Peds Exam 1 Questions and Correct
Answers the Latest Update
The nurse percussing over an empty stomach expects to hear which sound?
a. Tympany
b. Resonance
c. Flatness
d. Dullness
✓ ANS: A
✓
✓
✓ Feedback
✓ A Tympany is a high-pitched, loud-intensity sound heard over air-filled body parts such as
the stomach and bowel.
✓ B Resonance is a low-pitched, low-intensity sound elicited over hollow organs such as the
lungs.
✓ C Flatness is a high-pitched, soft-intensity sound elicited by percussing over solid masses
such as bone or muscle.
✓ D Dullness is a medium-pitched, medium-intensity sound elicited when percussing over
high-density structures such as the liver.
You are the nurse admitting a toddler to the pediatric infectious disease unit. What is the
single most important component of the child's physical examination?
a. Assessment of heart and lungs
b. Measurement of height and weight
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c. Documentation of parental concerns
d. Obtaining an accurate history
✓ ANS: D
✓
✓
✓ Feedback
✓ A Heart and lung assessment is not as important as an accurate history.
✓ B A single measurement of height and weight is not as significant as determining growth
over time. The child's growth pattern can be elicited from the history.
✓ C Documentation of parental concerns is not as relevant to the physical examination as an
accurate history.
✓ D An accurate history is most helpful in identifying problems and potential problems.
. In which section of the health history should the nurse record that the parent brought the
infant to the clinic today because of frequent diarrhea?
a. Review of systems
b. Chief complaint
c. Lifestyle and life patterns
d. Health history
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✓ Feedback
✓ A The review of systems includes past health functions of body systems.
✓ B The chief complaint is documented using the child's or parent's words for the reason the
child was brought to the health care center.
✓ C Lifestyle and life patterns include the child's interaction with the social, psychological,
physical, and cultural environment.
✓ D Health history includes birth history, growth and development, common childhood
illnesses, immunizations, hospitalizations, injuries, and allergies.
Which choice includes the components of a complete pediatric history?
a. Statistical information, client profile, health history, family history, review of systems,
lifestyle and life patterns
b. Vital signs, chief complaint, and list of previous problems
c. Chief complaint, including body location, quality, quantity, timeframe, and alleviating and
aggravating factors
d. Pertinent developmental and family information
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✓ ANS: A
✓
✓
✓ Feedback
✓ A The identified items are included in a complete pediatric history.
✓ B Vital signs, chief complaint, and list of previous problems do not constitute a complete
history.
✓ C A problem-oriented history includes specific information about the chief complaint.
✓ D Pertinent developmental and family information are part of the complete history.
The nurse is performing a comprehensive physical examination on a young child in the hospital.
At what age can the nurse expect a child's head and chest circumferences to be almost equal?
a. Birth
b. 6 months
c. 1 year
d. 3 years
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