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Practice Exam (evolve)
Which neurological test should the nurse implement to
assess cerebellar
function in a 5-year-old with symptoms of
hyperactivity?
a. Finger-to-
nose.
b. Quadriceps
reflex.
c. Two-point
discrimination.
d. Ability to follow directions. - ANSWER-a.
Finger-to-nose.
The cerebellum controls balance and coordination and is
significant in children
with symptoms of hyperactivity or learning difficulties.
Difficulty performing a finger-to-nose test indicates poor
sense of position (especially with the eyes
,closed) and incoordination (especially with the
eyes opened).
A mother tells the nurse that her children are asking questions
about divorce, but one child tells her that he is sorry that he
caused the divorce of the parents. Which age group is most
likely to experience feelings of punishment or responsibility for
the divorce of parents?
a. 1 year
b. 4 years.
c. 8 years.
d. 13 years. - ANSWER-b. 4 years.
Divorce constitutes a major disruption for children of all ages.
Behaviors and feelings differ based on children's
developmental stages and cover a wide spectrum, with overlap
between stages. A preschool-aged child often feels frightened,
confused, and may blame themselves for the divorce or feel it
is their personal punishment.
Which clinical finding should the nurse expect a child with
nephrosis to exhibit?
a. Elevated blood
pressure.
b. Blood-tinged
urine.
,c. Elevated
temperature.
d. Urine protein 3+ to 4+. - ANSWER-d. Urine
protein 3+ to 4+.
In nephrosis, renal tubules become permeable to proteins,
causing massive
proteinuria.
When caring for a child who is in the paroxysmal stage of
pertussis, which
intervention should the nurse implement to support the child's
nutritional needs?
a. Provide small, frequent
meals.
b. Increase protein
intake.
c. Maintain a liquid
diet.
d. Offer the child a regular diet. - ANSWER-a. Provide small,
frequent meals.
The paroxysmal stage of pertussis is characterized by
coughing with vomiting.
Frequent small meals are vomited less often than
larger meals.
, A 14-year-old is brought to the emergency department after a
biking accident.
How should the nurse interact with the
adolescent?
a. Furnish rewards for cooperation during procedures.
b. Have the parents remain with the adolescent at all times.
c. Provide clear explanations while encouraging questions.
d. Limit the number of choices to be made by the adolescent. -
ANSWER-c. Provide clear explanations while encouraging
questions.
Adolescents are capable of abstract thinking and understand
explanations, so the opportunity to ask questions should be
provided. Since an adolescent's modesty should be respected,
the presence of the parents at the bedside should be a choice
made by the adolescent. An adolescent's ability to think
abstractly engages problem-solving, therefore the 14-
year-old should be
allowed to verbalize decisions about
their care.
The nurse is assessing a child for neurological soft signs.
Which finding is most
likely demonstrated in the child's
behavior?
a. Presence of vertigo.
b. Loss of visual acuity.