PEDIATRIC NURSING EXAM 1 NEWEST ACTUAL EXAM TEST BANK
PEDIATRIC NURSING EXAM 1 NEWEST ACTUAL EXAM TEST BANK
COMPLETE 350 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
The nurse is interviewing the mother of an infant. The mother reports, "I had a
difficult delivery, and my baby was born prematurely." This information should be
recorded under which heading?
a. History
b. Present illness
c. Chief complaint
d. Review of systems - Correct Answer-ANS: A
The history refers to information that relates to previous aspects of the child's
health, not to the current problem. The difficult delivery and prematurity are
important parts of the infant's history. The history of the present illness is a
narrative of the chief complaint from its earliest onset through its progression to
the present. Unless the chief complaint is directly related to the prematurity,
this information is not included in the history of the present illness. The chief
complaint is the specific reason for the child's visit to the clinic, office, or
hospital. It should not include the birth information. The review of systems is a
specific review of each body system. It does not include the premature birth but
might include sequelae such as pulmonary dysfunction.
Where in the health history does a record of immunizations belong?
a. History
b. Present illness
c. Review of systems
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, PEDIATRIC NURSING EXAM 1 NEWEST ACTUAL EXAM TEST BANK
d. Physical assessment - Correct Answer-ANS: A
The history contains information relating to all previous aspects of the child's
health status. The immunizations are appropriately included in the history. The
present illness, review of systems, and physical assessment are not appropriate
places to record the immunization status.
The nurse is taking a sexual history on an adolescent girl. Which is the best way to
determine whether she is sexually active?
a. Ask her, "Are you sexually active?"
b. Ask her, "Are you having sex with anyone?"
c. Ask her, "Are you having sex with a boyfriend?"
d. Ask both the girl and her parent if she is sexually active. - Correct Answer-ANS:
B
Asking the adolescent girl if she is having sex with anyone is a direct question
that is well understood. The phrase sexually active is broadly defined and may
not provide specific information for the nurse to provide necessary care. The
word "anyone" is preferred to using gender-specific terms such as "boyfriend"
or "girlfriend." Using gender-neutral terms is inclusive and conveys acceptance
to the adolescent. Questioning about sexual activity should occur when the
adolescent is alone.
When doing a nutritional assessment on a Hispanic family, the nurse learns that
their diet consists mainly of vegetables, legumes, and starches. The nurse should
recognize that this diet is which?
a. Lacking in protein
b. Indicating they live in poverty
c. Providing sufficient amino acids
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, PEDIATRIC NURSING EXAM 1 NEWEST ACTUAL EXAM TEST BANK
d. Needing enrichment with meat and milk - Correct Answer-ANS: C
A diet that contains vegetables, legumes, and starches may provide sufficient
essential amino acids even though the actual amount of meat or dairy protein is
low. Combinations of foods contain the essential amino acids necessary for
growth. Many cultures use diets that contain this combination of foods. It is not
indicative of poverty. A dietary assessment should be done, but many vegetarian
diets are sufficient for growth.
Which parameter correlates best with measurements of total muscle mass?
a. Height
b. Weight
c. Skinfold thickness
d. Upper arm circumference - Correct Answer-ANS: D
Upper arm circumference is correlated with measurements of total muscle
mass. Muscle serves as the body's major protein reserve and is considered an
index of the body's protein stores. Height is reflective of past nutritional status.
Weight is indicative of current nutritional status. Skinfold thickness is a
measurement of the body's fat content.
The nurse is preparing to perform a physical assessment on a 10-year-old girl. The
nurse gives her the option of her mother staying in the room or leaving. This
action should be considered which?
a. Appropriate because of child's age
b. Appropriate, but the mother may be uncomfortable
c. Inappropriate because of child's age
d. Inappropriate because child is same sex as mother - Correct Answer-ANS: A
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, PEDIATRIC NURSING EXAM 1 NEWEST ACTUAL EXAM TEST BANK
It is appropriate to give older school-age children the option of having the
parent present or not. During the examination, the nurse should respect the
child's need for privacy. Children who are 10 years old are minors, and parents
are responsible for health care decisions. The mother of a 10-year-old child
would not be uncomfortable. The child should help determine who is present
during the examination.
With the National Center for Health Statistics criteria, which body mass index
(BMI)-for-age percentiles should indicate the patient is at risk for being
overweight?
a. 10th percentile
b. 75th percentile
c. 85th percentile
d. 95th percentile - Correct Answer-ANS: C
Children who have BMI-for-age greater than or equal to the 85th percentile and
less than the 95th percentile are at risk for being overweight. Children who are
greater than or equal to the 95th percentile are considered overweight. Children
whose BMI is between the 10th and 75th percentiles are within normal limits.
Rectal temperatures are indicated in which situation?
a. In the newborn period
b. Whenever accuracy is essential
c. Rectal temperatures are never indicated
d. When rapid temperature changes are occurring - Correct Answer-ANS: B
Rectal temperatures are recommended when definitive measurements are
necessary in infants older than age 1 month. Rectal temperatures are not done
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PEDIATRIC NURSING EXAM 1 NEWEST ACTUAL EXAM TEST BANK
COMPLETE 350 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
The nurse is interviewing the mother of an infant. The mother reports, "I had a
difficult delivery, and my baby was born prematurely." This information should be
recorded under which heading?
a. History
b. Present illness
c. Chief complaint
d. Review of systems - Correct Answer-ANS: A
The history refers to information that relates to previous aspects of the child's
health, not to the current problem. The difficult delivery and prematurity are
important parts of the infant's history. The history of the present illness is a
narrative of the chief complaint from its earliest onset through its progression to
the present. Unless the chief complaint is directly related to the prematurity,
this information is not included in the history of the present illness. The chief
complaint is the specific reason for the child's visit to the clinic, office, or
hospital. It should not include the birth information. The review of systems is a
specific review of each body system. It does not include the premature birth but
might include sequelae such as pulmonary dysfunction.
Where in the health history does a record of immunizations belong?
a. History
b. Present illness
c. Review of systems
1|Page
, PEDIATRIC NURSING EXAM 1 NEWEST ACTUAL EXAM TEST BANK
d. Physical assessment - Correct Answer-ANS: A
The history contains information relating to all previous aspects of the child's
health status. The immunizations are appropriately included in the history. The
present illness, review of systems, and physical assessment are not appropriate
places to record the immunization status.
The nurse is taking a sexual history on an adolescent girl. Which is the best way to
determine whether she is sexually active?
a. Ask her, "Are you sexually active?"
b. Ask her, "Are you having sex with anyone?"
c. Ask her, "Are you having sex with a boyfriend?"
d. Ask both the girl and her parent if she is sexually active. - Correct Answer-ANS:
B
Asking the adolescent girl if she is having sex with anyone is a direct question
that is well understood. The phrase sexually active is broadly defined and may
not provide specific information for the nurse to provide necessary care. The
word "anyone" is preferred to using gender-specific terms such as "boyfriend"
or "girlfriend." Using gender-neutral terms is inclusive and conveys acceptance
to the adolescent. Questioning about sexual activity should occur when the
adolescent is alone.
When doing a nutritional assessment on a Hispanic family, the nurse learns that
their diet consists mainly of vegetables, legumes, and starches. The nurse should
recognize that this diet is which?
a. Lacking in protein
b. Indicating they live in poverty
c. Providing sufficient amino acids
2|Page
, PEDIATRIC NURSING EXAM 1 NEWEST ACTUAL EXAM TEST BANK
d. Needing enrichment with meat and milk - Correct Answer-ANS: C
A diet that contains vegetables, legumes, and starches may provide sufficient
essential amino acids even though the actual amount of meat or dairy protein is
low. Combinations of foods contain the essential amino acids necessary for
growth. Many cultures use diets that contain this combination of foods. It is not
indicative of poverty. A dietary assessment should be done, but many vegetarian
diets are sufficient for growth.
Which parameter correlates best with measurements of total muscle mass?
a. Height
b. Weight
c. Skinfold thickness
d. Upper arm circumference - Correct Answer-ANS: D
Upper arm circumference is correlated with measurements of total muscle
mass. Muscle serves as the body's major protein reserve and is considered an
index of the body's protein stores. Height is reflective of past nutritional status.
Weight is indicative of current nutritional status. Skinfold thickness is a
measurement of the body's fat content.
The nurse is preparing to perform a physical assessment on a 10-year-old girl. The
nurse gives her the option of her mother staying in the room or leaving. This
action should be considered which?
a. Appropriate because of child's age
b. Appropriate, but the mother may be uncomfortable
c. Inappropriate because of child's age
d. Inappropriate because child is same sex as mother - Correct Answer-ANS: A
3|Page
, PEDIATRIC NURSING EXAM 1 NEWEST ACTUAL EXAM TEST BANK
It is appropriate to give older school-age children the option of having the
parent present or not. During the examination, the nurse should respect the
child's need for privacy. Children who are 10 years old are minors, and parents
are responsible for health care decisions. The mother of a 10-year-old child
would not be uncomfortable. The child should help determine who is present
during the examination.
With the National Center for Health Statistics criteria, which body mass index
(BMI)-for-age percentiles should indicate the patient is at risk for being
overweight?
a. 10th percentile
b. 75th percentile
c. 85th percentile
d. 95th percentile - Correct Answer-ANS: C
Children who have BMI-for-age greater than or equal to the 85th percentile and
less than the 95th percentile are at risk for being overweight. Children who are
greater than or equal to the 95th percentile are considered overweight. Children
whose BMI is between the 10th and 75th percentiles are within normal limits.
Rectal temperatures are indicated in which situation?
a. In the newborn period
b. Whenever accuracy is essential
c. Rectal temperatures are never indicated
d. When rapid temperature changes are occurring - Correct Answer-ANS: B
Rectal temperatures are recommended when definitive measurements are
necessary in infants older than age 1 month. Rectal temperatures are not done
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