Quiz 2 Questions Flashcards
When preparing to teach a class about safety to parents of children aged 1 yr and older, the nurse should focus on preventing the most common type of accidental, which is:
Motor vehicle accidents
While the nurse is administering the Denver Development Screening Test to an infant, a mother expresses concern that her baby is not doing well. Which response is most appropriate for the nurse to make?
“You really sound worried. Please keep in mind that no baby is expected to do all the things on this test”
The RN observes a nursing student entering a toddler’s room to check vital signs and begins to take the child’s temperature first. The RN should:
Suggest the student start with respirations
When examining an infant’s abdomen, which assessment should be done first?
Inspection
The nurse should suggest to parents of an infant that the best way for them to assist their child to complete the core developmental task of the first year is to:
Be consistent in their responses
What type of response should the nurse anticipate from an 8-month-old infant when the nurse gets physically close to and smiles at the infant?
turns away from the nurse
In terms of fine motor development, which behavior would be most characteristic of a 9-month old infant?
Picking up cheerios with finger and thumb
Using the Denver Development Screening Test (DDST-II) to assess an infant with chronic heart failure, the nurse should anticipate a developmental lag in which area?
Gross motor
Parents ask the nurse how to toilet-train their toddler. Which is not an appropriate statement by the nurse?
Practice sessions should be limited to once or twice a day
The nurse should anticipate, that in terms of fine motor development, a 4-year-old is unable to:
Print own name
The nurse should expect a 4-year-old child to be capable of three of the behaviors listed. Which behavior is more advanced than the nurse should expect in a 4-year-old?
Names coins, eg. penny, nickel, dime, quarter
A school-aged child who has just lost the first tooth comes into the school nurse’s office and asks the nurse “How many baby teeth with I lose?” the nurse would be most correct in saying the child will lose:
All the baby teeth
The nurse should counsel the parent of an adolescent that the best way for them to assist their child to complete the core developmental task of the teenage years is to:
Allow participation in the decision-making process
When interviewing an adolescent who is ill, the nurse should ask the parents to:
Wait outside the office
A teenager newly diagnosed with asthma is hospitalized for further evaluation and stabilization. The teen seems to be having a hard time with the peak flow meter and medications. The nurse should be aware that the most important factor that influences compliance with the treatment regimen after discharge is:
The reaction of the teen’s peer group
While reviewing the immunization history of an adolescent, the school nurse notes that the teen has received only one immunization for measles-mumps-rubella (MMR). Which action by the school nurse is most appropriate?
Recommend the teen be given a second MMR
Chest physiotherapy is a standard adjunct to the treatment of chronic asthma. When should the nurse administer the child’s bronchodilator in conjunction with postural drainage?
One hour before postural drainage
Which nursing diagnosis is most developmentally focused for an adolescent who has cystic fibrosis?
High risk for body-image disturbances
The nurse notes that a child with a tracheostomy tube appears to be having significant respiratory distress. After several unsuccessful attempts to suction the child, even with the instillation of saline, the nurse should immediately:
Change the tracheostomy tube
A preschooler with a diagnosis of epiglottitis is admitted to the hospital. Which MD order should the nurse question for this child?
Obtain stat CBC and throat culture
When assessing a child for signs and symptoms of rheumatic fever, which symptoms would the nurse anticipate?***
Tachycardia and joint pain***
Which nursing intervention is most effective in preventing rheumatic fever in children?
Refer children with sore throats for a throat culture
A 3 year old child undergoes a diagnostic cardiac catheterization. On conclusion of this procedure, the nurse’s first action should be to assess:
Peripheral pulses and observe the incision site
To avoid making a medication error when administering digoxin to a child, the nurse should always:
Verify the calculation with another nurse before giving digoxin
When caring for a child who is receiving both digoxin and furosemide the nurse should be particularly alert for signs and symptoms of:
Hypokalemia
When taking the health history from the parents of an infant with pyloric stenosis, which classic symptom would the nurse expect to hear the parents describe?
Vomiting after a feeding
A ten month old infant is admitted to the pediatric unit to rule out Hirschprung’s disease. The nurse should expect the infant’s stools to be:
Ribbon line in appearance
The ultimate goal of nursing care for a child with Hirschsprung’s disease is to:
Prepare the child and family for surgical removal of the affected portion of bowel
A ten year old with newly diagnosed type I diabetes asks why he must take “shots” every day, when his aunt with diabetes “gets to take pills.” The nurse’s best response is:
You have a different type of diabetes than your aunt. Your type needs insulin shots every day.
Which characteristic of an adolescent must the nurse first consider in order to assist the teenager to deal with the diagnosis of type I diabetes?
Needs to be like peers
An infant with ventricular septal defect develops congestive heart failure and is placed on digoxin therapy twice a day. The infant vomits the morning dose of digoxin. The most appropriate nursing intervention is to:
Notify the pediatrician as soon as possible
