PED EXAM #1 - FAMILY (2)
Question 1
The nurse is assessing the sleeping practices of the parents of a 4-month-old girl who wakes repeatedly during the night. Which of the following parent comments might reveal a cause for the night waking?
They sing to her before she goes to sleep
They put her to bed when she falls asleep
If she is safe, they lie her down and leave
The child has a regular, scheduled bedtime
Question 2
The nurse is teaching healthy eating habits to the parents of a 7-month-old girl. Which of the following recommendations is the most valuable advice?
Let the child eat only the foods she prefers
Actively urge the child to eat new foods
Provide small portions that must be eaten
Keep serving new foods several times
Question 3
The nurse is observing a 6-month-old boy for developmental progress. Which of the following milestones would be typical for him?
Shifts a toy to his left hand and reaches for another
Picks up an object using his thumb and finger tips
Puts down a little ball to pick up a stuffed toy
Enjoys hitting a plastic bowl with a large spoon
Question 4
Babbles in what sounds like sentences
Uses a finger to point to things
Talks about something that happened in the past
Uses primarily descriptive words (hungry, hot)
Question 5
The nurse is observing a 36-month-old boy during a well visit. Which motor skill has he most recently acquired?
The child is able to undress himself
He is able to push a toy lawnmower
The child is able to kick a ball
The child can pull a toy while walking
Question 6
The nurse is providing anticipatory guidance to the parents of an 18-month-old girl. Which recommendation will be most helpful to the parents?
Giving the child time out for 1 1⁄2 minutes
Ignoring bad behavior and praising good
Slapping her hand using one or two fingers
Describing proper behavior when she misbehaves
Question 7
The nurse is discussing sensory development with the mother of a 2-year-old boy. Which parental comment suggests the child may have a sensory problem?
“He wasn’t bothered by the paint smell.”
“He was licking up the dishwashing soap.”
“He doesn’t respond if I wave to him.”
“I dropped a pan behind him and he
cried.”
Question 8
A nurse is providing a routine wellness examination for a 5-year-old boy. Which of the following responses by the parents indicates a need for an additional referral or follow-up?
“He can count to 30 but gets confused after that.”
“We often have to translate his speech to others.”
“He is always talking and telling detailed stories.”
“He knows his name and address.”
Question 9
The parents of a 4-year-old girl tell the nurse that their daughter is having frequent night- mares. Which of the following statements would indicate that the girl is having night terrors instead of nightmares?
“She screams and thrashes when we try to touch her.”
“She is scared after she wakes up.”
“She comes and wakes us up after she
awakens.”
“She has a hard time going back to sleep.”
Question 10
The nurse is about to see a 9-year-old girl for a well-child check-up. Knowing that the child is in Piaget’s period of concrete operational thought, which of the following characteristics will the child display?
The child can consider an action and its consequences
The child views the world in terms of her own experience
The child makes generalized assumptions about groups of things
The child knows lying is bad because she gets sent to her room for it.
Question 11
The nurse has taken a health history and per- formed a physical exam for a 12-year-old boy. Which of the following findings will most likely be made?
The child’s body fat has decreased since last year
The child has different diet preferences than his parents
The child has a leaner body mass than a girl at this age
The child described a somewhat reduced appetite
Question 12
A 9-year-old boy has arrived for a health maintenance visit. Which of the following milestones of physical growth would the nurse expect to observe?
Brain growth is complete and the shape of the head is longer
Lymphatic tissue growth is complete, providing greater resistance to infections
Frontal sinuses are developed while tonsils have decreased in size
All deciduous teeth are replaced by 32 permanent teeth
Question 13
The school nurse is providing nutritional guidance during a 9th grade health class. Which of the following foods would be recommended as a good source for calcium?
Strawberries, watermelon, and raisins
Beans, poultry, and fish
Peanut butter, tomato juice, and whole grain bread
Cheese, yogurt, and white beans
Question 14
The nurse is talking to a 13-year-old boy about choosing friends. Which of the following functions do peer groups provide that can have a negative result?
Following role models
Sharing problems
Negotiating differences
Developing loyalties
Question 15
Which of the following behaviors by an 18-year-old is consistent with successful progression through the stages of Piaget’s theory of development?
There is a strong sense of understanding of internal identity.
The individual reflects a strong moral code.
The individual is able to use critical thought processes to handle a problem.
The individual is able to use critical thought processes to handle a problem.
Question 16
The nurse is caring for a 14-year-old girl with terminal cancer and her family. Which of the following interventions would best provide therapeutic communication?
Recognizing the parents’ desire to use all options
Supporting the child’s desires for treatment
Presenting options for treatment
Informing the child in terms she can understand
Question 17
A mother and her 2-week-old infant have arrived for a health supervision visit. Which of the following activities will the nurse perform?
Assess the child for an upper respiratory infection
Take a health history for a minor injury
Administer a Varicella injection
Warn against putting the baby to bed with a bottle
Question 18
During the health history, the parent of a 10-year-old child mentions the child seems to have trouble hearing. Which of the following tests is the nurse likely to use?
Rinne test
Whisper test
Evoked otoacoustic emissions test
Auditory brain stem response test
Question 19
Throughout a health surveillance visit, a 12-year-old boy complains to the nurse about his parents intruding on his personal space, but then says he is looking forward to the family vacation. Which of the following characteristics also suggests the boy has entered adolescence?
A growing interest in attracting girls’ attention
Feels secure with his body image
Experiences frequent mood changes
Understands that actions have consequences
Question 20
The nurse is discussing Varicella immunization with a mother who is reluctant about vaccinating her 13-month-old because she feels it is “not necessary.” Which of the following comments will be most persuasive for immunization?
“Mild reactions occur in 5% to 10% of children.”
“Varicella is a highly contagious herpes virus.”
“Children not immunized are at risk if exposed to the disease.”
“Risk of Varicella is greater than the risk of vaccine.”