NURSING 307 VATI Peds Questions And Answers All Verified/Updated 2022

Question 1 The parent of a two-year-old child reports feeling frustrated with the fact that her son is saying no to everything. The nurse should teach the parent that this behavior is a normal expression of the child’s desire to accomplish which of the following? Select one: a. Gratify their oral fixation. b. Develop their sense of trust. c. Finish a project they set out to do. d. Increase their independence. CORRECT. The drive for independence is expressed by the toddler opposing the desires of those in authority (tantrums) and attempting to do everything for themselves. The Erickson developmental stage for this age is “Autonomy vs. Shame and Doubt.” Feedback The correct answer is: Increase their independence. Question 2 Correct Mark 1.00 out of 1.00 Flag question Question text At a well-child visit, the parents report that their toddler occasionally touches and fondles her genital area. The parents ask the nurse if this behavior is something to be concerned about. Which of the following is a correct response? Select one: a. This is an early emergence of sexual expression that should be discouraged b. This is a possible infection or irritation in the genital area c. Awareness of body structures and sensations is normal and expected CORRECT. Genital self-stimulation by the toddler is normal and expected. It is a new area to explore, similar to exploring the toes at an earlier age, but it has pleasurable sensations too! It should be ignored unless the behavior becomes pervasive, and then it should still be ignored and the child should be distracted to come and do some fun and exciting activity d. Your child is probably imitating behaviors that she has observed Feedback The correct answer is: Awareness of body structures and sensations is normal and expected Question 3 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse is taking the health history of a school-age girl. Which statement by the client’s mother indicates a need for further teaching regarding the client’s nutritional status? Select one: a. "She enjoys helping to prepare her snacks in the kitchen.” b. “We allow her to pick out a treat at the grocery store for good behavior.” CORRECT. This statement indicates a need for further teaching. This client’s mother should be educated about the importance of praising the client’s abilities and skills rather than using food as a reward, which may lead to an increased risk for obesity. c. “We increase her protein intake when she’s playing sports.” d. “She eats a large breakfast every morning.” Feedback The correct answer is: “We allow her to pick out a treat at the grocery store for good behavior.” Question 4 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse correctly understands which of the following characteristics is a possible developmental delay for a 3-month-old client? Select one: a. The infant does not raise his head when placed on his abdomen CORRECT. When placed on the abdomen the 3 month old should attempt to raise his head. Some sources refer to this as “tummy time” which provides the infant with the stimulation to strengthen upper body and neck muscles in preparation for good head control when sitting upright and the some of the muscles required for crawling. b. The infant is unable to point to objects c. The infant is unable to sit with support d. The infant demonstrates stranger anxiety Feedback The correct answer is: The infant does not raise his head when placed on his abdomen Question 5 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse has administered the first DTaP (diphtheria toxoid, tetanus and pertussis) immunization to a two-month-old infant. For which of the following symptoms should the nurse teach the parents to seek immediate medical attention? Select one: a. The baby develops swelling or redness at the injection site b. The baby develops a localized or generalized rash c. The baby is crying inconsolably for more than three hours CORRECT. Inconsolable crying lasting more than three hours and/or seizures within 48 hours of vaccination is a sign of encephalopathy that must be treated immediately. d. The baby has an axillary temperature of 100.4o F. (38o C) Feedback The correct answer is: The baby is crying inconsolably for more than three hours Question 6 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse is educating the parents of an infant about symptoms that should be reported to the provider. What finding should be immediately reported? Select one: a. Difficulty evacuating bowels b. Decreased urine output CORRECT. Decreased urine output indicates dehydration and should be reported immediately to the provider. Listlessness, sunken eyes, decreased tears, and dry mucous membranes are other symptoms of dehydration that should be immediately reported. c. Abdominal distension d. Mild diarrhea Feedback The correct answer is: Decreased urine output Question 7 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse is changing a dressing on a preschool-aged child who has a healing wound on a lower extremity. Which of the following nonpharmacologic comfort measures would be most appropriate for this child? Select one: a. Teaching the child how to go ‘to a different place’ using their imagination. b. Encouraging the child to watch a favorite cartoon on television. CORRECT. Cartoons would be a very attractive distraction, and distraction is a powerful nonpharmacologic comfort intervention which works well with this developmental age. c. Assisting the child to take deep breaths and focus on relaxing. d. Promising the child a special treat in exchange for cooperation. Feedback The correct answer is: Encouraging the child to watch a favorite cartoon on television. Question 8 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse is planning community education focusing on the principles of first aid. Which of the following strategies is likely to be most effective with adolescent learners? Select one: a. Simple lecture format. b. Teach the most crucial content early in the session. c. Actively involve the participants in practice of techniques. Adolescent learners will learn best when actively involved in participation and use of psychomotor skills. d. Divide the planned program into several sessions over several weeks. Feedback The correct answer is: Actively involve the participants in practice of techniques. Question 9 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse is providing education to the mother of a 10-year-old child about to undergo scoliosis screening. Which of the following statements by the mother indicates a need for further teaching? Select one: a. “My child should be undressed down to her under wear.” b. “My child will be asked to stand upright, arms stretched above the head.” The adolescent client should be leaning forward at the waist with arms hanging down; upright with arms stretched above the head would not allow proper screening. c. “The examiner will be looking for asymmetry of the ribs and flanks.” d. “The examiner will be looking for symmetry in alignment of shoulders or hips.” Feedback The correct answer is: “My child will be asked to stand upright, arms stretched above the head.” Question 10 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse is collecting data on a 5-month-old infant. Which of the following is an expected finding? Select one: a. Babinski reflex present The Babinski reflex is present for the first year of life. The reflex is elicited by stroking the outer edge of the sole of an infant’s foot up toward the toes. The infant’s toes fan upward and out. b. Respirations 21 to 24/min c. Stepping reflex present d. Pulse rate 70 to 80/min Feedback The correct answer is: Babinski reflex present Question 11 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse is helping parent’s select appropriate independent activities for their 8-year-old child. Which of the following would be an appropriate activity? Select one: a. Providing frequent trips to the library Providing frequent trips to the library allows the child to select reading material that is stimulating and reading is an independent activity. b. Playing touch football c. Allowing the child to play video games d. Encouraging the child to assume care of the family pet Feedback The correct answer is: Providing frequent trips to the library Question 12 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse is caring for a client being discharge home who has hemophilia. Which of the following points would be taught to the parents prior to discharge? Select one: a. Report to the provider a pink, nonpruritic macular rash. b. Provide heat to control bleeding episodes. c. Dress toddlers in extra layers of clothing. Correct. Toddlers should be dressed in extra layers of clothing to provide additional padding. d. Encourage child to participate in team activity sporting events. Feedback The correct answer is: Dress toddlers in extra layers of clothing. Question 13 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse is caring for a client with respiratory syncytial virus (RSV). The nurse is aware that which of the following strategies would not prevent the spread of infection? Select one: a. Encouraging children to participate in school activities. Correct. Infected children should be kept away from contact with well children. b. Covering the nose and mouth. c. Discouraging the sharing of eating utensils. d. Performing good hand hygiene. Feedback The correct answer is: Encouraging children to participate in school activities. Question 14 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse is caring for a child who has leukemia. What discharge teaching would be provided to the parents prior to discharge? Select one: a. Side effects of radiation therapy. b. Report developmental delays to the provider. c. Encourage parents not to palpate the stomach. d. How to properly use vascular access devices. Correct. The nurse will instruct the child and the parents on how to properly use vascular access devices. Parents and children may need to administer medications and nutritional support through these devices. Feedback The correct answer is: How to properly use vascular access devices. Question 15 Correct Mark 1.00 out of 1.00 Flag question Question text A school-aged child has been recently diagnosed with attention deficit hyperactivity disorder (ADHD). What activities can the school nurse provide to the parents to help improve school performance? Select one: a. Encourage the child to sit at the dining room table until all homework is done b. Divide tasks into small projects, allowing frequent breaks. Correct: Children with ADHD have a hard time focusing for extended periods of time. Parents and teachers should obtain the child’s attention prior to giving directions, and allow tasks to be completed in small increments. Efforts should be made to time tasks to time of day when the child has the best attention span. Creating ‘games’ out of homework can also help obtain academic success. c. Insist that the child read quietly to himself until he understands the instructions. d. Allow the child to work when they feel like it. Feedback The correct answer is: Divide tasks into small projects, allowing frequent breaks. Question 16 Correct Mark 1.00 out of 1.00 Flag question Question text A client is diagnosed with rheumatic fever. Which clinical manifestation would the nurse recognize associated with the presentation of rheumatic fever? Select one: a. Cough b. Irritability, poor concentration and behavioral problems c. Polyarthritis Correct – Polyarthritis is a clinical manifestation seen in clients when diagnosing rheumatic fever. d. Purulent nasal discharge Feedback The correct answer is: Polyarthritis Question 17 Correct Mark 1.00 out of 1.00 Flag question Question text The nurse is conducting a physical examination of a 2-month-old with suspected pyloric stenosis. Which finding indicates pyloric stenosis? Select one: a. Sausage-shaped mass in the upper mid abdomen b. Hard, moveable “olive-like mass” in the upper right quadrant Correct: A hard, moveable “olive-like mass” in the right upper quadrant is the hypertrophied pylorus. The client will experience vomiting often after feedings, demonstrates constant hunger and shows signs of dehydration and failure to gain weight. c. Abdominal pain and irritability d. Perianal fissures and skin tags Feedback The correct answer is: Hard, moveable “olive-like mass” in the upper right quadrant Question 18 Correct Mark 1.00 out of 1.00 Flag question Question text A 3-month-old infant has just undergone a cheiloplasty. The nurse is conducting an assessment following the procedure and needs to complete a pain assessment. Which of the following pain assessment tools will the nurse use to conduct this pain assessment? Select one: a. FLACC Correct: This pain assessment tool is recommended for infants and children 2 months to 7 years of age. Pain is rated on a scale of 0 to 10. Face (F), Legs (L), Activity (A), Cry (C), and Consolability(C)are assessed. b. FACES c. Numeric scale d. Oucher Feedback The correct answer is: FLACC Question 19 Correct Mark 1.00 out of 1.00 Flag question Question text A distracted 7-year-old student is sent to the school nurse by his teacher. When the nurse checks his hair and scalp, the nurse notes the evidence of pediculosis capitis. What are recognizable signs of this form of skin infestation? Select one: a. Multiple tiny pustules on the scalp with no abnormal findings on the hair shafts. b. Small white spots that adhere to the hair shaft, close to the scalp. Correct: The small white spots that adhere to the hair shafts are the eggs, or nits of lice (pediculosis capitis). c. Flaking of the scalp with pink, irritated skin exposed d. Scaly, circumscribed patches on the scalp, with mild alopecia in these areas. Feedback The correct answer is: Small white spots that adhere to the hair shaft, close to the scalp. Question 20 Correct Mark 1.00 out of 1.00 Flag question Question text There are different parenting styles that are exhibited within a family. Which of the following parenting styles is exhibited when a parent states, “My child can play video games for one hour a day after his homework is completed”? Select one: a. Dictatorial b. Passive c. Permissive d. Democratic Correct: This parent is exhibiting a democratic/authoritative parenting style. The parent directs the child’s behavior by setting rules and explaining the reason for each rule setting. Feedback The correct answer is: Democratic Question 21 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse has provided discharge education to a school age client and his parents following a radius fracture with cast application. Which of the following statements by the client’s parent indicates a need for additional teaching? Select one: a. “We will notify the provider if his fingers become swollen and dark.” b. “We will keep the cast elevated about his heart for the next 24 hours.” c. “We will reposition him every 2 hours until the cast is dry.” d. “When we get home we will use a hair dryer to finish drying the cast.” Correct. This statement indicates a need for additional education. Heat lamps/hair dryers should not be used to dry the cast as it could cause injury to the tissue under the cast. Feedback The correct answer is: “When we get home we will use a hair dryer to finish drying the cast.” Question 22 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse concludes that additional teaching about the Diabetic Sick Rule is needed when the mother of the child states which of the following? Select one: a. “I will encourage my child to sugar-free, non-caffeinated liquids.” b. “I will continue to give my child the oral antidiabetic agent.” c. “ I will notify my health care provider if vomiting occurs more than once.” d. “I will take my child blood sugar every 6 hours.” Correct: The blood glucose level should be taken at minimum every 3 hours. Additional teaching will be required. Feedback The correct answer is: “I will take my child blood sugar every 6 hours.” Question 23 Correct Mark 1.00 out of 1.00 Flag question Question text The nurse is caring for a child with cystic fibrosis. What provider order would the nurse question? Select one: a. Limit physical activity Correct: Exercise is important as it helps clear mucus from the lungs and improves physical bulk and strength. b. Oxygen therapy via nasal cannula at 2 L/min c. Administer the influenza vaccine d. High protein diet Feedback The correct answer is: Limit physical activity Question 24 Correct Mark 1.00 out of 1.00 Flag question Question text The nurse is assisting the parents of a school-aged child with a plan to prepare him for the impending death of a family member. What would be the potential behavior of the school-aged child when faced with this stressor? Select one: a. Believe that death is temporary b. Same emotional demonstration as his parents c. Uncooperative behavior Correct: School-aged children will often display fear of the unknown through uncooperative behavior. d. Accepting behavior of this situation Feedback The correct answer is: Uncooperative behavior Question 25 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse is teaching a community health class on communicable diseases to adolescents. During the discussion on infectious mononucleosis, which statement would lead the nurse to conclude that further teaching is needed? Select one: a. “Mononucleosis is a bacterial infection.” Correct: Mononucleosis is a viral infection caused by the Epstein-Barr virus. b. “A person with mononucleosis would have flu-like symptoms including a low grade fever, sore throat and fatigue.” c. “A person with mononucleosis is at risk for a ruptured spleen.” d. "Mononucleosis can be confirmed by a blood test.” Feedback The correct answer is: “Mononucleosis is a bacterial infection.”