NSG 6435 Family Health III – Pediatrics South University /NSG 6435 FINAL EXAM STUDY GUIDE 1 WITH ANSWERS

The nurse is seeing an adolescent boy and his parents in the clinic for the first time. What should the nurse do first? What action is most likely to encourage parents to talk about their feelings related to their child’s illness? When introducing hospital equipment to a preschooler who seems afraid, the nurse’s approach should be based on which principle? What is the single most important factor to consider when communicating with children? What is an important consideration for the nurse who is communicating with a very young child? Which age group is most concerned with body integrity? An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most appropriate nursing action is to: When the nurse interviews an adolescent, it is especially important to: The nurse is having difficulty communicating with a hospitalized 6-year-old child. What technique might be most helpful? The nurse is taking a health history on an adolescent. What best describes how the chief complaint should be determined? Where in the health history should the nurse describe all details related to the chief complaint? 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? 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: The nurse is taking a sexual history on an adolescent girl. The best way to determine whether she is sexually active is to: 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: Which parameter correlates best with measurements of the body’s total protein stores? An appropriate approach to performing a physical assessment on a toddler is to: With the National Center for Health Statistics (NCHS) criteria, which body mass index (BMI)–for-age percentile indicates a risk for being overweight? The nurse is using the NCHS growth chart for an African-American child. The nurse should consider that: Which tool measures body fat most accurately? By what age do the head and chest circumferences generally become equal? The earliest age at which a satisfactory radial pulse can be taken in children is: Where is the best place to observe for the presence of petechiae in dark-skinned individuals? When palpating the child’s cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm. The best explanation for this is: 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: