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Exam (elaborations)

NSG 3600 (Peds) Exam 1 – Questions With Fully Explained Solutions

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NSG 3600 (Peds) Exam 1 – Questions With Fully Explained Solutions

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NSG 3600 (Peds) Exam 1 – Questions With Fully
Explained Solutions

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The pediatric nurse assess the C
toddler's fine motor skills by
observing which task?
a. buttoning a shirt
b. writing with a pencil
c. holding a spoon to eat
d. using the pincer grasp


According to Piaget, an infant uses his A
or her senses to learn and explore the
environment. Which action is the most
appropriate for the nurse to
implement to determine object
permanence?
a. playing the game of peek-a-boo
b. encouraging the infant to shake a
rattle
c. pushing a button on an overhead
mobile
d. placing the child in a stroller and
going for a walk

,The pediatric nurse is promoting D
anticipatory guidance about safety to
the mother of a 10 month old infant.
Which statement is not appropriate for
the nurse to include in the teaching
session?
a. "do not leave small objects on the
floor because your baby will be
crawling soon"
b. "keep the side rails up to prevent
your baby from falling out of the crib"
c. "put safety locks on all cabinets to
prevent accidents"
d. "allow your baby to stay alone for
short periods of time to promote
independence"


The mother of a 26 month old toddler C
tells the pediatric nurse that she is
having trouble disciplining her
daughter. The mother states, "she
really knows how to put me to my
limit. I don't know what to do with her!"
Which response by the nurse is the
most therapeutic?
a. "the terrible twos are a difficult time.
You have to show her that you are
boss!"
b. "when she does something wrong,
tell her she is a bad girl and has to be
punished for her actions"
c. "A 2-minute time-out combines with
praise for good behavior is very
effective for this age groups"
d. "take away her favorite doll and tell
her that she cannot have it back until
she changes her behavior"

,The parents of a toddler asks the B
nurse how to best prepare the toddler
for a planned medical procedure.
What should the nurse recognize
when answering the toddler's
parents?
a. the toddler is too young to
understand what will happen and
does not need an explanation
b. the use of short explanations can
best help the toddler understand the
planned procedure
c. allowing the toddler to explore the
procedure room may be helpful
d. it is beneficial for the nurse to
demonstrate the upcoming procedure
to the toddler


The father of a 4y/o is concerned A
about his son's reaction to an injury of
his friend. He told the nurse that the
child stayed in his room over the
weekend and cried himself to sleep.
When the pediatric nurse questioned
the child, he described an argument
that he and his friend had about a
week proper to his friends injury.
Based on the assessment, what is this
preschool child exhibiting?
a. magical thinking
b. inferiority
c. guilt complex
d. a morality issue


What is not a key aspect in a teen's D
environment that helps when making
good decisions?
a. ability to think abstractly
b. ability to use deductive reasoning
c. ability to make long-term plans
d. ability to use logical thinking

, A nurse is planning an educational B
class for new families based on
Duvall's family development theory.
Based on the theory, how are family
stages determined?
a. number of children in the family
b. the oldest child in the family
c. the youngest child in the family
d. years the couple has been married


A mother is complaining to the nurse A
that her 3 y/o child often has difficulty
falling and staying asleep. The
following day, the child is cranky and
uncooperative. Which action by the
nurse is the most appropriate?
a. asses the child's usual nighttime
routine
b. Assure mom that sleep and
behavior are not related
c. Encourage active play before
bedtime
d. Have mom put the child to bed only
when sleepy


A nurse is providing anticipatory B
guidance to the parents of a
preschool-aged child regarding
discipline. Which information is most
beneficial?
a. Children at this age lie frequently
and without reason
b. consequences should be natural
and fit the behavior
c. explaining the rules is not as
important as discipline
d. taking away privileges is a powerful
tool for this age group

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