Capstone VATI nursing care of Children Health Promotion and Maintenance quiz 1

Capstone VATI nursing care of Children Health Promotion and Maintenance quiz 1 Capstone VATI Nursing care of Children Health Promotion and Maintenance quiz 1 3-26-19 The parent of a two-year-old child reports feeling frustrated with the fact that her son is saying no to everything. The nurse should teach the parent that this behavior is a normal expression of the child’s desire to accomplish which of the following? At a well-child visit, the parents report that their toddler occasionally touches and fondles her genital area. The parents ask the nurse if this behavior is something to be concerned about. Which of the following is a correct response? A nurse is taking the health history of a school-age girl. Which statement by the client’s mother indicates a need for further teaching regarding the client’s nutritional status? A nurse correctly understands which of the following characteristics is a possible developmental delay for a 3-month-old client? A nurse has administered the first DTaP (diphtheria toxoid, tetanus and pertussis) immunization to a two-month-old infant. For which of the following symptoms should the nurse teach the parents to seek immediate medical attention? provider. What finding should be immediately reported? A nurse is changing a dressing on a preschool-aged child who has a healing wound on a lower extremity. Which of the following nonpharmacologic comfort measures would be most appropriate for this child? A nurse is planning community education focusing on the principles of first aid. Which of the following strategies is likely to be most effective with adolescent learners? b. Divide the planned program into several sessions over several weeks. c. Teach the most crucial content early in the session. d. Simple lecture format. A nurse is providing education to the mother of a 10-year-old child about to undergo scoliosis screening. Which of the following statements by the mother indicates a need for further teaching? Select one: a. “The examiner will be looking for asymmetry of the ribs and flanks.” b. “The examiner will be looking for symmetry in alignment of shoulders or hips.” c. “My child should be undressed down to her under wear.” A nurse is collecting data on a 5-month-old infant. Which of the following is an expected finding? Select one: a. Pulse rate 70 to 80/min b. Stepping reflex present d. Respirations 21 to 24/min Feedback A nurse is helping parent’s select appropriate independent activities for their 8-year-old child. Which of the following would be an appropriate activity? Select one: b. Encouraging the child to assume care of the family pet c. Allowing the child to play video games d. Playing touch football A nurse is caring for a client being discharge home who has hemophilia. Which of the following points would be taught to the parents prior to discharge? Select one: a. Encourage child to participate in team activity sporting events. Correct. Toddlers should be dressed in extra layers of clothing to provide additional padding. c. Provide heat to control bleeding episodes. d. Report to the provider a pink, nonpruritic macular rash. A nurse is caring for a client being discharge home who has hemophilia. Which of the following points would be taught to the parents prior to discharge? Select one: a. Encourage child to participate in team activity sporting events. Correct. Toddlers should be dressed in extra layers of clothing to provide additional padding. c. Provide heat to control bleeding episodes. d. Report to the provider a pink, nonpruritic macular rash. A nurse is caring for a client with respiratory syncytial virus (RSV). The nurse is aware that which of the following strategies would not prevent the spread of infection? Select one: a. Performing good hand hygiene. b. Covering the nose and mouth. Correct. Infected children should be kept away from contact with well children. d. Discouraging the sharing of eating utensils. A nurse is caring for a child who has leukemia. What discharge teaching would be provided to the parents prior to discharge? Select one: a. Encourage parents not to palpate the stomach. c. Side effects of radiation therapy. d. Report developmental delays to the provider. A school-aged child has been recently diagnosed with attention deficit hyperactivity disorder (ADHD). What activities can the school nurse provide to the parents to help improve school performance? Select one: b. Encourage the child to sit at the dining room table until all homework is done c. Allow the child to work when they feel like it. d. Insist that the child read quietly to himself until he understands the instructions. A client is diagnosed with rheumatic fever. Which clinical manifestation would the nurse recognize associated with the presentation of rheumatic fever? Select one: Correct – Polyarthritis is a clinical manifestation seen in clients when diagnosing rheumatic fever. b. Purulent nasal discharge c. Cough d. Irritability, poor concentration and behavioral problems The nurse is conducting a physical examination of a 2-month-old with suspected pyloric stenosis. Which finding indicates pyloric stenosis? Select one: a. Sausage-shaped mass in the upper mid abdomen c. Abdominal pain and irritability d. Perianal fissures and skin tags A 3-month-old infant has just undergone a cheiloplasty. The nurse is conducting an assessment following the procedure and needs to complete a pain assessment. Which of the following pain assessment tools will the nurse use to conduct this pain assessment? Select one: b. Numeric scale c. FACES d. Oucher A distracted 7-year-old student is sent to the school nurse by his teacher. When the nurse checks his hair and scalp, the nurse notes the evidence of pediculosis capitis. What are recognizable signs of this form of skin infestation? Select one: a. Multiple tiny pustules on the scalp with no abnormal findings on the hair shafts. c. Flaking of the scalp with pink, irritated skin exposed d. Scaly, circumscribed patches on the scalp, with mild alopecia in these areas. There are different parenting styles that are exhibited within a family. Which of the following parenting styles is exhibited when a parent states, “My child can play video games for one hour a day after his homework is completed”? Select one: b. Dictatorial c. Permissive d. Passive A nurse has provided discharge education to a school age client and his parents following a radius fracture with cast application. Which of the following statements by the client’s parent indicates a need for additional teaching? Select one: b. “We will notify the provider if his fingers become swollen and dark.” c. “We will keep the cast elevated about his heart for the next 24 hours.” d. “We will reposition him every 2 hours until the cast is dry.” A nurse has provided discharge education to a school age client and his parents following a radius fracture with cast application. Which of the following statements by the client’s parent indicates a need for additional teaching? Select one: b. “We will notify the provider if his fingers become swollen and dark.” c. “We will keep the cast elevated about his heart for the next 24 hours.” d. “We will reposition him every 2 hours until the cast is dry.” A nurse concludes that additional teaching about the Diabetic Sick Rule is needed when the mother of the child states which of the following? Select one: a. “ I will notify my health care provider if vomiting occurs more than once.” b. “I will continue to give my child the oral antidiabetic agent.” d. “I will encourage my child to sugar-free, non-caffeinated liquids.” The nurse is caring for a child with cystic fibrosis. What provider order would the nurse question? Select one: b. Administer the influenza vaccine c. High protein diet d. Oxygen therapy via nasal cannula at 2 L/min The nurse is assisting the parents of a school-aged child with a plan to prepare him for the impending death of a family member. What would be the potential behavior of the school-aged child when faced with this stressor? Select one: Correct: School-aged children will often display fear of the unknown through uncooperative behavior. b. Accepting behavior of this situation c. Believe that death is temporary d. Same emotional demonstration as his parents A nurse is teaching a community health class on communicable diseases to adolescents. During the discussion on infectious mononucleosis, which statement would lead the nurse to conclude that further teaching is needed? Select one: a. “A person with mononucleosis would have flu-like symptoms including a low grade fever, sore throat and fatigue.” b. “A person with mononucleosis is at risk for a ruptured spleen.” Correct: Mononucleosis is a viral infection caused by the Epstein-Barr virus. d. "Mononucleosis can be confirmed by a blood test.”