Pediatrics Exam 1-Growth with verified answers
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A |3-year-old |female |is |hospitalized |for |a |femur |fracture. |As |her |nurse, |what |nursing |action |
would |help |foster |the |child's |sense |of |autonomy?
1. |Allow |the |child |to |choose |what |time |to |take |her |oral |antibiotics
2. |Allow |the |child |to |have |a |doll |for |medical |play
3. |Allow |the |child |to |administer |her |own |dose |of |Keflex |(cephalexin) |via |oral |syringe
4. |Allow |the |child |to |watch |age-appropriate |videos |- |correct |answer |3. |Allowing |toddlers |to |
participate |in |actions |of |which |they |are |capable |is |an |excellent |way |to |enhance |their |
autonomy.
A |16-year-old |male |is |hospitalized |for |cystic |fibrosis. |He |will |be |an |inpatient |for |2 |weeks |while |
he |receives |IV |antibiotics. |As |the |nurse |caring |for |this |patient, |what |action |can |you |take |that |
will |most |enhance |his |psychosocial |development?
1. |Fax |the |teen's |teacher, |and |have |her |send |in |his |homework
2. |Encourage |the |teen's |friends |to |visit |him |in |the |hospital
3. |Encourage |the |teen's |grandparent's |to |visit |frequently
4. |Tell |the |teen |he |is |free |to |use |his |phone |to |call |friends |- |correct |answer |2. |Teens |are |most |
concerned |about |being |like |their |peers. |Having |the |teen's |friends |visit |will |help |him |feel |he |is |
still |part |of |the |school |and |social |environment.
A |6-month-old |male |is |at |his |well-child |checkup. |The |nurse |weighs |him, |and |his |mother |asks |if
|his |weight |is |normal |for |his |age. |The |nurse's |response |is:
1. |"At |6 |months |his |weight |should |be |approximately |three |times |his |birth |weight."
2. |"Each |child |gains |weight |at |his |or |her |own |pace."
3. |"At |6 |months |his |weight |should |be |approximately |twice |his |birth |weight."
4. |"At |6 |months |a |child |should |weigh |about |10 |lb. |more |than |his |or |her |birth |weight." |- |
correct |answer |3. |Children |should |double |their |birth |weight |by |4 |to |6 |months |of |age.
,The |nurse |caring |for |a |4-year-old |female |in |the |ER |is |about |to |start |a |peripheral |IV. |The |nurse's
|best |method |for |explaining |the |procedure |to |the |child |is |to: |
1. |Show |the |child |a |pamphlet |with |pictures |showing |the |IV |placement |procedure
2. |Have |the |5-year-old |patient |next |door |tell |the |4-year-old |about |her |experience |with |her |IV |
placement
3. |Show |the |child |the |IV |placement |equipment, |and |demonstrate |the |procedure |on |a |doll
4. |Tell |the |child |that |if |she |remains |still, |the |procedure |will |be |over |quickly |- |correct |answer |3. |
A |4-year-old |child |understands |things |in |very |concrete |and |simple |terms. |Therefore, |medical |
play |is |an |excellent |method |for |helping |her |understand |the |procedure.
A |17-year-old |male |is |being |seen |in |the |E.R. |In |order |to |obtain |the |adolescent's |health |
information, |his |nurse |should: |
1. |Interview |the |adolescent |using |direct |questions
2. |Gather |information |during |a |casual |conversation
3. |Interview |the |adolescent |only |in |the |presence |of |his |parents
4. |Gather |information |only |from |the |parents |- |correct |answer |2. |Frequently |adolescents |will |
share |more |information |when |it |is |gathered |during |a |casual |conversation.
A |7-year-old |female |is |being |admitted |to |the |hospital |for |a |diagnosis |of |acute |lymphocytic |
leukemia. |The |nurse |wants |to |gather |information |from |the |child |regarding |her |feelings |about |
her |diagnosis. |Which |nursing |action |is |most |appropriate |to |gain |information |about |how |the |
child |is |feeling?
1. |The |nurse |should |actively |attempt |to |make |friends |with |the |child |before |asking |her |about |
her |feelings
2. |The |nurse |should |ask |the |child's |parents |what |feelings |she |has |expressed |in |regard |to |her |
diagnosis
3. |The |nurse |should |provide |the |child |with |some |paper |to |draw |a |picture |of |how |she |is |feeling
4. |The |nurse |should |ask |the |child |direct |questions |about |how |she |is |feeling |- |correct |answer |3.
|Often |children |will |include |much |more |detail |of |their |feelings |in |drawings. |They |will |often |
express |things |in |pictures |they |are |unable |to |verbalize.
How |can |the |nurse |best |facilitate |the |trust |relationship |between |infant |and |parent |while |the |
infant |is |hospitalized?
, 1. |The |nurse |should |encourage |the |parents |to |remain |at |their |child's |bedside |as |much |as |
possible
2. |The |nurse |should |keep |the |parents |informed |about |all |aspects |of |their |child's |condition
3. |The |nurse |should |encourage |the |parents |to |hold |their |child |as |much |as |possible
4. |The |nurse |should |encourage |the |parents |to |participate |actively |in |their |child's |care |- |correct
|answer |3. |Having |the |parents |hold |their |child |while |in |the |hospital |is |an |excellent |means |of |
building |the |trust |relationship. |Infants |are |most |secure |when |they |are |being |held, |patted, |and |
spoken |to.
The |nurse |is |caring |for |a |7-year-old |female |on |the |school-age |unit. |Her |mother |is |concerned |
that |she |may |have |some |developmental |delays. |Which |of |the |following |statements |would |
indicate |to |the |nurse |that |the |child |is |not |developmentally |on |track |for |her |age:
1. |The |child |is |able |to |follow |a |four-to-five-step |command
2. |The |child |started |wetting |the |bed |on |this |admission |to |the |hospital
3. |The |child |has |an |imaginary |friend |named |Kelly
4. |The |child |enjoys |playing |board |games |with |her |sister |- |correct |answer |3. |Most |school-age |
children |do |not |have |imaginary |friends. |This |is |much |more |common |for |children |of |3 |to |4 |
years |of |age.
The |nurse |is |caring |for |a |6-month-old |in |the |ER. |The |physician |orders |the |nurse |to |give |the |
child |a |dose |of |Rocephin |IM. |The |1.5-mL |dose |arrives |from |the |pharmacy. |The |nurse |must |do |
which |of |the |following?
1. |Administer |the |injection |in |the |deltoid |muscle
2. |Split |the |dose |into |two |injections
3. |Administer |the |injection |in |the |dorsogluteal |muscle
4. |Administer |the |dose |as |a |single |injection |to |the |vests |lateralis |muscle |- |correct |answer |2. |A |
nurse |should |not |deliver |more |than |1 |mL |per |IM |injection |to |a |child |of |6 |months.
A |3-year-old |female |is |hospitalized |for |an |ASD |repair. |Her |parents |have |decided |to |go |home |
for |a |few |hours |to |spend |time |with |her |siblings. |The |child |asks |when |her |mommy |and |daddy |
will |be |back. |The |nurse's |best |response |is:
1. |"Your |mommy |and |daddy |will |be |back |after |your |nap."
| | | | |
A |3-year-old |female |is |hospitalized |for |a |femur |fracture. |As |her |nurse, |what |nursing |action |
would |help |foster |the |child's |sense |of |autonomy?
1. |Allow |the |child |to |choose |what |time |to |take |her |oral |antibiotics
2. |Allow |the |child |to |have |a |doll |for |medical |play
3. |Allow |the |child |to |administer |her |own |dose |of |Keflex |(cephalexin) |via |oral |syringe
4. |Allow |the |child |to |watch |age-appropriate |videos |- |correct |answer |3. |Allowing |toddlers |to |
participate |in |actions |of |which |they |are |capable |is |an |excellent |way |to |enhance |their |
autonomy.
A |16-year-old |male |is |hospitalized |for |cystic |fibrosis. |He |will |be |an |inpatient |for |2 |weeks |while |
he |receives |IV |antibiotics. |As |the |nurse |caring |for |this |patient, |what |action |can |you |take |that |
will |most |enhance |his |psychosocial |development?
1. |Fax |the |teen's |teacher, |and |have |her |send |in |his |homework
2. |Encourage |the |teen's |friends |to |visit |him |in |the |hospital
3. |Encourage |the |teen's |grandparent's |to |visit |frequently
4. |Tell |the |teen |he |is |free |to |use |his |phone |to |call |friends |- |correct |answer |2. |Teens |are |most |
concerned |about |being |like |their |peers. |Having |the |teen's |friends |visit |will |help |him |feel |he |is |
still |part |of |the |school |and |social |environment.
A |6-month-old |male |is |at |his |well-child |checkup. |The |nurse |weighs |him, |and |his |mother |asks |if
|his |weight |is |normal |for |his |age. |The |nurse's |response |is:
1. |"At |6 |months |his |weight |should |be |approximately |three |times |his |birth |weight."
2. |"Each |child |gains |weight |at |his |or |her |own |pace."
3. |"At |6 |months |his |weight |should |be |approximately |twice |his |birth |weight."
4. |"At |6 |months |a |child |should |weigh |about |10 |lb. |more |than |his |or |her |birth |weight." |- |
correct |answer |3. |Children |should |double |their |birth |weight |by |4 |to |6 |months |of |age.
,The |nurse |caring |for |a |4-year-old |female |in |the |ER |is |about |to |start |a |peripheral |IV. |The |nurse's
|best |method |for |explaining |the |procedure |to |the |child |is |to: |
1. |Show |the |child |a |pamphlet |with |pictures |showing |the |IV |placement |procedure
2. |Have |the |5-year-old |patient |next |door |tell |the |4-year-old |about |her |experience |with |her |IV |
placement
3. |Show |the |child |the |IV |placement |equipment, |and |demonstrate |the |procedure |on |a |doll
4. |Tell |the |child |that |if |she |remains |still, |the |procedure |will |be |over |quickly |- |correct |answer |3. |
A |4-year-old |child |understands |things |in |very |concrete |and |simple |terms. |Therefore, |medical |
play |is |an |excellent |method |for |helping |her |understand |the |procedure.
A |17-year-old |male |is |being |seen |in |the |E.R. |In |order |to |obtain |the |adolescent's |health |
information, |his |nurse |should: |
1. |Interview |the |adolescent |using |direct |questions
2. |Gather |information |during |a |casual |conversation
3. |Interview |the |adolescent |only |in |the |presence |of |his |parents
4. |Gather |information |only |from |the |parents |- |correct |answer |2. |Frequently |adolescents |will |
share |more |information |when |it |is |gathered |during |a |casual |conversation.
A |7-year-old |female |is |being |admitted |to |the |hospital |for |a |diagnosis |of |acute |lymphocytic |
leukemia. |The |nurse |wants |to |gather |information |from |the |child |regarding |her |feelings |about |
her |diagnosis. |Which |nursing |action |is |most |appropriate |to |gain |information |about |how |the |
child |is |feeling?
1. |The |nurse |should |actively |attempt |to |make |friends |with |the |child |before |asking |her |about |
her |feelings
2. |The |nurse |should |ask |the |child's |parents |what |feelings |she |has |expressed |in |regard |to |her |
diagnosis
3. |The |nurse |should |provide |the |child |with |some |paper |to |draw |a |picture |of |how |she |is |feeling
4. |The |nurse |should |ask |the |child |direct |questions |about |how |she |is |feeling |- |correct |answer |3.
|Often |children |will |include |much |more |detail |of |their |feelings |in |drawings. |They |will |often |
express |things |in |pictures |they |are |unable |to |verbalize.
How |can |the |nurse |best |facilitate |the |trust |relationship |between |infant |and |parent |while |the |
infant |is |hospitalized?
, 1. |The |nurse |should |encourage |the |parents |to |remain |at |their |child's |bedside |as |much |as |
possible
2. |The |nurse |should |keep |the |parents |informed |about |all |aspects |of |their |child's |condition
3. |The |nurse |should |encourage |the |parents |to |hold |their |child |as |much |as |possible
4. |The |nurse |should |encourage |the |parents |to |participate |actively |in |their |child's |care |- |correct
|answer |3. |Having |the |parents |hold |their |child |while |in |the |hospital |is |an |excellent |means |of |
building |the |trust |relationship. |Infants |are |most |secure |when |they |are |being |held, |patted, |and |
spoken |to.
The |nurse |is |caring |for |a |7-year-old |female |on |the |school-age |unit. |Her |mother |is |concerned |
that |she |may |have |some |developmental |delays. |Which |of |the |following |statements |would |
indicate |to |the |nurse |that |the |child |is |not |developmentally |on |track |for |her |age:
1. |The |child |is |able |to |follow |a |four-to-five-step |command
2. |The |child |started |wetting |the |bed |on |this |admission |to |the |hospital
3. |The |child |has |an |imaginary |friend |named |Kelly
4. |The |child |enjoys |playing |board |games |with |her |sister |- |correct |answer |3. |Most |school-age |
children |do |not |have |imaginary |friends. |This |is |much |more |common |for |children |of |3 |to |4 |
years |of |age.
The |nurse |is |caring |for |a |6-month-old |in |the |ER. |The |physician |orders |the |nurse |to |give |the |
child |a |dose |of |Rocephin |IM. |The |1.5-mL |dose |arrives |from |the |pharmacy. |The |nurse |must |do |
which |of |the |following?
1. |Administer |the |injection |in |the |deltoid |muscle
2. |Split |the |dose |into |two |injections
3. |Administer |the |injection |in |the |dorsogluteal |muscle
4. |Administer |the |dose |as |a |single |injection |to |the |vests |lateralis |muscle |- |correct |answer |2. |A |
nurse |should |not |deliver |more |than |1 |mL |per |IM |injection |to |a |child |of |6 |months.
A |3-year-old |female |is |hospitalized |for |an |ASD |repair. |Her |parents |have |decided |to |go |home |
for |a |few |hours |to |spend |time |with |her |siblings. |The |child |asks |when |her |mommy |and |daddy |
will |be |back. |The |nurse's |best |response |is:
1. |"Your |mommy |and |daddy |will |be |back |after |your |nap."
