Exam Questions and Answers
Verified Solutions Latest Update
Question:
The nurse is assessing a child diagnosed with autism spectrum disorder (ASD). Which
finding will the nurse expect to assess? Slow motor actions Frequently losing things
Indifferent attachment to a parent Engaging in dangerous activities
Answer:
Indifferent attachment to a parent A child on the autism spectrum disorder can show a
lack of or no attachment to parents. Motor skills are not expected to be slowed or
delayed, because a child with ASD tends to spend hours in repetetive play and may
display bizarre motor and stereotypic behavior. The child may become completely
absorbed in strange repetitive behaviors such as spinning an object, flipping an
electrical switch on and off, or walking around the room feeling the walls. Frequently
losing things can be associated with attention deficit hyperactivity disorder. Engaging
in dangerous activities could be related to a conduct disorder.
Question:
Candace, age 16, is being seen for a long overdue checkup. Her caregiver has come
with her. Candace is calm, pleasant, and in good spirits. The caregiver reports to the
nurse that she is relieved because for the past 6 months Candace has been lethargic,
angry, and sad. The mother reports that since she got her driver's license two days
earlier, her child's mood has changed dramatically. Rather than resist this
appointment, Candace had simply smiled and said, "It won't matter much, but okay, I'll
be ready in a minute." The nurse recognizes that the child's seeming well-being and
drastic change in behavior should be further investigated to determine if the child: is
planning to commit suicide. is excited that she can drive now. has been smoking
marijuana. is experimenting with alcohol.
Answer:
is planning to commit suicide. Attempted suicide rarely occurs without warning and
usually is preceded by a long history of emotional problems, difficulty forming
relationships, feelings of rejection, and low self-esteem. Suicidal adolescents may
appear suddenly elated after a long period of acting dejected, and might verbalize their
hopelessness with statements such as "I won't be around much longer," or "After
Monday, it won't matter anyhow." Some deaths reported as accidents, particularly
one-car accidents, are thought to be suicides.
,Question:
The nurse is collecting data from the caregiver of an 8-year-old child who recently
started soiling his underwear each day rather than using the toilet to defecate. How
would the nurse document this in the medical record? The client has symptoms of
encephalopathy. The client is demonstrating echolalia. The client is displaying
enuresis. The client has regressed to encopresis.
Answer:
The client has regressed to encopresis. Encopresis is chronic involuntary fecal soiling
beyond the age when control is expected (about 3 years of age). When the client
reverts back to this behavior, it is noted as a regression in development.
Question:
The most common use disorder among children and adolescents is: alcohol.
oxycodone. ecstasy. marijuana.
Answer:
alcohol Alcohol misuse occurs when a person ingests a quantity sufficient to cause
intoxication. It is also the most common substance use disorder among children and
adolescents.
Question:
The nurse is caring for a 10-year-old girl with an anxiety disorder. During a physical
examination, which physical finding would the nurse expect? Patches of hair loss
Watery eyes Dilated eyes Absence of nasal hair
Answer:
Patches of hair loss Patches of hair loss that occur with repetitive hair twisting or
pulling are associated with anxiety. Watery, dilated eyes and the absence of nasal hair
are often signs of substance abuse
Question:
The nurse is caring for a 13-year-old girl with a nursing diagnosis of Ineffective coping
related to inability to deal with life stressors as evidenced by few or no meaningful
friendships and low self-esteem. Which intervention would be the priority to promote
coping skills? Set clear limits on behavior. Encourage her to discuss her thoughts and
feelings. Role model appropriate social and conversation skills. Demonstrate
unconditional acceptance of the child as a person.
Answer:
Encourage her to discuss her thoughts and feelings. The priority intervention is to
encourage her to discuss her thoughts and feelings, as this is an initial step toward
, learning to deal with them appropriately. The other interventions are appropriate, but
the priority intervention is to encourage discussion and obtain information from the
child. This way the nurse can develop and refine the interventions based on the child's
thoughts and feelings.
Question:
A nurse on the pediatric floor is taking care of a child who has an intellectual disability.
The child's chart lists the IQ as a score of 36. Into which classification area would this
score fall? Moderate Severe Mild Profound
Answer:
Moderate An IQ of 35-50 is classified as moderate. An IQ of 50-70 is classified as mild.
An IQ of 20-35 is classified as severe. An IQ that is less than 20 is considered profound.
Question:
A young parent brings the school-aged child to the office for a sports physical
examination. During the appointment, the parent informs the nurse about being
worried because the child does not like school and does not seem to be reading,
writing, or spelling as well as others in the class. The parent adds that the child
struggles to get organized and to manage time. What condition does the nurse
suspect? Learning disorder Autism Asperger syndrome Down syndrome
Answer:
Learning disorder The child appears to have a learning disorder based on challenges
with reading, spelling, and writing as well as being organized and managing time.
Other findings consistent with a learning disorder include delayed language
development and difficulty discriminating among sounds. Autism is a spectrum of
disorders characterized by markedly abnormal or impaired development in social
interaction and communication. Down syndrome is a condition in which extra genetic
material cuases delays in how a child develops, both physically and cogntively.
Asperger syndrome is a type of autism.
Question:
A nurse in a residential foster home is caring for a 17-year-old girl with conduct
disorder. The adolescent is using profanity and refusing to complete the assigned
chores. The nurse reminds the adolescent that there are only five minutes in which to
finish. The adolescent throws a dirty plate at the wall. Which response would be most
appropriate? "You only have a few minutes to complete your chores." "You appear to
be feeling very angry tonight, but you must still complete your chores." "If you calm
down right now I will give you a few extra minutes to complete your chores." "I find
your language offensive, and you need to stop talking that way."
Verified Solutions Latest Update
Question:
The nurse is assessing a child diagnosed with autism spectrum disorder (ASD). Which
finding will the nurse expect to assess? Slow motor actions Frequently losing things
Indifferent attachment to a parent Engaging in dangerous activities
Answer:
Indifferent attachment to a parent A child on the autism spectrum disorder can show a
lack of or no attachment to parents. Motor skills are not expected to be slowed or
delayed, because a child with ASD tends to spend hours in repetetive play and may
display bizarre motor and stereotypic behavior. The child may become completely
absorbed in strange repetitive behaviors such as spinning an object, flipping an
electrical switch on and off, or walking around the room feeling the walls. Frequently
losing things can be associated with attention deficit hyperactivity disorder. Engaging
in dangerous activities could be related to a conduct disorder.
Question:
Candace, age 16, is being seen for a long overdue checkup. Her caregiver has come
with her. Candace is calm, pleasant, and in good spirits. The caregiver reports to the
nurse that she is relieved because for the past 6 months Candace has been lethargic,
angry, and sad. The mother reports that since she got her driver's license two days
earlier, her child's mood has changed dramatically. Rather than resist this
appointment, Candace had simply smiled and said, "It won't matter much, but okay, I'll
be ready in a minute." The nurse recognizes that the child's seeming well-being and
drastic change in behavior should be further investigated to determine if the child: is
planning to commit suicide. is excited that she can drive now. has been smoking
marijuana. is experimenting with alcohol.
Answer:
is planning to commit suicide. Attempted suicide rarely occurs without warning and
usually is preceded by a long history of emotional problems, difficulty forming
relationships, feelings of rejection, and low self-esteem. Suicidal adolescents may
appear suddenly elated after a long period of acting dejected, and might verbalize their
hopelessness with statements such as "I won't be around much longer," or "After
Monday, it won't matter anyhow." Some deaths reported as accidents, particularly
one-car accidents, are thought to be suicides.
,Question:
The nurse is collecting data from the caregiver of an 8-year-old child who recently
started soiling his underwear each day rather than using the toilet to defecate. How
would the nurse document this in the medical record? The client has symptoms of
encephalopathy. The client is demonstrating echolalia. The client is displaying
enuresis. The client has regressed to encopresis.
Answer:
The client has regressed to encopresis. Encopresis is chronic involuntary fecal soiling
beyond the age when control is expected (about 3 years of age). When the client
reverts back to this behavior, it is noted as a regression in development.
Question:
The most common use disorder among children and adolescents is: alcohol.
oxycodone. ecstasy. marijuana.
Answer:
alcohol Alcohol misuse occurs when a person ingests a quantity sufficient to cause
intoxication. It is also the most common substance use disorder among children and
adolescents.
Question:
The nurse is caring for a 10-year-old girl with an anxiety disorder. During a physical
examination, which physical finding would the nurse expect? Patches of hair loss
Watery eyes Dilated eyes Absence of nasal hair
Answer:
Patches of hair loss Patches of hair loss that occur with repetitive hair twisting or
pulling are associated with anxiety. Watery, dilated eyes and the absence of nasal hair
are often signs of substance abuse
Question:
The nurse is caring for a 13-year-old girl with a nursing diagnosis of Ineffective coping
related to inability to deal with life stressors as evidenced by few or no meaningful
friendships and low self-esteem. Which intervention would be the priority to promote
coping skills? Set clear limits on behavior. Encourage her to discuss her thoughts and
feelings. Role model appropriate social and conversation skills. Demonstrate
unconditional acceptance of the child as a person.
Answer:
Encourage her to discuss her thoughts and feelings. The priority intervention is to
encourage her to discuss her thoughts and feelings, as this is an initial step toward
, learning to deal with them appropriately. The other interventions are appropriate, but
the priority intervention is to encourage discussion and obtain information from the
child. This way the nurse can develop and refine the interventions based on the child's
thoughts and feelings.
Question:
A nurse on the pediatric floor is taking care of a child who has an intellectual disability.
The child's chart lists the IQ as a score of 36. Into which classification area would this
score fall? Moderate Severe Mild Profound
Answer:
Moderate An IQ of 35-50 is classified as moderate. An IQ of 50-70 is classified as mild.
An IQ of 20-35 is classified as severe. An IQ that is less than 20 is considered profound.
Question:
A young parent brings the school-aged child to the office for a sports physical
examination. During the appointment, the parent informs the nurse about being
worried because the child does not like school and does not seem to be reading,
writing, or spelling as well as others in the class. The parent adds that the child
struggles to get organized and to manage time. What condition does the nurse
suspect? Learning disorder Autism Asperger syndrome Down syndrome
Answer:
Learning disorder The child appears to have a learning disorder based on challenges
with reading, spelling, and writing as well as being organized and managing time.
Other findings consistent with a learning disorder include delayed language
development and difficulty discriminating among sounds. Autism is a spectrum of
disorders characterized by markedly abnormal or impaired development in social
interaction and communication. Down syndrome is a condition in which extra genetic
material cuases delays in how a child develops, both physically and cogntively.
Asperger syndrome is a type of autism.
Question:
A nurse in a residential foster home is caring for a 17-year-old girl with conduct
disorder. The adolescent is using profanity and refusing to complete the assigned
chores. The nurse reminds the adolescent that there are only five minutes in which to
finish. The adolescent throws a dirty plate at the wall. Which response would be most
appropriate? "You only have a few minutes to complete your chores." "You appear to
be feeling very angry tonight, but you must still complete your chores." "If you calm
down right now I will give you a few extra minutes to complete your chores." "I find
your language offensive, and you need to stop talking that way."
