NSG6435 Final 2 Answered Updated 2022
The nurse is seeing an adolescent boy and his parents in the clinic for the first time.
What should the nurse do first?
ans- introduce self
What action is most likely to encourage parents to talk about their feelings related
to their child's illness?
ans- Use open-ended questions.
What is the single most important factor to consider when communicating with
children?
ans- The child's developmental level
What is an important consideration for the nurse who is communicating with a
very young child?
ans- Use transition objects such as a doll.
When introducing hospital equipment to a preschooler who seems afraid, the
nurse's approach should be based on which principle?
ans- The child may think the equipment is alive.
Which age group is most concerned with body integrity?
ans- School-age child
An 8-year-old girl asks the nurse how the blood pressure apparatus works. The
most appropriate nursing action is to:
ans- Explain in simple terms how it works.
When the nurse interviews an adolescent, it is especially important to: ans- Allow
an opportunity to express feelings.
The nurse is having difficulty communicating with a hospitalized 6-year-old child.
What technique might be most helpful?
ans- Ask the child to draw a picture.
The nurse is taking a health history on an adolescent. What best describes how the
chief complaint should be determined?
ans- Ask adolescent, "Why did you come here today?"
,Where in the health history should the nurse describe all details related to the chief
complaint?
ans- Present illness
The nurse is interviewing the mother of an infant. She reports, "I had a difficult
delivery, and my baby was born prematurely." This information should be
recorded under which heading?
ans- Birth history
When interviewing the mother of a 3-year-old child, the nurse asks about
developmental milestones such as the age of walking without assistance. This
should be considered because these milestones are:
ans- An important part of the child's past growth and development
The nurse is taking a sexual history on an adolescent girl. The best way to
determine whether she is sexually active is to:
ans- Ask her, "Are you having sex with anyone?"
When doing a nutritional assessment on an Hispanic family, the nurse learns that
their diet consists mainly of vegetables, legumes, and starches. The nurse should
recognize that this diet:
ans- May provide sufficient amino acids.
Which parameter correlates best with measurements of the body's total protein
stores?
ans- Upper arm circumference
An appropriate approach to performing a physical assessment on a toddler is to:
ans- Use minimal physical contact initially.
With the National Center for Health Statistics (NCHS) criteria, which body mass
index (BMI)-for-age percentile indicates a risk for being overweight?
ans- 85th percentile
The nurse is using the NCHS growth chart for an African-American child. The
nurse should consider that:
ans- The NCHS charts are accurate for U.S. African-American children.
Which tool measures body fat most accurately? ans- Calipers
, By what age do the head and chest circumferences generally become equal?
ans- 1 to 2 years
The earliest age at which a satisfactory radial pulse can be taken in children is:
ans- 2 years
Where is the best place to observe for the presence of petechiae in dark-skinned
individuals?
ans- Oral mucosa
When palpating the child's cervical lymph nodes, the nurse notes that they are
tender, enlarged, and warm. The best explanation for this is:
ans- Infection or inflammation close to the site.
The nurse has just started assessing a young child who is febrile and appears very
ill. There is hyperextension of the child's head (opisthotonos) with pain on flexion.
The most appropriate action is to:
ans- Refer for immediate medical evaluation.
The nurse should expect the anterior fontanel to close at age: ans- 12 to 18 months
During a funduscopic examination of a school-age child, the nurse notes a brilliant,
uniform red reflex in both eyes. The nurse should recognize that this is:
ans- A normal finding.
Binocularity, the ability to fixate on one visual field with both eyes simultaneously,
is normally present by what age?
ans- 3 to 4 months
The most frequently used test for measuring visual acuity is the:
ans- Snellen letter chart.
The nurse is testing an infant's visual acuity. By what age should the infant be able
to fix on and follow a target?
ans- 3 to 4 months
The appropriate placement of a tongue blade for assessment of the mouth and
throat is the:
ans- Side of the tongue.
The nurse is seeing an adolescent boy and his parents in the clinic for the first time.
What should the nurse do first?
ans- introduce self
What action is most likely to encourage parents to talk about their feelings related
to their child's illness?
ans- Use open-ended questions.
What is the single most important factor to consider when communicating with
children?
ans- The child's developmental level
What is an important consideration for the nurse who is communicating with a
very young child?
ans- Use transition objects such as a doll.
When introducing hospital equipment to a preschooler who seems afraid, the
nurse's approach should be based on which principle?
ans- The child may think the equipment is alive.
Which age group is most concerned with body integrity?
ans- School-age child
An 8-year-old girl asks the nurse how the blood pressure apparatus works. The
most appropriate nursing action is to:
ans- Explain in simple terms how it works.
When the nurse interviews an adolescent, it is especially important to: ans- Allow
an opportunity to express feelings.
The nurse is having difficulty communicating with a hospitalized 6-year-old child.
What technique might be most helpful?
ans- Ask the child to draw a picture.
The nurse is taking a health history on an adolescent. What best describes how the
chief complaint should be determined?
ans- Ask adolescent, "Why did you come here today?"
,Where in the health history should the nurse describe all details related to the chief
complaint?
ans- Present illness
The nurse is interviewing the mother of an infant. She reports, "I had a difficult
delivery, and my baby was born prematurely." This information should be
recorded under which heading?
ans- Birth history
When interviewing the mother of a 3-year-old child, the nurse asks about
developmental milestones such as the age of walking without assistance. This
should be considered because these milestones are:
ans- An important part of the child's past growth and development
The nurse is taking a sexual history on an adolescent girl. The best way to
determine whether she is sexually active is to:
ans- Ask her, "Are you having sex with anyone?"
When doing a nutritional assessment on an Hispanic family, the nurse learns that
their diet consists mainly of vegetables, legumes, and starches. The nurse should
recognize that this diet:
ans- May provide sufficient amino acids.
Which parameter correlates best with measurements of the body's total protein
stores?
ans- Upper arm circumference
An appropriate approach to performing a physical assessment on a toddler is to:
ans- Use minimal physical contact initially.
With the National Center for Health Statistics (NCHS) criteria, which body mass
index (BMI)-for-age percentile indicates a risk for being overweight?
ans- 85th percentile
The nurse is using the NCHS growth chart for an African-American child. The
nurse should consider that:
ans- The NCHS charts are accurate for U.S. African-American children.
Which tool measures body fat most accurately? ans- Calipers
, By what age do the head and chest circumferences generally become equal?
ans- 1 to 2 years
The earliest age at which a satisfactory radial pulse can be taken in children is:
ans- 2 years
Where is the best place to observe for the presence of petechiae in dark-skinned
individuals?
ans- Oral mucosa
When palpating the child's cervical lymph nodes, the nurse notes that they are
tender, enlarged, and warm. The best explanation for this is:
ans- Infection or inflammation close to the site.
The nurse has just started assessing a young child who is febrile and appears very
ill. There is hyperextension of the child's head (opisthotonos) with pain on flexion.
The most appropriate action is to:
ans- Refer for immediate medical evaluation.
The nurse should expect the anterior fontanel to close at age: ans- 12 to 18 months
During a funduscopic examination of a school-age child, the nurse notes a brilliant,
uniform red reflex in both eyes. The nurse should recognize that this is:
ans- A normal finding.
Binocularity, the ability to fixate on one visual field with both eyes simultaneously,
is normally present by what age?
ans- 3 to 4 months
The most frequently used test for measuring visual acuity is the:
ans- Snellen letter chart.
The nurse is testing an infant's visual acuity. By what age should the infant be able
to fix on and follow a target?
ans- 3 to 4 months
The appropriate placement of a tongue blade for assessment of the mouth and
throat is the:
ans- Side of the tongue.
