NSG 502 Exam 1 Questions With Complete Solutions
*adolescents*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues Correct Answers - 12-25
- puberty
- driving; sexually active
- like an adult; body integrity/awareness
- sleep; bullying; dating/violence; mental health
*infant*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues Correct Answers - 1-12 months
- rapid growth
- walks with one hand held, says few words, searches for objects
- least invasive to most invasive (head last)
- safe sleep, vax, fall prevention, rear facing car seat, "shaken
baby syndrome"
*pre-schooler*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues Correct Answers - 3-5 years
,- growth becomes proportional (legs lengthen); very imaginative
- skipping; throw and catch ball; larger vocabulary
- make it like a game; use imagination
- more vax before schooling/socialization; rear facing car seat
*school-agers*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues Correct Answers - 5-12 years old
- growth levels off; abstract thinking
- sports
- head is less invasive than genitals; ask before touching
- sports safety; mental health; cigarettes
*toddler*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues Correct Answers - 1-3 years
- growth continues, but slower; understand more than they can
express (causes frustration)
- develops gross motor skills (walking, jumping)
- very sensitive towards the head area; use toys to distract
- rear facing car seat; drowning; furniture bolted down so it
doesn't crush
1. A defect in which BP-regulating mechanisms can result in the
development of hypertension? (select all that apply)
,a. Release of norepinephrine
b. Secretion of prostaglandins
c. Stimulation of the sympathetic nervous system
d. Stimulation of the parasympathetic nervous system
e. Activation of the renin-angiotensin-aldosterone system
Correct Answers a, c, e
1. A mother brings her 2 ½-year-old daughter to the well-child
clinic and expresses concern that the child's behavior is
worrisome and possibly requires therapy or medication. The
mother explains that the child constantly responds to the
mother's simple requests with a "no" answer, even though the
activity has been a favorite in the recent past. Furthermore, the
child has had an increase in the number of temper tantrums at
bedtime and refuses to go to bed. The mother is afraid her
daughter will hurt herself during a temper tantrum because she
holds her breath until the mother picks her up and gives in to her
request. What responses are most appropriate for the nurse to
have based on the mother's concerns. Select all the apply.
A. The child probably would benefit from some counseling with
a trained therapist.
B. The mother and father should evaluate their childrearing
practices.
C. The child's behavior is normal for Correct Answers c, e
1. A new nurse in orientation is preparing to discharge a 2-year-
old girl who will need to continue oral antibiotics at home.
Which statements below, if made by the new nurse, indicate a
need for further nursing education on the best methods for
, teaching parents to administer an oral medication at home?
Select all that apply.
A. The best means for measuring small amounts of medication
is a plastic cup.
B. Using a dropper is acceptable, remembering that thick fluids
are easier to measure than viscous fluids.
C. For more exact measuring, emptying dropper contents into a
medicine cup can be helpful.
D. The most accurate means of measuring small amounts of
medication is using a plastic disposable calibrated oral syringe.
E. A measuring teaspoon is often the unit of measurement for
pediatric medication and is especially helpful when working
with families.
F. Household spoons can provide accurate measurement when
other de Correct Answers a, b, c, e, f
1. A patient tells the nurse that he is ready to start a weight-loss
program. Which nursing action would match this patient's
readiness for change?
a. Confirm that the patient is serious about losing weight.
b. Assess the patient's awareness of his dietary behaviors.
c. Insist that the patient consider an organized group weight-loss
program.
d. Focus on the patient's strengths to support his optimism that
he can lose weight. Correct Answers d
1. An 11-month-old infant being seen in the emergency
department is experiencing difficulty breathing. The mother
states the 5-year old brother had given the infant peanuts while
*adolescents*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues Correct Answers - 12-25
- puberty
- driving; sexually active
- like an adult; body integrity/awareness
- sleep; bullying; dating/violence; mental health
*infant*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues Correct Answers - 1-12 months
- rapid growth
- walks with one hand held, says few words, searches for objects
- least invasive to most invasive (head last)
- safe sleep, vax, fall prevention, rear facing car seat, "shaken
baby syndrome"
*pre-schooler*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues Correct Answers - 3-5 years
,- growth becomes proportional (legs lengthen); very imaginative
- skipping; throw and catch ball; larger vocabulary
- make it like a game; use imagination
- more vax before schooling/socialization; rear facing car seat
*school-agers*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues Correct Answers - 5-12 years old
- growth levels off; abstract thinking
- sports
- head is less invasive than genitals; ask before touching
- sports safety; mental health; cigarettes
*toddler*
- age range
- characteristics
- major milestones
- approach for physical exam
- health promotion issues Correct Answers - 1-3 years
- growth continues, but slower; understand more than they can
express (causes frustration)
- develops gross motor skills (walking, jumping)
- very sensitive towards the head area; use toys to distract
- rear facing car seat; drowning; furniture bolted down so it
doesn't crush
1. A defect in which BP-regulating mechanisms can result in the
development of hypertension? (select all that apply)
,a. Release of norepinephrine
b. Secretion of prostaglandins
c. Stimulation of the sympathetic nervous system
d. Stimulation of the parasympathetic nervous system
e. Activation of the renin-angiotensin-aldosterone system
Correct Answers a, c, e
1. A mother brings her 2 ½-year-old daughter to the well-child
clinic and expresses concern that the child's behavior is
worrisome and possibly requires therapy or medication. The
mother explains that the child constantly responds to the
mother's simple requests with a "no" answer, even though the
activity has been a favorite in the recent past. Furthermore, the
child has had an increase in the number of temper tantrums at
bedtime and refuses to go to bed. The mother is afraid her
daughter will hurt herself during a temper tantrum because she
holds her breath until the mother picks her up and gives in to her
request. What responses are most appropriate for the nurse to
have based on the mother's concerns. Select all the apply.
A. The child probably would benefit from some counseling with
a trained therapist.
B. The mother and father should evaluate their childrearing
practices.
C. The child's behavior is normal for Correct Answers c, e
1. A new nurse in orientation is preparing to discharge a 2-year-
old girl who will need to continue oral antibiotics at home.
Which statements below, if made by the new nurse, indicate a
need for further nursing education on the best methods for
, teaching parents to administer an oral medication at home?
Select all that apply.
A. The best means for measuring small amounts of medication
is a plastic cup.
B. Using a dropper is acceptable, remembering that thick fluids
are easier to measure than viscous fluids.
C. For more exact measuring, emptying dropper contents into a
medicine cup can be helpful.
D. The most accurate means of measuring small amounts of
medication is using a plastic disposable calibrated oral syringe.
E. A measuring teaspoon is often the unit of measurement for
pediatric medication and is especially helpful when working
with families.
F. Household spoons can provide accurate measurement when
other de Correct Answers a, b, c, e, f
1. A patient tells the nurse that he is ready to start a weight-loss
program. Which nursing action would match this patient's
readiness for change?
a. Confirm that the patient is serious about losing weight.
b. Assess the patient's awareness of his dietary behaviors.
c. Insist that the patient consider an organized group weight-loss
program.
d. Focus on the patient's strengths to support his optimism that
he can lose weight. Correct Answers d
1. An 11-month-old infant being seen in the emergency
department is experiencing difficulty breathing. The mother
states the 5-year old brother had given the infant peanuts while
