Pest final review
A child who is dependent on a ventilator is being discharged from the hospital. Prior to discharge, the home-health nurse discusses development of an emergency pan of care with the family. Which is the most essential part of the plan? 1. Acquisition of a backup generator 2. Designation of an emergency shelter site 3. Provision for an alternate heating source if power is lost 4. Notifying the power company that the child is on life support
1. Acquisition of a backup generator
The nurse is teaching a new mother developmental expectations. Which activity should the nurse expect a newborn to do within the first month of life? 1. Bring hands to eyes and mouth 2. Push up with hands, moving chest up 3. Keep hands in a relaxed position 4. Roll over from back to abdomen
1. Bring hands to eyes and mouth
A family with a child who had a cleft lip and palate at birth are planning another pregnancy. What intervention should be recommended prior to conception? 1. A genetic family history 2. A family pedigree 3. A genetic physical assessment 4. A maternal health history
1. A genetic family history
When discussing inheritance with parents of a child with a genetic disorder, which statement by the parents indicates they understand inheritance risk? 1. "This child has a genetic disorder, so future children will not have it." 2. "Each pregnancy carries the same percent risk of inheritance." 3. "I cannot have any more children, because they will all have the disorder." 4. "There is a good chance future children will be normal."
2. "Each pregnancy carries the same percent risk of inheritance."
An adolescent reports the following: I get up at 6 am, I attend early-morning band classes three times each week, I play sports for two hours each day after school, and homework takes me three hours each night. I always feel tired. Which question by the nurse is most appropriate based on this information? 1. "How many hours of sleep do you get each night?" 2. "Do you consume foods high in iron?" 3. "Do you think you are doing too much?" 4. "Have you considered talking with your teachers about decreasing your homework, since you have so many extracurricular activities?"
1. "How many hours of sleep do you get each night?"
A mother of a 2-year-old child becomes very anxious when the child has a temper tantrum in the medical office. Which response by the nurse is the most appropriate? 1. "What do you usually do or say during a temper tantrum?" 2. "Let's ignore this behavior; it will stop sooner or later." 3. "Pick up and cuddle your child now, please." 4. "This is definitely a temper tantrum; I know exactly what you are feeling right now."
1. "What do you usually do or say during a temper tantrum?"
The nurse in a pediatric acute care unit is assigned the following tasks. Which task is not appropriate for the nurse to complete? 1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic. 2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical recovery. 3. Provide information to a mother of a newly diagnosed 4-year-old diabetic about local support-group options. 4. Diagnose a 6-year-old with Diversional Activity Deficit related to placement in isolation.
1. Diagnose an 8-year-old with acute otitis media and prescribe an antibiotic.
Which of these measures used by a nurse will help relieve parental anxiety related to the changing appetite in the toddler who is gaining weight alone the 50th percentile? 1. Discussing the growth of the toddler as compared to the growth chart 2. Suggesting ways to have the toddler eat higher calorie foods 3. Instructing the mother to feed the toddler alone without any distractions such as TV or music 4. Teaching the mother to avoid disciplining the toddler within one-half hour of eating
1. Discussing the growth of the toddler as compared to the growth chart
A nurse is working with a pediatric client. When obtaining an accurate family assessment, which initial step is the most appropriate? 1. Establish a trusting relationship with the family. 2. Select the most relevant family-assessment tool. 3. Focus primarily upon the mother, while learning her greatest concern. 4. Observe the family in the home setting, since this step always proves indispensable.
1. Establish a trusting relationship with the family
The nurse is assessing an adolescent client whose weight is in the 5th percentile. Based on this information, which question is most appropriate for the nurse to ask the adolescent client? 1. "Do you eat the school lunches?" 2. "Do you have any concerns about your weight?" 3. "Do you eat fruits, vegetables, and drink milk?" 4. "How many meals do you eat each day?"
2. "Do you have any concerns about your weight?"
An adolescent client has a long leg cast secondary to a fractured femur. Which action by the nurse would effectively facilitate the adolescents to return to school? 1. Meet with teachers and administrators at the school to make sure entrances and classrooms are wheelchair accessible. 2. Develop an individualized health plan (IHP) that focuses on long-term needs of the adolescent. 3. Prior to the student's return to school, meet with all of the other students to emphasize the special needs of the injured teen. 4. Meet with parents of the injured student to encourage homebound schooling until a short leg cast is applied.
1. Meet with teachers and administrators at the school to make sure entrances and classrooms are wheelchair accessible.
While assessing the development of a 9-month-old infant, the nurse asks the mother if the child is actively looking for toys when they are places out of sight. Which developmental task is the nurse assessing the infant for? 1. Object permanence 2. Centration 3. Transudative reasoning 4. Conservation
1. Object permanence
The nurse working in the clinic includes an adolescent history in every client intake interview. Which issue should the nurse address when the parents are not present? 1. Possible domestic violence 2. Teen job responsibilities 3. Activities that are done as a family 4. The adolescent's role in the family
1. Possible domestic violence
Which in the pediatrician's office for their child's 12-month well-child exam, the parents ask the nurse for advice on age-appropriate toys for their child. Based on the child's developmental level, which types of toys would the nurse suggest? SATA 1. Soft toys that can be manipulated 2. Small toys that can pop apart and go back together 3. Jack-in-the-box toys 4. Toys with black and white patterns 5. Push-and-pull toys
1. Soft toys that can be manipulated 3. Jack-in-the-box toys 5. Push-and-pull toys
The nurse is counseling the parents of a 6-1/2-month-old infant. Which age appropriate toy is the most appropriate for the nurse to suggest to these parents? 1. Soft, fluid-filled ring that can be chilled in the refrigerator 2. Colorful rattle 3. Jack-in-the-box toy 4. Push-and-pull toy
1. Soft, fluid-filled ring that can be chilled in the refrigerator
While inspecting a 5-year-old child's ears, the nurse notes that the right pinna protrudes outward and that there is a mass behind the right ear. In light of these findings, which vital-sign parameter would the nurse assess on priority? 1. Temperature 2. Heart rate 3. Respirations 4. Blood pressure
1. Temperature
Personalized healthcare for health promotion and maintenance can be based on environmental factors and which other item? 1. The genes a person inherited 2. Common conditions with known treatment strategies 3. Teaching strategies 4. The health of the person
1. The genes a person inherited
Parents of a preschool-age child report that they find it necessary to spank the child at least once a day. Which response should the nurse make to the parents? 1. "Spanking is one form of discipline; however, you want to be certain that you do not leave any marks on the child." 2. "Let's talk about other forms of discipline that have a more positive effect on the child." 3. "Can you try only spanking the child every other day for one week and see how that affects the child's behavior?" 4. "I think you are not parenting your child properly, so let's talk about ways to improve your parenting skills."
2. "Let's talk about other forms of discipline that have a more positive effect on the child."
During a clinic visit, the parents of a 15-month-old ask what disease and injury prevention topics would be appropriate to discuss at this age. Which response by the nurse is the most appropriate? 1. "It's never too early to teach a child to wear a helmet when riding a bicycle." 2. "Teaching simple handwashing is a good topic at this age." 3. "Tell the child over and over to stay away from water unless you are with him." 4. "Tell him firmly 'no' when he tries to cross the street."
2. "Teaching simple handwashing is a good topic at this age."
During a clinic visit, the parents of a 15-month-old asks what disease and injury prevention topics would be appropriate to discuss at this age. Which response by the nurse is most appropriate? 1. "It's never too early to teach a child to wear a helmet when riding a bicycle." 2. "Teaching simple handwashing is a good topic at this age." 3. "Tell the child over and over to stay away from water unless you are with him." 4. "Tell him firmly 'no' when he tries to cross the street."
2. "Teaching simple handwashing is a good topic at this age."
Parents of a child with a congenital heart defect ask what the chances are of recurring in future pregnancies. Which response by the nurse is the most appropriate? 1. "There is a 50 percent chance of recurrence in a future pregnancy." 2. "There is a very low chance of recurrence." 3. "It should not happen again with a future pregnancy." 4. "There is a strong chance of recurrence."
2. "There is a very low chance of recurrence."
A mother of an 18-month old asks the nurse whether she can begin to introduce low-fat milk like the rest of the family drinks. The nurse answers the mother based on the knowledge that low-fat milk can safely be introduced at what age? 1. 18 months 2. 24 months 3. 3 years 4. 4 years
2. 24 months
A nurse who is the manager of an ambulatory pediatric healthcare center is planning protocols for the routine healthcare visits of the children. Children at this care center have a high incidence of obesity. At which age should the nurses at this clinic calculate the body mass index (BMI) for all pediatric clients? 1. 12 months 2. 24 months 3. 36 months 4. 4 years
2. 24 months
An infant weighs 9 pounds 3 ounces at birth. The nurse plans to make a home visit to the mother and infant when the infant is 7 days old. What is the lowest acceptable weight the infant should be at this age? 1. 7 pounds 12 ounces 2. 8 pounds 2 ounces 3. 8 pounds 12 ounces 4. 9 pounds
2. 8 pounds 2 ounces
A 2-month-old infant with bronchopulmonary dysplasia (BPD) is being prepared for discharge from the neonatal intensive-care unit (NICU). The infant will continue to receive oxygen via nasal cannula at home. Prior to discharge, the home-health nurse assesses the home. Which finding poses the greatest risk to this infant? 1. Small toys strewn on the floor 2. A woodstove used for heating 3. A sibling who has an ear infection 4. Paint peeling on the walls
2. A woodstove used for heating
The telephone triage nurse receives a call from a parent who states that her 18-month-old is making a crowing sound when he breathes and is hard to wake up. Which action by the nurse is the most appropriate? 1. Obtain the history of the illness from the parent. 2. Advise the parent to hang up and call 9-1-1. 3. Make an appointment for the child to see the healthcare provider. 4. Reassure the parent and provide instructions on home care for the child.
2. Advise the parent to hang up and call 9-1-1.
A 27-month-old toddler who is in the pediatric office for a well-child visit begins to cry the moment he is placed on the examination table. The parent attempts to comfort the toddler; however, nothing is effective. Which of these actions by the nurse takes priority? 1. Instruct the father to hold the toddler down tightly to complete the examination. 2. Allow the toddler to sit on the parent's lap and begin the assessment. 3. Allow the toddler to stand on the floor until he stops crying. 4. Ask another nurse in the office to hold the toddler, because the parent is not able to control the toddler's behavior.
2. Allow the toddler to sit on the parent's lap and begin the assessment.
The nurse is providing care for several pediatric clients. Which client would require an Individualized Health Plan (IHP) prior to returning to school? 1. A school-age client who has recently developed a penicillin allergy 2. An adolescent client newly diagnosed with insulin-dependent diabetes mellitus 3. A school-age client who has been treated for head lice 4. An adolescent client who has missed two weeks of school due to mononucleosis
2. An adolescent client newly diagnosed with insulin-dependent diabetes mellitus
The nurse notes a history of a grade III heart murmur in a small infant. When assessing the heart, the nurse would expect to: 1. Auscultate a quiet but easily heard murmur. 2. Auscultate a moderately loud murmur without a palpable thrill. 3. Auscultate a very loud murmur with easily palpable thrill. 4. Listen without a stethoscope and hear a murmur at chest wall.
2. Auscultate a moderately loud murmur without a palpable thrill.
A 7-year-old child is admitted for acute appendicitis. The parents are questioning the nurse about expectations during the child's recovery. Which information tool would be most useful in answering a parent's questions about the timing of key events? 1. Healthy People 2020 2. Clinical pathways 3. Child mortality statistics 4. National clinical practice guidelines
2. Clinical pathways
The community-health nurse is planning an education session for recently hired teachers at a child-care center. Which item is priority for the community-health nurse to include in the educational session? 1. The schedule for immunizations 2. Principles of infection control 3. How to interpret healthcare records 4. How to take a temperature
2. Principles of infection control
A school-age client who recently moved to a new school in a different town presents to an ambulatory care center and describes the following: "I have no friends in my new school, and I no longer want to go to play soccer. I know i will be lonely there, too." Which of these takes priority when speaking to the school-age client? 1. Helping the school-age client realize the value of soccer 2. Promoting healthy mental-health outcomes 3. Acknowledging the fact that it takes several months to make new friends at a new school 4. Stressing the importance of remaining in a close parent-child relationship during these stressful times
2. Promoting healthy mental-health outcomes
The nurse is counseling the parents of a 13-year-old regarding the behaviors they may encounter after telling the child about their plans to divorce. Which behaviors could the child demonstrate? SATA 1. Sorrow 2. Skipping school 3. Risk-taking 4. Withdraw from friends and activities5. Temper tantrums
2. Skipping school 3. Risk-taking
A nurse is working with pediatric clients in a research facility. The nurse recognizes that federal guidelines are in place that delineate which pediatrics clients must give assent for participation in research trials. Based upon the clients age, the nurse would seek assent from which of the children? SATA 1. The precocious 4-year-old commencing as a cystic fibrosis research-study participant. 2. The 7-year-old leukemia client electing to receive a newly developed medication, now being researched. 3. The 10-year-old commencing in an investigative study for clients with precocious puberty. 4. The 13-year-old client commencing participation in a research program for Attention Deficit Hyperactivity Disorder (ADHD) treatments.
2. The 7-year-old leukemia client electing to receive a newly developed medication, now being researched. 3. The 10-year-old commencing in an investigative study for clients with precocious puberty. 4. The 13-year-old client commencing participation in a research program for Attention Deficit Hyperactivity Disorder (ADHD) treatments.
An adolescent reports participating in an exercise program at school each Wednesday throughout the school year. Further history reveals that the adolescent does not participate in any other physical activities. Which outcome is most appropriate for this adolescent? 1. The adolescent is reporting information consistent with what 60 percent of adolescents report as participation in physical activities. 2. The adolescent is not meeting the recommendations of the Healthy People 2020 initiative. 3. The adolescent should be encouraged to continue this program of exercise, since something is better than nothing. 4. The adolescent should be encouraged to vigorously exercise for at least 5 minutes each day.
2. The adolescent is not meeting the recommendations of the Healthy People 2020 initiative.
A 9-year-old child who has been followed in the same pediatric home since birth is at the healthcare center for a well-child visit. A nurse who measures the height and weight of the child documents 35th percentile for height and 90th percentile for weight. How should the nurse interpret these data? 1. The child is beginning a growth spurt. 2. The child is obese and needs dietary counseling. 3. The parents are most likely below the 50th percentile for height and weight. 4. As soon as the child begins the adolescent growth spurt, the height and weight measurements will normalize.
2. The child is obese and needs dietary counseling.
The nurse is performing a well-child exam on a child who turned 4 years old 3 months ago. What can the nurse ask the child to do to assess appropriate milestones for this age? 1. Jump up and down 2. Throw a ball 3. Stack three or more blocks 4. Draw lines on paper
2. Throw a ball
A nurse caring for a school-age client notices some swelling in the child's ankles. The nurse presses against the ankle bone for five seconds, then releases the pressure and notices a markedly slow disappearance of the indentation. Which priority nursing assessment is appropriate? 1. Skin integrity, especially in the lower extremities 2. Urine output 3. Level of consciousness 4. Range of motion and ankle mobility
2. Urine output
A nurse asks the mother of a 4-month-old infant to undress the infant. The nurse observes the mother taking off several layers of clothing and knows that the outdoor temperature is 70 degrees Fahrenheit. Which statement by the nurse is most appropriate in this situation? 1. "My, you are dressing your infant warmly today." 2. "Did you think it was cold when you left your home this morning?" 3. "I see that you have many layers of clothing on your baby. This may cause your baby's temperature to rise." 4. "When you leave the office, only put one layer of clothing on your baby."
3. "I see that you have many layers of clothing on your baby. This may cause your baby's temperature to rise."
A family desires genetic testing for their adolescent. What response by the clinic nurse is appropriate? 1. "The child is a minor and cannot give consent." 2. "It is not advisable because insurance does not pay for this test." 3. "Let me discuss this with the adolescent and then we can discuss it more fully." 4. "There is a chance the adolescent might be discriminated against because of the test."
3. "Let me discuss this with the adolescent and then we can discuss it more fully."
An obese adolescent who adamantly denies sexual activity has a positive pregnancy test, which was performed in the adolescent clinic. Which statement by the nurse is the most appropriate in this situation? 1. "Tell me how you feel about your body image." 2. "When was your last menstrual period (LMP)?" 3. "Let's discuss some activities that you have done within the past few months that could possibly lead to pregnancy." 4. "Were you involved in a date rape and are you hesitant to speak about it?"
3. "Let's discuss some activities that you have done within the past few months that could possibly lead to pregnancy."
A nurse observes the parent/child interaction during the 4-year-old well-child checkup and notes that the parent speaks harshly to the child and uses negative remarks when speaking with the nurse. Which statement by the nurse would be most beneficial? 1. "Perhaps you should leave the room so that I can speak with your child privately." 2. "I am going to refer you for counseling since your interactions with your child seem so negative." 3. "Let's talk privately. Let's discuss the way you speak with your child and possible ways to be more positive." 4. Addressing the child, the nurse says, "Are you unhappy when Mommy talks to you like this?"
3. "Let's talk privately. Let's discuss the way you speak with your child and possible ways to be more positive."
The nurse is taking a health history from a family of a 3-year-old child. Which statement by the nurse would most likely establish rapport and elicit an accurate response from the family? 1. "Does any member of your family have a history of asthma, heart disease, or diabetes?" 2. "Hello, I would like to talk with you and get some information on you and your child." 3. "Tell me about the concerns that brought you to the clinic today." 4. "You will need to fill out these forms; make sure that the information is as complete as possible."
3. "Tell me about the concerns that brought you to the clinic today."
The nurse is planning a class for school-age children on prevention of obesity through exercise. It is important to encourage the children to exercise a minimum of how many minutes a day to meet current recommendations? 1. 20 minutes 2. 30 minutes 3. 60 minutes 4. 90 minutes
3. 60 minutes
The nurse is evaluating the car seat of a 3-year-old who weighs 42 pounds. Which recommendation should the nurse make about the car seat to the parents? 1. Convertible, rear-facing seat 2. Belt-positioning booster seat 3. A car seat with a harness approved for higher weights and heights 4. A regular seat with lap and shoulder strap
3. A car seat with a harness approved for higher weights and heights
An adolescent female presents at a nurse practitioner's office and requests a signature for working papers. The nurse reviews her chart and notes that the last physical examination was two years ago. In addition to providing the signature for the working papers, what else should the nurse use this visit? 1. An opportunity to discuss birth-control measures 2. A time to discuss exercise and sports participation 3. A health-supervision opportunity 4. A chance to discuss the importance of pursuing post-secondary education
3. A health-supervision opportunity
The nurse is assessing a group of children attending summer camp. The nurse will expect which children to most likely have problems perceiving sense of belonging? 1. Children whose parents divorced recently 2. Children who gained a stepparent recently 3. Children recently placed into foster care 4. Children adopted as infants
3. Children recently placed into foster care
Cultures have many different childrearing practices. Which culture is known to value the male child more than the female child, and often teaches children to avoid displaying emotion? 1. Mexican 2. Amish 3. Chinese 4. Navajo
3. Chinese
The nurse is caring for a newly-admitted infant diagnosed with "failure to thrive." The nurse begins to implement the healthcare provider prescribed orders by taking blood pressures in all four extremities. Which congenital cardiac defect does the nurse anticipate based on the prescribed order? 1. Tetralogy of Fallot 2. Pulmonary atresia 3. Coarctation of the aorta 4. Ventricular septal defect
3. Coarctation of the aorta
While assessing a 10-month-old African American infant, the nurse notices that the sclerae have a yellowish tint. Which organ system should the nurse further evaluate to determine an ongoing disease process? 1. Cardiac 2. Respiratory 3. Gastrointestinal 4. Genitourinary
3. Gastrointestinal
A nurse obtains a nutritional health history from a 10-year-old child. Which of these food selections, if consumed on a regular basis, should lead the nurse to become concerned about the need for improving oral hygiene? 1. Peanuts and crackers 2. Sorbet and yogurt 3. Gummy bears and licorice 4. Fluoridated water
3. Gummy bears and licorice
The school nurse is preparing a plan of care specific to several children in the school who have asthma. What is the initial action on the plan of care? 1. Call 911 to request emergency medical assistance. 2. Call the child's parents to come and pick up the child. 3. Have the child use his or her metered-dose inhaler. 4. Have the child lie down to see if the symptoms subside.
3. Have the child use his or her metered-dose inhaler.
A mother of a school-age client who recently had surgery for the removal of tonsils and adenoids complains that the child has begun sucking his thumb again. Which coping mechanisms is the child using to cope with the surgery and hospitalization? 1. Repression 2. Rationalization 3. Regression 4. Fantasy
3. Regression
The nurse can instruct parents to expect children in which age group to begin to assume more independent responsibility for their own management of a chronic condition, such as blood-glucose monitoring, insulin administration, intermittent self-catheterization, and appropriate inhaler use? 1. Toddlers 2. Preschool-age 3. School-age 4. Adolescents
3. School-age
The nurse is working with a group of parents who have children with chronic conditions. Which statement by a parent would indicate a risk for a caregiver burden that could become overwhelming? 1. "My mother moved in and helped us take our quadruplets home." 2. "Our health insurance sent us a rejection letter for my child's brand-name medication, and we must fill out forms to get the generic." 3. "I chose to quit my job to be home with my child, and my husband helps in the evening when he can." 4. "I have to care for my child day and night, which leaves little time for me."
4. "I have to care for my child day and night, which leaves little time for me."
The community-health nurse visits the child-care center. Which finding indicates the need for staff education? 1. A group of 2-year-olds are eating a snack of Cheerios. 2. Several 4-year-olds are outside playing on a slide. 3. An 18-month-old is pushing a toy truck. 4. A 2-month-old is sleeping in a crib on his stomach.
4. A 2-month-old is sleeping in a crib on his stomach.
The school health nurse is evaluating the home environment of several children as it relates to child safety. The nurse visits the home of each child and gathers the following data. Which activity places a child at greatest risk for bodily harm? 1. The parents are in a methadone program. 2. The parents consume alcohol on a daily basis. 3. The child is permitted to target practice with a revolver, unsupervised. 4. The child is a latchkey child.
3. The child is permitted to target practice with a revolver, unsupervised.
At a routine healthcare visit, a nurse measures a toddler and plots the height and weight on the growth charts. The nurse documents that the toddler is above the 95th percentile for weight and is at the 5th percentile for height. How should the nurse interpret these data? 1. The toddler is proportionate for the age. 2. The toddler needs to eat more at each feeding. 3. The height and weight are disproportionate, and the toddler needs further evaluation. 4. The family is most likely short.
3. The height and weight are disproportionate, and the toddler needs further evaluation.
Place the nursing assessments of a toddler in the best order: Choice 1. Examination of the eyes, ears, and throat Choice 2: Auscultation of the chest Choice 3: Palpation of the abdomen Choice 4: Developmental assessment
4, 2, 3, 1
A nurse manager on a pediatric floor is preparing an education program on working with families for a group of newly hired nurses. Which of the following should the nurse include when discussing the developmental theory? 1. describes that stress is inevitable 2. emphasizes that change with one member affects the entire family 3. provides guidance to assist families adapting to stress 4. Defines consistencies in how families change
4. Defines consistencies in how families change
A nurse says to the mother of a 6-month-old infant, "Does the baby sit without assistance, and is the baby crawling?" Which process is the nurse using in this interaction? 1. Health promotion 2. Health maintenance 3. Disease surveillance 4. Developmental surveillance
4. Developmental surveillance
A school nurse is performing annual height and weight screening. The nurse notes that three females who are close friends with each lost 15 pounds over the past year. What is the priority nursing action in this situation? 1. Call the respective parents to discuss the eating patterns of each adolescent. 2. Speak with the girls in a group to discuss the problems associated with anorexia nervosa. 3. Refer these adolescents to the school psychologist. 4. Obtain a nutritional history for each of these adolescents.
4. Obtain a nutritional history for each of these adolescents.
The nurse is reviewing the immunization record of an adolescent who will be seen later in the day. Which item in the clients history makes hepatitis B status a priority? 1. Chronic acne 2. Overuse injuries from playing varsity sports 3. Chronic asthma 4. Plans to get a tattoo
4. Plans to get a tattoo
While being comforted in the emergency department, a young school-aged sibling of a pediatric trauma victim blurts out to the nurse, "It's my fault! When we were fighting yesterday, I told him I wished he was dead!" Which response is most appropriate by the nurse? 1. Asking the child if she would like to sit down and drink some water 2. Sitting the child down in an empty room with markers and paper so that she can draw a picture 3. Calmly discussing the catheters, tubes, and equipment that the patient requires and explaining to the sibling why the patient needs them 4. Reassuring the child that it is normal to get angry and say things that we do not mean but that we have no control over whether or not an accident happens
4. Reassuring the child that it is normal to get angry and say things that we do not mean but that we have no control over whether or not an accident happens
Which nursing role is not directly involved when providing family-centered approach to the pediatric population? 1. Advocacy 2. Case management 3. Patient education 4. Researcher
4. Researcher
A young school-age client who has had a tracheostomy for several years is scheduled to begin school in the fall. The teacher is concerned about this child's being in her class and consults the school nurse. Which action by the nurse is the most appropriate? 1. Make arrangements for the child to go to a special school. 2. Ask the parents of the child to provide a caregiver during school hours. 3. Recommend that the child be home schooled. 4. Teach the teacher how to care for the child in the classroom.
4. Teach the teacher how to care for the child in the classroom.
What must a home-health nurse realize prior to accepting an assignment? 1. All decisions will be made by the healthcare provider. 2. The family will adapt their lifestyle to the needs of the nurse. 3. Independent decisions regarding emergency care of the child will be made by the nurse. 4. The family is in charge.
4. The family is in charge.
While teaching parents of a newborn about normal growth and development, which statement is most appropriate for the nurse to include in the session? 1. Weight should triple by 6 months of age. 2. Weight should double by 1 year of age. 3. Weight should double by 4 months of age. 4. Weight should triple by 1 year of age.
4. Weight should triple by 1 year of age.
During the newborn examination, the nurse assesses the infant for signs of developmental dysplasia of the hip. A finding that would strongly indicate this disorder would be: 1. soles are flat with prominent fat pads. 2. positive Babinski reflex. 3. metatarsus varus. 4. asymmetric thigh and gluteal folds.
4. asymmetric thigh and gluteal folds.
A nurse is providing teaching about expected changes during puberty to a group of guardians of adolescent girls. Which of the following statements by one of the guardians indicates an understanding of the teaching? A. "Girls usually stop growing about 2 years after menarche." B. "Girls are expected to gain about 65 pounds during puberty." C. "Girls can experience menstruation prior to breast development." D. "Girls typically grow more than 10 inches during puberty."
A. "Girls usually stop growing about 2 years after menarche."
A nurse is providing teaching about age-appropriate activities to the guardian of a 2 year old. Which of the following statements by the guardian indicates an understanding of the teaching? A. "I will send my child's favorite stuffed animal when she will be napping away from home will occur." B. "My child should be able to stand on one foot for a second." C. "The soccer team my child will be playing on starts practicing next week." D. "I should expect my child to be able to draw circles."
A. "I will send my child's favorite stuffed animal when she will be napping away from home will occur."
A nurse is preparing to assess a preschool-age child. Which of the following is an appropriate action by the nurse to prepare the child? A. Allow the child to role-play using miniature equipment B. Use medical terminology to describe what will happen. C. Separate the child from her parent during the examination D. Keep medical equipment visible to the child
A. Allow the child to role-play using miniature equipment
A nurse is assisting a group of parents of adolescents to develop skills that will improve communication within the family. The nurse hears one parent state, "My son knows he better do what I say." Which of the following parenting styles is the parent exhibiting? A. Authoritarian B. Permissive C. Authoritative D. Passive
A. Authoritarian
A nurse is providing anticipatory guidelines to the caregiver of a 13-year-old adolescent. Which of the following screenings should the nurse recommend for the adolescent? SATA A. Body Mass Index B. Blood led level C. 24-hr dietary recall D. Weight E. Scoliosis
A. Body Mass Index D. Weight E. Scoliosis
A nurse is performing a neurological assessment on an adolescent. Which of the following responses should the nurse expect the adolescent to exhibit when assessing the trigeminal nerve? SATA A. Clenching teeth tightly B. Recognizing sour tastes on the back of the tongue C. Identifying smells through each nostril D. Detecting facial touches with eyes closed E. Looking down and in with eyes
A. Clenching teeth tightly D. Detecting facial touches with eyes closed
A nurse is conducting a well-child visit with a 5-year-old child. Which of the following immunizations should the nurse plan to administer to the child? SATA A. DTap B. IPV C. MMR D. PCV E. Hib
A. DTap B. IPV C. MMR
The nurse is providing anticipatory guidance to the caregivers of a toddler. Which of the following should the nurse include? SATA A. Develop food habits that prevent dental carries B. Meeting calorie needs results in an increased appetite C. Expression of bedtime fears is common D. Expect behaviors associated with negativism and ritualism E. Annual screening for phenylketonuria are important
A. Develop food habits that prevent dental carries C. Expression of bedtime fears is common D. Expect behaviors associated with negativism and ritualism
A nurse is performing a developmental screening on a 10-month-old infant. Which of the following fine motor skills should the nurse expect the infant to perform? SATA A. Grasp a rattle by its handle B. Try building a two-block tower C. Use a crude pincer grasp D. Place objects in a container E. Walks with one hand held
A. Grasp a rattle by its handle C. Use a crude pincer grasp
A nurse is performing a developmental screening on an 18 month old. Which of the following skills should the toddler be able to perform? SATA A. Grasp a rattle by its handle B. Try building a two-block tower C. Use a crude pincer grasp D. Place objects in a container E. Walks with one hand held
A. Grasp a rattle by its handle C. Use a crude pincer grasp
A nurse is providing education about age-appropriate activities for the care givers of a 6-year-old child. Which of the following activities should the nurse include in the teaching? A. Jumping rope B. Playing card games C. Solving jigsaw puzzles D. Joining competitive sports
A. Jumping rope
A nurse is preforming family assessment. Which of the following should the nurse include? SATA A. Medical Hx B. Parent's education level C. Child Physical growth D. Support Systems E. Stressors
A. Medical Hx B. Parent's education level D. Support Systems E. Stressors
A nurse is performing a developmental screening on a 3-year-old child. Which of the following skills should the nurse expect the child to perform? A. Ride a tricycle B. Hop on one foot C. Jump Rope D. Throw a ball overhead
A. Ride a tricycle
A nurse is conducting a well-child visit with a child who is scheduled to receive the recommended immunizations for 11 to 12-year-olds. Which of the following immunizations should the nurse administer? SATA A. Trivalent inactivated influenza (TIV) B. Pneumococcal (PCV) C. Meningococcal (MCV4) D. Tdap E. Rotavirus (RV)
A. Trivalent inactivated influenza (TIV) C. Meningococcal (MCV4) D. Tdap
A nurse is providing teaching about dental care and teething to the caregiver of a 9-month-old infant. Which of the following statements by the caregiver indicates an understanding of the teaching? A. "I can give my baby a warm teething ring to relieve discomfort." B. "I should clean my baby's teeth with a cool, wet wash cloth." C. "I can give advil for up to 5 days while my baby is teething." D. "I should place diluted juice in the bottle my baby drinks while falling asleep."
B. "I should clean my baby's teeth with a cool, wet wash cloth."
A nurse is preparing an education program for a group of caregivers of preschool-age children about promoting optimum nutrition. Which of the following information should the nurse include in the teaching? A. Saturated fats should equal 20% of total daily caloric intake B. Average calorie intake should be 1,800 calories per day C. Daily intake of fruits and vegetables should total 2 servings D. Healthy diets include a total of 8g of protein each day
B. Average calorie intake should be 1,800 calories per day
A nurse is assessing a 2 1/2 year-old toddler at a well-child visit. Which of the following findings should the nurse report to the provider? A. Height increased by 7.5 cm (3 in) in the past year B. Head circumference exceeds chest circumference C. Anterior and posterior fontanels are closed D. Current weight equals 4x the birth weight.
B. Head circumference exceeds chest circumference
A nurse is providing education about introducing new foods to the guardians of a 4-month-old infant. The nurse should recommend that the caregiver introduce which of the following foods first? A. Strained yellow vegetables B. Iron-fortified cereals C. Pureed fruits D. Whole milk
B. Iron-fortified cereals
A nurse is assessing a 6-month-old infant. Which of the following reflexes should the nurse exhibit? A. Moro B. Plantar grasp C. Stepping neck D. Tonic Neck
B. Plantar grasp
A nurse is conducting a well-baby visit with a 4-month old infant. Which of the following immunizations should the nurse plan to administer to the infant? SATA A. MMR B. Polio (IPV) C. Pneumococcal Vaccine (PCV) D. Varicella E. Rotavirus (RV)
B. Polio (IPV) C. Pneumococcal Vaccine (PCV) E. Rotavirus (RV)
A nurse is caring for an adolescent whose guardian expresses concerns about the child sleeping such long hours. Which of the following conditions should the nurse inform the guardian as requiring additional sleep during adolescence? A. Sleep terrors B. Rapid Growth C. Elevated Zinc Levels D. Slowed metabolism
B. Rapid Growth
A nurse is teaching about safety during the school-age. Which of the following information should the nurse include in the course? SATA A. Gaiting stairs at top and bottom B. Wearing helmets when riding bicycles or skateboarding C. Riding safely in bed of pickup trucks D. Implementing firearm safety E. Wearing seat belts
B. Wearing helmets when riding bicycles or skateboarding D. Implementing firearm safety E. Wearing seat belts
A nurse is caring for a preschool-age child who expresses the need to leave because their doll is scared to be at home alone. Which of the following characteristics of preoperational thought is the child exhibiting? A. Egocentrism B. Centration C. Animism D. Magical Thinking
C. Animism
A nurse is assessing a 12-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? A. Closed anterior fontanel B. Eruption of six teeth C. Birth weight doubled D. Birth length increased by 50%
C. Birth weight doubled
A nurse is discussing prepubescence and preadolescence with a group of guardians of school-age children. Which of the following information should the nurse include in the discussion? A. Initial physiological changes appear during early childhood. B. Changes in height and weight occur slowly during this period. C. Growth difference between boys and girls becomes evident D. Signs of sexual maturation become highly visible in boys.
C. Growth difference between boys and girls becomes evident
A nurse is checking the vital signs of a 3-year-old child during a well-child visit. Which of the following findings should the nurse report to the provider? A. Temperature of 99.0 F B. HR 106/min C. Respirations 30/min D. tonic neck
C. Respirations 30/min
A nurse is providing teaching to the guardians of a pre-school-age child about methods to promote sleep. Which of the following statements by the parent indicates an understanding of the teaching? A. "I will sleep in the bed with my child if she wakes up during the night." B. "I will let the child stay up an additional 2 hours on weekend nights." C. "I will let my child watch television for 30 minutes just before bedtime each night." D. "I will keep a dim light on in my child's room during the night."
D. "I will keep a dim light on in my child's room during the night."
A nurse is assessing a child's ears. Which of the following findings should the nurse expect? A. Light reflex is located in the 2 O' clock position. B. Tympanic membrane is red in color. C. Boney landmarks are not visible D. Cerumen is present bilaterally
D. Cerumen is present bilaterally
