Peds Unit One Practice Questions
The parent of a 6-month old infant asks the nurse for advice about his son's thumb sucking. What would be the nurse's best response to this parent? a. Thumb sucking is a healthy self comforting activity. b. Thumb sucking leads to the need for orthodontic braces c. Caregivers should pay special attention to the thumb sucking to stop it. d. Thumb sucking should be replaced with the use of a pacifier.
A
The nurse is performing a health assessment of a school age child. Based on the child's developmental level, on which problem would the nurse focus more? a. infections b. poisonings c. risk taking behaviors d. accidents and injuries
D
The nurse is preparing a plan of care for a 5 year old boy with chickenpox. Which nursing intervention should be questioned? a. Administer antypyretics as ordered b. Keep the child's fingernails short c. Monitor fluid intake and output d. Provide alcohol baths as needed
D
A parent of four children being interviewed by the nurse states 'Whatever my husband and I say goes and the kids need to follow our rules without complaining about them.' What type of parenting style does this attitude represent? a. Authoritative b. Authoritarian c. Permissive d. Rejecting-neglecting
B
The mother of an 8 yeard old girl with a broken arm is the nurturer in the family. Which nursing activity should be focused on her? a. Teaching proper care procedures b. Dealing with insurance coverage c. Determining success of treatment d. Transmitting informaiton to family members
A
A preschool child is scheduled to undergo a diagnostic test. Which action by the nurse would violate the child's bill of health care rights? a. Arranging for her mother to be with her b. Telling the child the test will not hurt c. Assuring the child that the test will be done quickly d. Introducing the child to the lab technicians
B
The nurse is assisting low income families to access health care. The nurse is aware that in today's society, this most accurately defines the diversity of a modern family. a. A family consists of parents and their offspring living together b. A family is whatever the child and family say it is. c. A family is two or more people related or unrelated who are living together d. A family is two or more genetically related persons living together with separate roles
B
The nurse is teaching a new mother about the development of sensory skills in her newborn. What would alert the mother to a sensory deficit in her child? a. The newborn's eyes wander and occasionally are crossed b. The newborn does not respond to a loud noise c. The newborn's eyes focus on near objects d. The newborn becomes more alert with stroking when drowsy
B
The nurse is administering a number of therapeutic interventions for neonates, infants, and children on the pediatric unit. Which intervention contributes to an increase in chronic illness seen in early childhood? a. Administering antibiotics to prevent lethal infections b. Vaccinating children to prevent childhood diseases. c. Using mechanical ventilation for premature infants. d. Using corticosteroids as a treatment for asthma.
C
The nurse is assessing a 12 month old boy with an English speaking father and a Spanish speaking mother. The boys does not say mama or dada yet. What is the priority intervention? a. Performing a developmental evaluation of the child. b. Encouraging the parents to speak English to the child c. Asking the mother if the child uses Spanish words d. Referring the child to a developmental specialist
C
The nurse is assessing the resilience of a 16 year old boy. Which exemplifies an external protective factor that may help to promote resiliency in this child? a. His ability to take control of his own decisions b. His ability to accept his own limitations c. His caring relationship with members of his family d. His knowledge of when to continue or stop with goal achievement
C
The nurse is caring for a child of divorced parents on the postoperative unit. Both parents are with the child upon returning from surgery. The nurse hears the parents arguing just outside the child's room. What is the best response by the nurse? a. If you are going to argue, can you please take it outside? b. I'm not sure if you care, but your child can hear you arguing. c. I know this is a stressful time, but your child can hear you arguing outside the room. d. It is important that your child gets some rest so arguing outside the room doesn't help.
C
The nurse is caring for a premature infant and his mother who are scheduled for discharge even though the nurse feels the mother is not emotionally equipped to retrn home. When balancing the ethical components of this dilemma, the nurse identifies the problem and gathers more information. What would be the nurse's next step in this process? a. Choose a solution based on available data b. Implement a solution regardless of pros and cons c. Weight the risks against the benefits d. Evaluate possible outcomes of the situation
C
The nurse is providing anticipatory guidance to a mother to help promote healthy sleep for her 3 week old baby. Which recommended guideline might be included in the teaching plan? a. Place the baby on a soft mattress with a firm, flat pillow for the head b. Place the head of the bed near the window to provide fresh air, weather permitting c. Place the baby on his or her back when sleeping d. If the baby sleeps through the night, wake him or her up for the night feeding
C
The nurse is teaching discipline strategies to the parents of a 4 year old boy. Which response from the parents indicates a need for more teaching? a. "We should remove temptations that lead to bad behavior." b. We must explain how we expect him to behave c. We should let him know he makes us angry with bad behavior d. We must praise him for good behavior
C
After describing the procedure and medical necessity, the nurse asks a 14 year old child to assent to a skin graft. Which statement accurately describes the requirements for this type of assent? a. The age of assent occurs at 12 b. It is not necessary to obtain assent from a minor for a procedure c. A minor can dissent to a procedure but his or her wishes are not binding d. In some cases, such as cases of significant morbidity or mortality, dissent may need to be overridden.
D
While reviewing various studies about the use of antipyretics possibly prolonging illness, the nurse notes that there are benefits to their use for the child with fever. What would the nurse identify as the best explanation related to the benefit of antipyretics? a. They slow the growth of bacteria b. They increase neutrophil production c. They encourage T cell proliferation d. They help decrease fluid requirements
D
The nurse is assessing the developmental milestones of an infant. The infant was born 8 weeks ago and was 4 weeks premature. THe nurse anticipates that the infant will be meeting milestones for what age of child? Record your answer in weeks
4 To determine adjusted age, subtract the number of weeks that the infant was premature (4 weeks) from the infant's chronological age (8 weeks)
A mother brings her 8 year old son for evaluation because of a rash on his lower leg. Which finding would support the suspicion that the child has Lyme disease? a. playing in the woods about a week ago b. rash is papular and vesicular c. high fever occurring about 4 days before the rash d. complaints of extreme pruritus with visible nits
A
After teaching a class on the role of white blood cells in infection, the instructor determines that the teaching as successful when the class identifies which type of white blood cells as important in combating bacterial infections? a. Neutrophils b. Eosinophils c. Basophils d. Lymphocytes
A
An adolescent is diagnosed with gonorrhea. When developing the plan of care for this adolescent, the nurse would expect that she would also receive treatment for what? a. Chlamydia b. Syphilis c. Genital herpes d. trichomoniasis
A
An infant is diagnosed with congenital cataract. What would the nurse expect to assess? a. absent red reflex b. rapid irregular eye movement c. misalignment of the eyes d. enlarged eye appearance
A
An infant is diagnosed with infantile glaucoma. When developing a plan of care for the infant, for what would the nurse expect to prepare the infant and family? a. goniotomy b. antibiotic therapy. c. contact lenses d. patching of the affected eye
A
The mother of a school aged child brings the child to the clinic for evaluation because he is having difficulty reading. HIs last visual screening was normal. HE also reports headaches and dizziness. What would the nurse suspect? a. astigmatism b. myopia c. hyperopia d. nystagmus
A
The nurse determines that it is necessary to implement airborne precautions for children with which infection? a. measles b. streptococcus group A c. Rubella d. Scarlet fever
A
The nurse is caring for a 10 year old with allergic conjunctivitis. The nurse would be alert to the child's increased risk for what issue? a. atopic dermatitis b. Insect bite sensitivity c. acute otitis media d. frequent sore throats
A
The nurse is caring for a 2 week old girl with a metabolic disorder. Which activity would deviate from the characteristics of family centered care? a. Softening unpleasant information or prognoses b. Evaluating and changing the nursing plan of care c. Collaborating with the child and family as equals d. Showing respect for the family's beliefs and wishes
A
The nurse is caring for a 7 month old girl during a well child visit. Which intervention is most appropriate for this child? a. Discussing the type of sippy cup to use b. Advising about increased caloric needs c. Explaining how to prepare table meats d. Describing the tongue extrusion reflex
A
The nurse is performing a physical examination of an 8 year old girl who was bitten by her kitten. Which assessment would lead the nurse to suspect cat scratch disease? a. swollen lymph nodes b. strawberry tongue c. infected tonsils d. Swollen necy
A
The parents of a 5 year old have just round out that their child has head lice. Which statement by the parents would support the nursing diagnosis of deficient knowledge? a. I can't believe it. We're not unclean, poor people. b. We'll have to get that special shampoo c. Everybody in the house will need to be checked d. That explains his complaints of itching on his neck
A
The nurse is developing a plan of care for a 5 year old child with a severe hearing impairment focusing on psychosocial interventions based on assessment findings. Which behavior would the nurse have most likely assessed? a. immature emotional behavior b. self-stimulatory behavior c. inattention and vacant stare d. head tilt or forward thrust
A The inability to hear causes social problems for the child because the hearing impairment has inhibited normal development
The nurse is caring fora 14 year old boy with growth hormone deficiency. Which action best reflects using the nursing process to provide quality care to children and their families? a. Reviewing the effectiveness of interventions b. Questioning the facility standards for care c. Earning continuing education credits d. Ensuring reasonable costs for care provided
A
The nurse is counseling a young couple who in 2 months are having their 3rd baby. The nurse uses Von Bertalanffy's general system theory applied to families to analyze the family structure. Which best describes the main emphasis of this theory and its application to family dynamics? a. It emphasizes the family as a system with interdependent, interacting parts taht endure over time to ensure the survival, continuity, and growth of its components. b. It emphasizes the social system of family, such as the organization or structure of the family and how the structure relates to the function . c. It emphasizes the developmental stages that all families go through, beginning with marriage; the longitudinal career of the family is also known as the family life cycle d. It addresses the way families respond to stress and how teh family copes with the stress as a group and how each individual member copes
A
The nurse is examining a 7 year old boy with blepharitis. What would the nurse least likely expect to assess? a. Redness b. Scaling c. Pain d. Edema
C
The nurse is performing a health assessment of a 3 month old African American boy. For what condition should this infant be monitored based on his race? a. Jaundice b. Iron Deficiency c. Lactose intolerance d. GERD
C
The nurse is performing a physical examination on a 9 year old boy who has experienced a tick bite on his lower leg and is suspected of having Lyme disease. Which assessment finding would the nurse expect to find? a. Swelling in the neck b. Confusion and anxiety c. Ring like rash on lower leg d. Hypersalivation
C
The parents of a 5 year old bring their son to the emergency department because of significant eyelid edema. The mother states "he scratched himself near his eye a couple of days ago while playing outside in the yard." The nurse suspects periorbital cellulitis based on which finding? a. evidence of discharge b. reddended conjunctiva c. purplish discoloration of eyelid d. altered visual acuity
C
The nurse is providing discharge teaching regarding formula preparation for a new mother. Which guideline would the nurse include in the teaching plan? a. Always wash bottles and nipples in hot, soapy water and rinse well. Do not wash them in the dishwasher b. Store tightly covered ready to feed formula can after opening in refrigerator for up to 24 hours c. Warm bottle of formula by placing bottle ina container of hot water, or microwaving formula d. Do not add cereal to the formula in the bottle or sweeten the formula with honey
D
The parents of a 14 year old girl complain about the amount of time she spends on the internet. Which question would the nurse ask the parents to assess her psychosocial development? a. Do you limit her usage of the internet to an hour per day? b. Does she do her homework and have fun with her peers? c. Did you place the computer where you can keep an eye on her?d. Did you warn her about protecting her identity online?
B
The pediatric nurse is caring for the families of immigrant migrant workers in a small town community. For which risk factor should the nurse provide screening? a. Diabetes b.. Depression c. Mental illness d. Child abuse
B
The school nurse monitors the amount of physical activity children in a local elementary school have planned for each day. This data will help most in meeting which foundation health measure of Healthy People 2020? a. General health status b. Health related quality of life and well being c. Determinants of health d. Disparities
B
Which reflex, if found in a 4-month-old infant, would cause the nurse to be concerned? A) Plantar grasp B) Step C) Babinski D) Neck righting
B
The mother of a 4 year old is discussing discipline methods with the nurse. She states that she has never tried using "time outs" with her child and wonders how and if this method works. Which responses from the nurse are appropriate? SATA a. I think time outs are the best method of discipline for this age of child. b. Time out is a way of removing positive reinforcement of an unwanted or inappropriate behavior. c. If you decide to try this method, be sure to use time out in a nonthreatening, safe area where no interaction occur with you. d. Time out is a method that is recognized by many pediatricians and experts in pediatrics. e. I never found time outs to work with my children, regardless of their age.
B, C, D
The nurse is caring for a neonate who is suspected of having sepsis. Which assessment findings would the nurse interpret as most indicative of sepsis? a. Rash on face b. Edematous neck c. Hypothermia d. Coughing
C
The nurse is examining a 10 month old boy who was born 10 weeks early. Which finding is cause for concern? a. The child has doubled his birth weight b. The child exhibits plantar grasp reflex c. The child's head circumference is 19.5 inches d. No primary teeth have erupted yet
C
The student nurse is learning about the past history of child health and health care in the United States. Which statement accurately reflects the condition of health care in the past and current centuries? a. In past centuries in the US, teh health of the country was better than it is today due to the simpler style of living. b. In the current century, mortality rates are high, but life expectancy has increased due to technological advances. c. In the late 18th and early 19th centuries, urban public health improvements made cities healthier places for growing children d. By the late 20th century, unintentional injuries rather than infectious diseases had become the leading cause of death for children older than 1 year old.
D
A mother confides to the nurse that she is thinking of divorce. Which suggestion by the nurse would help minimize the effects on the child? a. Tell the child together using appropriate terms b. Reassure him that no one loves him more than you c. Do special things with him to make up for the divorce d. Share your feelings with the child
A
The nurse is providing care to an ill child and his family. Which activity reflects the use of the assessment step of the nursing process when providing care for children? a. Collecting data about the child and family b. Analyzing data to make judgments about the child's health state c. Evaluating care provided by the interdisciplinary team d. Developing a care plan that incorporates child goals
A
The school nurse is reviewing the records of students in an elementary school. Based on current chid morbidity rates, which child is the nurse most careful to monitor for days missed from school? a. A child with asthma b. child with contact dermititis c. child with severe hay fever d. child with food allergies
A
A new mother tells the nurse that she is having difficulty breastfeeding her baby. When observing the mother, which actions prompt the nurse to provide teaching about proper breastfeeding techniques? SATA a. The mother carefully washes her breasts prior to feeding the infant b. The mother feeds the infant every hour c. The mother supplements feedings with water d. The mother holds her breast in the C position e. The mother strokes the nipple against the infants face
A, B, C
The nurse is assessing the infants in the nursery for the six stages of consciousness. The nurse becomes concerned when assessing which infants? SATA a. An infant rapidly moves from deep sleep to crying b. An infant moves from active alert state to drowsiness c. An infant progresses slowly from deep sleep to light sleep d. An infant frequently skips the quiet alert state during the six stages of unconsiousness. e. An infant ends the stages of consciousness with crying
A, B, D
The nurse is assessing the respiratory system of a newborn. Which anatomic differences place the infant at risk for respiratory compromise? SATA a. The nasal passages are narrower b. The trachea and chest wall are less compliant c. The bronchi and bronchioles are shorter and wider d. The larynx is more funnel shaped e. The tongue is smaller f. There are significantly fewer alveoli
A, D, F
A child is diagnosed with bacterial conjunctivitis and is prescribed topical antibiotic therapy. The child's mother asks when he can return to school. which response by the nurse would be most appropriate? a. You need to wait until you finish the entire prescription of the antibiotic b. Once the drainage is gone, he can go back to school c. You can send him to the school this afternoon after his first dose of antibiotic d. He needs to be symptom free for at least 72 hours
B
A group of nursing students are reviewing the six links in the chain of infection and the nursing implications for each. The students demonstrate understanding of the information when they identify which precaution as helping to break the chain of infection to the susceptible host? a. Keeping linens dry and clean b. Maintaining skin integrity c. Washing hands frequently d. Coughing into a handkerchief
B
A nurse is reviewing the medical record of a child with hearing loss and notes that the child's hearing loss is in the range of 40 to 60 decibels. The nurse interprets this as indicating what level of hearing loss? a. mild loss b. moderate loss c. severe loss d. profound loss
B
A nursing instructor is teaching a group of students about the action of antipyretic agents in children. The instructor determines that the teaching has been successful when the students identify which action as the primary action? a. Cause vasodilation to promote heat loss b. Decrease the temperature set point c. Block release of histamnine d. Promote prostaglandin production
B
After teaching a group of new parents about their newborns' eyes and vison, which statement by the group indicates effective teaching? a. Our newborn can see at distances of about 1 to 2 feet b. We won't know the baby's eye color until he's at least 6 months old c. A baby can easily distinguish colors, but they must be bright colors d. A newborn can focus with both eyes at the same time shortly after birth
B
Assessment of a child leads the nurse to suspect viral conjunctivitis based on what finding? a. mild pain b. photophobia c. itching d. water discharge
B
At which age would the nurse expect to find the beginning of object permanence? a. 1 month b. 6 months c. 9 months d. 12 months
B
The nurse is caring for a 3 month old with nasolacrimal duct obstruction. Which intervention would be the most appropriate for the nurse to implement? a. Being careful to prevent spread of infection b. Teaching the parents how to gently massage the duct c. Applying hot, moist compresses to the affected eye d. Referring the child to an ophthalmologist
B
The nurse is examining a 3 year old boy with acute otitis media who has a mild earache and a temp of 38.5*C. Which action will be taken? a. Obtain a culture of the middle ear fluid b. instruct the parents to watch for worsening symptoms c. Administer antibiotics d. administer antivirals
B
The parents of a 10 year old girl with refractive error ask the nurse about the possibility of laser surgery to correct the vision. Which statement by the nurse would be most appropriate? a. as she gets older, her vision wil begin to correct itself b. Laser surgery typically is not done until shes 18 years old c. She looks so cute in her glasses, why put her through surgery? d. She can use contact lenses soon, so surgery isn't necessary
B
What would the nurse include when teaching parents how to prevent otitis externa? a. daily ear cleaning with cotton swabs b. wearing ear plugs when swimming c. using a hair dryer on high to dry the ear canals d. Using hydrogen peroxide to dry the canal skin
B
The nurse is caring for a newborn and knows that his vision, unlike his hearing, is not fully developed. Which aspect of the child's vision would the nurse expect to be similar to his father's vision? a. adequate color detection b. visual acuity of 20/100 c. nearsightedness d. monocular vision
B If the child's father has lost visual acuity, he and his new son could possibly have the same 20/100 vision.
A child is diagnosed with a helminthic infection. Which treatments would the nurse expect to be prescribed? SATA a. Erythromycin b. Albendazole c. Pyrantle Pamoate d. Acyclovir e. Metronidazole f. Permethrin
B, C
The nurse is developing a teaching plan for the mother of a 4 year old girl with cold and fever. What would the nurse include in this teaching plan? a. Keeping the child covered and warm b. Calling the doctor if the child's fever lasts more than 36 hours c. Ensuring fluid intake to prevent dehydration d. Observing for changes in alterness resulting from brain damage
C
The nurse is instructing a 7 year old child and his parents about using his prescribed corrective lenses. What would the nurse include in these instructions? a. Make sure to take your glasses off from time to time to allow your eyes to rest. b. Remove your glasses with both hands and lay them with the lens upright on the surface c. Clean the glasses every day with a mild soap and water or commercial cleaning agent d. Use paper towels or tissues to dry and periodically clean the lenses.
C
The nurse is taking a health history for a 9 year old girl. Which finding would alert the nurse to a possible risk factor specifically associated with visual impairment? a. being born at 39 weeks gestation b. Having several hours of homework daily c. Being of African American heritage d. Being active in sports
C
The pediatric nurse knows that the children she is treating are considered minors. Which statement accurately describes the regulations related to consent for medical treatment? a. Children older than 16 can provide their own consent for, or refusal of, medical procedures. b. A guardian ad litem maybe appointed by the parents to serve to protect the child's best interests. c. Parents ultimately are the decision makers regarding medical treatment for their children younger than age of 18. d. When divorce occurs, the parent with whom the child is living on a daily basis will be granted sole custody
C
The school nurse is caring for a 10 year old boy whose single mother's boyfriend is living with them. Which may be an indicator of violence in the home? a. He expresses his feelings with art b. he reports no health issues such as stomachaches c. he recently started smoking d. he is involved in after school activities
C
What would be most important to include in the teaching plan for parents of a child with pinworm? a. Seal the child's clothing in a plastic bag for at least 10 days b. Be sure your child wears shoes at all times c. Make sure the child washes his hands after using the bathroom d. After applying this special cream, leave it on for about 8 to 10 hours
C
When integrating the principles of family centered care, the nurse would include which concept? a. Parents want nurses to make decisions about their child's treatment b. Families are unable to make informed decisions c. People have taken increased responsibility for their own health d. Families require little information to make appropriate decisions
C
When integrating the principles of family centered care, the nurse would not include which of the following? a. Parents want to make decisions about their child's treatment b. Families can make informed choices c. People have taken less responsibility for their own health d. Families require more information to make appropriate decisions.
C
While obtaining a health history from a male adolescent during a well check up, the nurse assesses his sexual behavior and risk for STI. Based on the information, the nurse plans to teach the adolescent about using a condom. What would the nurse include in the teaching plan? a. You can reuse a condom if its within 3 hours. b. Store your condoms in your wallet so they are ready for use c.Put the condom on before engaging in any genital contact. d. Use petroleum jelly with a latex condom for extra lubrication
C
The client has a heavily draining wound for which there is an order to change the dressing every 4 hours. The nurse becomes busy and does not change the dressing as ordered. Which link in the chain of infection has the nurse allowed to flourish? a. Susceptible host b. Portal of exit c. Reservoir d. Mode of transmission
C The reservoir is the area where a pathogen grows and reproduces. Leaving the dressing unchanged allows for a dark, warm, nutrient rich, and moist environment where many organisms will thrive.
A group of students are reviewing information about the differences in the hearing and vision capabilities of a child when compared to an adult. The students demonstrate a need for additional study when they identify what as one of the differences? a. hearing is completely developed at the time of birth b. visual acuity develops from birth throughout childhood c. binocular vision is usually achieved by 2 months of age d. the ability to discriminate colors is completed by birth
D
A nurse develops a plan of care for a child that includes patching the eye. This plan of are would be most appropriate for which condition? a. Astigmatism b. Hyperopia c. Myopia d. Amblyopia
D
A woman gives birth to a healthy newborn. As part of the newborn's care, the nurse instills erythromycin ophthalmic ointment as a preventive measure related to which STI? A) Genital herpes B) Hepatitis B C) Syphilis D) Gonorrhea
D
After teaching the parents of a child with varicella zoster, the nurse determines that the parents have understood the teaching when they state that their child can return to school at which time? a. after day 5 of rash b. when the rash is completely healed c. once the rash appears d. after the lesions have crusted
D
The nurse is caring for a 3 year old boy with amblyopia. Which intervention would be most appropriate to include in teh child's plan of care? a. Rinsing the eye with cool water b. Educating the family about the disease c. Encouraging frequent hand washing d. Promoting eye safety
D
The nurse is instructing the parents of a school age child with an eye disorder how to care for her eye. Which condition would the nurse explain as resolving by itself without the use of antibiotics? a. Blepharitis b. Hordeolum c. Corneal abrasion d. Chalazion
D
The nurse is preparing to obtain a blood specimen via capillary heel puncture. Which action would be most appropriate for the nurse to do? a. Apply a cool compress for several minutes before collection b. Elevate the extremity used after puncturing it c. Squeeze the area to facilitate specimen collection d. Wipe away the first drop of blood with dry gauze
D
The nurse is assessing the tympanic temperature of several children. The nurse documents that the child with which temperature reading has a fever? a. 98.2 F b. 99.2 F c. 100 F d. 100.8 F
D (greater than 100.4 is considered a fever)
The nurse is providing home care for a 6 year old girl with multiple medical challenges. Which activities are part of the educator role of the nurse? SATA a. Arranging for a physical therapy session b. Teaching parents to administer albuterol c. Reminding a parent to give a full course of antibiotics d. Giving a DTaP vaccination at the proper interval. e. Showing the parents how to perform proper hand hygiene. f. Integrating research findings to establish evidence based practice
B, C, E
The neonatal nurse assesses newborns for iron-deficiency anemia. Which newborn is at highest risk for this disorder? a. A postterm newborn b. a term newborn with jaundice c. a new born born to a diabetic mother d. a premature newborn
D
The nurse is caring for a 12 year old child hospitalized for internal injuries following a motor vehicle accident. For which medical treatment would the nurse ensure that an informed consent is completed beyond the one signed at admission? a. Diagnostic imaging b. Cardiac monitoring c. Blood testing d. Spinal tap
D
The nurse is caring fora 2 year old girl who is wheezing and has difficulty breathing. Which interview question would provide the most useful information related to the symptoms of the child? a. Inquiring about child safety in teh home b. Asking about the temperament of the child c. asking about the child's diet d. asking the parents if they smoke in the home
D
The nurse is promoting a healthy diet to guide a mother when feeding her 2 week old girl. Which is the most effective anticipatory guidance? a. Substituting cow's milk if breast milk is not available b. Advocating iron supplements with bottle feeding c. Advising fluid intake per feeding of 5 or 6 ounces d. Discouraging the addition of fruit juices to the diet
D
The nurse is teaching parents of a 2 year old about the extinction method of discipline. What is an example of this method of discipline? a. praising the child for good behavior b. reprimanding the child c. spanking the child d. enforcing a time out
D
The nurse volunteering at a homeless shelter to assist families with children identifies homelessness as a risk preventing families from achieving positive outcomes in life. What family theory encompasses this approach to assessing family dynamics? a. Duvall's developmental theory b. Friedman's structural functional theory c. Von Bertalanffy's general system theory applied to families d. Resiliency model of family stress, adjustment, and adaptation
D
A new mother expresses concern to the nurse that her baby is crying and grunting when passing stool. What is the nurse's best response? a. This is normal behavior for infants unless the stool passed is hard and dry. b. This is normal behavior for infants due to the immaturity of the gastrointestinal system. c. This indicates a blockage in the intestine and must be reported to the physician d. This is normal behavior for infants unless the stool passed is black or green
A
The nurse caing for families in crisis assesses the affective function of an immigrant family consisting of a father, mother, and two school age children. Based on Friedman's structural functional theory, what defines this family component? a. Meeting the love and belonging needs of each member b. Teaching children how to function and assume adult roles in society c. Ensuring the family has necessary resources with appropriate allocation d. Involving the provision of physical care to keep the family healthy.
A
The nurse in a community clinic is caring for a 6 month old boy and his mother. Which intervention is priority to promote adequate growth? a. Monitoring the child's weight and height b. Encouraging a more frequent feeding schedule c. Assessing the child's current feeding pattern d. Recommending higher calorie solid foods
A
The nurse is caring for a 14 year old girl with multiple health problems. Which of the following activities would best reflect evidence based practice by the nurse? a. Following blood pressure monitoring recommendations b. Determining how often teh vital signs are monitored c. Using hospital protocol for ordering diagnostic tests d. Deciding the prescribed medication dose
A
The nurse is providing anticipatory guidance to the mother of a 9 month old girl during a well baby visit. Which topic would be most appropriate? a. Advising how to create a toddler safe home b. Warning about small objects left on the floor c. Cautioning about putting the baby in a walker d. Telling about safety procedures during baths
A
The nurse is providing care for a 9 year old girl who is medically fragile. Which is an example of the nursing role of collaboration? a. Informing the team members of the progress of treatment b. Discussing the child's needs with a school nurse c. Advising the pulmonologist of respiratory symptoms d. Arranging for after school attendance at a day care facility
A
The nurse is teaching a new mother about the drastic growth and development changes her infant will experience in the first year of life. Which statement describes a developmental milestone occurring in infancy? a. By 6 months of age the infant's brain weighs half that of the adult brain; at age 12 months the brain weighs 2.5 times what it did at birth b. Most infants triple their birth weight by 4 to 6 months and quadruple their birthweight by the time they are 1 c. The head circumference increases rapidly during the first 6 months. The average increase is about 1 inch per month d. The heart triples in size over the first year of life; the average pulse rate decreases from 120 to 140 in the newborn to about 100 in the 1 year old
A
The nurse is teaching an athletic father how to stimulate his 7 year old son who has a slow to warm up temperament. Which guidance will be most successful? a. Telling him to read stories to the child about famous athletes b. Suggesting he take the child to watch him play softball c. Urging him to sign the child up for little league football d. Proposing wrestling with the child and letting him win
A
The nurse researcher investigates the morbidity rate in the US. Which statement accurately reflects this concept? a. Morbidity measures the prevalence of a specific illness in a population at a particular time. b. Morbidity is presented in rates per 100,000 population. c. Morbidity statistics are revised more frequently because of the ease in defining or obtaining the information. d. In general, 76% of children in the US enjoyed excellent health and 27% had very good health in a 207 report.
A
When assessing a family for barriers to health care, the nurse documents checks for psychosocial barriers. What is an example of this type of health care deficit? a. Academic difficulties b. Respiratory illness c. Poor sanitation d. Inherited diseases
A
The nurse is assessing a 4-month-old boy during a scheduled visit. Which findings might suggest a developmental problem? a. The child does not babble b. The child does not vocally respond to voices c. The child never squeals or yells d. The child does not say dada or mama
B
The nurse is caring for a 4 week old girl and her mother. Which is the most appropriate subject for anticipatory guidance? a. promoting the digestibility of breast milk b. Telling how and when to introduce rice cereal c. Describing root reflex and latching on d. Advising how to choose a good formula
B
The nurse is caring for a child and family who just moved out of a dangerous neighborhood. Which of the following approaches is appropriate to the family stress theory? a. Determining who is the decision maker b. Assessing the child's coping abilities c. Finding out how a sibling feels d. Having to explain procedures ot a sibling
B
The nurse knows that the emancipated minor is considered to have the legal capacity of an adult and may make his or her own health care decisions. Which of the following children would potentially be considered an emancipated minor? a. A minor with financial independence who is living with his parents. b. A minor who is pregnant c. A child older thatn 13 years of age who asks for emancipation d. A minor who puts his or her medical decisions in writing
B
The nurse is caring for a newborn infant who has down syndrome. Which nursing action reflects the nurse's use of the ethical principle of nonmaleficence? a. The nurse speaks truthfully to the parents regarding their child's prognosis. b. The nurse provides safe, competent nursing care to avoid harming the infant. c. The nurse involves the parents in making health care decisions for their child. d. The nurse fairly allocates resources for caring for newborns in a facility.
B
The nurse who is scheduled to work in a clinic in a Hispanic neighborhood takes time to research Hispanic cultural norms to better provide culturally competent care to people at work. This behavior is an example of which of the following cultural components? a. cultural awareness b. cultural knowledge c. cultural skills d cultural encounter
B
The nurse is counseling the mother of a newborn who is concerned about her baby's constant crying. What teaching would be appropriate for this mother? a. Carrying the baby may increase the length of crying b. Reducing stimulation may decrease the length of crying c. Using vibration, white noise, or swaddling may increase crying. d. Using a swing or car ride may increase the incidence of crying episodes
B
The nurse is educating a first time mother who has a 1 week old boy. Which is the most accurate anticipatory guideline? a. Describing the effect of neonatal teeth on breastfeeding b. Explaining that the stomach holds less than 1 ounce c. Informing the fontanels will close by 6 months d. Telling that the step reflex persists until the child walks
B
The nurse is functioning in teh primary role to care for a 12 year old boy with metastatic cancer in the liver. Which activity is typical of advocacy? a. Instructing the parents about proper home care b. Educating the family about choices they have c. Telling parents about clinical guidelines d. Teaching the family about types of cancers
B
A nurse is instructing a parent on how to obtain a stool culture for ova and parasites from a child with diarrhea. What would the nurse include in the teaching plan? a. Give the child bismuth and then collect the next specimen b. Obtain the specimen from the toilet after the child has a bowel movement. c. Keep the specimen from coming into contact with any urine d. Bring the specimen to the laboratory on the third day.
C
A nurse is developing a plan of care for a child who is admitted to the hospital for surgery. The child is visually impaired. What would be most appropriate for the nurse to include in the child's plan of care? SATA a. Explaining instructions using simple and specific terms the child understands b. Allowing the child to explore the postoperative equipment with his hands c. Touching the child on his shoulder before letting the child know someone is there d. Using the child's body parts to refer to the area where he may have postoperative pain e. Speaking to the child in a voice that is slightly louder than the usual tone of voice.
A, B, D
A nurse suspects that an adolescent may have community acquired methicillin resistant staph aureus (MRSA). What would the nurse expect to assess? SATA a. Participation in contact sport b. Recent cut on the lower leg c. History of a recent sore throat d. Raised fluctuant lesions e. Erythematous rash over the trunk and face
A, B, D
The parents of a 7 month old child with an infection ask about how to treat their child's fever. After providing teaching, the parents voice understanding with which statements? SATA a. Unless my child develops a fever over 102.2, I don't need to make an appointment with the physician. b. Having a temp over 38*C puts my child at risk for the infection spreading to the bloodstream. c. I can use acetaminophen to help with the symptoms of the infection but it won't get rid of the infection. d. Even though people get frightened, fevers are not a bad thing during an infection unless it gets too high. e. Any fever is dangerous and can cause serious damage to brain cells if it goes on too long
A, C, D
A mother brings her child to the health care clinic because she thinks that the child has conjunctivitis. Which assessment findings would lead the nurse to suspect bacterial conjunctivitis? SATA a. Itching of the eyes b. inflamed conjunctiva c. stringy discharge d. photophobia e. mild pain f. tearing
B, E
The nurse is caring for a 6 year old visually impaired boy who is about to begin the physical examination. Which intervention would be most appropriate to promote effective communication with the child? a. Show him the stethoscope b. Describe the examination room c. Use his name before touching him d. Allow him to explore the exam room
C
A child is diagnoses with scarlet fever. The nurse is reviewing the child's medical record expecting which medication to be prescribed for this child? a. Ibuprofen b. Acyclovir c. Penicillin V d. Doxycycline
C
A child with persistent otitis media with effusion is to undergo insertion of pressure-equalizing tubes via a myringotomy. The child is to be discharged later that day. After teaching the parents about caring for their child after discharge, which statement indicates that the teaching was successful? a. The tubes will stay in pace for about a month and then fall out on their own b. His chances for ear infections have now dramatically decreased c. He should wear earplugs when swimming in a pool or lake d. We should keep the ears protected with cotton balls for the first 24 hours.
C
A group of nursing students are reviewing information about childhood infectious diseases. The students demonstrate understanding of this information when they identify which disease as a common childhood exanthema? a. mumps b. rabies c. rubella d. west nile virus
C
A nurse is examining a 7 year old boy with horeolum. Which would the nurse expect to find? a. redness b. scaling c. pain d. edema
C
A school aged child with an infectious disease is placed on transmission based precautions. Which nursing diagnosis would be the priority? a. Impaired skin integrity related to trauma secondary to pruritus and scratching b. Fluid volume deficit related to increased metabolic demands and insensible losses c. Social isolation related to infectivity and inabiity to go to the playroom d. Deficient knowledge related to how infection is transmitted
C
After teaching a group of parents about ear infections in children, which statement indicates that the teaching was successful? a. Infants with congenital deformities have an increased risk for ear infection b. Ear infections typically increase as teh child gets older c. The shorter and wider eustachian tubes of an infant increase the risk d. Adenoids shrink as the child grows, allowing more bacteria to enter
C
After teaching a group of students about visual disorders, the instructor determines that the teaching was successful when the students identify what as teh most common cause of visual difficulties in children? a. astigmatism b. strabismus c. refractive errors d. nystagmus
C
The mother of a 4 y ear old boy has contacted the physician's office. She reports her son was exposed to someone with chickenpox. She has inquired about when her son may show if he has gotten the disease. What information should be provided? a. The illness should be seen in a week if he has been exposed b. Symptoms of the disease should show up within 24 to 48 hours of exposure c. The incubation period for the disease is between 10 and 21 days d. Younger children will have longer periods of incubation
C
The nurse is assessing a toddler for temperament and documents a difficult temperament. Which traits are often seen in this type of personality? SATA a. Moodiness b. Irritability c. Even temperedness d. Overly active e. regular, biologic functions
B, D
A new mother shows the nurse that her baby grasps her finger when she touches the baby's palm. How might the nurse respond to this information? a. This is a primitive reflex known as the plantar grasp b. This is a primitive reflex known as the palmar grasp c. This is a protective reflex known as rooting d. This is a protective reflex known as the Moro reflex
B
A nurse is conducting a health history for a 1 month old with an infectious disorder. Which segment of the health history would be most helpful for the nurse when determining if the infant developed the infection from the mother? a. Family hx b. Past medical hx c. Home treatments d. Present illness hx
B
The nurse is helping the family of a terminally ill child to fill out an advance directives form. Which options are usually determined by this document? SATA a. Withholding food b. Withholding water c. Withholding antibiotics d. DNR orders e. Withholding ventilation f. Providing artificial nutrition
C, D, E, F
A 10 year old girl is living with a foster family. Which intervention is the priority for the child in this family structure? a. Determining if the child is being bullied at school b. dealing with mixed expectations c. Establishing who is the child's actual caretaker d. Performing a comprehensive health assessment
D
A 14 year old tells the nurse that he feels like he can never live up to his parents' standards and that they won't even discuss their rules. What parenting style do this child's parents most likely practice? a. Authoritative b. Rejecting c. Uninvolved d. Authoritarian
D
A 6 month old girl weighs 14.7 lbs during a scheduled check-up. Her birth weight was 8 lbs. What is the priority nursing intervention? a. Talking about solid food consumption b. Discouraging daily fruit juice intake c. Increasing the number of breastfeedings d. Discussing the child's feeding patterns
D
A child needs a consent form signed for a minor surgical procedure. Which statement accurately describes the responsibilities of teh health care providers when obtaining consent? a. The physician is responsible for ensuring that teh consent form is completed with signatures form the parents or legal guardians. b. The physician is responsible for serving as a witness to the signature process. c. The nurse is responsible for informing the child and family about the procedure and obtaining consent. d. The nurse is responsible for determining that the parents or legal guardians understand what they are signing by asking them pertinent questions.
D
A mother is concerned about her infant's spitting up. Which suggestion would be most appropriate? a. Put the infant in an infant seat after eating. b. Limit burping to once during a feeding c. Feed the same amount but space out the feedings d. Keep the baby sitting up for about 30 mins afterward
D
The nurse in charge of the quality department is reviewing cases regarding HIPAA compliance. In which cases does the nurse correctly determine that HIPAA standards were followed? SATA a. A child is diagnoses with an inner ear infection and follow up care instructions are given to the child's aunt, who provides a medical consent form from the parents, who are on vacation. b. The emergency department nurse manager reports the suspicion of abuse to the child welfare department for a child admitted with suspicious injuries. c. The grandparents of a child ask the nurse on the medical floor when their grandchild will be released home to the parents. d. The physician reports the diagnosis of hep c of a 14 year old, who is abusing injectable drugs, to the health dept. e. The nurse manager tells the superintendent of schools that a high school student is infected with HIV to that proper precautions can be implemented in the school
A, B, D
The nurse working in a free community clinic knows that access to health care is affected negatively by lack of health insurance. What accurately describes the effect of lack of insurance on family health? SATA a. Parents with uninsured children often delay care for their children b. Parents with uninsured children are less liely to have taken their children to a doctor or dentist in the last 2 years c. Parents with uninsured children are three times less likely to have a usual place or care for their children d. The percentage of children without health insurance rose slightly from 11.7% in 2006 to 13% in 2007. e. Currently, the states have improved enrollment in Medicaid and the State Childrne's Health Insurance Program (SCHIP) f. Despite state efforts to insure all children, nearly half of children eligible for these public programs are still uninsured.
A, B, E, F
The nurse accepts an assignment that involves caring for new parents and their infants in a clinic in a predominantly African American neighborhood. In order to apply culturally competent care, the nurse investigates teh common beliefs and practices that may affect the health of these parents and infants. What are some examples of these beliefs? SATA a. Strong extended family relationships; mother as head of household; elder family members valued and respected b. Use of complementary modalities with western health care practices c. View of health as harmony with nature, illness as disruption with harmony. d. View of pain and suffering as inevitable; relief achieved through prayers and laying on of hands. e. Health viewed as God's will maintainable with a balance of hot and cold food intake f. Restoration of physical, mental, and spiritual balance through healing ceremonies
A, C, D
The nurse is preparing a presentation regarding prevention of the unintentional injuries of drowning and bicycle accidents resulting in death. The population attending the presentation are parents of children ages 1 to 14. Which groups of parents would be best for the nurse to target when preparing this presentation? SATA a. American Indian parents b. Parents of female childrne c. Parents who live in government subsidized housing d. Single parents e. Asian american parents
A, C, D
The neonatal nurse researches the neonatal and mortality rates in the US. Which statements accurately describe these measurements of child health? SATA a. Neonatal mortality is the number of infant deaths occurring in the first 28 days of life per 1,000 live births. b. The infant mortality rate refers to the number of deaths occurring in the first 6 months of life. c. Neonatal mortality is documented as the number of deaths in relation to 1,000 live births. d. The infant mortality rate is used as an index of the general health of a country. e. In 2007, the infant mortality rate in teh US was 6.8 per 1000 live births. f. The infant mortality rate is consistent from state to state as well as between ethnic groups.
A, C, D, E
The nurse is talking with a newly married couple who are asking questions about genetic testing. Which statement by the couple indicates the need for further teaching regarding genetics? SATA a. We are thankful that our child's temperament won't be anything like either of our fathers' temperaments b. We have a 62% chance of our child being a boy c. Genetic testing will help in identifying at least some genetic disorders d. We are glad that heart disease just runs in our family and can't bea genetic disease. e. Since both of our parents are Asian, we will definitely be having an Asian baby.
A, D
The nurse is caring for a 10 year old boy with a neuroblastoma. Which activities best describe the role of the nurse as a care coordinator, collaborator, and consultant? SATA a. Collaborating with the family throughout the care path. b. Advancing the interests of children and their families by knowing their needs. c. Informing children and families of their rights and options. d. Coordinating care provided by the interdisciplinary team. e. Ensuring that the child's family's needs are met through activities such as support groups. f. Providing appropriate client education based on the child's developmental level.
A, D, E
The pediatric nurse operates according to the standards of professional performance according to the American Nurses Association (ANA) Scope and Standards of Pediatric Nursing Practice. Which statements accurately reflect these standards? SATA a. The pediatric nurse uses research findings in practice and participates in the generation of new knowledge. b. The pediatric nurse plans and delivers safe, effective nursing care regardless of the cost and it's impact on practice. c. The pediatric nurse acts as an advocate for the hospital staff, physicians, and other health care team members involved in the care of the child. d. The pediatric nurse's decisions and actions in all areas of practice are determined in an ethica manner. e. The pediatric nurse collaborates with the child, family, and physician in providing care for the child. f. The health care administrators, not the pediatric nurses, are responsible for improving the quality and effectiveness of pediatric nursing practice.
A, D, E
The nurse caring for newborns knows that infants exhibit phenomenal increases in their gross motor skills over the first 12 months of life. Which statements accurately describe the typical infant's achievement of these milestones? a. At 1 month, the infant lifts and turns the head to the side in the prone position b. At 2 months the infant rolls from supine to prone and back again c. At 6 months the infant pulls to stand up d. At 7 months the infant sits alone with some use of hands for support e. At 9 months the infant crawls with the abdomen off the floor f. At 12 months the infant walks independently
A, D, E, F
After teaching a mother how to remove a tick from her 6 year old boy's arm, the nurse determines that additional teaching is needed when the mother makes what statement? a. I'll protect my fingers with a paper towel b. I'll grasp the tick and pull it away quickly c. I should put the tick in a plastic bag in the freezer d. I need to grasp the tick close to the child's skin
B
The nurse is assessing a family to determine if they have access to adequate health care. Which statement accurately describes how certain families are affected by common barriers to health care? a. After a decade of escalation, the percentage of children living in low income families had been on the decline since 2000. b. White, non hispanic children overall are more likely than African American and HIspanic children to be in very good or excellent health. c. The proportion of children between the ages of 6 and 18 who are overweight is decreasing by a large increase is occurring in african american females d. The overall health care plan of working families may improve access to specialty care but limit access to preventive services
B
The nurse is providing anticipatory guidance to a mother of a 5 month old boys about introducing solid foods. Which statement by the mother indicates that effective teaching has occurred? a. I'll start with baby oatmeal cereal mixed with low fat milk. b. The cereal should be a fairly thin consistency at first c. I can puree the meat that we are eating to give to my baby. d. Once he gets used to the cereal, then we'll try giving him a cup.
B
The nurse is reviewing a copy of the US Surgeon General's Report, Healthy People. Which nursing action best reflects the nurse fostering this health care agenda? a. The nurse signs up for classes to obtain an advanced degree in nursing. b. The nurse volunteers at a local health care clinic providing free vaccinations for low income population. c. The nurse performs an in-service on basic hospital equipment for student nurses. d. THe nurse compiles nursing articles on evidence based practices in nursing to present at a hospital training seminar.
B
The nurse is teaching discipline strategies to the parents of a 14 year old girl. Which topic is an example of positive reinforcement discipline? a. Unplugging the DVD player for the weekend b. taking a chore away from her for a week c. having her clean up the kitchen for a week d. ignoring her request if she doesn't say "please"
B
The nurse observes an infant interacting with his parents. What are normal social behavioral developments for this age group? SATA a. Around 5 months the infant may develop stranger anxiety b. Around 2 months teh infant exhibits a first real smile c. Around 3 months the infant smiles widely and gurgles when interacting with caregiver d. Around 3 months the infant will mimic the parent's facial movements such as sticking out the tongue e. Around 3 to 6 months of age the infant may enjoy socially interactive games such as patty-cake and peek-a-boo f. Separation anxiety may also start in teh last few months of infancy
B, C, D, F
The nurse is caring for a child just admitted to the med-surg unit and notes that the patient records indicate the family's religion as Roman Catholic. Which statements by the nurse are appropriate when considering the patients religion while providing care? SATA a. I will add you to the list of patient for hospital clergy to visit. b. Is there anything I can do to help your family maintain any religious practices during your child's stay here? c. I am catholic too so if you would like to pray, I would be happy to pray with you. d. If there is any religious dietary practices that we should be aware of, please don't hesitate to let our staff know. e. I have several friends who are Catholic. I'm not sure I understand all of your practices but I will respect them.
B, D
The nurse is caring for a 4 year old girl of Mexican descent who is recovering in the hospital following a diagnosis of epileptic seizures. The child's mother insists on a visit from her curandera to provide healing powers to her daughter. What would be the best intervention of the nurse in this situation? a. Explain to the mother that hospital policy does not allow visits from unlicensed practitioners. b. Encourage the mother to arrange a visit with her curandera when her daughter is released from the hospital. c. Discuss the situation with the child's physician and arrange for a visit from the curandera at the hospital if appropriate. d. Distract the mother from her demands by focusing on a child and family teaching related to her daughter's condition
C
The nurse is caring for a child brought to the emergency department by a babysitter. The child needs an emergency appendectomy and the parents cannot be contacted. What would be the nurse's best response to this situation? a. Have the babysitter sign the consent form even if she does not have signed papers to do so b. Have the primary care physician for the child sign the consent form c. Document failed attempts to obtain consent to allow emergency care. d. Delay medical care until the child's next of kin can be contacted
C
The nurse is teaching a new mother the proper techniques for breastfeeding her newborn. Which is a recommended guideline that should be implemented? a. Wash the hands and breasts thoroughly prior to breastfeeding b. Stroke the nipple against the baby's chin to stimulate the wide opening of the baby's mouth c. Bring the baby's wide wide open mouth to the breast to form a seal around all of the nipple and areola d. When finished the mother can break the suction by firmly pulling the baby's mouth away from the nipple
C
The nurse providing family-centered care in a hospital setting reflects on the focus of the health care provided in today's society. Which statement best describes the current definition of health? a. Health is described as an 'absence of disease.' b. Health is measured by monitoring mortality and morbidity of a group c. Health is a state of complete physical, mental, and social well-being. d. Technological gains made in health care are shared equally among all children.
C
