correctly solved 2025
A caregiver brings their 4-year-old son in for a check-up. Which assessment
finding should the nurse be concerned about? - correct answer ✔Resting
pulse rate of 130
The nurse is teaching the student nurse how to perform a physical
assessment based on the child's developmental stage. Which statement
accurately describes a recommended guideline for setting the tone of the
examination for a school-age child? - correct answer ✔Include the child in all
parts of the examination; speak to the caregiver before and after the
examination.
he nursing professor is observing the student nurse measure the vital signs of
several children. Which actions by the student demonstrate knowledge of the
procedure? Select all that apply - correct answer ✔The student auscultates a
7-year-old's apical pulse for 60 seconds.
The student assesses the child's femoral pulses bilaterally at the same time.
The student listens to the 12-month-old's heart for 10-20 seconds before
beginning to count the rate for a minute.
After birth, which structures in the newborn heart need to close to allow for
normal blood circulation and make the lungs become fully operational? Select
all that apply. - correct answer ✔Foramen ovale
Ductus arteriosus
The nurse is caring for a pediatric client with cardiac dysfunction. For each
assessment finding, drag to indicate whether the data is expected - correct
answer ✔FTT, tachy, poor wt gain, poor feeding, prenatal RF, fam Hx of
cardiac diseases, activity intolerance, developmental delays, tachypnea
, The nurse is caring for a pediatric client with cardiac dysfunction. For each
assessment finding, drag to indicate whether the data is unexpected - correct
answer ✔brady, increased appetite, hyperthermia, bradypnea
The nurse is performing an assessment on a sleeping newborn. Which of the
following should the nurse do first? - correct answer ✔Auscultate the heart,
lungs, and abdomen
During a routine annual visit of a 2-year-old client, what is the correct order
the nurse should perform the tasks in a health assessment? - correct answer
✔Introduce yourself, ask about problems or concerns, take a history, and
perform the exam.
The nurse is assessing a pediatric client's heart sounds for the characteristic
S1 and S2. If the nurse is having difficulty hearing the S2, the nurse should
move the stethoscope to which anatomic location? - correct answer ✔The
second intercostal space
A nurse is teaching a new unlicensed assistive personnel (UAP) how to obtain
vital signs on an infant. Which statement by the UAP demonstrates to the
nurse that no further teaching is required? - correct answer ✔"Count
respirations first, count apical heart rate second, measure blood pressure
third, and measure temperature last."
A nurse is assessing the apical pulse of a toddler. View the four labeled areas
on the image below. Which spot should the nurse auscultate the apical pulse?
- correct answer ✔4th intercostal space at the left midclavicular line
A nurse is performing a physical assessment on a pediatric client. Which
assessment finding requires follow-up by the nurse? - correct answer
✔Unequal pulses in the upper and lower extremities