EDAPT NSG6435 Final 2 Exam with All
Correct Solutions 2026 Updated.
The nurse is seeing an adolescent boy and his parents in the clinic for the first time. What
should the nurse do first? - Answer introduce self
What action is most likely to encourage parents to talk about their feelings related to their
child's illness? - Answer Use open-ended questions.
What is the single most important factor to consider when communicating with children? -
Answer The child's developmental level
What is an important consideration for the nurse who is communicating with a very young
child? - Answer Use transition objects such as a doll.
When introducing hospital equipment to a preschooler who seems afraid, the nurse's approach
should be based on which principle? - Answer The child may think the equipment is alive.
Which age group is most concerned with body integrity? - Answer School-age child
An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most
appropriate nursing action is to: - Answer Explain in simple terms how it works.
When the nurse interviews an adolescent, it is especially important to: - Answer Allow an
opportunity to express feelings.
The nurse is having difficulty communicating with a hospitalized 6-year-old child. What
technique might be most helpful? - Answer Ask the child to draw a picture.
The nurse is taking a health history on an adolescent. What best describes how the chief
complaint should be determined? - Answer Ask adolescent, "Why did you come here
today?"
Where in the health history should the nurse describe all details related to the chief complaint?
- Answer Present illness
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? -
Answer Birth history
,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: - Answer An important part of the child's past growth and
development
The nurse is taking a sexual history on an adolescent girl. The best way to determine whether
she is sexually active is to: - Answer Ask her, "Are you having sex with anyone?"
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: -
Answer May provide sufficient amino acids.
Which parameter correlates best with measurements of the body's total protein stores? -
Answer Upper arm circumference
An appropriate approach to performing a physical assessment on a toddler is to: - Answer
Use minimal physical contact initially.
With the National Center for Health Statistics (NCHS) criteria, which body mass index (BMI)-for-
age percentile indicates a risk for being overweight? - Answer 85th percentile
The nurse is using the NCHS growth chart for an African-American child. The nurse should
consider that: - Answer The NCHS charts are accurate for U.S. African-American children.
Which tool measures body fat most accurately? - Answer Calipers
By what age do the head and chest circumferences generally become equal? - Answer 1 to 2
years
The earliest age at which a satisfactory radial pulse can be taken in children is: - Answer 2
years
Where is the best place to observe for the presence of petechiae in dark-skinned individuals? -
Answer Oral mucosa
When palpating the child's cervical lymph nodes, the nurse notes that they are tender, enlarged,
and warm. The best explanation for this is: - Answer Infection or inflammation close to the
site.
, 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: - Answer Refer for immediate medical evaluation.
The nurse should expect the anterior fontanel to close at age: - Answer 12 to 18 months
During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red
reflex in both eyes. The nurse should recognize that this is: - Answer A normal finding.
Binocularity, the ability to fixate on one visual field with both eyes simultaneously, is normally
present by what age? - Answer 3 to 4 months
The most frequently used test for measuring visual acuity is the: - Answer Snellen letter
chart.
The nurse is testing an infant's visual acuity. By what age should the infant be able to fix on and
follow a target? - Answer 3 to 4 months
The appropriate placement of a tongue blade for assessment of the mouth and throat is the: -
Answer Side of the tongue.
What type of breath sound is normally heard over the entire surface of the lungs except for the
upper intrascapular area and the area beneath the manubrium? - Answer Vesicular
What term is used to describe breath sounds that are produced as air passes through narrowed
passageways? - Answer Wheezes
The nurse must assess a child's capillary filling time. This can be accomplished by: - Answer
Palpating the skin to produce a slight blanching.
What heart sound is produced by vibrations within the heart chambers or in the major arteries
from the back-and-forth flow of blood? - Answer murmur
Examination of the abdomen is performed correctly by the nurse in this order: - Answer
inspection, auscultation, and palpation
The nurse has a 2-year-old boy sit in "tailor" position during palpation for the testes. The
rationale for this position is that: - Answer It prevents cremasteric reflex.
Correct Solutions 2026 Updated.
The nurse is seeing an adolescent boy and his parents in the clinic for the first time. What
should the nurse do first? - Answer introduce self
What action is most likely to encourage parents to talk about their feelings related to their
child's illness? - Answer Use open-ended questions.
What is the single most important factor to consider when communicating with children? -
Answer The child's developmental level
What is an important consideration for the nurse who is communicating with a very young
child? - Answer Use transition objects such as a doll.
When introducing hospital equipment to a preschooler who seems afraid, the nurse's approach
should be based on which principle? - Answer The child may think the equipment is alive.
Which age group is most concerned with body integrity? - Answer School-age child
An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most
appropriate nursing action is to: - Answer Explain in simple terms how it works.
When the nurse interviews an adolescent, it is especially important to: - Answer Allow an
opportunity to express feelings.
The nurse is having difficulty communicating with a hospitalized 6-year-old child. What
technique might be most helpful? - Answer Ask the child to draw a picture.
The nurse is taking a health history on an adolescent. What best describes how the chief
complaint should be determined? - Answer Ask adolescent, "Why did you come here
today?"
Where in the health history should the nurse describe all details related to the chief complaint?
- Answer Present illness
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? -
Answer Birth history
,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: - Answer An important part of the child's past growth and
development
The nurse is taking a sexual history on an adolescent girl. The best way to determine whether
she is sexually active is to: - Answer Ask her, "Are you having sex with anyone?"
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: -
Answer May provide sufficient amino acids.
Which parameter correlates best with measurements of the body's total protein stores? -
Answer Upper arm circumference
An appropriate approach to performing a physical assessment on a toddler is to: - Answer
Use minimal physical contact initially.
With the National Center for Health Statistics (NCHS) criteria, which body mass index (BMI)-for-
age percentile indicates a risk for being overweight? - Answer 85th percentile
The nurse is using the NCHS growth chart for an African-American child. The nurse should
consider that: - Answer The NCHS charts are accurate for U.S. African-American children.
Which tool measures body fat most accurately? - Answer Calipers
By what age do the head and chest circumferences generally become equal? - Answer 1 to 2
years
The earliest age at which a satisfactory radial pulse can be taken in children is: - Answer 2
years
Where is the best place to observe for the presence of petechiae in dark-skinned individuals? -
Answer Oral mucosa
When palpating the child's cervical lymph nodes, the nurse notes that they are tender, enlarged,
and warm. The best explanation for this is: - Answer Infection or inflammation close to the
site.
, 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: - Answer Refer for immediate medical evaluation.
The nurse should expect the anterior fontanel to close at age: - Answer 12 to 18 months
During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red
reflex in both eyes. The nurse should recognize that this is: - Answer A normal finding.
Binocularity, the ability to fixate on one visual field with both eyes simultaneously, is normally
present by what age? - Answer 3 to 4 months
The most frequently used test for measuring visual acuity is the: - Answer Snellen letter
chart.
The nurse is testing an infant's visual acuity. By what age should the infant be able to fix on and
follow a target? - Answer 3 to 4 months
The appropriate placement of a tongue blade for assessment of the mouth and throat is the: -
Answer Side of the tongue.
What type of breath sound is normally heard over the entire surface of the lungs except for the
upper intrascapular area and the area beneath the manubrium? - Answer Vesicular
What term is used to describe breath sounds that are produced as air passes through narrowed
passageways? - Answer Wheezes
The nurse must assess a child's capillary filling time. This can be accomplished by: - Answer
Palpating the skin to produce a slight blanching.
What heart sound is produced by vibrations within the heart chambers or in the major arteries
from the back-and-forth flow of blood? - Answer murmur
Examination of the abdomen is performed correctly by the nurse in this order: - Answer
inspection, auscultation, and palpation
The nurse has a 2-year-old boy sit in "tailor" position during palpation for the testes. The
rationale for this position is that: - Answer It prevents cremasteric reflex.
