NSG6435 Final 2 Exam 2021 (ALL ANSWERED QUESTIONS 195/195)
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 de-
scribes 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 simul-
taneously, is normally present by what age?:
3 to 4 months
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 de-
scribes 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 simul-
taneously, is normally present by what age?:
3 to 4 months
