NSG 5442 EXAM 3 QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026
Which of the following statements best defines the term child maltreatment? - Answers the
intentional injury of a child
Which of the following statements best defines the term physical abuse? - Answers A. bodily injury to
a person that seems to have been inflicted by other than accidental means
The school nurse observes parents interacting with a school-aged child and notices that they do not
show any affection toward the child and there is no evidence of emotional support or supervision.
Later the nurse learns from the child that he must take care of all his own hygiene tasks, has to find
something to eat on his own, and his parents never say anything nice about him. The nurse at this
point believes that the parents are engaging in: - Answers psychological abuse
The majority of perpetrators of abuse to children reported to state Child Protective Service agencies
as suspected victims of abuse and neglect are: - Answers parents
The majority of child abuse victims fall into which of the following age ranges? - Answers under 6
years
Which of the following is the most common type of mistreatment of children? - Answers neglect
In the sociological model of family violence, family violence is viewed as: - Answers a pattern of
behavior that is passed from generation to generation
When family violence is passed from generation to generation, this type of abuse has which of the
following characteristics? - Answers The form of abuse may change
Which of the following children is in a high-risk family for less nurturing and more hurtful behavior? -
Answers a child who is forbidden from playing with other children
The social-interactional systemic perspective of child abuse and neglect says that the legitimization of
violence in the family is due to which of the following factors? - Answers societys attitudes, beliefs,
and values
According to the social-interactional systemic perspective of child abuse and neglect, four factors
place the family members at risk for abuse. These risk factors are the family itself, the caregiver, the
child, and: - Answers the presence of a family crisis
When caregivers lack knowledge about parenting, lack parenting skills, and are emotionally immature,
the child often assumes which of the following roles? - Answers caregiver role toward the caregiver
Which of the following examples best defines the term role reversal? - Answers The child assumes a
caregiver role toward the caregiver.
When there is a depressed parent in the family, it is most likely that the depression will have which of
the
following effects? - Answers places the parent at risk for physically or emotionally abusing the
children
The nurse working in the pediatric clinic notices that a newborn seems particularly fussy. The mother
verifies that this is a very fussy baby and that it is impossible to soothe the baby. In thinking through
what to further assess and what to teach the mother, the nurse will keep in mind that fussy babies
are: - Answers at greater risk for abuse
Which of the following children are at greatest risk of abuse or neglect by the parents? - Answers
premature infants
An infant is separated from his parents for a few minutes while the nurse weighs him. The infant
seems
distressed and looks around for the mother. The mother soothes the infant then the nurse is through
weighing
him. This type of attachment between mother and baby is most likely which of the following types of
attachment? - Answers secure
The nurse is caring for an infant who shows no distress then her parents leave, and then they return
the
infant ignores her parents. There was no evidence of distress while the parents were gone. This type
of attachment between the infant and parents is most likely which of the following types of
attachment? - Answers avoidant
Asian parents bring their child to the hospital with what appears to be burns or abrasions on the neck,
spines, and ribs. The parents use the words cao gao. The nurse is aware that these physical findings
and the term cao gao refers to: - Answers rubbing a coin or a spoon heated in oil on an ill childs neck,
spine, and ribs
, A child of Russian parentage is brought to the hospital with what appears to be second-degree burns.
The nurse is aware of a Russian practice of treating headaches and abdominal pain by creating a
vacuum under a cup or glass then a small amount of burning material is placed on the skin. This
practice is called: - Answers ventosos
A child is brought to the pediatric clinic for immunizations for school. The parent wants the
immunizations to be given in the arm. The nurse explains that at least one of the injections has to be
given in the buttocks. When the nurse pulls the diaper down, the nurse sees bite marks around the
genital and buttock area. Which of the following explanations is most likely? - Answers The child is a
victim of sexual or physical abuse.
A parent brings a toddler to the pediatric clinic. The nurse observes a number of bruises on the child
in various stages of healing. The parent claims the toddler bruises easily. The best action on the part
of the pediatrician and the nurse would be to: - Answers report this to child and family services and
order a screening battery of bleeding and clotting blood work
Common injuries to pediatric and adolescent female genital tract include straddle injuries. These
injuries result from a fall on a: - Answers bicycle
The primary care pediatric nurse practitioner is examining a 2weekold infant and auscultates a wide
splitting of S2 during expiration. What condition may this finding represent? - Answers atrial septal
defect
The primary care pediatric nurse practitioner auscultates a new grade II vibratory, midsystolic murmur
at the mid sternal border in a 4yearold child that is louder when the child is
supine. What type of murmur is most likely? - Answers Still's murmur
During a well child assessment, the primary care pediatric nurse practitioner auscultates a harsh,
blowing grade IV/VI murmur in a 6monthold infant. What will the nurse practitioner do next? -
Answers Refer to a pediatric cardiologist for further evaluation.
The primary care pediatric nurse practitioner provides primary care for a 4monthold infant who has a
ventricular septal defect. The infant has been breastfeeding well but
in the past month has dropped from the 20th percentile to the 5th for weight. What will the nurse
practitioner recommend? - Answers Fortifying breast milk to increase the number of calories per
ounce
A 12monthold infant who had cardiopulmonary bypass with RBC and plasma infusions during surgery
at 8 months is seen for a well child examination.Which vaccine may be administered at this visit? -
Answers PCV13
The primary care pediatric nurse practitioner performs a well child examination on a 12monthold
child who had repair of a congenital heart defect at 8 months of age. The child has a normal exam.
The parent reports that the child is not taking any medications. The nurse practitioner
will contact the child's cardiologist to discuss whether the child needs which medication? - Answers
Amoxicillin
During a well baby examination of a 6weekold infant, the primary care pediatric nurse practitioner
notes poor weight gain, acrocyanosis of the hands and feet, and a respiratory rate of 60 breaths per
minute. Oxygen saturation on room air is 93%. The remainder of the exam is unremarkable. Which
action is correct? - Answers Refer the infant to a pediatric cardiologist
A 3monthold infant who was previously healthy now has a persistent cough, bilateral lung crackles,
and poor appetite. The primary care pediatric nurse practitioner auscultates a grade III/VI,
lowpitched, holosystolic murmur over the left lower sternal border and palpates the liver at one
centimeter below the ribs. What diagnosis is likely? - Answers ventricular septal defect
An infant with trisomy 21 has a complete AV canal defect. Which finding, associated with having both
of these conditions, will the primary care pediatric nurse practitioner
expect? - Answers Oxygen desaturation
A 9monthold infant has a grade III/VI, ha rsh, rumbling, continuous murmur in the left infraclavicular
fossa and pulmonic area. A chest radiograph reveals cardiac enlargement. The primary care pediatric
nurse practitioner will refer the infant to a pediatric cardiologist and prepare the parents for which
intervention to repair this defect? - Answers Coil insertion in the catheterization laboratory
A 5yearold child who had a repair for transposition of the great arteries shortly after birth is growing
normally and has been asymptomatic since the surgery. The primary care nurse practitioner notes
mild shortness of breath with exertion and, upon questioning, learns that the child has recently
complained of dizziness. What will the
nurse practitioner do? - Answers Refer the child to the cardiologist immediately
Which of the following statements best defines the term child maltreatment? - Answers the
intentional injury of a child
Which of the following statements best defines the term physical abuse? - Answers A. bodily injury to
a person that seems to have been inflicted by other than accidental means
The school nurse observes parents interacting with a school-aged child and notices that they do not
show any affection toward the child and there is no evidence of emotional support or supervision.
Later the nurse learns from the child that he must take care of all his own hygiene tasks, has to find
something to eat on his own, and his parents never say anything nice about him. The nurse at this
point believes that the parents are engaging in: - Answers psychological abuse
The majority of perpetrators of abuse to children reported to state Child Protective Service agencies
as suspected victims of abuse and neglect are: - Answers parents
The majority of child abuse victims fall into which of the following age ranges? - Answers under 6
years
Which of the following is the most common type of mistreatment of children? - Answers neglect
In the sociological model of family violence, family violence is viewed as: - Answers a pattern of
behavior that is passed from generation to generation
When family violence is passed from generation to generation, this type of abuse has which of the
following characteristics? - Answers The form of abuse may change
Which of the following children is in a high-risk family for less nurturing and more hurtful behavior? -
Answers a child who is forbidden from playing with other children
The social-interactional systemic perspective of child abuse and neglect says that the legitimization of
violence in the family is due to which of the following factors? - Answers societys attitudes, beliefs,
and values
According to the social-interactional systemic perspective of child abuse and neglect, four factors
place the family members at risk for abuse. These risk factors are the family itself, the caregiver, the
child, and: - Answers the presence of a family crisis
When caregivers lack knowledge about parenting, lack parenting skills, and are emotionally immature,
the child often assumes which of the following roles? - Answers caregiver role toward the caregiver
Which of the following examples best defines the term role reversal? - Answers The child assumes a
caregiver role toward the caregiver.
When there is a depressed parent in the family, it is most likely that the depression will have which of
the
following effects? - Answers places the parent at risk for physically or emotionally abusing the
children
The nurse working in the pediatric clinic notices that a newborn seems particularly fussy. The mother
verifies that this is a very fussy baby and that it is impossible to soothe the baby. In thinking through
what to further assess and what to teach the mother, the nurse will keep in mind that fussy babies
are: - Answers at greater risk for abuse
Which of the following children are at greatest risk of abuse or neglect by the parents? - Answers
premature infants
An infant is separated from his parents for a few minutes while the nurse weighs him. The infant
seems
distressed and looks around for the mother. The mother soothes the infant then the nurse is through
weighing
him. This type of attachment between mother and baby is most likely which of the following types of
attachment? - Answers secure
The nurse is caring for an infant who shows no distress then her parents leave, and then they return
the
infant ignores her parents. There was no evidence of distress while the parents were gone. This type
of attachment between the infant and parents is most likely which of the following types of
attachment? - Answers avoidant
Asian parents bring their child to the hospital with what appears to be burns or abrasions on the neck,
spines, and ribs. The parents use the words cao gao. The nurse is aware that these physical findings
and the term cao gao refers to: - Answers rubbing a coin or a spoon heated in oil on an ill childs neck,
spine, and ribs
, A child of Russian parentage is brought to the hospital with what appears to be second-degree burns.
The nurse is aware of a Russian practice of treating headaches and abdominal pain by creating a
vacuum under a cup or glass then a small amount of burning material is placed on the skin. This
practice is called: - Answers ventosos
A child is brought to the pediatric clinic for immunizations for school. The parent wants the
immunizations to be given in the arm. The nurse explains that at least one of the injections has to be
given in the buttocks. When the nurse pulls the diaper down, the nurse sees bite marks around the
genital and buttock area. Which of the following explanations is most likely? - Answers The child is a
victim of sexual or physical abuse.
A parent brings a toddler to the pediatric clinic. The nurse observes a number of bruises on the child
in various stages of healing. The parent claims the toddler bruises easily. The best action on the part
of the pediatrician and the nurse would be to: - Answers report this to child and family services and
order a screening battery of bleeding and clotting blood work
Common injuries to pediatric and adolescent female genital tract include straddle injuries. These
injuries result from a fall on a: - Answers bicycle
The primary care pediatric nurse practitioner is examining a 2weekold infant and auscultates a wide
splitting of S2 during expiration. What condition may this finding represent? - Answers atrial septal
defect
The primary care pediatric nurse practitioner auscultates a new grade II vibratory, midsystolic murmur
at the mid sternal border in a 4yearold child that is louder when the child is
supine. What type of murmur is most likely? - Answers Still's murmur
During a well child assessment, the primary care pediatric nurse practitioner auscultates a harsh,
blowing grade IV/VI murmur in a 6monthold infant. What will the nurse practitioner do next? -
Answers Refer to a pediatric cardiologist for further evaluation.
The primary care pediatric nurse practitioner provides primary care for a 4monthold infant who has a
ventricular septal defect. The infant has been breastfeeding well but
in the past month has dropped from the 20th percentile to the 5th for weight. What will the nurse
practitioner recommend? - Answers Fortifying breast milk to increase the number of calories per
ounce
A 12monthold infant who had cardiopulmonary bypass with RBC and plasma infusions during surgery
at 8 months is seen for a well child examination.Which vaccine may be administered at this visit? -
Answers PCV13
The primary care pediatric nurse practitioner performs a well child examination on a 12monthold
child who had repair of a congenital heart defect at 8 months of age. The child has a normal exam.
The parent reports that the child is not taking any medications. The nurse practitioner
will contact the child's cardiologist to discuss whether the child needs which medication? - Answers
Amoxicillin
During a well baby examination of a 6weekold infant, the primary care pediatric nurse practitioner
notes poor weight gain, acrocyanosis of the hands and feet, and a respiratory rate of 60 breaths per
minute. Oxygen saturation on room air is 93%. The remainder of the exam is unremarkable. Which
action is correct? - Answers Refer the infant to a pediatric cardiologist
A 3monthold infant who was previously healthy now has a persistent cough, bilateral lung crackles,
and poor appetite. The primary care pediatric nurse practitioner auscultates a grade III/VI,
lowpitched, holosystolic murmur over the left lower sternal border and palpates the liver at one
centimeter below the ribs. What diagnosis is likely? - Answers ventricular septal defect
An infant with trisomy 21 has a complete AV canal defect. Which finding, associated with having both
of these conditions, will the primary care pediatric nurse practitioner
expect? - Answers Oxygen desaturation
A 9monthold infant has a grade III/VI, ha rsh, rumbling, continuous murmur in the left infraclavicular
fossa and pulmonic area. A chest radiograph reveals cardiac enlargement. The primary care pediatric
nurse practitioner will refer the infant to a pediatric cardiologist and prepare the parents for which
intervention to repair this defect? - Answers Coil insertion in the catheterization laboratory
A 5yearold child who had a repair for transposition of the great arteries shortly after birth is growing
normally and has been asymptomatic since the surgery. The primary care nurse practitioner notes
mild shortness of breath with exertion and, upon questioning, learns that the child has recently
complained of dizziness. What will the
nurse practitioner do? - Answers Refer the child to the cardiologist immediately
