Practice Questions - Cumulative

Question 1

The nurse is planning educational interventions to reduce the incidence of the number one cause of mortality in children ages 1-4. Recognizing the developmental needs of this age group, the nurse should focus the session on which topic?

a.) Recognition of congenital malformation
b.) Car seat use
c.) Safe sleeping practices
d.) Child abuse prevention

Answer 1

b.) Car seat use

Question 2

Place the nursing assessments of a toddler in the best order.

1.) Examination of eyes, ears, & throat
2.) Auscultation of chest
3.) Palpation of abdomen
4.) Developmental assessment

Answer 2

4.) Developmental assessment
2.) Auscultation fo chest
3.) Palpation of abdomen
1.) Examination of eyes, ears, & throat

Question 3

The nurse is taking a health history from a family of a 3-year-old child. Which statement by the nurse would most likely establish rapport & elicit an accurate response from the family?

a.) “Does any member of your family have a history of asthma, heart disease, or diabetes?”
b.) “Hello, I would like to talk with you & get some information on you and your child”.
c.) “Tell me about the concerns that brought you to the clinic today”.
d.) “You will need to fill out these forms; make sure that the information is as complete as possible”.

Answer 3

c.) “Tell me about the concerns that brought you to the clinic today”.

Question 4

A new mother is worried about a “soft spot” on the top of her newborn infant’s head. The nurse informs her that this is a normal physical finding called the anterior fontanel. At what age will the nurse educate the mother that the soft spot will close?

a.) 2 - 3 months
b.) 6 - 9 months
c.) 12 - 18 months
d.) approximately 2 years

Answer 4

c.) 12 - 18 months

Question 5

A 7-year-old child presents to the clinic with an exacerbation of asthma symptoms. On physical examination, the nurse would expect which assessment findings? (Select all that apply)

a.) Wheezing
b.) Increased tactile fremitus
c.) Decreased tactile fremitus
d.) Bronchophony

Answer 5

a.) Wheezing
c.) Decreased tactile fremitus

• Wheezing caused by air passing through mucus or fluid in narrowed lower airway – common in asthma
• Decrease in Tactile Fremitus due to air in the lungs that occurs in asthma

Question 6

During the nurse’s initial assessment of a school-aged child, the child reports a pain level of 6 out of 10. The child is lying quietly in bed watching television. Which action by the nurse is most appropriate?

a.) Administer prescribed analgesic.
b.) Ask the child’s parent’s if they think the child is hurting.
c.) Reassess the child in 15 minutes to see if the pain rating has changed.
d.) Do nothing, since the child appears to be resting.

Answer 6

a.) Administer the analgesic

Question 7

The nurse is caring for a toddler patient in the post-operative period. Which pain assessment tool is most appropriate for this patient?

a.) FLACC Behavioral Pain Assessment Scale
b.) FACES pain scale
c.) Oucher scale
d.) Poker-chip tool

Answer 7

a.) FLACC Behavioral Pain Assessment Scale

Question 8

A hospitalized toddler-age patient needs to have an IV re-started. The child begins to cry when carried into the treatment room by the mother. Which nursing diagnosis is most appropriate?

a.) Ineffective individual coping related to an invasive procedure
b.) Anxiety related to anticipated painful procedure
c.) Fear related to the unfamiliar environment
d.) knowledge deficit about the procedure

Answer 8

b.) Anxiety r/t anticipated painful procedure

Question 10

The nurse is caring for a child who has a long leg cast. The child complains of increasing pain in the toes of the casted foot. Which initial action by the nurse is the most appropriate?

a.) Call the healthcare provider to report increasing pain.
b.) Administer pain medication.
c.) Reposition the child in bed.
d.) Check to see if the cast is too tight.

Answer 10

d.) Check to see if the cast is too tight

Question 11

The parents of a critically injured child wish to stay in the room while the child is receiving emergency care. Which action by the nurse is most appropriate?

a.) Escort the parents to the waiting room & assure them that they can see the child soon.
b.) Allow the parents tot stay with the child.
c.) Ask the physician if the parents can stay with the child.
d.) Tell the parents that they do not need to stay with the child.

Answer 11

b.) Allow the parents to stay with the child

Question 12

A preschool-age client is seen in the clinic for a sore throat. In this child’s mind, what is the most likely causative agent for the sore throat?

a.) Was exposed to someone else with a sore throat.
b.) Did not eat the right foods.
c.) Yelled at his brother.
d.) Did not take his vitamins

Answer 12

c.) Yelled at his brother

Question 13

The nurse assesses parenting styles in a family by asking how situations that require setting limits are handled. Responses indicate that limits are set consistently, and an atmosphere of open discussion is evident. Which parenting style would the nurse identify from this description?

a.) Permissive
b.) Indifferent
c.) Authoritative
d.) Authoritarian

Answer 13

c.) Authoritative

Question 14

A 1-year-old child is scheduled for a routine exam at the pediatric clinic. The child’s birth weight was 8 lbs. 2 oz. The child now weighs 18 pounds, 4 ounces. How would the nurse interpret this?

a.) Below the expected weight.
b.) Approrpriate for the child’s age.
c.) Above the expected weight.
d.) Individualized, and thus unpredictable

Answer 14

a.) Below the expected weight

Question 15

The nurse notes that a 6-month-old has significant head lag when an attempt is made to pull the infant to a sitting position. Based on this assessment, the nurse recognizes which of the following?

a.) The infant has some degree of mental retardation.
b.) The infant needs further assessment & evaluation.
c.) The baby is developing normally.
d.) The child has been neglected by the parents.

Answer 15

b.) The infant needs further assessment

Question 16

The nurse observes two children playing side-by-side. Of what age group is this behavior characteristic?

a.) Infant
b.) Toddler
c.) Preschooler
d.) School age

Answer 16

b.) Toddler

Question 17

A teenager refuses to wear the clothes his mother bought for him. He states he wants to look like the other kids at school & wear clothes like they wear. According to Erikson, which developmental stage is this teenager in?

a.) Autonomy vs. shame / doubt
b.) Trust vs. mistrust
c.) Identity vs. role confusion
d.) Initiative vs. inferiority

Answer 17

c.) Identity vs. Role Confusion

Question 18

What activity would foster Industry (Erikson’s psychosocial model) in the adolescent?

a.) Play computer games alone.
b.) Babysit younger siblings without pay.
c.) Join the football team.
d.) Achieve all A’s on report card to appease parents.

Answer 18

c.) Join the football team

Question 19

The nurse is planning care for an adolescent client who will be hospitalized for several weeks following a traumatic brain injury. Which interventions will enhance family-centered care for this client and family? (Select all that apply)

a.) Making all ADL decisions for the adolescent & family.
b.) Asking the adolescent what foods to include during meal time.
c.) Allowing the family time to pray each day with the adolescent.
d.) Encouraging the adolescent’s friends to visit during visiting hours.
e.) Leaving all questions for the healthcare provider.

Answer 19

b.) Asking the adolescent what foods to include during meal time.

c.) Allowing the family time to pray each day with the adolescent.

d.) Encouraging the adolescent’s friends to visit during visiting hours.

Question 20

While being comforted in the emergency department, a young school-age sibling of a pediatric trauma victim blurts out to the nurse, “It’s my fault! When we were fighting yesterday, I told him I wished he was dead!”. Which response by the nurse is most appropriate?

a.) Asking the child if she would like to sit down & drink some water.
b.) Sitting the child down in an empty room with markers & paper so that she can draw a picture.
c.) Calmly discussing the catheters, tubes, & equipment that the patient requires & explaining to the sibling why the patient needs them.
d.) Reassuring the child that it is normal to get angry and say things we do not mean but that we have no control over whether or not an accident happens.

Answer 20

d.) Reassuring the child that it is normal to get angry & say things we do not mean but that we have no control over whether or not an accident happens.

Question 21

Hayden is a 2 year-old male who presents to the emergency department for a chief complaint of trouble breathing. Viral testing reveals that he has contracted respiratory syncytial virus (RSV). As the nurse, you recognize that which of the following conditions is most common with RSV?

a.) Acute otitis media (AOM)
b.) Bronchiolitis
c.) Epiglottitis
d.) Meningitis

Answer 21

b.) Bronchiolitis

Question 22

You enter the room to assess Hayden (2 y-o with RSV & difficulty breathing). Based on his age, which of the following approaches would be most appropriate for his assessment?

a.) Give a short explanation just before you begin.
b.) Explain your assessment only to the parents since he is young & won’t understand.
c.) Draw a picture of you and the patient to explain what you are doing.
d.) Ask the parents to step out as to reduce the patient’s anxiety.

Answer 22

a.) Give a short explanation just before you begin.