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69 Cards in this Set
- Front
- Back
Developmental Assessment screens:
a) determines if the child is normal b) screens the cognitive & behavioral level of the child c) screens what the child can do at the time d) screens for intelligence quotient at the time |
screens what the child can do at the time
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The liver is ______ to palpate in a child.
a) difficult b) easy |
easy
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A pediatric assessment on younger children should:
a) start from the most intrusive to the least intrusive b) begin with the least intrusive to the most intrusive |
begin with the least intrusive to the most intrusive
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In an otoscope assessment it is important to:
a) hold with the handle down b) hold with the handle up |
hold with the handle up
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The tempanic membrane:
a) yellowish in color b) pearly grey c) pinkish d) white |
pearly grey
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Fluid in the middle ear is:
a) otitis serous b) otitis media c) otitis externa |
otitis media
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In scoliosis a curvaqture of ______ is when a problem is acknowledged and _______ is when scoliosis is treated.
a) 5% / 10% b) 5% / 20% c) 10% / 15% d) 10% / 20% |
10% / 20%
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A lateral S or C shaped curvature of the spine is:
a) kyphosis b) lordosis c) scoliosis |
scoliosis
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A disorder of the spine often associated with a rotational deformity of the ribs and spine is called:
a) kyphosis b) lordosis c) scoliosis |
scoliosis
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The incidence of scoliosis increases during:
a) infancy b) toddlers c) puberty d) 16-20 years |
puberty
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The incidence of scoliosis increases during:
a) pre-school to 3rd grade b) 3rd grade to 6th grade c) 6th grade to 9th grade d) 9th grade to 12th grade |
6th grade to 9th grade
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The Burns Classification:
a) a physical assessment framework b) designed to evaluate IQ c) emotional & behavioral assessment guide d) organizes developmental, physiological, & psychosocial data |
organizes physiological, psychosocial, & developmental data
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In examining a toddler the nurse should:
a) begin with a head to toe approach b) foot to head approach |
foot to head approach
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In examining the preschooler the nurse should:
a) assess childs willingness to be separated from parent b) allow to touch & play with equipment c) offer choices d) distract by asing to count, name colors, etc |
all are correct
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In examining school age children the nurse should:
a) offer a gown b) explain & give choices c) let child listen to heart & lungs d) head to toe exam |
all are correct
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Posture presenting a sway back, inward curve of the lower spine, is called:
a) kyphosis b) lordosis c) scoliosis |
lordosis
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A humpback is called:
a) kyphosis b) lordosis c) scoliosis |
kyphosis
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A __________ is used to measure the % of curvature in the spine.
a) x-ray b) MRI c) Lineaospirometer d) scoliometer |
scoliometer
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Lice is passed by all of the following EXCEPT:
a) combs & brushes b) head to head contact c) foot to mouth contact |
he he he :)
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Nits are:
a) mounds of lice b) lice eggs c) silvery white teardrop shaped close to the scalp d) B & C |
lice eggs & are silvery white teardrop shaped usually found close to the scalp
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DDST-Denver Developmental Screening Test consists of four areas:
a) cultural; academic; socioeconomic; psychosocial b) academic; physiological; psychosocial; psychological c) personal; adaptive; motor; social; d) personal/social; fine motor/adaptive; language; gross motor |
personal/social; fine motor/adaptive; language; gross motor
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Instrument used to visualize the tympanic membrane
a) stethoscope b) oroscope c) otoscope d) otometer |
otoscope
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Fluid in the ear, looks like bubbles on the eardrum & may cause muffled hearing, crackling, popping, pressure:
a) otitis media b) serous otitis c) otitis externa d) serous media |
serous otitis
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Fluid in the middle ear is:
a) otitis media b) serous otitis c) otitis externa d) serous media |
otitis media
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Otitis media:
a) fluid in the middle ear b) outer ear infection c) causes muffled hearing d) outer ear infection |
fluid in the middle ear
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Otitis externa is characterized by:
a) fluid in the ear b) looks like bubbles on the eardrum c) muffled hearing, crackling, popping, pressure d) pain when pressure is applied on the tragus |
pain when pressure is applied on the tragus
(outer ear infection) |
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An irritation caused by the injection of louse saliva:
a) nits b) ecchymiosis c) errythemia d) pruitis |
pruitis
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Symptoms of lice in a child may present:
a) silvery white shapes close to the head b) pruitis c) swollen lymph nodes d) nits behind ears, nape of the neck, crown of the head |
all are correct
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Female lice can lay:
a) 50 nits a month b) 100 nits a month c) 150 nits a month d) 500 nits a month |
150 nits a month
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The lifespan of lice is:
a) 3 days b) 1 week c) 2 weeks d) 1 month |
1 month
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Nits hatch in:
a) 1-3 days b) 1-7 days c) 8-12 days d) 1 month |
8-12 days
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Conditions for lice are:
a) feed on blood every three to six hours b) can survive 15-20 hours without a blood meal c) lay 3-6 eggs every 24 hours, usually at night d) need 82 degree and 70% humidity |
all are correct
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The female matures & begins to lay eggs:
a) as soon as hatched b) 1 day after reaching adulthood c) 2 days after reaching adulthood d) 1 week after reaching adulthood |
2 days after reaching adulthood
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2 days after reaching adulthood, Lice will lay:
a) 3-6 eggs every hour b) 3-6 eggs every 8 hours c) 3-6 eggs every 12 hours d) 3-6 eggs every 24 hours |
3-6 eggs every 24 hours
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What is the General rule of thumb when planning a pediatric assessment?
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do everything that you can standing, then sitting, then lying
Least intrusive to most !intrusive |
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What would you assess first on a toddler?
a) chest auscultation b) abdominal palpation c) otoscopic exam d) oral |
Rationale:
1st- Chest auscultation; the least intrusive choice; 2nd-abdominal is more intrusive 3rd-most intrusive is otoscope and oral examination |
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For an ear assessment, if the child is 3 years old or less:
a) pull pinna up b) pull pinna down |
pull pinna down
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For an ear assessment of an adult:
a) pull pinna up b) pull pinna down |
pull pinna up
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If the child is upset or crying during an ear assessment:
a) have parent or child immobilize child to continue exam b) pre-medicate with short term anesthesia c) remember the TM may become red due to increase blood flow from crying |
remember the TM may become red due to increase blood flow from crying
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During a pediatric ear exam:
a) Look at pinna & palpate for lesions & tenderness b) palpate lymph nodes preauricular & postauricular for tenderness & enlargement c) discharge or inflammation d) wrestler with a hemotoma |
all are correct
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In an ear assessment:
a) observe placement of pinna b) observe ear size & position c) assess while patient is facing you d) imagine a line between the eye’s outer canthus & ear pinna |
all are correct
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In an ear assessment imagine a line between the eye’s outer canthus & the pinna:
a) a deviation should not be observed b) should not be a deviation of more than 10 degrees c) should not be a deviation of more than 20 degrees d) a deviation of more than 25 degrees should be referred |
should not be a deviation of more than 10 degrees
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When conducting an otoscope exam all of the following should be implemented EXCEPT:
a)use smallest speculum possible b) hold the handle up c) brace your hand against the head to prevent injury d) straighten ear canal by pulling pinna up or down |
Choose smallest speculum possible
WRONG !!! always select the LARGEST speculum that will fit into the canal |
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In an otoscope assessment the malleus can be seen at about:
a) 1:00 b) 5:00 c) 7:00 d) 11:00 |
11:00
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Assessment of TM in otoscope exam should reveal:
a) TM appears pearly grey b) may see a “cone of light” c) may see a “piece of pie” d) TM in L-ear will be 7:00 e) TM in R-ear will be 5:00 |
all are correct
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Relief for acute serous otitis media is all of the following EXCEPT:
a) chew gum b) yawn c) swallow w/ nose pinched d) blow with nose & mouth closed |
blow with nose & mouth closed
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During scoliosis exam, the nurse observes 5 Cafe Ole spots on the patient.
a) indicate basal cell carcinoma b) unusual but not abnormal c) indicates neurofibromatosis d) indicates child has excessive intake of caffiene |
this finding is indicative of neurofibromatosis
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During scoliosis exam, the nurse observes a hairy patch on the spinal cord:
a) basal cell carcinoma b) indicates heuritism c) indicates neurofibromatosis d) indicates spina bifida |
indicates spina bifida
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The nurse observes dimpling in a localized area of the spinal cord:
a) indicates subarachnoid hematoma b) indicates polyomyelitis c) indicates neurofibromatosis d) indicates spina bifida |
indicates spina bifida
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The nurse observes a 10 degree curve using a scoliometer. The nurse knows:
a) this is an acceptable deviation b) curvature must be 20 degrees or more for a referral c) knows a 20 degree curvature is referred & 25 degree is treated d) refers patient for reassessment in 1 year |
refers patient for reassessment in 1 year
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During a scoliosis exam, the nurse observes freckels under the axilla. The nurse knows:
a) freckles are caused by overexposure to the sun b) this is not abnormal c) indicates spina bifida d) sign of neurofibromatosis |
sign of neurofibromatosis
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In assessing an adolescent:
a) provide gown & privacy for changing clothes b) cover areas of body not being assessed during exam c) perform exam in private unless adolescent requests parent or sibling d) provides chaperone when parents or sibling not present e) opportunity to teach |
all are correct
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Bruises are common findings in all the following areas except:
a) knees b) shins c) shoulders d) lower arms |
shoulders
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When a skin color abnormality is suspected, the nurse should:
a) inspect the soles of feet b) inspect the sclera of the eyes c) inspect the buccal mucosa d) inspect the tongue |
inspect inspect the sclera of the eyes, buccal mucosa & the tongue
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The nurse observes the child as excessivly warm when palpated and recognizes this as:
a) normal because the skin should be warm to the touch b) a sign of fever c) a sign of inflammation |
a sign of fever &/ or a sign of inflammation
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The nurse observes the child as cool when palpated and recognizes this as:
a) normal because the skin should be cool to the touch b) a sign of cold exposure c) a sign of hyperthermia d) a sign of shock |
normal because the skin should be cool to the touch
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The nurse observes the child's skin as abnormally cool when palpated & recognizes this as:
a) normal because the skin should be cool to the touch b) a sign of cold exposure c) a sign of hyperthermia d) a sign of shock |
sign of cold exposure, a sign of shock
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When palpating the childs skin, the nurse detects an abnormality in texture & knows all of the following are true EXCEPT:
a) this is normal due to hormonal changes taking place b) abnormalities in texture are associated w/endocrine disorders c) abnormalities are associated w/chronic irritation d) abnormalities are associated w/inflammation |
this is normal due to hormonal changes taking place
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The nurse observes that the child is sweating excessivly without exertion & knows this indicates:
a) the child is overweight b) excessive caffiene intake c) fever d) uncorrected heart defect c) the child |
fever &/or uncorrected heart defect
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The nurse pinches a small amount of skin on the abdomen of a child & observes poor turgor & knows this:
a) indicates poor nutrition b) indicates an endocrine disorder c) is a sign of a potential pulmonary defect d) dehydration |
dehydration
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Acute otitis externa is:
a) inflammation of the pinna b) infection of the external ear canal c) inflammation of the external ear canal d) inflammation of the tempanic membrane |
inflammation of the external ear canal
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Dry scaley skin on the external ear or in the auditory canal indicates:
a)endocrine disorders b) chronic dehydration c) diabetes d) psoriases or seborrhea |
psoriases or seborrhea
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Hard nodules or calculi on the auricle rim or outside the opening of the external auditory canal is associated with:
a) gouty tophi b) chronic sinusitis c) pulmony disorder d) renal disorder |
gouty tophi
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Observation of low set ears is usually associated with:
a) congenital heart disease b) Down's syndrome c) renal disorders d) b & c |
Down's syndrome & renal disorders
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If signs of inflammation or obstruction are present before an otoscopic exam:
a) gently pull pinna down & quickly inspect w/otoscope b) use a Q-tip to manipulate obstruction out of the canal c)lubricate canal w/water soluble gel before inserting the otoscope d) do not insert the otoscope |
do not insert the otoscope
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When inspecting the TM the "cone of light" is:
a) a triangular reflection visible in the right lower quadrant of the left ear b) a triangular reflection visible in the left lower quadrant of the left ear |
a triangular reflection visible in the left lower quadrant of the left ear
(and the right lower quadrant of the right ear) |
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Reddened tympanic membrane w/ purlulent, foul smelling ear drainage suggets:
a) otitis media b) otitis interna c) otitis externa d) serous otitis |
otitis externa
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Bulging, reddened, or perforated TM may be the result of:
a) acute otitis media b) otitis interna c) otitis externa d) acute serous otitis |
acute otitis media
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Absence of the cone of light when inspecting the TM may be due to:
a) otitis media b) otitis interna c) otitis externa d) serous otitis |
otitis media
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