NURS 328 Exam #1 with 148 complete
solutions.
NURS 328 Exam #1 with 148 complete
solutions.
What is the current focus in pediatric care?
a. Disease management
b. Health promotion and disease prevention
c. Anticipatory guidance and disease prevention
d. Health promotion - ANSWER b. Health promotion and disease prevention
An experienced pediatric nurse will understand which one of following techniques as the best one to
deal with the negativism of the toddler?
a. Quietly and calmly ask the child to comply.
b. Provide no choices for the child.
c. Provide limited choices for the child.
d. Remain serious and intent. - ANSWER c. Provide limited choices for the child.
One of the primary reasons for monitoring the toddler's activities and intervening to prevent accidental
injury is that:
A. Toddlers have oppositional defiant behavior and negativism
B. Toddlers do not understand the concept of "cause and effect," so explaining that certain actions will
result in serious injury is useless
C. Toddlers will often listen to reasoning about why an activity should be avoided
D. Toddlers enjoy making their parents worry about their safety and like to see the parents' reactions to
the behavior - ANSWER B. Toddlers do not understand the concept of "cause and effect," so explaining
that certain actions will result in serious injury is useless
,NURS 328 Exam #1 with 148 complete
solutions.
One indication that the toddler is ready to begin toilet training is:
A. Child recognizes urge to void and is able to communicate this sensation to the parent
B. Child is able to stay dry all night
C. Child demonstrates mastery of dressing and undresssing self
D. Child asks parent to have wet or soiled diaper changed - ANSWER A. Child recognizes urge to void and
is able to communicate this sensation to the parent
A common cause of accidental death in children ages 1 to 19 years involves motor vehicle crashes.
Evidence from test crashes indicates that the safest action to prevent accidental deaths in toddlers
includes:
A. Placing the child in a rear-facing weight-appropriate car restraint seat until the child has outgrown the
car seat manufacturer's height and weight recommendations
B. Allowing the child to ride in the front seat with a lap-shoulder seat restraint to avoid emotional
outbursts
C. Allowing the child to ride in a forward-facing booster restraint seat after 12 months of age
D. Placing the child in the regular seat using the lap-shoulder belt as long as the child weighs at least 45
pounds - ANSWER A. Placing the child in a rear-facing weight-appropriate car restraint seat until the
child has outgrown the car seat manufacturer's height and weight recommendations
A mother brings her 3-year-old daughter to the well-child clinic and expresses concern that the child's
behavior is worrisome and possibly requires therapy or medication at minimum. The mother further
explains that the child constantly responds to the mother's simple requests with a "no" answer even
though the activity has been a favorite in the recent past. Furthermore, the child has had an increase in
the number of temper tantrums at bedtime and refuses to go to bed. The mother is afraid her daughter
will hurt herself during a temper tantrum because she holds her breath until the mother picks her up
and gives in to her request. The nurse's best response to the mother is that:
A. The child probably would benefit from some counseling with a trained therapist.
B. The mother and father should evaluate their childrearing practices.
,NURS 328 Exam #1 with 148 complete
solutions.
C. The child's behavior is normal for a toddler and may represent frustration with contr - ANSWER C. The
child's behavior is normal for a toddler and may represent frustration with control of her emotions;
further exploration of events surrounding temper tantrums and possible interventions should be
explored.
Toddlers are often known to be finicky eaters and may exhibit abnormal eating patterns that may
concern parents. Which of the following actions for feeding toddlers should be suggested so adequate
amounts of nutrients for growth and development are consumed? Select all that apply.
A. Avoid placing large food portions on the toddler's plate
B. Allow the child to graze on nutritious (not "junk" food) snacks during the day
C. Insist that the child sit at the table until all persons have completed their meals
D. Allow the child to make certain food choices (within reasonable limits)—for example, "Would you like
a half peanut butter or ham sandwich?"
E. Provide meals at the same time of day as much as possible so the toddler has a sense of consistency
F. Make the child eat all of the food provided, and provide disciplinary actions such as a "time-out" if the
plate is not cleaned - ANSWER A, B, D, and E
Which instruction is most developmentally appropriate to the parents of a 7 month old child regarding
injury prevention?
a. "Balloons make wonderful toys since they are colorful and keep children entertained."
b. "You may give a lollipop for the child to suck on to help with teething."
c. "The carseat should be facing the front of the car and in the middle of the backseats."
d. "Remove all crib toys strung across the top of the crib" - ANSWER d. "Remove all crib toys strung
across the top of the crib"
A nurse is assessing several children in the clinic. Which of the following children requires further
assessment?
a. Child A was born weighing 3 kg. and at 7 months weighs 7 kg.
, NURS 328 Exam #1 with 148 complete
solutions.
b. Child B is 6 months old and exhibits slight head lag.
c. Child C still has a Babinski reflex at 13 months
d. Child D is 8 months old and pulls to stand - ANSWER b. Child B is 6 months old and exhibits slight head
lag.
Rationale: By the age of 4 months old, a head lag should no longer be present.
A nurse is conducting a teaching session for parents of infants. The nurse explains that which behavior
indicates that an infant has developed object permanence?
a. Recognizes familiar face, such as mother
b. Recognizes familiar object, such as bottle
c. Secures objects by pulling on a string
d. Actively searches for a hidden object - ANSWER d. Actively searches for a hidden object
Parents tell the nurse that their toddler daughter eats little at mealtime, only sits at the table with the
family briefly, and wants snacks "all the time." Which intervention should the nurse recommend?
a. Give her nutritious snacks.
b. Offer rewards for eating at mealtimes.
c. Avoid snacks so she is hungry at mealtimes.
d. Explain to her in a firm manner what is expected of her. - ANSWER a. Give her nutritious snacks.
A nurse is planning care for a 7-year-old child hospitalized with osteomyelitis. Which activities should
the nurse plan to bring from the playroom for the child? (Select all that apply.)
a. Paper and some paints
b. Board games
c. Jack-in-the-box
solutions.
NURS 328 Exam #1 with 148 complete
solutions.
What is the current focus in pediatric care?
a. Disease management
b. Health promotion and disease prevention
c. Anticipatory guidance and disease prevention
d. Health promotion - ANSWER b. Health promotion and disease prevention
An experienced pediatric nurse will understand which one of following techniques as the best one to
deal with the negativism of the toddler?
a. Quietly and calmly ask the child to comply.
b. Provide no choices for the child.
c. Provide limited choices for the child.
d. Remain serious and intent. - ANSWER c. Provide limited choices for the child.
One of the primary reasons for monitoring the toddler's activities and intervening to prevent accidental
injury is that:
A. Toddlers have oppositional defiant behavior and negativism
B. Toddlers do not understand the concept of "cause and effect," so explaining that certain actions will
result in serious injury is useless
C. Toddlers will often listen to reasoning about why an activity should be avoided
D. Toddlers enjoy making their parents worry about their safety and like to see the parents' reactions to
the behavior - ANSWER B. Toddlers do not understand the concept of "cause and effect," so explaining
that certain actions will result in serious injury is useless
,NURS 328 Exam #1 with 148 complete
solutions.
One indication that the toddler is ready to begin toilet training is:
A. Child recognizes urge to void and is able to communicate this sensation to the parent
B. Child is able to stay dry all night
C. Child demonstrates mastery of dressing and undresssing self
D. Child asks parent to have wet or soiled diaper changed - ANSWER A. Child recognizes urge to void and
is able to communicate this sensation to the parent
A common cause of accidental death in children ages 1 to 19 years involves motor vehicle crashes.
Evidence from test crashes indicates that the safest action to prevent accidental deaths in toddlers
includes:
A. Placing the child in a rear-facing weight-appropriate car restraint seat until the child has outgrown the
car seat manufacturer's height and weight recommendations
B. Allowing the child to ride in the front seat with a lap-shoulder seat restraint to avoid emotional
outbursts
C. Allowing the child to ride in a forward-facing booster restraint seat after 12 months of age
D. Placing the child in the regular seat using the lap-shoulder belt as long as the child weighs at least 45
pounds - ANSWER A. Placing the child in a rear-facing weight-appropriate car restraint seat until the
child has outgrown the car seat manufacturer's height and weight recommendations
A mother brings her 3-year-old daughter to the well-child clinic and expresses concern that the child's
behavior is worrisome and possibly requires therapy or medication at minimum. The mother further
explains that the child constantly responds to the mother's simple requests with a "no" answer even
though the activity has been a favorite in the recent past. Furthermore, the child has had an increase in
the number of temper tantrums at bedtime and refuses to go to bed. The mother is afraid her daughter
will hurt herself during a temper tantrum because she holds her breath until the mother picks her up
and gives in to her request. The nurse's best response to the mother is that:
A. The child probably would benefit from some counseling with a trained therapist.
B. The mother and father should evaluate their childrearing practices.
,NURS 328 Exam #1 with 148 complete
solutions.
C. The child's behavior is normal for a toddler and may represent frustration with contr - ANSWER C. The
child's behavior is normal for a toddler and may represent frustration with control of her emotions;
further exploration of events surrounding temper tantrums and possible interventions should be
explored.
Toddlers are often known to be finicky eaters and may exhibit abnormal eating patterns that may
concern parents. Which of the following actions for feeding toddlers should be suggested so adequate
amounts of nutrients for growth and development are consumed? Select all that apply.
A. Avoid placing large food portions on the toddler's plate
B. Allow the child to graze on nutritious (not "junk" food) snacks during the day
C. Insist that the child sit at the table until all persons have completed their meals
D. Allow the child to make certain food choices (within reasonable limits)—for example, "Would you like
a half peanut butter or ham sandwich?"
E. Provide meals at the same time of day as much as possible so the toddler has a sense of consistency
F. Make the child eat all of the food provided, and provide disciplinary actions such as a "time-out" if the
plate is not cleaned - ANSWER A, B, D, and E
Which instruction is most developmentally appropriate to the parents of a 7 month old child regarding
injury prevention?
a. "Balloons make wonderful toys since they are colorful and keep children entertained."
b. "You may give a lollipop for the child to suck on to help with teething."
c. "The carseat should be facing the front of the car and in the middle of the backseats."
d. "Remove all crib toys strung across the top of the crib" - ANSWER d. "Remove all crib toys strung
across the top of the crib"
A nurse is assessing several children in the clinic. Which of the following children requires further
assessment?
a. Child A was born weighing 3 kg. and at 7 months weighs 7 kg.
, NURS 328 Exam #1 with 148 complete
solutions.
b. Child B is 6 months old and exhibits slight head lag.
c. Child C still has a Babinski reflex at 13 months
d. Child D is 8 months old and pulls to stand - ANSWER b. Child B is 6 months old and exhibits slight head
lag.
Rationale: By the age of 4 months old, a head lag should no longer be present.
A nurse is conducting a teaching session for parents of infants. The nurse explains that which behavior
indicates that an infant has developed object permanence?
a. Recognizes familiar face, such as mother
b. Recognizes familiar object, such as bottle
c. Secures objects by pulling on a string
d. Actively searches for a hidden object - ANSWER d. Actively searches for a hidden object
Parents tell the nurse that their toddler daughter eats little at mealtime, only sits at the table with the
family briefly, and wants snacks "all the time." Which intervention should the nurse recommend?
a. Give her nutritious snacks.
b. Offer rewards for eating at mealtimes.
c. Avoid snacks so she is hungry at mealtimes.
d. Explain to her in a firm manner what is expected of her. - ANSWER a. Give her nutritious snacks.
A nurse is planning care for a 7-year-old child hospitalized with osteomyelitis. Which activities should
the nurse plan to bring from the playroom for the child? (Select all that apply.)
a. Paper and some paints
b. Board games
c. Jack-in-the-box
