Download NSG 3600 (Peds) Exam 1 with correct answers and more Exams Nursing in PDF only on Docsity!
NSG | 3600 |(Peds) |Exam | 1 |with |correct |
answers
The |pediatric |nurse |assess |the |toddler's |fine |motor |skills |by | observing |which |task? a. |buttoning |a |shirt b. |writing |with |a |pencil c. |holding |a |spoon |to |eat d. |using |the |pincer |grasp |- |CORRECT |ANSWERS |✔✔C According |to |Piaget, |an |infant |uses |his |or |her |senses |to |learn |and | explore |the |environment. |Which |action |is |the |most |appropriate |for | the |nurse |to |implement |to |determine |object |permanence? a. |playing |the |game |of |peek-a-boo b. |encouraging |the |infant |to |shake |a |rattle c. |pushing |a |button |on |an |overhead |mobile d. |placing |the |child |in |a |stroller |and |going |for |a |walk |- |CORRECT | ANSWERS |✔✔A The |pediatric |nurse |is |promoting |anticipatory |guidance |about | safety |to |the |mother |of |a | 10 |month |old |infant. |Which |statement |is | not |appropriate |for |the |nurse |to |include |in |the |teaching |session?
a. |"do |not |leave |small |objects |on |the |floor |because |your |baby |will | be |crawling |soon" b. |"keep |the |side |rails |up |to |prevent |your |baby |from |falling |out |of | the |crib" c. |"put |safety |locks |on |all |cabinets |to |prevent |accidents" d. |"allow |your |baby |to |stay |alone |for |short |periods |of |time |to | promote |independence" |- |CORRECT |ANSWERS |✔✔D The |mother |of |a | 26 |month |old |toddler |tells |the |pediatric |nurse | that |she |is |having |trouble |disciplining |her |daughter. |The |mother | states, |"she |really |knows |how |to |put |me |to |my |limit. |I |don't |know | what |to |do |with |her!" |Which |response |by |the |nurse |is |the |most | therapeutic? a. |"the |terrible |twos |are |a |difficult |time. |You |have |to |show |her |that | you |are |boss!" b. |"when |she |does |something |wrong, |tell |her |she |is |a |bad |girl |and | has |to |be |punished |for |her |actions" c. |"A |2-minute |time-out |combines |with |praise |for |good |behavior |is | very |effective |for |this |age |groups" d. |"take |away |her |favorite |doll |and |tell |her |that |she |cannot |have |it | back |until |she |changes |her |behavior" |- |CORRECT |ANSWERS |✔✔C The |parents |of |a |toddler |asks |the |nurse |how |to |best |prepare |the | toddler |for |a |planned |medical |procedure. |What |should |the |nurse | recognize |when |answering |the |toddler's |parents?
b. |ability |to |use |deductive |reasoning c. |ability |to |make |long-term |plans d. |ability |to |use |logical |thinking |- |CORRECT |ANSWERS |✔✔D A |nurse |is |planning |an |educational |class |for |new |families |based |on | Duvall's |family |development |theory. |Based |on |the |theory, |how |are | family |stages |determined? a. |number |of |children |in |the |family b. |the |oldest |child |in |the |family c. |the |youngest |child |in |the |family d. |years |the |couple |has |been |married |- |CORRECT |ANSWERS |✔✔B A |mother |is |complaining |to |the |nurse |that |her | 3 |y/o |child |often | has |difficulty |falling |and |staying |asleep. |The |following |day, |the | child |is |cranky |and |uncooperative. |Which |action |by |the |nurse |is |the | most |appropriate? a. |asses |the |child's |usual |nighttime |routine b. |Assure |mom |that |sleep |and |behavior |are |not |related c. |Encourage |active |play |before |bedtime d. |Have |mom |put |the |child |to |bed |only |when |sleepy |- |CORRECT | ANSWERS |✔✔A
A |nurse |is |providing |anticipatory |guidance |to |the |parents |of |a | preschool-aged |child |regarding |discipline. |Which |information |is |most |beneficial? a. |Children |at |this |age |lie |frequently |and |without |reason b. |consequences |should |be |natural |and |fit |the |behavior c. |explaining |the |rules |is |not |as |important |as |discipline | d. |taking |away |privileges |is |a |powerful |tool |for |this |age |group |- | CORRECT |ANSWERS |✔✔B A |pediatric |nurse |examines |a | 7 |y/o |at |a |well-child |visit. |Based |on | Erikson's |theory, |which |basic |task |does |the |nurse |anticipate |for |this | child? a. |balance |independence |and |self-sufficiency |against |uncertainty | and |misgiving b. |develop |a |sense |of |confidence |through |mastery |of |different |tasks c. |develop |resourcefulness |to |achieve |and |learn |new |things |without | self-reproach d. |recognize |there |are |people |in |his |or |her |life |who |can |be |trusted | to |take |care |of |needs |- |CORRECT |ANSWERS |✔✔B A | 10 |y/o |child |who |has |been |hospitalized |frequently |and |for |long | periods |of |time |has |the |nursing |diagnosis |of |delayed |growth |and | development. |Which |action |by |the |child |would |demonstrate |that | outcomes |for |this |diagnosis |have |been |met?
The |nurse |is |preparing |to |educate |the |parents |of |an | 8 |y/o |child | about |normal |growth |and |development. |Which |info |should |the | nurse |include? |(Select |all |that |apply) a. |boys |and |girls |play |equally |w/ |each |other b. |children |frequently |have |best |friends |at |this |age c. |peer |approval |is |not |yet |important, |but |will |be |for |teens d. |puberty |changes |should |be |discussed |before |they |occur e. |typical |weight |gain |is |4-6 |lbs/year |- |CORRECT |ANSWERS |✔✔B, |D, | E The |nurse |is |preparing |to |provide |info |to |the |parents |of |a | 14 |y/o | who |is |within |normal |limits |for |growth |and |development. |What | info |is |appropriate |for |the |nurse |to |include? |(select |all |that |apply) a. |children |of |this |age |can |anticipate |long-term |consequences |of | choices b. |growth, |although |slowed, |can |still |be |significant c. |the |child |of |this |age |may |be |able |to |give |informed |consent |in | some |situations d. |the |child |of |this |age |is |not |normally |worries |about |sexual |identity e. |peer |group |influence |is |often |stronger |than |family |influence |- | CORRECT |ANSWERS |✔✔A, |B, |C, |E
When |preparing |a | 4 |y/o |child |for |a |procedure, |the |pediatric |nurse | must |be |aware |of |the |child's |developmental |status. |Which |nursing | action |demonstrates |awareness |of |the |child's |developmental |status? a. |demonstrating |the |procedure |on |the |child's |teddy |bear b. |providing |a |peer |video |of |the |procedure |for |the |child |to |view c. |explaining |the |procedure |to |the |child |the |day |before |the |actual | procedure |occurs d. |discussing |the |procedure |at |the |length |with |the |child |- |CORRECT | ANSWERS |✔✔A The | 10 |y/o |child |is |receiving |preoperative |teaching |prior |to |a | tonsillectomy. |Which |response |by |the |nurse |uses |a |developmentally | appropriate |explanation |of |the |operation? a. |"don't |worry, |the |doctor |will |cut |your |tonsils |out |while |you're | asleep." b. |"the |shot |that |you |will |receive |in |your |arm |will |only |help |the | pain |a |little |bit" c. |"Don't |worry |about |the |operation, |it |is |really |not |a |big |deal." d. |"the |doctor |will |give |you |special |sleeping |medicine |before |she | operates" |- |CORRECT |ANSWERS |✔✔D There |are |many |myths |regarding |children |and |pain |levels. |Which | statement |regarding |pain |management |in |pediatrics |is |true? a. |children |cannot |tell |where |they |hurt
c. |"call |the |pediatrician |if |you |notice |a |change |in |the |baby's |activity | level |or |feedings" d. |"we |want |to |watch |the |baby's |weight |gain, |so |feed |the |baby | when |she |cries" |- |CORRECT |ANSWERS |✔✔C The |nurse |is |caring |for |a |toddler |hospitalized |after |a |MVA. |Based | on |Erikson's |developmental |model, |which |behavior |would |you | anticipate |can |occur |as |a |result |of |the |hospitalization? a. |regression |to |a |previous |behavior b. |the |belief |that |they |are |being |punished c. |fear |of |bodily |mutilation d. |loss |of |independence |- |CORRECT |ANSWERS |✔✔A What |is |the |nurses |responsibility |in |educating |families |about |how |to |care |for |their |child |at |home |after |minor |surgery? a. |taking |the |child |rectal |temp b. |assessing |their |child's |level |of |consciousness c. |teaching |about |the |signs |and |sx |of |infection d. |teaching |about |the |signs |of |poor |air |exchange |- |CORRECT | ANSWERS |✔✔C A |parent |in |the |pediatric |clinic |states |that |she |has |been |giving |her | 1y/o |aspirin |(ASA) |for |his |fever, |What |response |by |the |nurse |is |best?
a. |ensure |the |parent |knows |the |normal |dose |of |10mg/kg. b. |teach |the |parent |to |only |use | 5 |doses |per |day c. |Instruct |the |parent |not |to |use |aspirin |on |a |child d. |make |sure |the |parent |can |take |the |child's |temperature |- | CORRECT |ANSWERS |✔✔C A |child |with |special |needs |has |moved |into |the |community. |Which | health-care |resource |should |the |school |nurse |direct |the |child's | family |toward? a. |medical |home b. |pediatric |clinic c. |home |health |care d. |community |center |- |CORRECT |ANSWERS |✔✔A A |nurse |is |providing |anticipatory |guidance |to |the |parents |of |an | infant. |The |nurse |explains |that, |for |children |of |this |age, |the |most | common |fatal |injury |is |which |of |the |following? a. |drowning b. |suffocation c. |electrocution d. |heavy |metal |poisoning |- |CORRECT |ANSWERS |✔✔B
d. |4-5 |years, |100mg |- |CORRECT |ANSWERS |✔✔A A |teenager |is |in |the |family |practice |clinic |for |a |school |physical. | When |the |parent |leaves |the |room, |the |teen |admits |to |cutting | myself |after |a |relative |touched |me |in |my |private |area. |What |action | by |the |nurse |is |the |most |appropriate? a. |document |the |statements |and |alert |the |provider b. |explain |that |this |information |must |be |shared c. |have |the |secretary |call |the |police |department d. |reassure |the |teen |of |confidentiality |rules |- |CORRECT |ANSWERS | ✔✔B A |nurse |is |assessing |a |school-age |child |in |the |clinic |with |an | earache |and |fever. |Using |the |SODA |mnemonic, |what |question |by | the |nurse |best |relates |to |S? a. |does |it |keep |you |from |sleeping? b. |has |it |affected |your |schoolwork? c. |how |long |have |you |been |sick? d. |how |sore |is |your |ear |today? |- |CORRECT |ANSWERS |✔✔A A |nurse |is |assessing |a |10-month-old |babys |anterior |fontanel |and | finds |it |slightly |depressed; |the |fontanel |measures | 2 |inches |(5.08 | cm). |What |conclusion |and |action |are |most |appropriate? a. |delayed |closing; |alert |health-care |provider
b. |fontanel |is |closing; |document |findings c. |large |for |age; |asses |for |Down |Syndrome d. |sign |of |dehydration; |assess |fluid |status |- |CORRECT |ANSWERS | ✔✔D A |nurse |reads |in |a |child's |chart |that |the |child |has |pectus |carnitas. | What |does |the |nurse |understand |this |term |to |mean? a. |barrel |chest |from |chronic |illness b. |depression |of |the |lower |chest c. |protrusion |of |the |chest d. |undeveloped |breast |bone |- |CORRECT |ANSWERS |✔✔C A |nurse |is |providing |anticipatory |guidance |to |the |parents |of |a |4y/o | disabled |child. |What |nutritional |information |should |the |nurse | provide? a. |feed |the |child |as |any |other | 4 |y/o |child b. |give |child |more |than | 7090 |kcal/kg/day c. |offer |extra |protein |and |vitamins |daily d. |provide |extra |carbohydrates |and |fat |intake |- |CORRECT |ANSWERS | ✔✔B A |nurse |is |caring |for |a | 5 |y/o |who |broke |his |arm |and |is |c/o |pain. | What |statement |by |the |nurse |to |the |child |would |be |most |helpful?
d. |manage |severe |pain |with |strong |analgesics |such |as |morphine | sulfate |(Astramorph) e. |manage |severe |pain |with |strong |analgesics |(Astramorph) |when | distraction |doesn't |work |- |CORRECT |ANSWERS |✔✔A, |C, |D The |pediatric |nurse |caring |for |children |with |physical |disabilities | teaches |the |student |nurse |that |coping |mechanisms |give |rise |to | resiliency |in |children |and |their |families. |The |nurse |further |notes | that |attributes |of |resilient |children |include |which |of |the |following? | (Select |all |that |apply.) a. |dependence |on |family b. |physical |abilities c. |problem-solving |skills d. |sense |of |purpose |and |future e. |social |competence |- |CORRECT |ANSWERS |✔✔C, |D, |E A |nurse |is |providing |a |child |safety |class |to |a |parent |group. |Which | instructions |are |appropriate |for |the |age |group? |(Select |all |that | apply.) a. |adolescent: |ride |in |the |back |seat |of |the |car b. |infant: |never |attach |a |pacifier |to |the |infants |clothing c. |preschool: |teach |stop, |drop |and |roll |for |fire d. |school-age: |keep |toilet |seats |down |and |tubs |empty
e. |toddler: |never |leave |unattended |in |a |walker |- |CORRECT | ANSWERS |✔✔B, |C The |nursing |faculty |explains |to |a |group |of |students |about |the | body's |immune |response. |What |action |by |the |immune |response |is | most |important |for |its |functioning? a. |creating |and |maintaining |immunoglobulins b. |inducing |a |febrile |response |to |an |invading |organism c. |producing |a |mechanical |barrier |against |infection d. |recognizing |non-self |material |and |reacting |to |it |- |CORRECT | ANSWERS |✔✔D A |child |with |a |congenital |immunodeficiency |is |scheduled |for |a | routine |vaccination. |What |instruction |is |most |important |for |the | nurse |to |provide |the |parent |before |they |leave |the |clinic? a. |"if |your |child |has |a |little |temperature, |give |acetaminophen | (Tylenol)" b. |keep |your |child |away |from |other |children |for |the |next |few |days" c. |"let's |schedule |your |return |visit |to |have |blood |drawn |for |a |titer" d. |"put |ice |not |he |injection |site | 4 |times |a |day |for | 15 |minutes" |- | CORRECT |ANSWERS |✔✔C A |parent |rushes |her |child |to |the |emergency |pediatric |clinic |after | she |picks |up |her |baby |from |day |care |and |sees |a |bright |red |spot |
d. |keep |babies |less |than | 1 |year |of |age |inside |at |all |times |- | CORRECT |ANSWERS |✔✔B The |family |practice |nurse |is |teaching |a |student |about |different | types |of |vaccines. |Which |information |about |vaccines |is |correct? a. |attenuated |vaccines |are |used |only |in |adults b. |inactivated |vaccines |prevent |disease |reactivation c. |live |virus |vaccines |need |occasional |boosters d. |toxoid |vaccines |contain |highly |potent |viruses |- |CORRECT | ANSWERS |✔✔C A |nursing |faculty |member |is |explaining |the |pediatric |immune | system |to |students. |Which |statement |is |correct? | a. |children |are |born |with |intact |immune |systems b. |children's |immune |systems |develop |over | 1 |year c. |immunity |isn't |functional |until |about | 6 |months d. |mothers |immunity |is |babies |primary |line |of |defense |- |CORRECT | ANSWERS |✔✔A A |nurse |is |providing |anticipatory |guidance |to |new |parents. |Which | instruction |by |the |nurse |will |assist |the |parents |in |painting |physical | barriers |to |prevent |infection |int |heir |newborn? a. |breastfeeding |provides |some |antibodies |
b. |ensure |your |baby |is |getting |enough |nutrition c. |keep |your |baby |away |from |people |who |are |sick d. |was |your |body |with |gentle |soap |and |dry |well |- |CORRECT | ANSWERS |✔✔D A |10-month-old-child |is |int |he |pediatric |clinic |for |his |8th |ear | infection. |Which |assessment |is |most |important |for |the |nurse |to | perform |on |this |child? a. |ask |the |parent |about |possible |allergy |testing b. |assess |the |Childs |mouth |for |oral |thrush c. |graph |height |and |weight |on |the |growth |chart d. |inquire |about |the |health |of |the |entire |family |- |CORRECT | ANSWERS |✔✔C A |parent |calls |a |pediatric |information |line |to |ask |about |treating | sinus |congestion |in |a |child. |Which |suggestions |is |not |appropriate | for |the |nurse |to |make |the |parent? a. |warm-facial |compress b. |cool-mist |steamer c. |Sine-Off |sinus |medication d. |gentle |nasal |suctioning |- |CORRECT |ANSWERS |✔✔C
