Practice Question Powerpoint (Exam 1)

Question 1

which gross motor skill is expected at 6 months?

a. sit unsupported
b. roll from back to front
c. feed self w/spoon
d. creeps on hands/knees

Answer 1

B

Question 2

when is it safe to place a toddler in a forward-facing position?

Answer 2

after 2 yr and exceeds the manufacturer height recommendations

Question 3

what is the most age-appropriate activity for a 4 yr old who has been placed in traction following a femur fracture?

a. large picture books
b. listening to music
c. crayons and coloring book
d. model airplane

Answer 3

c
- simple and imaginative (puppets, felt magnetic boards and play-doh)

Question 4

what age are large picture books most appropriate for?

Answer 4

toddlers

Question 5

what age group is picking out type and listening music most appropriate for?

Answer 5

adolescent

Question 6

what age group are simple models the most appropriate for?

Answer 6

school- age

Question 7

which is expected finding in a 4 month infant ? SATA
a. open posterior fontanelle
b. + Babinski
c. head control
d. crude pincer grasp
e. RR 30-60

Answer 7

B, C and E

Question 8

when is posterior fontanelle expected to close?

Answer 8

6-8 weeks

Question 9

when is the crude pincer grasp developed?

Answer 9

9 months

Question 10

what should nurse tell mother of a toddler who constantly rebels and has temper tantrums?

a. punish child when they say “no”
b. all behavior
c. set limit on child’s behavior
d. ignore child

Answer 10

c
- be consistent and set limits

Question 11

what should be included in care for an 18 month old?

a. hold and cuddle often
b. encourage them to feed himself finger foods
c. allow child to walk independently on nursing unit
d. involve them in games with other childrens

Answer 11

B

• Erickson’s Autonomy vs Shame/Doubt, so increasing independence of ADLs should be included

Question 12

what is the MAJOR threat felt by a adolescent during hospitalization?

a. pain management
b. restricted physical activity
c. altered body image
d. separation from family

Answer 12

C

• this is due to the emphasis on physical appearance

Question 13

what is expected for the cognitive development for a 9 yr old? SATA
a. understand principle of conservation
b. able to tell time
c. abstract thinking
d. classify and sort objects
e. able to think about problems from all points of view

Answer 13

A, B and D

• concrete operations

Question 14

what age are abstract thinking and advanced problem solving achieved?

Answer 14

adolescence

• Piaget’s formal operational period

Question 15

what would be an effective way to teach a 10 yr old about their impending heart surgery?

Answer 15

explain surgery using a model of the heart

• concrete operations (the model is concrete and allows them to understand what is happening)

Question 16

what nursing interventions are appropriate to facilitate normal growth and development for adolescents?

Answer 16

encourage/allow child to interact and socialize with peers

• avoid isolation from their friends