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Nursing
Q:
The nurse must perform a procedure on a toddler. The technique most appropriate when performing the procedure is to:
1. Allow the child to cry or scream.
2. Perform the procedure in the child's hospital bed.
3. Ask the child if it is okay to start the procedure.
4. Ask the mother to restrain the child during the procedure.
Q:
The nurse is caring for a client in the pediatric intensive care unit. The parents have expressed anger over the nursing care their child is receiving. The nursing intervention most appropriate for these parents would be to:
1. Explain to the parents that their anger is affecting their child, and they will not be allowed to visit the child until they calm down.
2. Ask the physician to talk with the family.
3. Acknowledge the parents' concerns and collaborate with them regarding the care of their child.
4. Call the chaplain to sit with the family.
Q:
The nurse is taking care of a child in the ICU. The parent appears very angry and tells the nurse no one is giving her information about her child. How should the nurse respond?
1. Inform the parent she will be asked to leave if she continues this behavior.
2. Apologize for the parent's perception and assure the parent that the staff will keep her informed. Inform the parent of any change in the child's condition as soon as possible.
3. Offer to ask the doctor to come and talk with her.
4. Tell the parent her behavior will upset the child.
Q:
A child is being prepared for surgery. The parent requests to be present during anesthesia induction. How should the nurse respond?
1. The nurse should tell the parent the names of all the medications the child will receive.
2. The nurse should explain what the parent will see and hear when present during induction.
3. The nurse should tell the parent he will be upset to see his child under anesthesia.
4. The nurse should ignore the request and focus on the child.
Q:
A five-year-old child is admitted to the pediatric unit for surgery. The parents request to stay with their child. Which is the best response by the nurse?
1. Tell the parents they can stay in the hospital but not on the unit.
2. Read the rules and regulations of rooming in with the child.
3. Let the parents know they are allowed to stay with the child.
4. Explain to the parents why they cannot stay with the child.
Q:
A five-year-old is in the playroom when the respiratory therapist arrives on the pediatric unit to give the child a scheduled breathing treatment. The nurse should:
1. Escort the child to his room and ask the child life specialist to bring toys to the bedside.
2. Reschedule the treatment for a later time.
3. Assist the child back to his room for the treatment but reassure him that he may return when the procedure is completed.
4. Show the respiratory therapist to the playroom so the treatment can be performed.
Q:
A four-year-old is seen in the clinic for a sore throat. In the child's mind, the most likely causative agent is that the child:
1. Was exposed to someone else with a sore throat.
2. Yelled at his brother.
3. Did not eat the right foods.
4. Did not take his vitamins.
Q:
The charge nurse on a hospital unit is developing plans of care related to separation anxiety. The charge nurse recognizes that the hospitalized child who is at greatest risk for experiencing separation anxiety when parents cannot stay is the:
1. Six-month-old.
2. 18-month-old.
3. Four-year-old.
4. Six-year-old.
Q:
The parents of a child who is critically injured wish to stay in the room while the child is receiving emergency care. The nurse should:
1. Ask the physician if the parents can stay with the child.
2. Allow the parents to stay with the child.
3. Escort the parents to the waiting room and assure them that they can see their child soon.
4. Tell the parents that they do not need to stay with the child.
Q:
In addition to separation anxiety, infants between six and 18 months of age also might display:
1. Fear of disfigurement.
2. Fear of death.
3. Stranger anxiety.
4. Fear of bodily injury.
Q:
A group of children on one hospital unit are all suffering separation anxiety. When determining the stages of separation anxiety, the nurse recognizes that the child in the "despair" phase is the child who:
1. Lies quietly in bed.
2. Does not cry if his parents return and leave again.
3. Appears to be happy and content with staff.
4. Screams and cries when his parents leave.
Q:
A child is being discharged from the hospital on home antibiotic infusions for two more weeks. The intravenous line is in place, and the medication will be delivered by the pharmacy and ready to administer on the infusion pump. The home health nurse will visit once a day, but the family will be responsible for administering the medication. The home health nurse will want to educate the family on:
Standard Text: Select all that apply.
1. How to initiate an intravenous line.
2. How to operate the infusion pump.
3. The side effects of the medication.
4. Actions to take in case of anaphylaxis.
5. Signs of infection.
Q:
The nurse is applying for a job as a pediatric telephone advisor. Skills the nurse should have to be effective in this position would include:
Standard Text: Select all that apply.
1. Good listening skills.
2. Extensive pediatric experience.
3. Internet experience.
4. Psychiatric experience.
5. Teaching and verbal communication skills
Q:
The nurse working in a pediatric clinic will have many duties. Included in the nurse's responsibilities will be:
Standard Text: Select all that apply.
1. Prescribing over-the-counter medications.
2. Collecting health history information.
3. Performing diagnostic tests, such as the TB skin test.
4. Performing developmental screening tests.
5. Administering immunizations.
Q:
The weather report predicts a hurricane may be approaching the area where a child who is medically fragile lives. As a component of the family's disaster planning, the nurse will discuss which actions with the family?
Standard Text: Select all that apply.
1. Providing the child's pediatrician with contact information of a health care provider in the area to which they will evacuate if that becomes necessary
2. Having sufficient medication available for at least one week
3. Having contact information for Emergency Medical Services so that they can transport the medically fragile child to the selected evacuation location
4. Admitting the child to the local hospital prior to the family evacuating the area
5. Riding out the hurricane at home; the child is too fragile to transport
Q:
While working in a pediatrician's office, the nurse frequently steps into the waiting room to speak quickly with the families and children waiting their turn. This allows her the opportunity to observe the children and their families. Based on her observations, which child should the nurse move to the examining room next?
1. The child with a flushed face and rash that is visible on all exposed skin
2. The four"month-old infant who has come for immunizations
3. The child holding his ear and crying
4. The adolescent holding his swollen hand and complaining of pain
Q:
The nurse has recommended respite care for the family of a two-year-old child who is medically fragile. The mother asks what respite can do for them. The nurse's response will be based on the knowledge that:
1. Respite care will admit the child for an evaluation of the child's medical condition.
2. Respite care gives the family a break from the daily demands of caring for a child who is medically fragile.
3. Respite care can provide support for the child during local disasters.
4. Respite care will admit the child and family to their facility and provide the whole family a vacation experience.
Q:
Which of the following should be considered in disaster preparedness for children with special needs?
1. Current medical information should be maintained only by the child's health care provider.
2. Only one family member should be trained to provide the needed care for the sake of consistency.
3. The utility company needs advance notification when a child is technology-assisted to provide emergency power.
4. Minimal supply of medication, equipment, and supplies should be maintained.
Q:
Which aspect of an Emergency Medical Services (EMS) system is most indicative that EMS providers are prepared to provide emergency care to children?
1. Lists of hospitals in the area that treat children
2. Staff education related to assessment and treatment of children of all ages
3. Placement of small stretchers in emergency vehicles
4. Size-appropriate equipment and supplies
Q:
A child who is dependent on a ventilator is being discharged from the hospital. Prior to discharge, the home health nurse discusses development of an emergency plan of care with the family. Which is the most essential part of the plan?
1. Provision for an alternate heating source if power is lost
2. Notifying the power company that the child is on life support
3. Designation of an emergency shelter site
4. Acquisition of a backup generator
Q:
A major goal of home health care nurses working with families is:
1. Maximizing the dependency of the child on the family.
2. Curing the chronic illness of the child.
3. Prescribing and administering medication needed by the child.
4. Promoting or restoring the child's health.
Q:
The pediatric nurse works at a camp for children with diabetes. As a component of the job, the camp nurse works:
1. Directly under the supervision of the camp doctor.
2. With standard protocols to guide nursing interventions.
3. As an emergency medical technician.
4. Only in emergency situations.
Q:
An important goal for pediatric nurses in the office or healthcare setting is:
1. Develop a positive relationship with the child and family.
2. Develop a plan of care with the physician for the family.
3. Tell the family immediately what's wrong with the child.
4. Tell the family "Everything will be okay."
Q:
As the new school year begins, the school nurse evaluates several children to determine their healthcare needs. Which child would the nurse consider to be medically fragile?
1. The child with a casted right arm due to a fracture
2. The child who wears hearing aids due to hearing loss secondary to meningitis as an infant
3. The child requiring oxygen and tube feedings secondary to a congenital heart defect
4. The child with a developmental delay
Q:
A child who is medically fragile is being discharged home after a long hospital stay. The child will require someone to provide medical treatments several times a day. In planning discharge, the nurse will:
1. Train all members of the family to take part in the child's care.
2. Plan for a home health nurse to visit the child four times a day to provide the medical treatment.
3. Determine with the family which family members may be trained to provide care for the child.
4. Evaluate the size of the child's room for therapy.
Q:
The number of serious injuries of children in a community has doubled in the past year. Based on this information, the most appropriate nursing diagnosis for the community would be:
1. Altered Family Processes related to hospitalization of an injured child.
2. Noncompliance related to inappropriate use of child safety seats.
3. Injury, risk for related to inadequate use of bicycle helmets.
4. Knowledge, Deficit injury prevention in children.
Q:
The telephone triage nurse receives a call from a parent who states that her 18-month-old is making a crowing sound when he breathes and is hard to wake up. Which is the nurse's priority action?
1. Advise the parent to hang up and call 911.
2. Reassure the parent and provide instructions on home care for the child.
3. Instruct the parent to make an appointment for the child to see the health care provider.
4. Obtain the history of the illness from the parent.
Q:
A child with a history of asthma presents to the school nurse complaining of wheezing. The nurse assesses the child and notes that the respiratory rate is 36 and expiratory wheezes are heard throughout the lung field. The child's oxygen saturation is 98%. Which is the best initial action by the nurse?
1. Call the child's parents to come pick up the child.
2. Have the child use his metered-dose inhaler.
3. Call 911 to request emergency medical assistance.
4. Have the child lie down to see if the symptoms subside.
Q:
Prior to her return to school, an individualized health plan (IHP) will be developed for the child who has:
1. Missed two weeks of school due to mononucleosis.
2. Been newly diagnosed with insulin-dependent diabetes mellitus.
3. Recently developed a penicillin allergy.
4. Been treated for head lice.
Q:
The community health nurse is planning an education session for recently hired teachers at a childcare center. It is most important that the nurse teach the staff:
1. The schedule for immunizations.
2. How to interpret health records.
3. Principles of infection control.
4. How to take a temperature.
Q:
A 16-year-old client has a long leg cast secondary to a fractured tibia. The child will require a wheelchair for mobility. To effectively facilitate the adolescent's return to school, the school nurse should:
1. Meet with all of the other students prior to the student's return to school to emphasize the special needs of the injured teen.
2. Meet with teachers and administrators at the school to discuss modifications in the student's school routine.
3. Develop an individualized health plan (IHP) focusing on long-term needs of the adolescent.
4. Meet with parents of the injured student to encourage homebound schooling until a short leg cast is applied.
Q:
A child is being discharged after an extended hospitalization. Prior to discharge from a hospital, home health care nurses should assess which aspect of the home setting?
1. Parents' insurance
2. Parents' income
3. Readiness of the home for the child who is returning home from the hospital
4. Parents' home location
Q:
A pediatric nurse has accepted a position in a pediatric office. What nursing functions would the nurse expect to perform in this setting?
1. Performing minor surgical procedures
2. Providing medical care to chronically ill children
3. Planning hospital admissions
4. Identifying children in need of urgent care or isolation
Q:
A majority of pediatric health care occurs in community-based settings. Community-based health care settings include:
Standard Text: Select all that apply.
1. The local community hospital.
2. Outpatient surgical facilities.
3. The public health clinic.
4. An inpatient mental health center.
5. A pediatrician's office
Q:
Prior to accepting an assignment as a home health nurse, the nurse must realize that:
1. The family will adapt their lifestyle to the needs of the nurse.
2. The family is in charge.
3. Independent decisions regarding emergency care of the child will be made by the nurse.
4. All decisions will be made by the healthcare provider.
Q:
While promoting participation in physical activities at school, the nurse recognizes that factors which may inhibit the adolescent from participating would include:
Standard Text: Select all that apply.
1. The family members do not regularly participate in physical activity.
2. The adolescent is overweight.
3. The public school does not have sports programs available.
4. Participating in sports may require financial resources.
5. Physical activities are limited to the best athletes.
Q:
The school nurse recognizes that an adolescent comes from a family with limited financial resources. The nurse is developing a nursing care plan to assist the adolescent with his needs. An appropriate nursing diagnosis would be:
1. Altered financial support related to inadequate parental support.
2. Imbalanced nutrition: Less than body requirements related to familial financial difficulties.
3. Knowledge deficit related to sources of financial support.
4. Risk for injury related to imbalanced nutrition.
Q:
While assessing risk factors in adolescents, the nurse recognizes that dental issues may be related to:
Standard Text: Select all that apply.
1. Fluoridated water.
2. Failure to use a mouth guard when playing physical sports.
3. Adolescent obesity.
4. Diagnosis of bulimia.
Q:
The nurse will want to screen all adolescents for problems associated with the primary developmental task of adolescents. In that area, the nurse will ask questions about:
1. The adolescent's adaptation to high school.
2. Establishing positive peer relationships.
3. Finding a life career.
4. Developing a healthy lifestyle.
Q:
An adolescent reports that after hearing about all the hazards of cigarette smoking, he has changed to chewing tobacco. The nurse will want to inform that adolescent of the risk factors associated with smokeless tobacco, including:
Standard Text: Select all that apply.
1. Lung cancer.
2. Nicotine addiction.
3. Mouth cancers.
4. Emphysema .
5. Mouth ulcers.
Q:
The school nurse is working with an adolescent who reports that he gets six hours or less of sleep at night. The nurse explains to the adolescent that some of the common consequences of inadequate sleep include:
Standard Text: Select all that apply.
1. Hyperactivity.
2. Increased nocturnal emissions.
3. Increased risk of automobile accidents when driving.
4. Moodiness.
5. Being unable to perform well at school.
Q:
The eating disorders clinic sees a number of overweight adolescent girls. In addition to monitoring these adolescents for the health problems related to obesity, the nurse will monitor the girls for which mental health problem?
1. Substance abuse
2. School phobia
3. Spiritual distress
4. Negative self-esteem
Q:
Nurses working with adolescents should encourage the adolescents to assume more of the responsibility for their healthy behaviors. To promote this personal responsibility, the nurse will want to provide adolescents with information about which health promotion activities?
1. Self-breast exams for girls and self-testicular exams for the boys
2. Immunizations that need to be updated
3. Communicable diseases that are prevalent in the community
4. The importance of eating together as a family several times a week
Q:
The school nurse is performing health screenings during the physical education class. The nurse plans to weigh, measure, and determine body mass index of the adolescents. The scale has been set up in the open gym to speed the process. What should the nurse do to maintain confidentiality of the findings?
1. Have a student worker record the screening findings on the appropriate adolescent's record.
2. Have a volunteer weigh and measure the adolescents and verbally give the findings to the nurse to calculate the body mass index and record.
3. Provide a privacy screen and have the health aid record the findings directly on the record. The nurse will then calculate body mass index.
4. Use a buddy system with the students, having the students measure each other and record the findings.
Q:
While completing the health history of a 15-year-old girl, the nurse learns that the girl is sexually active. Based on this finding, the nurse will screen for which conditions?
Standard Text: Select all that apply.
1. Herpes simplex virus
2. Gonorrhea
3. Chlamydia
4. Impetigo
5. Mononucleosis
Q:
What would be the best way for the nurse to teach adolescents regarding health promotion and health maintenance?
1. Contact the parents and ask what issues they have with their adolescents.
2. Have the adolescents identify a personal health goal.
3. Ask the advice of the counselors at school.
4. Tell the adolescents what you will include in the lecture.
Q:
The nurse is speaking with a group of adolescents about what can happen when having unprotected sex. The nurse understands that to communicate effectively with teens, the nurse must:
1. Offer personal opinions on the topic and cite examples of what can happen if they don't listen.
2. Allow for discussion, and bring peers who have had experience related to the topic being discussed.
3. Lecture on the topic for the allotted time without any discussion.
4. Discuss sex education related to religious belief.
Q:
An adolescent who recently moved to a new school in a different town presents to an ambulatory care center and describes the following: "I have no friends in my new school, and I no longer want to go to college. I know I will be lonely there, too." Which takes priority when speaking with the adolescent?
1. Stressing the importance of remaining in a close parent-child relationship during these stressful times
2. Promoting healthy mental health outcomes
3. Acknowledging the fact that it takes several months to make new friends at a new school due to adolescent exclusion behaviors
4. Helping the adolescent realize the value of postsecondary education
Q:
The school nurse performs screenings on all students in the high school. In addition, the nurse will perform selected screenings on individual teenagers. When planning the screenings for the year, the nurse will include which screening for all teenagers?
1. Respiratory rate
2. Hepatitis B profile
3. Chest X-ray
4. Scoliosis
Q:
A mother reports that her adolescent daughter is always late. The mother states, "She was born late and has been late every day of her life." Which response should the nurse make to this mother?
1. "Setting specific alarms and then reinforce the value of being 'on-time' may be helpful strategies to assist her to be more of an 'on-time' individual."
2. "Just let it go for now. Teachers and, in the future, employers will be the best people to help her be 'on-time'."
3. "You need to establish specific time frames for your adolescent and be certain she adheres to them."
4. "You have a major problem. There must be a lot of screaming in your home."
Q:
An obese adolescent who adamantly denies sexual activity has a positive pregnancy test. Which statements would be most appropriate for the nurse to make to this adolescent?
1. "When was your last menstrual period (LMP)?"
2. "Tell me how you feel about your body image."
3. "Let's discuss some activities that you have done within the past few months that could possibly lead to pregnancy."
4. "Why are you denying sexual intercourse?"
Q:
The nurse working in the clinic includes an adolescent history in every client intake interview. Which of these issues should the nurse address when the parents are not present?
1. The adolescent's role in the family
2. Teen job responsibilities
3. Possible domestic violence
4. Activities done as a family
Q:
A teenager is accompanied by his mother to the annual physical examination. The nurse is aware of privacy issues related to the teenager. While the mother is in the room, which topic should the nurse avoid?
1. School performance
2. Cigarette smoking
3. School friends
4. Seatbelt use
Q:
The nurse is assessing a 15-year-old female. The girl's menses began when she was 12 years old. The girl's body mass index (BMI) is 27.5 and her height is 5 feet, 2 inches. She weighs 160 pounds. Her school performance has been spotty. The priority client teaching would be related to:
1. Menstrual cycle.
2. Nutritional intake.
3. School performance.
4. Adolescent mini mental health status examination.
Q:
A school nurse is performing annual height and weight screening. The nurse notes that three females who are close friends each lost 15 pounds over the past year. The priority nursing action is to:
1. Obtain a nutritional history for each of these adolescents.
2. Refer these adolescents to the school psychologist.
3. Call the respective parents to discuss the eating patterns of each adolescent.
4. Speak with the girls in a group to discuss the problems associated with anorexia nervosa.
Q:
A 17-year-old female presents at a nurse practitioner's office and requests a signature for work papers. The nurse reviews her chart and notes that the last physical examination was within the year. In addition to providing the signature for the work papers, the nurse should use this visit as:
1. A time to discuss exercise and sports participation.
2. A health supervision opportunity.
3. An opportunity to discuss birth control measures.
4. A chance to discuss the importance of pursuing postsecondary education.
Q:
An adolescent comes to the clinic because of a concern with a skin lesion, and he is accompanied by a parent. When the adolescent is called back to the exam room, the parent comes with the adolescent. What approach by the nurse would be most appropriate?
1. Instruct the parent to stay in the waiting room and tell him that the adolescent will give him a report on the exam.
2. Tell the parent he cannot come into the exam room with the adolescent.
3. Reassure the parent that you will talk with him about any of his concerns and questions.
4. Allow the parent to come into the exam room with the adolescent.
Q:
An adolescent is visiting the clinic for the first time. What should the nurse keep in mind when attending to this patient?
1. The nurse should explain procedures and introduce personnel to adolescents.
2. Adolescents usually are quiet and will offer no opinions.
3. The nurse should attend to and discharge adolescents quickly.
4. Adolescents are comfortable with their surroundings.
Q:
The nurse is preparing to see an adolescent patient to assess his relationships with others. What should the nurse do when conducting this assessment?
1. Let the parents know the nurse will share the information with them after the exam.
2. Provide separate time to communicate with both the adolescent and the parents.
3. Avoid asking the parents their opinions of the adolescent's friends.
4. Tell the parents they are not allowed to come into the examination room.
Q:
An adolescent is being seen in the clinic to discuss health promotion behaviors. The nurse develops and implements a health promotion plan. What will the nurse include in the evaluation of the plan?
1. The effectiveness of the health promotion plan and methods to expand and sustain successful approaches
2. Instruction on what is considered healthy behavior
3. Advice to the adolescent that promoting health behaviors will maintain a healthy lifestyle
4. Information on the adolescent's attitude toward health
Q:
During a well-child visit, the mother tells the nurse that her 11-year-old child is having problems controlling his temper. The mother states that when he gets mad, he often destroys things including his own possessions. The child recently smashed his bicycle, and the mother wonders how she should handle him. The nurse would suggest:
1. Spanking him when he displays this behavior because he knows better.
2. Not replacing the bike and explaining to him that when he breaks something, it will not be replaced.
3. When the child gets angry, the mother will need to yell at the child in order for the child to hear her response.
4. Discussing the child's behavior with the pediatrician so that the child can be placed on mood-altering medications.
Q:
The teacher has referred a 10-year-old boy to the school nurse. The school nurse knows that the child is an only child with a single mother who works full time and is going to school. Which additional finding would the nurse identify as putting the child at risk for mental health issues?
1. The child is well nourished, wears glasses, and wears clothing styles that matches the other boys in his class.
2. The boy has a grandmother, aunts, and several cousins living nearby.
3. The family attends church on a regular basis.
4. The child is not involved in community social activities and does not play sports. The child states he plays video games at home after school.
Q:
An 11-year-old child tells the nurse that she is having trouble falling asleep at night. What recommendations will the nurse make?
Standard Text: Select all that apply.
1.
"Drink a cup of warm tea at nighttime to induce sleep."
2. "Try to follow a nighttime routine."
3. "Avoid sleeping late in the morning or taking a nap."
4. "Exercise 30 minutes before bedtime to tire the body out."
5. "Darken the room at bedtime."
Q:
During a summer healthy child visit, the mother tells the nurse that when school starts, she will be going back to work. The mother expresses her concern that her child will be a "latchkey" kid. Which suggestions will the nurse make to help maintain the child's safety and comfort?
Standard Text: Select all that apply.
1. "During the summer, leave the child home alone for short periods of time."
2. "Ensure that an adult will always be available by phone."
3. "Allow the child's close friend to stay with the child so that he will not be alone."
4. "Plan some activities that can serve as distractions for the child while alone."
5. "Ensure that the child knows how and when to call 911."
Q:
A six-year-old child is being seen in the clinic for a well-child visit. The child is visibly nervous and fearful of the nurse and the nurse's actions. The nurse should:
1. Ask the parent to leave the examination room as this is probably the cause of the child's nervousness.
2. Assure the child that you will not hurt her.
3. Say to the child: "Tell me why you are so nervous."
4. Explain to the child what you are doing in terms the child can understand. Explain the equipment and, when possible, let the child handle the equipment first.
Q:
The teacher reports to the nurse that despite adequate intelligence, a child is not performing well in school. The nurse's initial assessments would include:
1. Talking with the child to determine if there are family stressors, such as divorce, that are interfering with the child's performance.
2. Conducting a vision and hearing screening.
3. Determining if there is conflict between the child and the teacher.
4. Observing the child in the classroom to see interactions between the child and others.
Q:
The nurse and a young mother are discussing ways to best prepare children for starting school. What would be the best suggestion for the nurse to make?
1. Teach the child the alphabet and how to count.
2. Encourage the mother to tell the child how much she will miss the child while the child is at school.
3. Help the child relate to other adults and separate from the mother by planning play dates and short stays with sitters.
4. Plan for an older child to accompany the child and introduce the child to the teacher on the first day of school.
Q:
The nurse asks the parent during a clinic visit about the nutritional intake of her eight-year-old child. The mother tells the nurse she leaves early for work and her teen sibling takes care of the meals. What response by the nurse regarding nutrition is appropriate?
1. Provide information about healthy meals and snacks that are easy for school-age children and teens to prepare.
2. Provide a meal plan for the mother to take to her daughter.
3. Provide sample recipes for the mother.
4. Provide coupons for the mother when going to the grocery store.
Q:
The school nurse is teaching a class about safety. The nurse will teach the children that they should wear protective athletic gear when participating in selected activities. Which of these activities requires protective athletic gear?
1. Gymnastics
2. Swimming
3. Skateboarding
4. Basketball
Q:
The school health nurse is evaluating the home environments of several children as they relate to child safety. Which of these activities places a child at greatest risk for bodily harm?
1. The parents consume alcohol on a daily basis.
2. The child is permitted to participate, unsupervised, in target practice with a revolver.
3. The child is a latchkey child.
4. The parents are in a methadone program.
Q:
The parents of a school-age child report that they allow their child to eat anything because the child is a "picky" eater. Which is the best response the nurse should make to the parent?
1. "Continue to allow this, because he eventually will begin to eat properly."
2. "Can you try allowing this to continue but only every other day?"
3. "I think you must not be good role models, so let's talk about your eating habits."
4. "Let's talk about what types of food are consumed when your child chooses."
Q:
While teaching the parents of a school-age child about coping with divorce, the nurse instructs the parents to:
1. Explain to the child why their marriage fell apart, being sure to identify each partner's role in the divorce.
2. Be sure the child understands the divorce is not the child's fault.
3. Spend less time with the child so he doesn't feel the tension between the parents.
4. Allow the child to stay with only one parent until the divorce becomes final.
Q:
While teaching the parent of school-age children about self-esteem, the nurse instructs the parents to:
1. Limit the amount of compliments given to the child.
2. Point out the child's deficiencies in a nice way while providing suggestions for improvement.
3. Establish the goals they want the child to achieve at a predetermined time.
4. Build on the child's strengths and talents.
Q:
The nurse is caring for a young child in the clinic. The mother tells the nurse the child sleepwalks every night. Which statement by the nurse is appropriate?
1. "Are you concerned the child is not getting enough sleep?"
2. "What time does your child go to bed at night?"
3. "What do you know about children who sleepwalk?"
4. "Is the child experiencing any stress at home?"
Q:
A six-year-old child is being seen by the nurse for well-child checkup. The parent tells the nurse that they live on a farm and their water supply is from a well. Which should be the nurse's main concern about the child's oral care?
1. Use of teeth whitener
2. Use of fluoride
3. Use of mouthwash
4. How many teeth have been lost
Q:
The nurse is visiting with a school-age child in the clinic. The child states to the nurse, "Friends are giving me cigarettes to smoke." What is the best response by the nurse?
1. "Tell them 'no,' don't do it again, and don't tell anyone."
2. "Smoking occasionally will not hurt you."
3. Show the child a model of lungs with smoke damage then have the child try to breathe through a straw.
4. Explain to the child the risks associated with smoking.
Q:
A nine-year-old child who has been followed in the same pediatric health care home since birth has come in for a well-child visit. A nurse who measures the height and weight of the child documents 35th percentile for height and 90th percentile for weight. How should the nurse interpret these data?
1. The child is obese and needs dietary counseling.
2. The child is beginning a growth spurt.
3. As soon as the child begins the adolescent growth spurt, the height and weight measurements will normalize.
4. The parents are most likely below the 50th percentile for height and weight.
Q:
A nurse obtains a nutritional health history from a 10-year-old child. Which of these food selections, if consumed on a regular basis, should lead the nurse to become concerned about the need for improving oral hygiene?
1. Fluoridated water
2. Sorbet and yogurt
3. Peanuts and peanut butter crackers
4. Gummy bears and licorice
Q:
Which of these aspects of developmental health supervision should be included in each health care visit of young children?
1. Discussions of discipline with the parents
2. Toilet training guidelines
3. Referrals to community agencies
4. Patient and family education
Q:
A nurse observes the parent-child interaction during the six-year-old well-child checkup and notes that the parent speaks harshly to the child and uses negative remarks when speaking with the nurse. Which statement by the nurse would be most beneficial?
1. Addressing the child, the nurse says, "Are you unhappy when Mommy talks to you like this?"
2. "I am going to refer you for counseling, because your interactions with your child seem so negative."
3. "Perhaps you should leave the room so that I can speak with your child privately."
4. "Let's talk privately. Let's discuss ways you can speak to your child in a positive tone."