PRACTICE QUESTIONS AND ANSWERS WITH FULL RATIONALES
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pain scale= NIPS - correct answer -used for 2 months or less
Pain scale= Flacc - correct answer -used for more than 2 months old
Pain scale= Wong Baker - correct answer -used for 3-4 year olds ( preschooler)
Pain scale =Numeric - correct answer -used for 8 year old and up ( as young as 5 if the
understand value of numbers)
School age (6-12) nursing considerations - correct answer -Ask why?; let them contribute; they
understand cause and effect; Don't need to be bribed
Adolescent nursing assessment finding (Erikson) - correct answer -expected= they are finding
themselves; friends are very important; Confidentiality and privacy important
Erikson Adolescent - correct answer -Age 12-18
Identity vs role confusion
Nutritional assessment of Adolescent - correct answer -Ask Patient what they ate; also assess
weight
(body issues are common)
, Erikson Preschooler - correct answer -Age 3-6
Initiate vs guilt
Parallel play - correct answer -Play side by side NOT with each other. (Toddlers 1-3)
Associative play - correct answer -NO group goal ( preschooler 3-6) ; example kicking ball
around
Cooperative play - correct answer -Sports; common goal ( School age 6-12)
Preparing School age patient for procedure - correct answer -Age 6-12; Answer why questions,
allow them to contribute ; explain cause and effect
Appropriate skill set based on age= 6 months - correct answer -should sit up unsupported;
tripod position
Appropriate skill set based on age = 3 years old - correct answer -should walk up stairs with
alternating feet
Appropriate primative reflex should disappear at= 3-4 MONTHS - correct answer -Rooting,
sucking; Palmar; Tonic neck reflexes
Appropriate primative reflex should disappear at = 1 month - correct answer -Stepping reflex
Appropiate primative reflex should disappear at= 6 MONTHS - correct answer -Moro reflex
Appropriate primative reflex should disappearat= 8 MONTHS - correct answer -Plantar reflex