PEDS EXAM #1 - FAMILY (3)

Health/Physical Education

3 plays

30 questions

NURSINGSTUDENTHELP

•almost 4 years ago

Question 1

Multiple Choice

10 points

A nurse is developing a preoperative plan of care for a 2-year-old. The nurse understands to pay particular attention to which of the child’s age-related fears?

Separation from friends

Separation from parents

Loss of control

Loss of independence

Question 2

Ordering

10 points

“Let’s sit over here and play a game of ‘Go Fish’.”

“You handled that procedure so well! Would you like me to get Mr. Snuggles for you?”

“Hi, my name is Cindy and I’m going to be your nurse for today.”

Would you like your medicine before or after your mom helps take a bath?”

Question 3

Multiple Response

10 points

The nurse has applied a restraint to the child’s right wrist to prevent the child from pulling out an intravenous line. Which of the following assessment findings are important to note to ensure that there is proper circulation to the child’s right arm?

Capillary refill is less than 2 seconds in upper extremities bilaterally

Fingers are pink and warm bilaterally

Lungs are clear throughout

Radial pulses are easily palpable bilaterally

Bowel sounds present in all four quadrants

Question 4

Multiple Choice

10 points

A nurse is teaching the parents of a 5-year- old boy who requires daily oral medication how to administer it. Which of the following responses indicates a need for further teaching?

“I should never refer to the medicine as candy.”

“We should never bribe our child to take the medicine.”

“He needs to take his medicine, or he will lose a privilege.”

“We checked that the medicine can be mixed with yogurt or applesauce.”

Question 5

Multiple Choice

10 points

A nurse is interviewing the mother of a sleeping 10-year-old girl in order to assess the level of the child’s postoperative pain. Which of the following comments would trigger additional questions and necessitate further teaching?

“She is asleep, so she must not be in pain.”

“She has never had surgery before.”

“She is very articulate and will tell you how she feels.”

“She has a very easy-going temperament.”

Question 6

Multiple Choice

10 points

A nurse is assessing the pain level of an infant. Which of the following findings is not a typical physiologic indicator of pain?

Decreased oxygen saturation

Decreased heart rate

Palmar sweating

Plantar sweating

Question 7

Multiple Choice

10 points

The nurse is preparing to assess the postsurgical pain level of a 6-year-old. The child has appeared unwilling or unable to accurately report his pain level. Which of the following assessment tools would be most appropriate for this child?

FACES Pain Rating Scale

FLACC Behavioral scale

Oucher Pain rating

Visual Analog and Numerical scales

Question 8

Multiple Choice

10 points

The nurse is preparing to assess the pain of a developmentally and cognitively delayed 8-year-old. Which of the pain rating scales should the nurse choose?

FACES pain rating scale

Word Graphic Rating Scale

Adolescent Pediatric Pain Tool

Visual Analog and Numerical Scales

Question 9

Multiple Response

10 points

The child and her mother are receiving dis- charge instructions from the nurse. Which of the following statements by the child’s mother are “red flags” that the mother may have poor literacy skills? Select all that apply.

“I forgot my glasses today and can’t seem to read this form.”

“I’m going to take a few notes while you’re teaching us.”

“The receptionist told me that we missed another appointment.”

“I guess I just forgot to give her the medication the way you told me to.”

“I’m going to take these instructions home to read them.”

Question 10

Multiple Response

10 points

The child has been admitted to a pediatric unit in a hospital. Which of the following nursing interventions indicate that atraumatic care principles are being used? Select all that apply.

The nurse requests that parent assist the nurse by “holding the child down.”

The nurse applies a numbing cream prior to starting the child’s intravenous line.

The nurse asks the child if he would like to take a bath before or after he takes his medication.

The nurse encourages the family to bring in the child’s favorite stuffed animal from home.

The nurse shows the parent how to unfold the chair in the child’s room into a bed.

Question 11

Multiple Choice

10 points

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 12

Multiple Choice

10 points

A 1-month-old infant’s mother voices concern about her baby’s respirations. She states they are rapid and irregular. What information should be provided by the nurse?

The normal respiratory rate for an infant at this age is between 20 and 30 breaths per minute.

The respirations of a 1-month-old infant are normally irregular and periodically pause.

An infant at this age should have regular respirations.

The physician should be notified about the irregularity of the infant’s respirations.

Question 13

Multiple Choice

10 points

The nurse is assessing the oral cavity of a 4-month-old infant. Which of the following findings are consistent with a child of this age?

The infant has 1 to 3 natal teeth.

The infant has no teeth.

The infant has 1 to 2 lower teeth.

The infant has 1 upper tooth.

Question 14

Multiple Choice

10 points

The nurse is teaching a first-time mother with a 14-month-old boy about child safety. Which is the most effective overall safety information to provide guidance for the mother?

“Place a gate at the top of stairways.”

“Never let him out of your sight.”

“Put chemicals in a locked cabinet.”

“Don’t smoke in the house or car.”

Question 15

Multiple Choice

10 points

The nurse is teaching a mother of a 1-year- old girl about weaning her from the bottle and breast. Which recommendation would be part of the nurse’s plan?

Wean from breast by 18 months of age at the latest

Give the child an iron-fortified cereal

Switch the child to a no-spill sippy cup

Wean from the bottle at 15 months of age

Question 16

Multiple Choice

10 points

The nurse is assessing a 2-year-old boy during a well-child visit. The nurse correctly identifies the child’s current stage of Erickson’s growth and development as:

Trust versus mistrust

Autonomy versus shame and doubt

Initiative versus guilt

Industry versus inferiority

Question 17

Multiple Choice

10 points

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 18

Multiple Choice

10 points

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 19

Multiple Choice

10 points

The nurse is assessing the language development of a 3-year-old girl. Which finding would suggest a problem?

The child can make simple conversation

She tells the nurse she saw Na-Na today

The child speaks in 2- to 3-word sentences

She can tell the nurse what her name is

Question 20

Multiple Choice

10 points

The nurse is observing a 3-year-old boy in a daycare center. Which behavior might suggest an emotional problem?

The child has persistent separation anxiety

He goes from calm to tantrum suddenly

The child sucks his thumb periodically

He is unable to share toys with others

Question 21

Multiple Choice

10 points

The parents of a 3-year-old boy have asked the nurse for advice about a preschool for their child. Which suggestion is most important for the nurse to make?

“Look for a preschool that is clean and has a loving staff.”

“Check to make sure your child can attend with the sniffles.”

“Make sure that you can easily get an appointment to visit.”

“The staff should be trained in early childhood development.”

Question 22

Multiple Choice

10 points

The nurse is discussing the activities of a 20-month-old child with his mother. The mother reports the children of her friends seem to have more advanced speech abilities than her child. After assessing the child, which of the following findings is cause for follow up?

Inability to point to named body parts

Inability to talk with the nurse about Something that happened a few days ago

Points to pictures in books when asked

Understands approximately 75 to 100 words

Question 23

Multiple Choice

10 points

The mother of an 18-month-old girl voices concerns about her child’s social skills. She reports that the child does not play well with others and seems to ignore other children who are playing at the same time. What response by the nurse is indicated?

“It is normal for children to engage in play alongside other children at this age.”

“Has your child displayed any aggressive tendencies toward other children?”

“Perhaps you should consider a preschool to promote more socialization opportunities.”

“Does your child have opportunities to socialize much with other children?”

Question 24

Multiple Choice

10 points

A nurse is caring for a 4-year-old girl. The parents indicate that their daughter often reports that objects in the house are her friends. They are concerned because the girl says that the grandfather clock in the hallway smiles and sings to her. How should the nurse respond?

Your daughter is demonstrating animism which is common

Attributing life-like qualities to inanimate objects is quite normal at this age

Do you think your daughter is hallucinating?

Is there a family history of mental illness?

Question 25

Multiple Choice

10 points

12. The mother of a 4-year-old girl reports her daughter has episodes of wetting her pants. The nurse questions the mother about the frequency. The nurse determines these episodes occur about once every 1 to 2 weeks. What response by the nurse is indicated?

“You should consider restricting your daughter’s fluid intake.”

“Discipline should be applied after these times.”

“At this age it is helpful to remind children to go to the bathroom.”

“The frequency of these wetting episodes may be consistent with a low-grade urinary tract infection.”

Question 26

Multiple Choice

10 points

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 27

Multiple Choice

10 points

The nurse is conducting a well-child examination of a 4-year-old and is assessing the child’s height. The nurse would expect that the child’s height would have increased by which of the following since last year’s examination?

1⁄2 to 1 inch

1 to 2 inches

2 1⁄2 to 3 inches

3 1⁄2 to 4 inches

Question 28

Multiple Choice

10 points

The nurse is caring for a 4-year-old child hospitalized in traction. The child talks about an invisible friend to the nurse. What action by the nurse is indicated?

The nurse should document the reports of hallucinations by the child.

The nurse should explain to the child that there are no friends present.

The nurse should discourage the child from talking about the imaginary friend.

The nurse should recognize this behavior as normal for the child’s developmental age and do nothing.

Question 29

Multiple Choice

10 points

The mother of a 4-year-old boy reports her son has voiced curiosity about her breasts. She asks the nurse what she should do. What is the best information that the nurse can give to the parent?

Advise the parent that sexual curiosity is unusual at this age.

Encourage the parent to provide a detailed discussion about human sexuality with the child.

Encourage the parent to determine what the child’s specific questions are and answer them briefly.

Advise the parent to explain to the child that he is too young to discuss such things.

Question 30

Multiple Choice

10 points

The school nurse is assessing the nutritional status of an overweight 12-year-old girl. Which of the following questions would be appropriate for the nurse to ask?

Does your family have rules about foods and how they are prepared?

What does your family do for exercise?

How often does everyone in your family eat together?

Have you gained weight recently?