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The nurse is seeing an adolescent boy and his parents in the clinic for the first time. What should the nurse do first?
What is an important consideration for the nurse who is communicating with a very young child?
When the nurse interviews an adolescent, it is especially important to:
The nurse is taking a sexual history on an adolescent girl. The best way to determine whether she is sexually active is to:
Which parameter correlates best with measurements of the body’s total protein stores?
An appropriate approach to performing a physical assessment on a toddler is to:
With the National Center for Health Statistics (NCHS) criteria, which body mass index (BMI)–for-age percentile indicates a risk for being overweight?
The nurse is using the NCHS growth chart for an African-American child. The nurse should consider that:
The earliest age at which a satisfactory radial pulse can be taken in children is:
When palpating the child’s cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm. The best explanation for this is:
The nurse should expect the anterior fontanel to close at age:
A normal finding.
Binocularity, the ability to fixate on one visual field with both eyes simultaneously, is normally present by what age?
The most frequently used test for measuring visual acuity is the:
The nurse is testing an infant’s visual acuity. By what age should the infant be able to fix on and follow a target?
The appropriate placement of a tongue blade for assessment of the mouth and throat is the:
The nurse has a 2-year-old boy sit in “tailor” position during palpation for the testes. The rationale for this position is that:
The cuff bladder width is approximately 40% of the circumference of the upper arm.
The cuff bladder length covers 80% to 100% of the circumference of the upper arm.
Family medical history
Review of systems
Which statement best describes the infant’s physical development?
The nurse is assessing a 6-month-old healthy infant who weighed 7 pounds at birth. The nurse should expect the infant to now weigh approximately:
A normal finding.
Because the anterior fontanel normally closes between ages 12 and 18 months,
By what age does the posterior fontanel usually close?
In terms of fine motor development, the infant of 7 months should be able to:
At which age can most infants sit steadily unsupported?
11 to 12 months
they can pull themselves up by 9 months
Sara, age 4 months, was born at 35 weeks’ gestation. She seems to be developing normally, but her parents are concerned because she is a “more difficult” baby than their other child, who was term. The nurse should explain that:
An appropriate play activity for a 7-month-old infant to encourage visual stimulation is:
The best play activity for a 6-month-old infant to provide tactile stimulation is to:
Austin, age 6 months, has six teeth. The nurse should recognize that this is:
When is the best age for solid food to be introduced into the infant’s diet?
The clinic is lending a federally approved car seat to an infant’s family. The nurse should explain that the safest place to put the car seat is:
Easily grasped handle
Sturdy, flexible material
Roll from abdomen to back
Put feet in mouth when supine
Which structural defects constitute tetralogy of Fallot?
Which drug is an angiotensin-converting enzyme (ACE) inhibitor?
A common sign of digoxin toxicity is:
The parents of a young child with congestive heart failure tell the nurse that they are “nervous” about giving digoxin. The nurse’s response should be based on knowing that:
Parents must learn specific, important guidelines for administration of digoxin.
The nurse is caring for a child after heart surgery. What should he or she do if evidence is found of cardiac tamponade?
An important nursing consideration when chest tubes will be removed from a child is to:
The primary nursing intervention to prevent bacterial endocarditis is to:
A major clinical manifestation of rheumatic fever is:
When discussing hyperlipidemia with a group of adolescents, the nurse should explain that high levels of what substance are thought to protect against cardiovascular disease?
The leading cause of death after heart transplantation is:
When caring for the child with Kawasaki disease, the nurse should know that:
Therapeutic management includes administration of gamma globulin and aspirin.
High-dose intravenous gamma globulin and aspirin therapy are indicated to reduce the incidence of coronary artery abnormalities when given within the first 10 days of the illness. The
One of the most frequent causes of hypovolemic shock in children is:
What type of shock is characterized by a hypersensitivity reaction causing massive vasodilation and capillary leaks, which may occur with drug or latex allergy?
Assess the affected extremity for temperature and color.
Maintain a patent peripheral intravenous catheter until discharge.
Tachypnea and poor capillary refill time
Cool extremities and decreased skin turgor
Confusion and somnolence
A child is brought to the emergency department experiencing an anaphylactic reaction to a bee sting. Place in correct sequence what the nurse should do after the airway has been established. Place in correct order.
Obtain vascular access.
Keep child warm and calm.
Short, straight internal ear/throat structures and large tonsil/adenoid lymph tissue are present.
The psychosocial developmental tasks of toddlerhood include:
Ability to withstand delayed gratification
If the need for basic trust has been satisfied, toddlers can give up dependence for control, independence, and autonomy. One of the tasks that the toddler is concerned with is the ability to withstand delayed gratification
A 17-month-old child would be expected to be in what stage according to Piaget?
What describes a toddler’s cognitive development at age 20 months?
Which characteristic best describes the gross motor skills of a 24-month-old child?
In the clinic waiting room a nurse observes a parent showing an 18-month-old child how to make a tower out of blocks. In this situation the nurse should recognize that:
The parents of a newborn say that their toddler “hates the baby . . . he suggested that we put him in the trash can so the trash truck could take him away.” The nurse’s best reply is:
The parents of a 2-year-old tell the nurse that they are concerned because the toddler has started to use “baby talk” since the arrival of their new baby. The nurse should recommend that the parents:
Developmentally most children at age 12 months:
The most effective way to clean a toddler’s teeth is for the:
An appropriate recommendation in preventing tooth decay in young children is to:
The leading cause of death during the toddler period is:
The parent of 16-month-old Chris asks, “What is the best way to keep Chris from getting into our medicines at home?” The nurse should advise that:
Primary dentition is complete.
Sphincter control is achieved.
When caring for an infant with an upper respiratory tract infection and elevated temperature, an appropriate nursing intervention is to:
Give small amounts of favorite fluids frequently to prevent dehydration.
A child is diagnosed with influenza, probably type A disease. Management includes:
Which type of croup is always considered a medical emergency?
The nurse encourages the mother of a toddler with acute laryngotracheobronchitis to stay at the bedside as much as possible. The nurse’s rationale for this action is primarily that:
Skin testing for tuberculosis (the Mantoux test) is recommended:
Inability to speak.
The nurse is caring for a child with acute respiratory distress syndrome (ARDS) associated with sepsis. Nursing actions should include:
Asthma in infants is usually triggered by:
A child has a chronic, nonproductive cough and diffuse wheezing during the expiratory phase of respiration. This suggests:
A parent whose two school-age children have asthma asks the nurse in what sports, if any, they can participate. The nurse should recommend:
Which statement expresses accurately the genetic implications of cystic fibrosis (CF)?
The Heimlich maneuver is recommended for airway obstruction in children older than:
An appropriate nursing intervention when caring for a child with pneumonia is to:
Cluster care to conserve energy
Administration of antibiotics.
Encourage infant to drink 8 ounces of formula every 4 hours.
Cluster care to encourage adequate rest.
Place on noninvasive oxygen monitoring.
Notify the surgeon if the child swallows frequently.
Place the child on the abdomen until fully awake. Allow the child to have diluted juice after the procedure.
Allow the child to have diluted juice after the procedure.
What would the nurse expect of a healthy 3-year-old child?
In terms of fine motor development, what could the 3-year-old child be expected to do?
In terms of cognitive development the 5-year-old child would be expected to:
What is descriptive of the preschooler’s understanding of time?
In terms of language and cognitive development, a 4-year-old child would be expected to:
Which type of play is most typical of the preschool period?
Imaginary playmates are beneficial to the preschool child because they:
Which characteristic best describes the language of a 3-year-old child?
A useful skill that the nurse should expect a 5-year-old child to be able to master is to:
The nurse is guiding parents in selecting a day care facility for their child. When making the selection, it is especially important to consider:
Suggest involving the child to find a practical solution such as a night light.
Preschoolers’ fears can best be dealt with by:
A normal characteristic of the language development of a preschool-age child is:
During the preschool period the emphasis of injury prevention should be placed on:
Acyclovir (Zovirax) is given to children with chickenpox to:
Vitamin A supplementation may be recommended for the young child who has:
In which communicable disease are Koplik spots present?
What describes a child who is abused by the parent(s)?
Strict isolation is required for a child who is hospitalized with (choose all that apply):
Exanthema subitum (roseola).
Erythema infectiosum (fifth disease).
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