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2024ACTUAL EXAM TEST BANK 200 QUESTIONS AN
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D CORRECT DETAILED ANSWERS (VERIFIED ANSW
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1. Avnursevisvteachingvavgroupvofvparentsvaboutvcharacteristicsvofvinfantsvwhovhavevfailurevtovthrive.v
Whichvofvthevfollowingvcharacteristicsvshouldvthevnursevincludevinvthevteaching?
A. Intensevfearvofvstrangers
B. Increasedvriskvforvchildhoodvobesity
C. Inabilityvtovformvclosevrelationshipsvwithvsiblings
D. Developmentalvdelaysv-vANSWER-A.vThesevinfantsvdovnotvexhibitvthevexpectedvfearvofvstrangers.
B.vThesevinfantsvarevnotvatvanvincreasedvriskvforvchildhoodvobesity.
C.vThesevinfantsvarevablevtovformvclosevrelationshipsvwithvsiblings.
✅D.vCORRECT:vThesevinfantsvcanvexhibitvdevelopmentalvdelaysvduevtovdecreasedvnutritionalvintakev
neededvforvbrainvdevelopment.
NCLEX®vConnection:vHealthvPromotionvandvMaintenance,vHealthvScreeningvCHAPTERv44vPSyCHOSOCIALvI
SSUESvOFvINFANTS,vCHILDREN,vANDvADOLESCENTS
2. Avnursevisvprovidingvinstructionvtovthevteachervofvavchildvwhovhasvattention-
deficit/hyperactivityvdisorderv(ADHD).vWhichvofvthevfollowingvclassroomvstrategiesvshouldvthevnurs
evinclude
invthevteaching?v(Selectvallvthatvapply.)
A. Eliminatevtesting.
B. Allowvforvregularvbreaks.
C. Combinevverbalvinstructionvwithvvisualvcues.
D. Establishvconsistentvclassroomvrules.
E. Increasestimuliintheenvironment.v-vANSWER-
A.vAllowingvforvaddedvtimevwhenvtestingvcanvassistvthevclientvwhovhasvADHDvtovbevsuccessful.
✅B.vCORRECT:vAllowingvforvregularvbreaksvwillvassistvthevclientvwhovhasvADHDvtovfocusvonvthevrequiredvt
asks.
✅C.vCORRECT:vCombiningvverbalvinstructionvwithvvisualvcuesvwillvassistvthevclientvwhovhasvADHDvwithvl
earningvinformation.
,✅D.vCORRECT:vProvidingvconsistentvclassroomvrulesvwillvassistvthevclientvwhovhasvADHDvtovbecomev
successful.
E.vStimulivinvthevenvironmentvdistractvthevclientvwhovhasvADHD,vsovitvshouldvbevdecreased.
NCLEX®vConnection:vPhysiologicalvAdaptation,vPathophysiologyvCHAPTERv44vPSyCHOSOCIALvISSUESvOFvI
NFANTS,vCHILDREN,vANDvADOLESCENTS
3. Avnursevisvteachingvavparentvaboutvposttraumaticvstressvdisorderv(PTSD).vWhichvofvthevfollowingvi
nformationvshouldvthevnursevincludevin
thevteaching?v(Selectvallvthatvapply.)
A. ChildrenvwhovhavevPTSDvcanvbenefitvfromvpsychotherapy.
B. AvmanifestationvofvPTSDvisvphobias.
C. PersonalityvdisordersvarevavcomplicationvofvPTSD.
D. PTSDvdevelopsvfollowingvavtraumaticvevent.
E. TherevarevsixvstagesvofvPTSD.v-vANSWER-
✅A.vCORRECT:vChildrenvwhovhavevPTSDvshouldvbevreferredvtovpsychotherapyvtovassistvwithvresolutionv
ofvthevtraumaticvevent
✅B.vCORRECT:vThevchildvwhovisvexperiencingvPTSDvoftenvhasvnewvphobiasvthatvcanvbevrelatedvtovthevtraum
aticvevent.
C.vPersonalityvdisordersvarevnotvavcomplicationvofvPTSD.
✅D.vCORRECT:vPTSDvdevelopsvfollowingvavtraumaticveventv(assault,vseriousvinjury,vorvavlife-
threateningvepisode).
E.vPTSDvhasvthreevstages:vthevinitialvresponse,vandvsecondvandvthirdvphase.
NCLEX®vConnection:vReductionvofvRiskvPotential,vTherapeuticvProceduresvCHAPTERv44vPSyCHOSOCIALvI
SSUESvOFvINFANTS,vCHILDREN,vANDvADOLESCENTS
,4. Avnursevisvteachingvthevparentvofvavchildvaboutvriskvfactorsvforvattention-
deficit/hyperactivityvdisorderv(ADHD).vWhichvofvthevfollowingvshouldvthevnursevincludevinvthevteaching?
A. Formula-feedingvasvanvinfant
B. Historyvofvheadvtrauma
C. Historyvofvposttermvbirth
D. Childvofvavsinglevparentv-vANSWER-A.vBeingvformula-
fedvasvanvinfantvisvnotvavriskvfactorvforvthevdevelopmentvofvADHD.
✅B.vCORRECT:vHistoryvofvheadvtraumavisvavriskvfactorvforvthevdevelopmentvofvADHD.
C.vHistoryvofvavpost-termvbirthvisvnotvavriskvfactorvforvthevdevelopmentvofvADHD.
D.vBeingvthevchildvofvavsinglevparentvdoesvnotvincreasevthevriskvofvdevelopmentvofvADHD.
NCLEX®vConnection:vReductionvofvRiskvPotential,vTherapeuticvProceduresvCHAPTERv44vPSyCHOSOCIALvI
SSUESvOFvINFANTS,vCHILDREN,vANDvADOLESCENTS
5. Avnursevisvcaringvforvavchildvwhovhasvdepression.vWhichvofvthevfollowingvfindingsvshouldvthevnursev
expect?v(Selectvallvthatvapply.)
A. Preferringvbeingvwithvpeers
B. Weightvlossvorvgain
C. Reportvofvlowvself-esteem
D. Sleepingvmorevthanvusual
E. Hyperactivityv-vANSWER-A.vAvpreferencevforvbeingvalonevisvavfindingvassociatedvwithvdepression.
✅B.vCORRECT:vWeightvlossvorvgainvarevfindingsvassociatedvwithvdepression.
✅C.vCORRECT:vLowvself-esteemvisvavfindingvassociatedvwithvdepression.
✅D.vCORRECT:vSleepingvmorevthanvusualvisvavfindingvassociatedvwithvdepression.
, E.vFatiguevisvavfindingvassociatedvwithvdepression.
NCLEX®vConnection:vPhysiologicalvAdaptation,vIllnessvManagementvCHAPTERv44vPSyCHOSOCIALvISSUESv
OFvINFANTS,vCHILDREN,vANDvADOLESCENTS
1. Avnursevisvcaringvforvavchildvwhovisvexperiencingvrespiratoryvdistress.vWhichvofvthevfollowingvfindingsv
arevearlyvmanifestationsvofvrespiratoryvdistress?v(Selectvallvthatvapply.)
A. Bradypnea
B. Peripheralvcyanosis
C. Tachycardia
D. Diaphoresis
E. Restlessnessv-vANSWER-ANS:vC,D,E
a.vBradypneavisvanvadvancedvmanifestationvofvrespiratoryvdistress.
B.vcyanosisvisvanvadvancedvmanifestationvofvhypoxia.
✅c.vCORRECT:vtachycardiavisvanvearlyvmanifestationvofvrespiratoryvdistress.
✅d.vCORRECT:vdiaphoresisvisvanvearlyvmanifestationvofvrespiratoryvdistress.
✅e.vCORRECT:vrestlessnessvisvanvearlyvmanifestationvofvrespiratoryvdistress.
NCLEX®vConnection:vHealthvPromotionvandvMaintenance,vHealthvPromotion/DiseasevPreventionv
CHAPTERv43vPEDIATRICvEmERGENCIES