Quiz 2 Questions

Question 1

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:

Answer 1

Motor vehicle accidents

Question 2

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?

Answer 2

“You really sound worried. Please keep in mind that no baby is expected to do all the things on this test”

Question 3

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:

Answer 3

Suggest the student start with respirations

Question 4

When examining an infant’s abdomen, which assessment should be done first?

Answer 4

Inspection

Question 5

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:

Answer 5

Be consistent in their responses

Question 6

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?

Answer 6

turns away from the nurse

Question 7

In terms of fine motor development, which behavior would be most characteristic of a 9-month old infant?

Answer 7

Picking up cheerios with finger and thumb

Question 8

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?

Answer 8

Gross motor

Question 9

Parents ask the nurse how to toilet-train their toddler. Which is not an appropriate statement by the nurse?

Answer 9

Practice sessions should be limited to once or twice a day

Question 10

The nurse should anticipate, that in terms of fine motor development, a 4-year-old is unable to:

Answer 10

Print own name

Question 11

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?

Answer 11

Names coins, eg. penny, nickel, dime, quarter

Question 12

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:

Answer 12

All the baby teeth

Question 13

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:

Answer 13

Allow participation in the decision-making process

Question 14

When interviewing an adolescent who is ill, the nurse should ask the parents to:

Answer 14

Wait outside the office

Question 15

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:

Answer 15

The reaction of the teen’s peer group

Question 16

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?

Answer 16

Recommend the teen be given a second MMR

Question 17

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?

Answer 17

One hour before postural drainage

Question 18

Which nursing diagnosis is most developmentally focused for an adolescent who has cystic fibrosis?

Answer 18

High risk for body-image disturbances

Question 19

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:

Answer 19

Change the tracheostomy tube

Question 20

A preschooler with a diagnosis of epiglottitis is admitted to the hospital. Which MD order should the nurse question for this child?

Answer 20

Obtain stat CBC and throat culture

Question 21

When assessing a child for signs and symptoms of rheumatic fever, which symptoms would the nurse anticipate?***

Answer 21

Tachycardia and joint pain***

Question 22

Which nursing intervention is most effective in preventing rheumatic fever in children?

Answer 22

Refer children with sore throats for a throat culture

Question 23

A 3 year old child undergoes a diagnostic cardiac catheterization. On conclusion of this procedure, the nurse’s first action should be to assess:

Answer 23

Peripheral pulses and observe the incision site

Question 24

To avoid making a medication error when administering digoxin to a child, the nurse should always:

Answer 24

Verify the calculation with another nurse before giving digoxin

Question 25

When caring for a child who is receiving both digoxin and furosemide the nurse should be particularly alert for signs and symptoms of:

Answer 25

Hypokalemia

Question 26

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?

Answer 26

Vomiting after a feeding

Question 27

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:

Answer 27

Ribbon line in appearance

Question 28

The ultimate goal of nursing care for a child with Hirschsprung’s disease is to:

Answer 28

Prepare the child and family for surgical removal of the affected portion of bowel

Question 29

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:

Answer 29

You have a different type of diabetes than your aunt. Your type needs insulin shots every day.

Question 30

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?

Answer 30

Needs to be like peers

Question 31

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:

Answer 31

Notify the pediatrician as soon as possible