NSG6435 Final 2 assessment with
complete verified correct answers
introduce self - answer ✔✔-The nurse is seeing an adolescent boy and his parents in the clinic
for the first time. What should the nurse do first?
Use open-ended questions. - answer ✔✔-What action is most likely to encourage parents to
talk about their feelings related to their child's illness?
The child's developmental level - answer ✔✔-What is the single most important factor to
consider when communicating with children?
Use transition objects such as a doll. - answer ✔✔-What is an important consideration for the
nurse who is communicating with a very young child?
The child may think the equipment is alive. - answer ✔✔-When introducing hospital equipment
to a preschooler who seems afraid, the nurse's approach should be based on which principle?
School-age child - answer ✔✔-Which age group is most concerned with body integrity?
Explain in simple terms how it works. - answer ✔✔-An 8-year-old girl asks the nurse how the
blood pressure apparatus works. The most appropriate nursing action is to:
,Allow an opportunity to express feelings. - answer ✔✔-When the nurse interviews an
adolescent, it is especially important to:
Ask the child to draw a picture. - answer ✔✔-The nurse is having difficulty communicating with
a hospitalized 6-year-old child. What technique might be most helpful?
Ask adolescent, "Why did you come here today?" - answer ✔✔-The nurse is taking a health
history on an adolescent. What best describes how the chief complaint should be determined?
Present illness - answer ✔✔-Where in the health history should the nurse describe all details
related to the chief complaint?
Birth history - answer ✔✔-The nurse is interviewing the mother of an infant. She reports, "I had
a difficult delivery, and my baby was born prematurely." This information should be recorded
under which heading?
An important part of the child's past growth and development - answer ✔✔-When interviewing
the mother of a 3-year-old child, the nurse asks about developmental milestones such as the
age of walking without assistance. This should be considered because these milestones are:
Ask her, "Are you having sex with anyone?" - answer ✔✔-The nurse is taking a sexual history on
an adolescent girl. The best way to determine whether she is sexually active is to:
May provide sufficient amino acids. - answer ✔✔-When doing a nutritional assessment on an
Hispanic family, the nurse learns that their diet consists mainly of vegetables, legumes, and
starches. The nurse should recognize that this diet:
Upper arm circumference - answer ✔✔-Which parameter correlates best with measurements
of the body's total protein stores?
, Use minimal physical contact initially. - answer ✔✔-An appropriate approach to performing a
physical assessment on a toddler is to:
85th percentile - answer ✔✔-With the National Center for Health Statistics (NCHS) criteria,
which body mass index (BMI)-for-age percentile indicates a risk for being overweight?
The NCHS charts are accurate for U.S. African-American children. - answer ✔✔-The nurse is
using the NCHS growth chart for an African-American child. The nurse should consider that:
Calipers - answer ✔✔-Which tool measures body fat most accurately?
1 to 2 years - answer ✔✔-By what age do the head and chest circumferences generally become
equal?
2 years - answer ✔✔-The earliest age at which a satisfactory radial pulse can be taken in
children is:
Oral mucosa - answer ✔✔-Where is the best place to observe for the presence of petechiae in
dark-skinned individuals?
Infection or inflammation close to the site. - answer ✔✔-When palpating the child's cervical
lymph nodes, the nurse notes that they are tender, enlarged, and warm. The best explanation
for this is:
Refer for immediate medical evaluation. - answer ✔✔-The nurse has just started assessing a
young child who is febrile and appears very ill. There is hyperextension of the child's head
(opisthotonos) with pain on flexion. The most appropriate action is to:
12 to 18 months - answer ✔✔-The nurse should expect the anterior fontanel to close at age:
complete verified correct answers
introduce self - answer ✔✔-The nurse is seeing an adolescent boy and his parents in the clinic
for the first time. What should the nurse do first?
Use open-ended questions. - answer ✔✔-What action is most likely to encourage parents to
talk about their feelings related to their child's illness?
The child's developmental level - answer ✔✔-What is the single most important factor to
consider when communicating with children?
Use transition objects such as a doll. - answer ✔✔-What is an important consideration for the
nurse who is communicating with a very young child?
The child may think the equipment is alive. - answer ✔✔-When introducing hospital equipment
to a preschooler who seems afraid, the nurse's approach should be based on which principle?
School-age child - answer ✔✔-Which age group is most concerned with body integrity?
Explain in simple terms how it works. - answer ✔✔-An 8-year-old girl asks the nurse how the
blood pressure apparatus works. The most appropriate nursing action is to:
,Allow an opportunity to express feelings. - answer ✔✔-When the nurse interviews an
adolescent, it is especially important to:
Ask the child to draw a picture. - answer ✔✔-The nurse is having difficulty communicating with
a hospitalized 6-year-old child. What technique might be most helpful?
Ask adolescent, "Why did you come here today?" - answer ✔✔-The nurse is taking a health
history on an adolescent. What best describes how the chief complaint should be determined?
Present illness - answer ✔✔-Where in the health history should the nurse describe all details
related to the chief complaint?
Birth history - answer ✔✔-The nurse is interviewing the mother of an infant. She reports, "I had
a difficult delivery, and my baby was born prematurely." This information should be recorded
under which heading?
An important part of the child's past growth and development - answer ✔✔-When interviewing
the mother of a 3-year-old child, the nurse asks about developmental milestones such as the
age of walking without assistance. This should be considered because these milestones are:
Ask her, "Are you having sex with anyone?" - answer ✔✔-The nurse is taking a sexual history on
an adolescent girl. The best way to determine whether she is sexually active is to:
May provide sufficient amino acids. - answer ✔✔-When doing a nutritional assessment on an
Hispanic family, the nurse learns that their diet consists mainly of vegetables, legumes, and
starches. The nurse should recognize that this diet:
Upper arm circumference - answer ✔✔-Which parameter correlates best with measurements
of the body's total protein stores?
, Use minimal physical contact initially. - answer ✔✔-An appropriate approach to performing a
physical assessment on a toddler is to:
85th percentile - answer ✔✔-With the National Center for Health Statistics (NCHS) criteria,
which body mass index (BMI)-for-age percentile indicates a risk for being overweight?
The NCHS charts are accurate for U.S. African-American children. - answer ✔✔-The nurse is
using the NCHS growth chart for an African-American child. The nurse should consider that:
Calipers - answer ✔✔-Which tool measures body fat most accurately?
1 to 2 years - answer ✔✔-By what age do the head and chest circumferences generally become
equal?
2 years - answer ✔✔-The earliest age at which a satisfactory radial pulse can be taken in
children is:
Oral mucosa - answer ✔✔-Where is the best place to observe for the presence of petechiae in
dark-skinned individuals?
Infection or inflammation close to the site. - answer ✔✔-When palpating the child's cervical
lymph nodes, the nurse notes that they are tender, enlarged, and warm. The best explanation
for this is:
Refer for immediate medical evaluation. - answer ✔✔-The nurse has just started assessing a
young child who is febrile and appears very ill. There is hyperextension of the child's head
(opisthotonos) with pain on flexion. The most appropriate action is to:
12 to 18 months - answer ✔✔-The nurse should expect the anterior fontanel to close at age:
