Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
46 Cards in this Set
- Front
- Back
|
The nurse is seeing an adolescent boy and his parents in theclinic for the first time. What should the nurse do first?
a. Introduce himself or herself. b. Explain the purpose of the interview. c.Make the family comfortable. d. Give an assurance of privacy.
|
A. Introduce himself or herself.
|
|
|
Which action is most likely to encourage parents to talk abouttheir feelings related to their child’s illness?*
a. Be sympathetic.
b. Use open-ended questions.
c. Use direct questions.
d. Avoid periods of silence.
|
c. Use open-ended questions. |
|
|
What is the single most important factor to consider when communicating with children? a. The child’s physical condition b.The presence or absence of the child’s parent c. The child’s developmental level d. The child’s nonverbal behaviors |
c. the childs developmetnal level |
|
|
What is an important consideration for the nurse who iscommunicating with a very young child?* a. Speak loudly, clearly, and directly. b. Use transition objects such as a doll. c. disguise own feelings, attitudes, and anxiety. d.Initiate contact with the child when the parent is not present. |
b. Use transition objects such as a doll. |
|
|
When introducing hospital equipment to a preschooler who seemsafraid, the nurse’s approach should be based on which principle? a. The child may think the equipment is alive. b.The child is too young to understand what the equipment does. c.Explaining the equipment will only increase the child’s fear. d.One brief explanation is enough to reduce the child’s fear. |
a. The child may think the equipment is alive. |
|
|
Which age group is most concerned with body integrity? a.Toddler b.School-age child c.Preschooler d.Adolescent |
c. School-age child |
|
|
An 8-year-old girl asks the nurse how the blood pressure apparatusworks. The most appropriate nursing action is to: a. Ask her why she wants to know. b. Determine why she is so anxious. c. Explain in simple terms how it works. d. Tell her she will see how it works as it is used. |
c. Explain in simple terms how it works. |
|
|
When the nurse interviews an adolescent, it is especially important to: a. Focus the discussion on the peer group. b. Allow an opportunity to express feelings. c. Emphasize that confidentiality will always be maintained. d. Use the same type of language as the adolescent. |
b. Allow an opportunity to express feelings. |
|
|
the nurse is having difficulty communicating with a hopitalized 6-year-old child. What technique may be most helpful? a. Suggest that the child keep a diary. b. Suggest that the parent read fairy tales to the child. c. Ask the parent whether the child is always uncommunicative. d. Ask the child to draw a picture. |
d. Ask the child to draw a picture.
|
|
|
The nurse is taking a health history on an adolescent. What bestdescribes how the chief complaint should be determined? a. Ask for a detailed listing of symptoms. b. Ask the adolescent, “Why did you come here today?” c. Use what the adolescent says to determine, in correct medical terminology, what the problem is. d. Interview the parent away from the adolescent to determine the chief complaint. |
b. Ask the adolescent, “Why did you come here today?” |
|
|
Where in the health history should the nurse describe all detailsrelated to the chief complaint? a. Past history b. Chief complaint c. Present illness d. Review of systems
|
c. Present illness |
|
|
The nurse is interviewing the mother of an infant. She reports, “Ihad a difficult delivery, and my baby was born prematurely.” This informationshould be recorded under which heading?* a. Birth history b. Present illness c. Chief complaint d. Review of systems |
a. Birth history |
|
|
When interviewing the mother of a 3-year-old child, the nurse asksabout developmental milestones such as the age of walking without assistance.This should be considered because these milestones are: a. Unnecessary information because the child is age 3 years. b. An important part of the family history. c. An important part of the child’s past growth and development. d. An important part of the child’s review of systems. |
c. An important part of the child’s past growth and development. |
|
|
The nurse is taking a sexual history on an adolescent girl. Thebest way to determine whether she is sexually active is to: a. Ask her, “Are you sexually active?” b. Ask her, “Are you having sex with anyone?” c. Ask her, “Are you having sex with a boyfriend?” d. Ask both the girl and her parent if she is sexually active. |
b. Ask her, “Are you having sex with anyone?” |
|
|
When doing a nutritional assessment on an Hispanic family, thenurse learns that their diet consists mainly of vegetables, legumes, andstarches. The nurse should recognize that this diet: a. Indicates that they live in poverty. b. Is lacking in protein. c. May provide sufficient amino acids. d. Should be enriched with meat and milk. |
c. May provide sufficient amino acids. |
|
|
Which parameter correlates best with measurements of the body’stotal protein stores? a. Height b. Weight c. Skin-fold thickness d. Upper arm circumference |
<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /> d. Upper arm circumference |
|
|
An appropriate approach to performing a physical assessment on atoddler is to: a. Always proceed in a head-to-toe direction. b. Perform traumatic procedures first. c. Use minimal physical contact initially. d. Demonstrate use of equipment. |
c. Use minimal physical contact initially. |
|
|
With the National Center for Health Statistics (NCHS) criteria,which body mass index (BMI)–for-age percentile indicates a risk for beingoverweight? a. 10th percentile b. 9th percentile c. 85th percentile d. 95th percentile |
c. 85th percentile |
|
|
The nurse is using the NCHS growth chart for an African-Americanchild. The nurse should consider that: a. This growth chart should not be used. b. Growth patterns of African-American children are the same as for all other ethnic groups. c. A correction factor is necessary when the NCHS growth chart is used for non-Caucasian ethnic groups. d. The NCHS charts are accurate for U.S. African-American children.
|
d. The NCHS charts are accurate for U.S. African-American children. |
|
|
Which tool measures body fat most accurately? a. Stadiometer b. Calipers c. Cloth tape measure d. Paper or metal tape measure |
b. Calipers |
|
|
By what age do the head and chest circumferences generally becomeequal?* a. 1 month b. 6 to 9 months c. 1 to 2 years d. 2.5 to 3 years |
c. 1 to 2 years |
|
|
The earliest age at which a satisfactory radial pulse can be takenin children is:* a. 1 year b. 2 years c. 3 years d. 6 years |
b. 2 years |
|
|
Where is the best place to observe for the presence of petechiaein dark-skinned individuals? a. Face b. Buttocks c. Oral mucosa d. Palms and soles
|
c. Oral mucosa |
|
|
When palpating the child’s cervical lymph nodes, the nurse notes thatthey are tender, enlarged, and warm. The best explanation for this is: a. Some form of cancer. b. Local scalp infection common in children. c. Infection or inflammation distal to the site. d. Infection or inflammation close to the site. |
d. Infection or inflammation close to the site. |
|
|
The nurse has just started assessing a young child who is febrileand appears very ill. There is hyperextension of the child’s head(opisthotonos) with pain on flexion. The most appropriate action is to: a. Refer for immediate medical evaluation. b. Continue the assessment to determine the cause of neck pain. c. Ask the parent when the child’s neck was injured. d. Record “head lag” on the assessment record and continue the assessment of the child. |
a. Refer for immediate medical evaluation. |
|
|
The nurse should expect the anterior fontanel to close at age:* a. 2 months b. 2 to 4 months c. 6 to 8 months d. 12 to 18 months |
d. 12 to 18 months |
|
|
During a funduscopic examination of a school-age child, the nursenotes a brilliant, uniform red reflex in both eyes. The nurse should recognizethat this is: a. A normal finding. b. An abnormal finding; the child needs referral to an ophthalmologist. c. A sign of a possible visual defect; the child needs vision screening. d. A sign of small hemorrhages, which usually resolve spontaneously. |
a. A normal finding. |
|
|
Binocularity, the ability to fixate on one visual field with botheyes simultaneously, is normally present by what age?* a. 1 month b. 3 to 4 months c. 6 to 8 months d. 12 months |
b. 3 to 4 months |
|
|
The most frequently used test for measuring visual acuity is the:* a. Denver Eye Screening test. b. Allen picture card test. c. Ishihara vision test. d. Snellen letter chart. |
d. Snellen letter chart. |
|
|
The nurse is testing an infant’s visual acuity. By what age shouldthe infant be able to fix on and follow a target?* a. 1 month b. 1 to 2 months c. 3 to 4 months d. 6 months |
c. 3 to 4 months |
|
|
The appropriate placement of a tongue blade for assessment of themouth and throat is the: a. The center back area of the tongue. b. The side of the tongue c. Against the soft palate. d. On the lower jaw. |
b. The side of the tongue. |
|
|
What type of breath sound is normally heard over the entiresurface of the lungs, except for the upper intrascapular area and the areabeneath the manubrium? a.Vesicular c. Bronchial b. Adventious d. Bronchovesicular |
a. Vesicular |
|
|
What term is used to describe breath sounds that are produced asair passes through narrowed passageways?* a. Rubs b. Rattles c. wheezes d.Crackles |
c. Wheezes |
|
|
The nurse must assess a child’s capillary filling time. This canbe accomplished by: a. Inspecting the chest. b. Auscultating the heart. c. Palpating the apical pulse. d. Palpating the skin to produce a slight blanching.
|
d. Palpating the skin to produce a slight blanching. |
|
|
What heart sound is produced by vibrations within the heartchambers or in the major arteries from the back-and-forth flow of blood? a. S1, S2 b. Murmur c. S3, S4 d. Physiologic splitting |
c. Murmur |
|
|
The nurse has a 2-year-old boy sit in “tailor” position duringpalpation for the testes. The rationale for this position is that: a. It prevents cremasteric reflex. b. Undescended testes can be palpated. c. This tests the child for an inguinal hernia. d. The child does not yet have a need for privacy. |
a. It prevents cremasteric reflex. |
|
|
During examination of a toddler’s extremities, the nurse notesthat the child is bowlegged. The nurse should recognize that this finding is: a. Abnormal and requires further investigation. b. Abnormal unless it occurs in conjunction with knock-knee. c. Normal if the condition is unilateral or asymmetric. d. Normal because the lower back and leg muscles are not yet well developed.
|
d. Normal because the lower back and leg muscles are not yet well developed.
|
|
|
Kimberly is having a checkup before starting kindergarten. Thenurse asks her to do the “finger-to-nose” test. The nurse is testing for: a. Deep tendon reflexes. b. Sensory discrimination. c. Cerebellar function. d. Ability to follow directions. |
b. Cerebellar function. |
|
|
The nurse is meeting a 5-year-old child for the first time andwould like the child to cooperate during a dressing change. The nurse decidesto do a simple magic trick using gauze. This should be interpreted as: a. Inappropriate, because of child’s age. b. A way to establish rapport. c. Too distracting, when cooperation is important. d. Acceptable, if there is adequate time. |
b. A way to establish rapport. |
|
|
The nurse must assess 10-month-old infant. The infant is sittingon the father’s lap and appears to be afraid of the nurse and of what mayhappen next. Which initial action by the nurse would be most appropriate? a. Initiate a game of peek-a-boo. b. Ask the father to place the infant on the examination table. c. Undress the infant while he is still sitting on his father’s lap.d. Talk softly to the infant while taking him from his father. |
a. Initiate a game of peek-a-boo. |
|
|
During a routine health assessment, the nurse notes that an8-month-old infant has significant head lag. Which is the nurse’s mostappropriate action? a. Teach the parents appropriate exercises. b. Recheck head control at the next visit.c. Refer the child for further evaluation. d. Refer the child for further evaluation if the anterior fontanel is still open. |
c. Refer the child for further evaluation. |
|
|
The nurse must check vital signs on a 2-year-old boy who isbrought to the clinic for his 24-month checkup. Which criteria should the nurseuse in determining the appropriate-size blood pressure cuff (Select all thatapply)?* a. The cuff is labeled “toddler.” b. The cuff bladder width is approximately 40% of the circumference of the upper arm. c. The cuff bladder length covers 80% to 100% of the circumference of the upper arm. d. The cuff bladder covers 50% to 66% of the length of the upper arm. |
b. The cuff bladder width is approximately 40% of the circumference of the upper arm.
c. The cuff bladder length covers 80% to 100% of the circumference of the upper arm. |
|
|
Which data would be included in a health history (Select allthat apply)?* a. Review of systems b. Physical assessment c. Sexual history d. Growth measurements e. Nutritional assessment f. Family medical history |
a. Review of systems c. Sexual history e. Nutritional assessment f. Family medical history
|
|
|
A school nurse is screening children for scoliosis. Which assessmentfindings should the nurse expect to observe for scoliosis (Select all thatapply)? a. Complaints of a sore back b. Asymmetry of the shoulders c. An uneven hemline d. Inability to bend at the waist e. Unequal waist angles |
b. Asymmetry of the shoulders c. An uneven hemline e. Unequal waist angles |
|
|
A nurse is performing an assessment on a school-age child. Whichfindings suggest the child is receiving an excess of vitamin A (Select allthat apply)? a. Delayed sexual development b. Edema c. Pruritus d. Jaundice e. Paresthesia |
a. Delayed sexual development c. Pruritus e. Paresthesia |
|
|
A nurse is planning to use an interpreter during a health historyinterview of a non-English speaking patient and family. Which nursing careguidelines should the nurse include when using an interpreter (Select allthat apply)? a. Elicit one answer at a time. b. Interrupt the interpreter if the response from the family is lengthy. c. Comments to the interpreter about the family should be made in English. d. Arrange for the family to speak with the same interpreter, if possible. e. Introduce the interpreter to the family. |
a. Elicit one answer at a time. d. Arrange for the family tospeak with the same interpreter, if possible. e. Introduce the interpreter tothe family. |
