NSG6435 Final 2 (answered) spring 2022
1. The nurse is seeing an adolescent boy and his parents in the clinic for the
first time. What should the nurse do first?
- introduce self
2. What action is most likely to encourage parents to talk about their feelings
related to their child's illness?
- Use open-ended questions.
3. What is the single most important factor to consider when communicating
with children?
- The child's developmental level
4. What is an important consideration for the nurse who is communicating with
a very young child?
- Use transition objects such as a doll.
5. When introducing hospital equipment to a preschooler who seems afraid, the
nurse's approach should be based on which principle?
- The child may think the equipment is alive.
6. Which age group is most concerned with body integrity?
- School-age child
7. An 8-year-old girl asks the nurse how the blood pressure apparatus works.
The most appropriate nursing action is to:
- Explain in simple terms how it works.
8. When the nurse interviews an adolescent, it is especially important to:
- Allow an opportunity to express feelings.
9. The nurse is having difficulty communicating with a hospitalized 6-year-old
child. What technique might be most helpful?
- Ask the child to draw a picture.
10.The nurse is taking a health history on an adolescent. What best describes
how the chief complaint should be determined?
- Ask adolescent, "Why did you come here today?"
,11.Where in the health history should the nurse describe all details related to the
chief complaint?
- Present illness
12.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?
- Birth history
13.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:
- An important part of the child's past growth and development
14.The nurse is taking a sexual history on an adolescent girl. The best way to
determine whether she is sexually active is to:
- Ask her, "Are you having sex with anyone?"
15.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:
- May provide sufficient amino acids.
16.Which parameter correlates best with measurements of the body's total
protein stores?
- Upper arm circumference
17.An appropriate approach to performing a physical assessment on a toddler is
to:
- Use minimal physical contact initially.
18.With the National Center for Health Statistics (NCHS) criteria, which body
mass index (BMI)
-for-age percentile indicates a risk for being overweight? - 85th percentile
19.The nurse is using the NCHS growth chart for an African-American child.
The nurse should consider that:
- The NCHS charts are accurate for U.S. African-American children.
, 20.Which tool measures body fat most accurately?
- Calipers
21.By what age do the head and chest circumferences generally become equal?
- 1 to 2 years
22.The earliest age at which a satisfactory radial pulse can be taken in children
is: - 2 years
23.Where is the best place to observe for the presence of petechiae in dark-
skinned individuals?
- Oral mucosa
24.When palpating the child's cervical lymph nodes, the nurse notes that they
are tender, enlarged, and warm. The best explanation for this is:
- Infection or inflammation close to the site.
25.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:
- Refer for immediate medical evaluation.
26.The nurse should expect the anterior fontanel to close at age:
- 12 to 18 months
27.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:
- A normal finding.
28.Binocularity, the ability to fixate on one visual field with both eyes
simultaneously, is normally present by what age?
- 3 to 4 months
29.The most frequently used test for measuring visual acuity is the:
- Snellen letter chart.
30.The nurse is testing an infant's visual acuity. By what age should the infant
be able to fix on and follow a target?
1. The nurse is seeing an adolescent boy and his parents in the clinic for the
first time. What should the nurse do first?
- introduce self
2. What action is most likely to encourage parents to talk about their feelings
related to their child's illness?
- Use open-ended questions.
3. What is the single most important factor to consider when communicating
with children?
- The child's developmental level
4. What is an important consideration for the nurse who is communicating with
a very young child?
- Use transition objects such as a doll.
5. When introducing hospital equipment to a preschooler who seems afraid, the
nurse's approach should be based on which principle?
- The child may think the equipment is alive.
6. Which age group is most concerned with body integrity?
- School-age child
7. An 8-year-old girl asks the nurse how the blood pressure apparatus works.
The most appropriate nursing action is to:
- Explain in simple terms how it works.
8. When the nurse interviews an adolescent, it is especially important to:
- Allow an opportunity to express feelings.
9. The nurse is having difficulty communicating with a hospitalized 6-year-old
child. What technique might be most helpful?
- Ask the child to draw a picture.
10.The nurse is taking a health history on an adolescent. What best describes
how the chief complaint should be determined?
- Ask adolescent, "Why did you come here today?"
,11.Where in the health history should the nurse describe all details related to the
chief complaint?
- Present illness
12.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?
- Birth history
13.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:
- An important part of the child's past growth and development
14.The nurse is taking a sexual history on an adolescent girl. The best way to
determine whether she is sexually active is to:
- Ask her, "Are you having sex with anyone?"
15.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:
- May provide sufficient amino acids.
16.Which parameter correlates best with measurements of the body's total
protein stores?
- Upper arm circumference
17.An appropriate approach to performing a physical assessment on a toddler is
to:
- Use minimal physical contact initially.
18.With the National Center for Health Statistics (NCHS) criteria, which body
mass index (BMI)
-for-age percentile indicates a risk for being overweight? - 85th percentile
19.The nurse is using the NCHS growth chart for an African-American child.
The nurse should consider that:
- The NCHS charts are accurate for U.S. African-American children.
, 20.Which tool measures body fat most accurately?
- Calipers
21.By what age do the head and chest circumferences generally become equal?
- 1 to 2 years
22.The earliest age at which a satisfactory radial pulse can be taken in children
is: - 2 years
23.Where is the best place to observe for the presence of petechiae in dark-
skinned individuals?
- Oral mucosa
24.When palpating the child's cervical lymph nodes, the nurse notes that they
are tender, enlarged, and warm. The best explanation for this is:
- Infection or inflammation close to the site.
25.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:
- Refer for immediate medical evaluation.
26.The nurse should expect the anterior fontanel to close at age:
- 12 to 18 months
27.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:
- A normal finding.
28.Binocularity, the ability to fixate on one visual field with both eyes
simultaneously, is normally present by what age?
- 3 to 4 months
29.The most frequently used test for measuring visual acuity is the:
- Snellen letter chart.
30.The nurse is testing an infant's visual acuity. By what age should the infant
be able to fix on and follow a target?
