesics be recommended? a. A child with juvenile arthritis b. A child with end stage cancer c. A child with a broken arm d. A child with severe postoperative pain
A
Prior to administering morphine to a 10 year old child the nurse reviews the adverse effects of the drug. Which system is primarily affected by the drug, causing most of the adverse effects? a. Central nervous system b. Peripheral nervous system c. Digestive system d. Musculoskeletal system
A
The nurse is assessing the pain of a postoperative newborn. The nurse measures the infant's facial expression, body movement sleep, verbal or vocal ability, consolability, and response to movements and touch. Which behavioral assessment tool is being used by the nurse? a. Riley infant pain scale b. Pain observation scale for young children c. CRIES scale for neonatal postoperative pain assessment d. FLACC behavioral scale for postoperative pain in young children
A
The nurse is caring for a child who is recovering from an appendectomy. What is the appropriate term for the pain this child is experiencing? a. Nociceptive pain b. Neuropathic pain c. Chronic pain d. Superficial somatic pain
A
During a health history, the nurse explores the sleeping habits ofa 3 year old boy by interviewing his parents. Which statement from the parents reflects a recommended guideline for promoting healthy sleep in this age group? a. Our son sleeps through the nigh, and we insist that he takes two naps a day. b. We keep a strict bedtime ritual for our son, which includes a bath and bedtime story. c. Our son still sleeps in a crib because we feel it is the safest place for him at night. d. Our son occasionally experiences night walking so we allow him to stay up later when this happens
B
The mother of a 5 year old boy calls the nurse and seeks advice on how to assist the child with the recent death of his paternal grandfather. The boy keeps asking when his grandpa is coming back. How should the nurse respond? a. It is best to just ignore this and to not respond to his questions. b. This is normal; children his age do not understand the permanence of death. c. You have to keep repeating that his grandfather is never coming back. d. He will eventually figure this out on his own
B
The nurse is assessing a 2 year old boy who has missed some developmental milestones. Which finding will point to the cause of motor skill delays? a. The mother is suffering from depression b. The child is homeless and has no toys c. The mother describes an inadequate diet d. The child is unperturbed by a loud noise
B
The nurse is assessing a 5 year old girl who is anxious, has a high fever, speaks in a whisper, and sits up with her neck thrust forward. Based on these findings, what would be lease appropriate for the nurse to perform? a. Providing 100% oxygen b. Visualizing the throat c. Having the child sit forward d. Auscultating for lung sounds
B
The nurse is caring for a child who reports chronic pain. What is the priority nursing assessment? a. How the pain impacts the child's and family's stress level. b. The pain's history, onset, intensity, duration, and location c. The child's and parent's feeling of anxiety and depression d. The child's cognitive level and emotional response
B
The nurse is conducting a well child examination of a 5 year old girl, who was 40 inches tall at her last examination at age 4. Which height measurement would be within the normal range of growth expected for a preschooler? a. 41 in b. 43 in c. 45 in d. 47 in
B
Pentazocine is prescribed for a child with moderate pain. The nurse identifies this drug as an example of which type? a. NSAID b. Prostaglandin inhibitor c. Opioid d. Mixed opioid agonist antagonist
D
The mother of a 4 year old boy tells the nurse that her son occasionally wets his pants during the day. How should the nurse respond? a. Is there a family history of diabetes? b. Suddenly having accidents can be a sign of diabetes. c. That's normal; don't worry about it. d. Tell me about the circumstances when this occurs.
D
The nurse emphasizes that a toddler younger than the age of 18 months should never be spanked primarily for which reason? a. Spanking in a child this age predisposes the child to a pro-violence attitude b. The child will become resentful and angry, leading to more outbursts c. Spanking demonstrates a poor model for problem-solving skills d. There is an increased risk for physical injury in this age group.
D
The nurse is teaching the parents of a 2 year old girl how to deal with common toddler situations. Which is the best advice? a. Discipline the child for regressive behavior b. Scold the child for public thumb sucking c. Tell the older sibling to not act like a baby d. Have the child help clean up a bowel accident
D
The nurse is discussing discharge instructions with the parents of a 6 year old who had a tonsillectomy. What is the most important thing to stress? a. Administer analgesics b. Encourage the child to drink liquids c. Inspect the throat for bleeding d. Apply an ice collar
C
The nurse is watching toddlers at play. Which normal behavior would the nurse observe? a. Toddlers engage in parallel play b. Toddlers engage in solitary play c. Toddlers engage in cooperative play d. Toddlers do not engage in play outside the home
A
The nurse uses the FLACC behavioral scale to assess a 6 year old's level of postoperative pain and obtains a score of 9. The nurse interprets this to indicate that the child is experiencing: a. little to no pain b. mild pain c. moderate pain d. severe pain
D
Which activity would the nurse least likely include as exemplifying the preconceptual phase of Piaget's preoperational stage? a. Displays of animism b. Use of active imaginations c. Understanding of opposites d. Beginning questioning of parents' values
D
Which tool would be the least appropriate scale for the nurse to use when assessing a 4 year old child's pain? a. FACES pain rating scale b. Oucher pain rating scale c. Poker chip tool d. Numeric pain intesnsity scale
D
The nurse is observing a 24 month old boy in a day care center. Which finding suggests delayed motor development? a. The child has trouble undressing himself b. The child is unable to push a toy lawnmower c. The child is unable to unscrew a jar lid d. The child falls when he bends over
B
The nurse observing toddlers in a day care center notes that they may be happy and pleasant one moment and overreact to limit setting the next minute by throwing a tantrum. What is the focus of the toddler's developmental task that is driving this behavior? a. The need for separation and control b. The need for love and belonging c. The need for safety and security d. The need for peer approval
A
The nurse is caring for a 3 year old girl with a respiratory disorder. The nurse anticipates the need for providing supplemental oxygen to the child when performing which action? a. Suctioning a tracheostomy tube b. Administering drugs with a nebulizer c. Providing tracheostomy care d. Suctioning with a bulb syringe
A
The nurse is caring for a 5 year old girl post-tonsillectomy. The girl looks out the window and tells the nurse that it is raining and says "the sky is crying because it is sad that my throat hurts." The nurse understands that the girl is demonstrating which mental process? a. Magical thinking b. Centration c. Transduction d. Animism
A
The nurse is caring for a premature baby in the NICU. The mother reports that the infant's normally happy and outgoing 5 year old sister is acting sad and withdrawn. The nurse understands that due to he developmental stage, the girl is at risk of what happening? a. Viewing her baby sister's illness as her fault b. Harming the baby c. Experiencing clinical depression d. Creating an imaginary friend to cope with the situation
A
The nurse is conducting a well child assessment for a 5 year old boy in preparation for kindergarten. The boy's grandmother is his primary caregiver because the boy's mother has suffered from depression and substance abuse issues. The nurse understands that the child is at increased risk for which developmental problem? a. Lack of social and emotional readiness for school b. Stuttering c. Speech and language delays d. Fine motor skills delay
A
The nurse is describing the maturation of various organ systems during toddlerhood to the parents. What would the nurse correctly include in this description? a. Myelinization of the brain and spinal cord is complete at about 24 months. b. Alveoli reach adult numbers by 3 years of age. c. Urine output in a toddler typically averages approximately 30 mL/hour. d. Toddlers typically have strong abdominal muscles by the age of 2
A
The nurse is explaining to parents that the preschooler's developmental task is focused on the development of initiative rather than guilt. What is a priority intervention the nurse might recommend for parents of preschoolers to stimulate initiative? a. Reward the child for initiative in order to build self esteem b. CHange the routine of the preschooler often to stimulate initiative c. Do not set limits on the preschooler's behavior as this results in low self esteem d. As a parent, decide how and with whom the child will play
A
The nurse is interviewing a 3 year old girl who tells the nurse "Want to go potty." The parents tell the nurse that their daughter often speaks in this type of broken speech. What would be the nurse's appropriate response to this concern? a. This is a normal, common speech pattern in the 3 year old and is called telegraphic speech b. This is considered a developmental delay in the 3 year old and we should consult a speech therapist c. This is a condition known as echolalia and can be corrected if you work with your daughter on language skills. d. This is a condition known as stuttering and it is a normal pattern of speech development in the toddler.
A
The nurse is preparing to administer a topical anesthetic for a 10 year old girl with a chin laceration. The nurse would expect to apply what as ordered in preparation for sutures? a. TAC (tetracaine, epinephrine, cocaine) b. Iontophoretic lidocaine c. EMLA d. Vapocoolant spray
A
The nurse is providing teaching to the parents of a newborn prior to a heelstick. The nurse is describing the procedure and recommending various methods for the parents to help comfort the baby. Which statement by the parents indicates a need for further teaching? a. It's better if we are not int he room for this. b. We can use kangaroo care before and after. c. We hope you are using a very tiny needle. d. We can offer him nonnutritive sucking to calmhim.
A
The nurse is teaching the parents of an overweight 18 month old girl about diet. Which intervention will be most effective for promoting proportionate growth? a. Remove high calorie, low nutrient foods from the diet b. Ensure 30 mins of unstructured activity per day c. Avoid sharing your snacks and candy with the child d. Reduce the amount of high fat food the child eats
A
The parents of a 1 year old girl, both of whom have perfect teeth, are concerned about their child getting dental caries. Which is the best advice the nurse can provide? a. Tell the parents to limit the child's eating to meal and snack times b. Urge the parents to take the child to a dentist for a check up c. Advise the parents to reduce carbohydrates in the child's diet d. Advise the parents to use fluoride toothpaste
A
The parents of a 4 year old who is a picky eater ask the nurse what foods to include in their child's diet to provide adequate iron consumption. Which food would the nurse recommend? a. Cooked lentils b. Whole milk c. Oranges d. Sweet potatoes
A
When providing anticipatory guidance to parents about their preschool son who was caught in a lie, what would the nurse emphasize? a. You need to determine the reason for lying before punishing the child. b. Lying should never be tolerated and the child should be punished. c. The misbehavior is usually more serious than the lying itself d. It is okay to become angry when dealing with the child't lying.
A
The nurse is assessing the psychosocial development of a preschooler. What are normal activities characteristic of the preschooler? SATA a. Plans activities and makes up games b. Initiates activities and makes up games c. Acts out roles of other people d. Engages in parallel play with peers e. Classifies or groups objects by their common elements f. Understands relationships among objects
A, B, C
The nurse is researching behavioral cognitive pain relief strategies to use on a 5 year old child with unrelieved pain. Which methods might the nurse choose? SATA a. Relaxation b. Distraction c. Thought stopping d. Massage e. Sucking
A, B, C
The nurse is teaching the parents ofa 4 year old boy about the normal maturation of the child's organs during the preschool years and their effect on body functions. Which statements accurately describe these changes? SATA a. Myelination of the spinal cord allows for bowel and bladder control to be complete in most children by age 3 years b. The respiratory structures are continuing to grow in size, and the number of alveoli continues to increase, reaching the adult number at about 7 years of age c. Heart rate increases and blood pressure decreases slightlt during the preschool years; an innocent heart murmur may be heard upon auscultation d. The bones continue to increase in length and the muscles continue to strengthen and mature; however, the musculoskeletal system is still not fully mature e. The small intestine is continuing to grow in length, and stool passage usually occurs once or twice per day in the average preschooler. f. The urethra remains long in both boys and girls, making them more susceptible to urinary tract infections than adults.
A, B, D, E
The nurse is counseling parents of a picky eater on how to promote healthy eating habits in their child. Which intervention would be appropriate advice? a. Allow the child to pick out his or her own foods for meals b. Present the food matter of factly and allow the child to choose what to eat c. Offer high fat snacks if the child does not eat to get them to eat something d. Offer the child a special treat if he or she eats all the food on the plate
B
The nurse is examining an 8 year old boy with tachycardia and tachypnea. The nurse anticipates which test as most helpful in determining the extend of the child's hypoxia? a. pulmonary function test b. pulse oximetry c. peak expiratory flow d. chest radiograph
B
The nurse is explaining the effects of heat application for pain relief. Which effect would the nurse be likely to include? a. Decreased blood flow to the area b. Increased pressure on nociceptive fibers c. Possible release of endogenous opioids d. Altered capillary permeability
B
The nurse is providing anticipatory guidance for parents of a preschooler regarding sex education. What is a recommended guideline when dealing with this issue? a. Be prepared to thoroughly cover a topic before the child asks about it. b. Before answering questions, find out what the child thinks about the subject c. Expand upon the topic when answering questions to prevent further confusion. d. Provide a less than honest response to shelter the child from knowledge that is too advanced
B
The nurse is teaching good sleep habits for toddlers to the mother of a 3 year old boy. Which response indicates the mother understands sleep requirements for her son? a. I'll put him to bed at 7pm except for Friday and Saturday b. He needs 12 hours of sleep per day including his naps c. I need to put the side down on the crib so he can get out d. His father can give him a horseback ride into his bed.
B
The nurse is teaching the parents of a 2 year old toddler methods of dealing with their child's 'negativism.' Based on Erickson's theory of development, what would be an appropriate intervention for this child? a. Discourage solitary play; encourage playing with other children b. Encourage the child to pick out his own clothes c. Use time-outs whenever the child says no inappropriately d. Encourage the child to take turns when playing games
B
The nurse tells a joke to a 12 year old to distract him from a painful procedure. What pain management technique is the nurse using? a. relaxation b. distraction c. imagery d. thought stopping
B
The parents of a 2 year old girl are frustrated by the frequent confrontations they have with their child. Which is the best anticipatory guidance the nurse can offer to prevent confrontations? a. Respond in a calm but firm manner b. You need to adhere to various routines c. Put her in time out when she misbehaves d. It's important to toddler proof your home.
B
The parents of a 4 year old ask the nurse when their child will be able to differentiate right from wrong and develop morals. What would be the best response of the nurse? a. The preschooler has no sense of right and wrong b. The preschooler is developing a conscience c. The preschooler sees morality as internal to self d. The preschooler's morals are their own, right or wrong
B
The parents of a 5 year old boy tell the nurse that their son is having frequent episodes of night terrors. Which of the following statements would indicate that the boy is having nightmares? a. It usually happens about an hour after he falls asleep b. HE will tell us about what happened in his dream c. He is completely unaware that we are there d. When we try to comfort him, he screams even more
B
The student nurse is learning about the effects of heat and cold when used in a pain management plan. What accurately describes one of these effects? a. Cold results in vasodilation b. Cold alters capillary permeability c. Heat results in vasoconstriction d. Heat decreases blood flow to the area
B
When instructing the parents of a toddler about appropriate nutrition, what would the nurse recommend? a. About 12 to 16 ounces of fruit juice per day b. Approximately 16 to 24 ounce of milk per day c. Fat intake of 30% to 40 % of total calories d. An average of 10 to 12 grams of fiber per day
B
When the nurse is assessing a child't pain, which is most important? a. Obtaining a pain rating from the child with each assessment. b. Using the same tool to assess the child's pain each time c. Documenting the child's pain assessment d. Asking the parents about the child's pain tolerance
B
The nurse is assessing the motor skills of a 5 year old girl. Which finding would cause the nurse to be concerned? a. Can copy a square on another piece of paper b. Can dress and undress herself without help c Draws a person with three body parts d. Is beginning to tie her own shoelaces
C
The nurse is caring for a child who is experiencing pain related to chemotherapy treatment. What is a behavioral factor that might affect the child's pain experience? a. Knowledge of the therapy b. Fear about the outcome of therapy c. Participation in normal routine activities d. Ability to identify pain triggers
C
The nurse is teaching the student nurse the physiology involved in pain transmission. Which statements accurately describes a physiologic event in the nervous system related to pain transmission? SATA a. Thermal stimulation may involve the release of mediators, such as histamine, prostaglandins, leukotrienes, or bradykinin. b. When nociceptors are activated by noxious stimuli, the stimuli are converted to electrical impulses that are relayed to the spinal cord and brain. c. Myelinated A delta fibers are large fibers that conduct the impulse at very rapid rates; unmyelinated small C fibers transmit the impulse slowly. d. Once in the dorsal horn of the spinal cord, the nerve fibers divide and then cross to the opposite side and rise upward to the thalamus. e. The point at which the person first feels the highest intensity of the painful stimulus is termed the pain threshold. f. Peripheral sensitization allows the nerve fibers to react toa stimulus that is of lower intensity than would be needed to cause pain.
B, C, D, F
The parents of a preschooler ask the nurse to help them choose a preschool for their child. What are recommended guidelines and goals for choosing a preschool? SATA a. The main goal of preschool is to improve reading and writing skills and readiness for entering grade school. b. When selecting a preschool, the parent may want to consider the accreditation of the school and the teachers' qualifications. c. The teachers should decide how focuses on curriculum the school should be for each individual student. d. The parent should observe the classroom, evaluating the environment, noise level, and sanitary practices. e. The type of discipline used in the school is also an important factor. Parents should choose a preschool that uses corporal punishment. f. The parent should observe the classroom to determine how the children interact with each other and how the teachers interact with the children.
B, D, F
A nurse is administering 100% oxygen to a child with a pneumothorax based on the understanding that this treatment is used primarily for which reason? a. Improve gas exchange b. Bypass the obstruction c. Hasten air reabsorption d. Prevent hypoxemia
C
A nurse is caring for a 4 year old girl. The mother says that the girl is afraid of cats and dogs and does not like to go to the playground anymore because she wants to avoid the dogs that are often being walked at the park. What should the nurse tell the mother? a. It is best to avoid the playground until she outgrows the fear. b. She needs to face her fears head on, take her to the park as much as possible. c. Acknowledge her fear and help her develop a strategy for dealing with it. d. Try to minimize her fears and insist that she go to the park.
C
A nurse is providing teaching to the mother of an adolescent girl about how to manage menstrual pain nonpharmacologically. Which statements by the mother indicates a need for further teaching? a I need to help her learn techniques to distract her, card games, for example. b. I need to be able to identify the subtle ways she shows pain c. I need to follow these instructions exactly for them to work properly. d. I need to encourage her to practice and utilize these techniques.
C
Bacterial pneumonia is suspected in a 4 year old boy with fever, headache, and chest pain. Which assessment finding would most likely indicate the need for this child to be hospitalized? a. fever b. Oxygen saturation level of 96% c. Tachypnea with retractions d. Pale skin color
C
The nurse has applied EMLA cream as ordered. How does the nurse assess that the cream has achieved its purpose? a. Assess the skin for redness b. Note any blanching of the skin c. Lightly tap the area where the cream is d. Gently poke the child with a needle
C
The nurse is administering pain medication for a child with continuous pain from internal injuries. Which method would be ordered to dispense the medication? a. Administer the medication PRN b. Administer the medication when the pain has peaked c. Administer the medication around the clock at timed intervals d. Administer the medication when the child complains of pani
C
The nurse is assessing a 3 year old boys development during a well child visit. Which response by the child indicates the need for further assessment? a. He says a swear word when he hurts himself playing b. He says "pew" when his sister has soiled her diaper c. He laughs when his brother cries getting vaccinated d. He constantly asks "why?" whenever he is told a fact.
C
The nurse is performing a physical assessment of a 3 year old girl. What finding would be a concern for the nurse? a. The toddler gained 4 lbs in weight since last year b. The toddler gained 3 inches in height since last year c. The toddler's anterior fontanel is not fully closed d. The circumference of the child's head increased 1 inch since last year
C
The nurse is preparing a child for a lumbar puncture. How far ahead of the procedure should the nurse apply the EMLA cream? a 30 mins b. 1 hour c. 3 hours d. 4 hours
C
The nurse is providing guidance after observing a mother interact with her negative 2 year old boy. For which interaction will the nurse advise the mother that she is handling the negativism properly? a. Telling the child to stop tearing pages from magazines b. Asking the child if he would please quit throwing toys c. Telling the child firmly that we don't scream in the office d. Saying "please come over here and sit in this chair, ok?"
C
The nurse is supervising lunch time for children on a pediatric ward. Which observation is considered abnormal for this age group? a. The child has a full set of primary teeth b. The child has no difficulty chewing and swallowing meat c. The child uses his fingers and refuses to use a fork d. The child is a picky eater
C
The nurse is teaching an 8 year old child and his family how to manage cancer pain using nonpharmacologic methods. Which parent statement signifies successful child teaching? a. I will avoid descriptive words like pinching, pulling, or heat b. I will not use positive reinforcement until the technique is perfected. c. I will begin using the technique before he experiences pain d. I will be honest and tell him that the procedure will hurt a lot.
C
The nurse is teaching parents interventions appropriate to the emotional development of their toddlers. What is a recommended intervention for this age group? a. Remove children's security blankets at this stage to help them assert their autonomy b. Distract toddlers from exploring their own body parts, particularly their genitals c. Do not blame toddlers for aggressive behavior; instead, point out the results of their behavior. d. Offer toddlers many choices to foster control over their environment
C
The nurse is testing the sensory development of a toddler brought to the clinic for a well visit. What might alert the nurse to a potential problem with the child's sensory development? a. The toddler places the nurse's stethoscope in his mouth b. The toddler's vision tests 20/50 in both eyes c. The toddler does not respond to commands whispered in his ear d. The toddler's taste discrimination is not at adult levels yet
C
The parents of a 5 year old are concerned that their son is too short for his age. The nurse measures the child's height at 40 inches. How should the nurse respond? a. Some children are short for their age during the preschool years but usually catch up during early childhood b. Are most of the adults in your family short? It may be hereditary that your child will be shorter than average. c. The average height for a 5 year old is 43 inches tall, so your son is within the normal range for his height. d. I am sure his height is a concern, but if you start choosing nutrient dense foods, he will likely catch up to normal in height.
C
The parents of a preschooler express concern to the nurse about their son's new habit of masturbating. What is an appropriate response to this conern? a. Tell the child in a firm manner that this behavior is not acceptable. b. When the child displays this behavior, place him in a time out. c. Treat the action in a matter of fact manner emphasizing safety. d. Consult a psychotherapist to determine the reason for this behavior
C
The nurse is caring for a toddler who is in Piaget's sensorimotor stage of cognitive development. Which task would the nurse expect the toddler to be able to perform? a. Completing puzzles with four pieces b. Winding up a mechanical toy c. Playing make believe with dolls d. Knowing which are his or her toys
D
The nurse is conducting a pain assessment of a 10 ear old boy who has been taking acetaminophen for chronic knee pain. The assessment indicates that the recommended dose is no longer providing adequate relief. What is the appropriate nursing action? a. Increase the dosage of the acetaminophen b. Tell the child he is experiencing the ceiling effect c. Use guided imagery to help his pain d. Obtain an order for a different medication
D
The nurse is conducting an assessment of a high school track athlete. The client tells the nurse he is experiencing pain along his outer thigh. He describes it as tight, achy, and tender, particularly after he runs. The nurse understands that he is most likely experiencing what kind of pain? a. Cutaneous b. Neuropathic c. Visceral d. Deep somatic
D
The nurse is counseling the parents of a 9 year old boy who is receiving morphine for postoperative pain. Which statement from the nurse accurately reflects the pain experience in children? a. You can expect that your child will tell you when he is experiencing pain. b. Your child will learn to adapt to the pain he is experiencing c. Your child will experience more adverse effects to narcotics than adults. d. It is very rare that children become addicted to narcotics
D
The nurse is designing a nursing care plan for a toddler with lymphoma, who is hospitalized for treatment. What is a priority intervention that the nurse should include in this child's nursing plan? a. Limiting visitors to scheduled visiting hours b. Planning physical therapy for the child c. Introducing the toddler to other toddlers in teh unit d. Monitoring the toddler for developmental delays
D
The nurse is developing a nursing care plan for a hospitalized 6 year old. Which behavior would warrant nursing interventions? a. The child pretends he is talking to an imaginary friend when the nurse addresses the child. b. The child states that her fairy godmother is going to come and take her home. c. The child starts talking about his grandmother and then quickly changes the subject to a new toy he received. d. The child does not want to play games with other children on the hospital ward.
D
The nurse is developing a teaching plan for toddler safety to present at a parenting seminar. Which safety intervention should the nurse address? a. Encourage parents to enroll toddlers in swimming classes to avoid the need for constant supervision around water b. Advise parents to keep pot handles on stoves turned outward to avoid accidental burns c. Encourage parents to smoke only in designated rooms in teh house or outside the house d. Advise parents to use a forward facing car seat with harness straps and a clip, placed in the backseat of the car
D
The nurse is examining a 5 year old boy. Which sign or symptom is a reliable first indication of respiratory illness in children? a. Slow, irregular breathing b. A bluish tinge to the lips c. Increasing lethargy d. Rapid, shallow breathing
D
The nurse is providing anticipatory guidance to the parents of an 18 month old girl. Which guidance will be most helpful for the toilet teaching? a. Telling them either one may demonstrate toilet use b. Assuring them that the bladder control occurs first c. Telling them that curiosity is a sure sign of readiness d. Advising them to use praise, not scolding
D
The nurse is using the acronym QUESTT to assess the pain of a child. Which is an accurate descriptor of this process? a. Question the child's parents b. Understand the child's pain level c. Establish a caring relationship with the child d. Take the cause of pain into account when intervening
D
The nurse of preschool child is helping parents develop a healthy meal plan for their child. What nutritional requirements for this age group should the nurse consider? a. The 3 to 5 year old requires 300 to 500 mg calcium and 10 mg iron daily b. The 3 year old should consume 10 mg dietary fiber daily c. The 4 to 8 year old requires 15 mg dietary fiber per day d. The typical preschooler requires about 85 kcal/kg of body weight
D
