NUR225 QSEN/PPT/ATI Exam 1
John is 6 years old. The nurse should teach his parents that which of his body systems
should be reaching its peak point of development at this time?
a. His neurologic system
b. His lymphatic system
c. His respiratory system
d. His musculoskeletal system - ANS-B. The nurse should explain that the lymphatic
system reaches such a peak in early school-age children; their throats appear to be "all
tonsils."
John shares a similar body shape with his mother and is overweight. The nurse
identifies which statement by John as typical according to the study?
a. "No one looks fat in my family." b. "I like the way I look in my uniform."
c. "We look like the people in these pictures."
d. "People shouldn't worry about what they look like." - ANS-B. Young children in the
study recognized what overweight was but were unable to apply the concept to
themselves. The nurse recognizes John's inability to connect his own appearance with
the pictures is consistent with this tendency.
John, at 6 years old, is a school-age child. What should members of the nurse's
interprofessional team recognize when caring for school-age children according to
Freud?
a. It's important for parents to teach children creativity during this time.
b. Children develop their moral compass or spirituality during school-age years.
c. Freud saw the school-age period as a largely latent or inactive period.
d. Every school-age child needs responsibilities in order to learn trust and integrity. -
ANS-C. The interprofessional team should recognize that Freud stressed that school
age is a latent stage and that it is not a stage of great advancement.
John, who is 6 years old, is a school-age child. According to Erikson, the nurse should
identify which developmental task to integrate health promotion activities with during this
period?
a. How to be creative
b. How to think abstractly
c. How to trust others
d. How to do things well - ANS-D. The nurse should choose health promotions activities
for John based on Erikson's theory that the developmental task of the school-age child
is to learn industry or to do things well.
,John, who is 6 years old, says his broken leg wants to get better. When choosing an
accurate and empathetic response, the nurse should be aware John is using what form
of cognition?
a. Magical thinking
b. Deductive reasoning
c. Concrete operational thinking
d. Sensorial thought - ANS-A. The nurse recognizes that ascribing human properties to
inanimate objects is indicative of magical thinking.
Over 300 children (from birth through age 19 years) in the United States are seen in the
emergency room due to ingestion of poisonous substances. Substances include
common household products and medications. It is important to provide guidance and
injury prevention information to parents to prevent unintentional ingestions by children
(CDC, 2016c). Based on this information, which would be the most important question
to ask Candy's father?
a. "Has Candy tried to drink something that you're drinking?"
b. "Do you keep all your prescription drugs securely locked?"
c. "What do you keep in the cupboards below your sinks?"
d. "Where do you store the alcoholic beverages in your house?" - ANS-C. The nurse
should teach the father that household products were swallowed most commonly by
young children. These are often stored below sinks in bathrooms or kitchens. The nurse
should question if these cabinets are locked if they contain household products.
With the participation of her father, the nurse obtains a health history from Keoto. What
question should the nurse ask at the end of this and every interview?
a. "Where do you think we should go from here?"
b. "Is there anything else you'd like to discuss?"
c. "Are you still feeling okay?"
d. "Am I a good interviewer? I'm trying hard." - ANS-B. Parents may be unwilling to
discuss a chief concern until they feel comfortable with an interviewer. The nurse should
provide an open-ended invitation to address any outstanding issues that can sometimes
reveal important data.
Keoto's sister is 2 years old and appears fearful of medical equipment. To preserve her
comfort, the nurse can exclude blood pressure measurement from assessment until
what age?
a. 2.5 years
b. 3 years
c. 5 years
, d. 7 years - ANS-B. Blood pressure is routinely assessed beginning at 3 years of age;
therefore, the nurse can exclude this assessment in this case.
Pressing a tongue blade against the back of the throat causes a gag reflex. When would
the nurse want the team members to know it is important not to elicit a gag reflex? a.
When a child is under 5 years of age
b. When a child has symptoms of epiglottitis
c. When a boy has a possible inguinal hernia
d. When a girl has a geographic tongue - ANS-B. The nurse should be aware that
gagging a child who has a swollen epiglottis can cause the epiglottis to obstruct
breathing.
The nurse is using a stethoscope to auscultate the sound of Keoto's mitral heart valve
closing. When determining where to listen, the nurse identifies which location as best?
a. Over the anterior sternum
b. The right 9th or 10th intercostal space
c. The left interior rim of the left clavicle
d. The fourth or fifth left intercostal space at the nipple line - ANS-D. The nurse identifies
the fourth or fifth left intercostal space at the nipple line as the best place to assess
mitral heart valve closing, although this is not its anatomical position.
Keoto's father wants to be sure Keoto's immunizations are up to date. The nurse
determines the immunization for HPV is recommended by which age?
a. At 12 to 18 months of age
b. Before kindergarten entrance
c. At 16 years of age
d. At 11 to 12 years of age - ANS-D. The nurse teaches the father that human
papillomavirus virus (HPV) vaccine is typically administered at 11 to 12 years of age.
The nurse wants to review some health educational materials with Barry, age 16 years.
To maximize his learning and his comfort level, this activity should take place in which
type of physical space?
a. Intimate space
b. Social space
c. Public space
d. Personal space - ANS-D. The nurse should perform teaching in personal space,
which is a distance of about 18 in. to 4 ft, or conversational space. It is most appropriate
for face-to-face teaching.
John is 6 years old. The nurse should teach his parents that which of his body systems
should be reaching its peak point of development at this time?
a. His neurologic system
b. His lymphatic system
c. His respiratory system
d. His musculoskeletal system - ANS-B. The nurse should explain that the lymphatic
system reaches such a peak in early school-age children; their throats appear to be "all
tonsils."
John shares a similar body shape with his mother and is overweight. The nurse
identifies which statement by John as typical according to the study?
a. "No one looks fat in my family." b. "I like the way I look in my uniform."
c. "We look like the people in these pictures."
d. "People shouldn't worry about what they look like." - ANS-B. Young children in the
study recognized what overweight was but were unable to apply the concept to
themselves. The nurse recognizes John's inability to connect his own appearance with
the pictures is consistent with this tendency.
John, at 6 years old, is a school-age child. What should members of the nurse's
interprofessional team recognize when caring for school-age children according to
Freud?
a. It's important for parents to teach children creativity during this time.
b. Children develop their moral compass or spirituality during school-age years.
c. Freud saw the school-age period as a largely latent or inactive period.
d. Every school-age child needs responsibilities in order to learn trust and integrity. -
ANS-C. The interprofessional team should recognize that Freud stressed that school
age is a latent stage and that it is not a stage of great advancement.
John, who is 6 years old, is a school-age child. According to Erikson, the nurse should
identify which developmental task to integrate health promotion activities with during this
period?
a. How to be creative
b. How to think abstractly
c. How to trust others
d. How to do things well - ANS-D. The nurse should choose health promotions activities
for John based on Erikson's theory that the developmental task of the school-age child
is to learn industry or to do things well.
,John, who is 6 years old, says his broken leg wants to get better. When choosing an
accurate and empathetic response, the nurse should be aware John is using what form
of cognition?
a. Magical thinking
b. Deductive reasoning
c. Concrete operational thinking
d. Sensorial thought - ANS-A. The nurse recognizes that ascribing human properties to
inanimate objects is indicative of magical thinking.
Over 300 children (from birth through age 19 years) in the United States are seen in the
emergency room due to ingestion of poisonous substances. Substances include
common household products and medications. It is important to provide guidance and
injury prevention information to parents to prevent unintentional ingestions by children
(CDC, 2016c). Based on this information, which would be the most important question
to ask Candy's father?
a. "Has Candy tried to drink something that you're drinking?"
b. "Do you keep all your prescription drugs securely locked?"
c. "What do you keep in the cupboards below your sinks?"
d. "Where do you store the alcoholic beverages in your house?" - ANS-C. The nurse
should teach the father that household products were swallowed most commonly by
young children. These are often stored below sinks in bathrooms or kitchens. The nurse
should question if these cabinets are locked if they contain household products.
With the participation of her father, the nurse obtains a health history from Keoto. What
question should the nurse ask at the end of this and every interview?
a. "Where do you think we should go from here?"
b. "Is there anything else you'd like to discuss?"
c. "Are you still feeling okay?"
d. "Am I a good interviewer? I'm trying hard." - ANS-B. Parents may be unwilling to
discuss a chief concern until they feel comfortable with an interviewer. The nurse should
provide an open-ended invitation to address any outstanding issues that can sometimes
reveal important data.
Keoto's sister is 2 years old and appears fearful of medical equipment. To preserve her
comfort, the nurse can exclude blood pressure measurement from assessment until
what age?
a. 2.5 years
b. 3 years
c. 5 years
, d. 7 years - ANS-B. Blood pressure is routinely assessed beginning at 3 years of age;
therefore, the nurse can exclude this assessment in this case.
Pressing a tongue blade against the back of the throat causes a gag reflex. When would
the nurse want the team members to know it is important not to elicit a gag reflex? a.
When a child is under 5 years of age
b. When a child has symptoms of epiglottitis
c. When a boy has a possible inguinal hernia
d. When a girl has a geographic tongue - ANS-B. The nurse should be aware that
gagging a child who has a swollen epiglottis can cause the epiglottis to obstruct
breathing.
The nurse is using a stethoscope to auscultate the sound of Keoto's mitral heart valve
closing. When determining where to listen, the nurse identifies which location as best?
a. Over the anterior sternum
b. The right 9th or 10th intercostal space
c. The left interior rim of the left clavicle
d. The fourth or fifth left intercostal space at the nipple line - ANS-D. The nurse identifies
the fourth or fifth left intercostal space at the nipple line as the best place to assess
mitral heart valve closing, although this is not its anatomical position.
Keoto's father wants to be sure Keoto's immunizations are up to date. The nurse
determines the immunization for HPV is recommended by which age?
a. At 12 to 18 months of age
b. Before kindergarten entrance
c. At 16 years of age
d. At 11 to 12 years of age - ANS-D. The nurse teaches the father that human
papillomavirus virus (HPV) vaccine is typically administered at 11 to 12 years of age.
The nurse wants to review some health educational materials with Barry, age 16 years.
To maximize his learning and his comfort level, this activity should take place in which
type of physical space?
a. Intimate space
b. Social space
c. Public space
d. Personal space - ANS-D. The nurse should perform teaching in personal space,
which is a distance of about 18 in. to 4 ft, or conversational space. It is most appropriate
for face-to-face teaching.
