ARDMS EXAM
PEDIATRIC ARDMS EXAM PRACTICE EXAM
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Which finding should the nurse in the emergency department identify as an indicator that a 3-year-old child has
been mistreated?
a. The toddler does not remember how the injury occurred.
b. The parents are extremely calm in the emergency department.
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c. The injury sustained is highly unusual for a 3-year-old child.
d. The child was doing something unsafe when the injury occurred. –
Correct Answer :c. The injury sustained is highly unusual for a 3-year-old child.
An injury that is highly unusual or inconsistent with the age and condition of the child should raise suspicion of
child abuse. If the description of the incident provided by the caregivers does not match the injury sustained or
there are inconsistencies, the nurse should be vigilant in the assessment and documentation while maintaining
professionalism with the parents.
The parents of a 14-year-old girl tell the nurse that their daughter dresses as a tomboy and plays baseball one day
and the next day dresses in feminine clothes and becomes a teenage "drama queen." What information should
the nurse use to respond to the parents?
a. Teenagers need a strong role mode to emulate.
b. Adolescents try on different roles while seeking their identity.
c. Such erratic behavior needs further investigation.
d. Fourteen-year-olds often try to please parents with their role choices.
- Correct Answer :b. Adolescents try on different roles while seeking their identity.
As teenagers seek their own identity, they "try on" different roles to see if they fit and which feels more natural
and comfortable.
A mother brings her 6-month-old infant to the clinic for a wellness checkup. She comments, "I want to go back
to work, but I don't want my baby to suffer because I'll have less time at home." How should the nurse respond
to the mother?
a. Stay home until the child starts school.
b. Find a good babysitter close to home.
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c. Let's talk about the child care options that are best for the child.
d. Go back to work now so the infant will get used to being with others –
Correct Answer :c. Let's talk about the child care options that are best for the child.
It is common for mothers to feel torn between their work and child and to have feelings of guilt. The nurse
should assist the mother to explore her feelings on the subject while focusing on the optimal, appropriate, safe,
and available options for her child.
Which site should the nurse use to obtain the pulse rate for a 1-year-old child?
a. Radial.
b. Apical.
c. Carotid.
d. Femoral. - Correct Answer :b. Apical.
An apical pulse rate should be obtained in children less than 2 years of age to assess cardiac function.
The nurse is assessing a child's skin turgor and grasps the skin on the abdomen between the thumb and index
finger, pulls it taut, and quickly releases it. The tissue remains suspended and tented for a few seconds, then
slowly falls back on the abdomen. How should the nurse document this finding?
a. Adequate hydration.
b. Poor skin turgor.
c. Normal skin elasticity.
d. Assessment inconclusive.
- Correct Answer :b. Poor skin turgor.
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Tissue turgor refers to the amount of elasticity in the skin and is one of the best estimates of adequate hydration
and nutrition. Elastic tissue immediately resumes its normal position without residual marks or creases. In a child
with poor turgor, the skin remains tented or suspended for a few seconds before returning to a normal position.
During the well-child assessment of an 18-month-old toddler, the nurse determines the child does not hold on to
furniture while walking but prefers to crawl, rarely speaks, has a flat affect, and is small for his age. Which nursing
problem should the nurse identify?
a. Alteration in nutrition.
b. Alteration in parenting.
c. Delayed growth and development.
d. Alteration in health maintenance. –
Correct Answer :c. Delayed growth and development.
This child does not demonstrate gross motor or psychosocial skills typical of an 18-month-old toddler, which best
supports delayed growth and development.
The nurse is assessing the coping behaviors of the parents whose child has been recently diagnosed with a
chronic illness. What reaction by the parents is a positive step in the ability to cope with this new situation?
a. Endowing the illness with meaning.
b. Refusing to believe the child is ill.
c. Entertaining an unrealistic future plan for the child.
d. Placing complete faith in religion to the point of relinquishing responsibility. –
Correct Answer :a. Endowing the illness with meaning.
Coping mechanisms are behaviors directed at reducing the tension elicited by a crisis. Approach behaviors are
coping mechanisms resulting in movement toward adjustment and resolution of the crisis. The parents' ability to
assign the illness meaning within an existing medical, scientific, or spiritual philosophy of life is a long-term coping
strategy significantly related to successful family functioning.
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