Peds Nursing Exam 1 - Student Questions With Verified Answers

What growth and development skills go along with a 4-year old? A. Ties shoes, dresses without help, and skips on alternate feet B. Brushes teeth, 1500 word vocabulary, and can lace their own shoes C. Undresses without help and walks down stairs without help D. 2100 word vocabulary, beginning cooperative play, and runs well - Answer B. Brushes teeth, 1500 word vocabulary, and can lace their own shoes At what age should routine lab work of Hb/Hct be performed? A. After 18 months B. Between 18 months and 2 years and again between 4 and 6 years C. Between 6 and 9 months and again between 12 and 18 months D. Between 2 and 4 months and again at age 5 - Answer C. Between 6 and 9 months and again between 12 and 18 months At what age can children begin receiving their yearly influenza vaccine? A. Beginning at 6 months B. beginning at 2 months C. Beginning at 2 years old D. Beginning at 5 years old - Answer A. Beginning at 6 months Which of the following is not an example of a behavior exhibited by an adolescent related to divorce? A. Worry about themselves, parents, siblings B. May engage in acting-out behavior C. Panic reactions D. Feelings of a profound sense if loss - of family, childhood - Answer C. Panic reactions Panic occurs in middle school-age children (ages 6-8 years) The nurse is planning care for a pediatric patient with a different ethnic background from the nurse's own. The most appropriate goal for the nurse in caring for this patient is: A. Strive to keep ethnic background from influencing health care B. Encourage continuation of ethnic practices in the hospital setting C. Attempt, in a nonjudgmental way, to change ethnic beliefs D. Adapt, as necessary, ethnic practices to health needs - Answer D. Adapt, as necessary, ethnic practices to health needs Which is an important consideration when using the FACES Pain Rating Scale with children? A. Children color the face with the color they choose to best describe their pain B. The scale can be used with most children as young as 3 years of age C. The scale is not appropriate for use with adolescents D. The scale is useful in pain assessment but is not as accurate when assessing physiologic responses - Answer B. the scale can be used with most children as young as 3 years of age Which dimension of care focuses on physiological and emotional considerations? A. Dimension I B. Dimension II C. Dimension III D. Dimension IV - Answer ***** Mild cases of cognitive impairment are primarily associated with: A. Familiar causes B. Social causes C. Environmental causes D. All of the above - Answer ***** D. All of the above How should a nurse care for a hospitalized cognitively impaired child? A. Ignore the child B. Isolate the child C. Mutual participation in planning the child's care D. Let the parents do most of the care - Answer ***** C. Mutual participation in planning the child's care Which of the following symptoms would you expect to see in a child with lead poisoning? A. Sleepiness B. Tinnitus C. Increased appetite D. High fever - Answer A. Sleepiness A 2 year old is in for a yearly check-up. What would the nurse expect the toddler to have a fear of? A. Loud noises, sudden movements B. Death, being alone C. Animals, strangers D. Ghosts, heights - Answer C. Animals, strangers A 6 month old just received a DTaP injection. Which of the following is a serious side effect? A. Deafness B. Shortness of breath C. Rash D. Continuous Screaming - Answer D. Continuous Screaming A preschooler has sexual curiosity, and the parents are concerned. The parents ask the nurse for help in dealing with the situation. What is an appropriate response from the nurse? A. Tell the parents to accept the behavior B. Tell the parents to tell the child to stop doing the behavior because it is wrong C. Tell the parents to tell the child to ask questions and encourage the child to engage in other activities D. Tell the parents to ignore the behavior - Answer C. Tell the parents to tell the child to ask questions and encourage the child to engage in other activities Identify which response is appropriate from a nurse who is constantly answering with "No." A. "May I listen to your heart?" B. "I am going to take your temperature now." C. "Will you tell me your name?" D. "Do you want to eat ice cream?" - Answer B. "I am going to take your temperature now." What are common areas of stress in adolescence? A. Decisions about present and future roles B. Relationships with parents, siblings, and peers C. Body image D. All of the above - Answer D. All of the above A five year old girl came into the clinic for a kindergarten well check. She will be receiving then required immunizations for a child going to kindergarten, and she is up to date in all her prior immunizations. What immunizations will she be receiving? A. TDap, IPV, MMR, and Varicella B. DTap and MMR C. DTap, IPV, and MMR D. DTap, IPV, MMR, and Varicella - Answer D. DTap, IPV, MMR, and Varicella Refer to pg 332 in peds book and pg 488 in Kaplan book A 3 year old boy has been diagnosed with a cognitive impairment and displays learning disabilities and developmental delays. According to the classification level of cognitive impairment, he is currently in the severe level. What actions would he display? A. Noticeable delays in motor development especially in speech response to training in various self-help activities B. Marked delay in motor development, little or no communication skills C. May respond to trains in elementary self-care D. Minimum capacity for functioning in sensorimotor areas - Answer B. Marked delay in motor development, little or no communication skills Refer to page 572 in peds book The most intense site of pain during an appendicitis is located at a point midway between the anterior superior iliac crest and the umbilicus is called A. McBurney Point B. Left Lower Quadrant C. Phlegmon D. Right Upper Quadrant - Answer A. McBurney Point Refer to peds book page 785 A woman takes her one year old child to the emergency room after reporting that she shook her baby to make him stop crying. What kind of injury would cause the ER nurse the most concern? A. Bruising on abdomen B. Subdural hematoma C. Broken ribs D. Abdominal lacerations - Answer B. Subdural hematoma Which of the following is not a creative technique to enhance communication between a nurse and a child? A. Third-Person Technique B. What-if Questions C. Word Association Game D. Environmental Manipulation - Answer D. Environmental Manipulation Amniocentesis is an invasive prenatal diagnostic test that: