(Answered)Growth & Development NCLEX Questions_ Spring 2023.
Growth & Development NCLEX Questions_ Spring 2023. A 2-year-old has been biting other children at daycare. Which response by the nurse to the parent is appropriate? Hint: Mental and Spiritual Health a. "Encourage the daycare staff to separate the child immediately from the situation and use time-out." b. "Ask the daycare staff to call you, then go bite your child, so she understands it hurts." c. "Switch daycares; it's obvious there are problems there with the staff." d. "Tell the child she will be spanked if it happens again and follow through with it." A 4 year old has been toilet-trained becomes incontinent when hospitalized for surgery. What is the most appropriate nursing diagnosis based on this assessment finding? a. growth and development, altered r/t incontinence b. ineffective individual coping r/t hospitalization ry elimination, altered r/t incontinence d.Coping, defensive r/t stress of hospitalization A 13-year-old female and her mother come to the school-based health clinic to obtain birth control pills. The nurse does not personally approve of this measure. After the nurse provides sexuality education, the mother insists on obtaining the pills for her daughter. Which action by the nurse is acceptable? a. Report the parent to child protective services. b. Ask another nurse to work with this situation. c. Refer the child and mother to family counseling. d. Refuse to provide the pills, because the child is so young. A 14 year old has been diagnosed with insulin-dependent diabetes. Which technique is most appropriate in order to facilitate coping with this diagnosis? the teen of the consequences of noncompliance duce the adolescent to another teenager who is successfully managing his diabetes the adolescent specific instructions d. encourage increased dependence on the teen's parents for several weeks A 15-year-old female tells the clinic nurse that she is worried she will get pregnant like her sister did. What questions should the nurse ask to determine what teaching response is needed? (Select all that apply.) a. "Are you sexually active now?" b. "Do your parents know you are sexually active?" c. "What age was your sister when she became pregnant?" d. "What steps are you taking to prevent pregnancy now?" e. "Have you talked to your sister about your fear?" A 15-year-old mother of a 2-month-old infant says, "My baby cries all the time. I just don't know what to do." A response by the nurse that could positively influence the infant and mother would be to: a. Suggest the mother give the baby up for adoption. b. Teach the mother to feed the infant when she cries. c. Tell the mother to make sure that the baby's blankets are loose so the baby is comfortable. d. Encourage the mother to call the office if she gets frustrated and does not know what to do. A 16-year-old female complaining of abdominal pain is waiting in the exam room with her mother. It is important that the nurse assess whether the girl is sexually active. What action should the nurse take to gather the data? a. Suggest to the girl and mother that the mother can join her after the exam to discuss any findings with the physician. b. Ask the mother to leave the room when sexual history questions will be asked. c. Ask the girl whether she is sexually active, because the mother needs to know and be involved. d. Let the physician ask the question, so the girl does not have to discuss it twice. A 17-year-old is planning to attend college after high school graduation. The school nurse informs the student that a healthcare visit needs to be scheduled prior to the start of college for what primary purpose? a. To assess whether there are any health problems that could interfere with the student's performance b. To allow the student to obtain birth control pills c. To obtain immunization updates d. To make a nutrition plan for when the student is in classes A first-time mother expresses concern about how much her 9-month-old son cries when she drops him off at the child care center. Which initial action should the nurse take? a. Explain to the mother that this is an expected growth and development stage known as separation anxiety. b. Explain to the mother that this is an expected growth and development stage known as stranger anxiety. c. Report the information to the physician primary healthcare provider immediately. d. Assess the child carefully for signs of physical abuse. A mother is complaining to the nurse that her 16-year-old son who plays varsity football has been "eating too much junk." Which comment by the nurse is appropriate? a. "Because your son is so active, he might need three thousand or more calories daily." b. "Two thousand calories are more than enough to support his needs." c. "Talk to him about the benefits of good nutrition and stopping all fast food intake." d. "Discuss the need for him to add fruits and vegetables to his diet." A mother is concerned that her 5-month-old infant spits out his rice cereal. She thinks he dislikes it. What is the nurse's best response to the mother? a. "You should try placing the cereal in an infant feeder." b. "This is a normal response in some babies when they are first fed from a spoon." c. "Try wheat cereal and see if the baby likes it better." d. "Your child is not ready for solid foods. Try again in 2 months." A mother of a 14-year-old girl calls the health center and asks the nurse at what age a pelvic exam should be done. The girl is menstruating regularly. What other data might suggest to the nurse that the girl should have the exam now rather than wait until she is 18 years of age? a. The girl discusses that she has many boyfriends. b. The girl participates in several sports. c. The mother had her first pelvic exam at 14 years of age. d. The girl has a history of anorexia. A new mother has questions about breastfeeding and infant formulas. She asks the nurse what the best kind of milk is for her full-term baby. What is the best recommendation by the nurse? a. Breast milk for the first year b. Breast milk with human milk fortifier for the first 3 months c. Iron-fortified formula for 6 months d. Breast milk alternated with iron-fortified formula for the first 6 months A new school counselor asks the school nurse to present an educational program for the parents of young adolescents. Which item would be a priority for inclusion in the program? (Select all that apply.) a. Signs and symptoms of substance abuse b. Signs of depression and substance abuse c. Driver's education classes d. Opportunities available in the community to promote physical activity e. The current clothing styles, so the children can "fit in" A nurse is planning to teach a prenatal class. Which topic is most appropriate at this time? a. Nutrition b. Physical activity c. Oral health d. Sleep patterns A parent is concerned that his 4-year-old will eat only Cheerios and chicken nuggets. What is the best anticipatory guidance that the nurse can offer this parent? a. Offer chicken nuggets and Cheerios with other foods at mealtimes. b. Make the child sit at the table until she eats all her food. c. Give the child the desired food between mealtimes. d. Encourage the child to drink at least 24 ounces of juice a day. An 8-month-old is irritable with a skin rash and a cough. Which comment by the telenurse is appropriate? a. "Make sure to give a small dose of over-the-counter children's Benadryl." b. "Contact your primary healthcare provider immediately." c. "Change the detergent that you are using; it's causing an allergic reaction." d. "If your child is still coughing in the morning, call the clinic." An 11-year-old boy is brought to the primary healthcare provider's office complaining of a sore leg. The boy's father tells the nurse that the child might have injured the leg during football practice. As the nurse is examining the leg, she asks the child about his football activities. Which response from the child would concern the nurse and require further discussion with the child and parent? a. The boy discusses how he made a great play, but fell on his leg. b. The boy states, "I know my Dad wants me to play, but I knew I would get hurt playing football." c. The boy is concerned with how many practices he might miss. d. The boy asks whether the primary healthcare provider will need to do anything to his leg that will hurt. An overweight 11-year-old girl tells the school nurse she would like to be more active, but her parents do not have time to take her places. What are some suggestions the nurse can make for this child to promote health? (Select all that apply.) a. Encourage the parents to investigate the option of ride-sharing for afterschool activities with a classmate's family. b. Tell the girl to talk to the school nurse each day about the foods she eats. c. Suggest that the family plan an activity night where they ride bikes, take a walk, or go to the park. d. Refer the child to the school psychologist to discuss the weight issue At a 2-year-old's checkup, measurement of weight indicates that the infant has lost 4 pounds since his last checkup. What should the nurse do first? a. Plot the weight on a growth chart. b. Assess the child for signs of malnutrition. c. Reweigh the child. d. Ask the mother about the child's daily intake. At each healthcare visit, the nurse plots the infant's weight, length, and head circumference on a growth curve. Which growth pattern would necessitate a further inquiry into the infant's growth and development? a. An infant whose weight increases from the 75th percentile at 6 months to the 80th percentile at 9 months b. An infant whose length was at the 50th percentile at 2 months of age and who is at the 25th percentile at 4 months of age c. A 1-month-old infant whose birth weight was at the 25th percentile and whose current weight is at the 5th percentile d. An infant whose head circumference was at the 75th percentile at 4 months and who remains at the 75th percentile at 6 months During an assessment at the clinic, the father of a 15-month-old boy mentions that he brought home a miniature car collection for the child from his trip to New Orleans. What response by the nurse is appropriate? Hint: Teaching Highlights: Toy and Playground Safety a. "The cars may not be age-appropriate." b. "What a nice gift, I'm sure he loves them." c. "Consult the U.S. Consumer Product Safety Commission." d. "Has your child had any problems with the cars?" During the assessment of a 6-year-old, the mother tells the nurse that she uses fluoride supplements. What does the nurse understand about the child's dental habits based on this knowledge? a. The child has been allowed to eat too many sweets. b. The child does not eat enough dairy, which would supplement fluoride. c. The tap water is not fluoridated above 0.7 mg/L d. The child is drinking too many sodas, which decreases fluoride absorption. Facilitating health-promotion activities with parents is an important role of the nurse. Which interventions are included in this role? (Select all that apply.) a. Support breastfeeding during the first year of life. b. Help parents understand the immunization schedule. c. Assist in identifying strategies to initiate with "difficult"-temperament infants. d. Encourage parents not to smoke around the infant. e. Teach parents about anticipated developmental milestones Nursing assessment of a 14-year-old reveals a BMI in the 90th percentile and a lifestyle that includes spending 4 hours a day playing video games and eating supper while watching television. What is the priority nursing diagnosis for this adolescent? a. Fatigue related to malnutrition b. Disturbed Body Image related to distorted perception of body size and shape c. Delayed Growth and Development related to inappropriate intake d. Imbalanced Nutrition: More than Body Requirements related to excessive intake and sedentary lifestyle Nutritional assessment of a 10-year-old indicates the following findings. Which does the nurse recognize as a risk alert? (Select all that apply.) a. A BMI in the 25th percentile b. Eating an apple and an orange every day for a snack c. Having been diagnosed with asthma d. Eating one vegetable a day, generally at suppertime e. Playing basketball 5-6 days a week The father of a 12-year-old boy asks the nurse about when his son can sit in the front seat of the car and just use the regular seat belt. The nurse measures the child, and he is one inch shorter than the required 4' 9" to be able to sit without a booster seat. What should the nurse advise the father to do? a. Since it is only a 1-inch difference, they can go ahead and let him change to a regular seat belt. b. Continue to use a booster seat until the child meets the minimum height required to use a seat belt. c. Allow the child to sit on a blanket to make him high enough for a seat belt. d. Ask the primary healthcare provider to decide what should be done. The nurse is caring for a postoperative 14-year-old female on the pediatric unit. Which consideration is most significant in planning care for this child? a. The child will want her mother with her at all times. b. The child of this age will be glad to miss school. c. The child of this age is learning to become independent. d. The child is not going to be concerned with her body image while hospitalized The nurse is preparing a 4 year old for surgery. Which technique is most appropriate? the child to handle safe medical equipment the teaching to one 1 hour session in to the child that she will be put to sleep for the procedure an anatomically correct doll to explain the procedure The nurse is providing information regarding infant nutrition to parents during a well-child visit. Which of the following growth and development milestones must be achieved prior to introducing soft finger foods into an infant's diet? (Select all that apply.) a. The infant drinks formula every 4 hours during the day. b. The infant is able to sit up with support. c. The infant has developed the pincer grasp. d. The extrusion reflex no longer is present. e. The infant has several primary teeth. The nurse notes that a 5 month old has significant head lag when she attempts to pull the infant to a sitting position. What does the nurse recognize based on this assessment of the infant? infant needs further assessment and evaluation infant has some degree of mental retardation infant is developing normally infant has been neglected by the parents The nurse notes that a 6 month old infant who weighed 7 pounds at birth now weighs 15 pounds. What is the nurse's evaluation of the infant's current weight? a. The infant should be hospitalized for failure to thrive. b. The infant needs weekly follow-up to assess weight. c. The infant has been consuming more calories than needed. d. The infant's weight is appropriate for his age. The nurse provides a 2-month-old infant's parents with information related to nutrition during the first 6 months. Which statement by the parents indicates that the teaching session was effective? a. "We will introduce rice cereal when he is 4 months old." b. "We plan to add honey to his cereal to make it taste better." c. "We will need to purchase an infant feeder in a few months." d. "Next month we will add applesauce to the baby's diet." The parent of a 2-year-old reports that the child drinks six 8-ounce cups of milk per day and eats very little solid food. Based on this information, for what should the nurse further assess in this child? a. Iron deficiency anemia b. Obesity c. Failure to thrive d. Rickets The parents of a 2-year-old work out of their home. During the day, they allow their child to watch television as they work. What are some suggestions the nurse can make for this child to promote health? Hint: Table 35-3: Risk and Protective Factors Regarding Physical Activity in Toddlerhood and Preschool a. Encourage the parents to limit television to no more than 2 hours daily. b. Teach the parents to engage the child in other screen activities. c. Suggest that the family plan play dates with another child the same age. d. Refer the child to a psychologist to discuss the child's inability to socialize. The parents of a 17-year-old male are concerned about his recent attitude changes, physical changes, and lack of interest in eating. Which intervention should the nurse consider first? a. Refer to a family counselor, so the family can work together on the changes. b. Ask the parents whether they have alcohol in the home. c. Tell the physician to order drug screens to check for substance abuse. d. Ask the teen privately whether he is using any substances such as drugs or alcohol The school nurse is working with a 13-year-old boy who recently was diagnosed with insulin-dependent diabetes. On what item should the nurse focus when providing teaching to this child? a. Referring the boy to a psychologist in order to deal with the new diagnosis b. Making sure the boy tells everyone about his diagnosis in case there is a problem c. Encouraging the boy to tell his friends about healthy nutrition, so they are not tempting him with fast food d. Reminding the boy of the activities in which he can continue to participate just as he did before the diagnosis When assessing the food choices of a 4-year-old boy, the nurse learns that the child loves certain foods and has a normal weight and BMI. Which responses by the parent would indicate a need for nutritional teaching? Select all that apply. Hint: Nutrition a. "I give him all the milk he wants because he is a picky eater." b. "He won't eat all vegetables, but he will eat carrots and celery for a snack." c. "I give him an extra dessert most days when he is being good." d. "We have fun preparing foods together when I get home from work." e. "I let him eat as much cheese and yogurt as he wants because it's healthy." When assessing the food choices of a 9-year-old boy, the nurse learns that the child eats his lunch from the school cafeteria. Which responses by the child would indicate a need for nutritional teaching? (Select all that apply.) a. "I eat all the food they give me." b. "I don't get the vegetables they have, but have carrots after school as a snack." c. "I like to get extra dessert most days because it is so good." d. "If I try to eat all the food they give me, I don't have much time at recess." When discussing an infant's growth with parents, the nurse explains the term "percentile." Which statement by a parent indicates appropriate understanding of the term? a. "You said my baby is at the 50th percentile for weight, so that means he is only half of what he should be at his age." b. "Since my baby is at the 50th percentile for height, that means only 5 out of 10 babies would be longer than he is." c. "My baby is at the 95th percentile for weight, so that must mean she will probably be overweight like I am when she gets older." d. "Being at the 95th percentile for head circumference means my baby's brain is growing at almost the perfect size of 100 percent for his age." Which information obtained during a nursing assessment of a 3-year-old child indicates a need for parent education? Hint: Nutrition a. The child watches cartoons on television while eating. b. The parents expect the child to eat at the table for supper. c. The child knows how to pour liquids from a small pitcher. d. The child only wants to eat pizza and/or chicken fingers Which information obtained during a nursing assessment of a 10-year-old child who is at home alone after school indicates a need for parent education? a. The child just watches cartoons on television until the parent gets home. b. The parent allows the child to make a pizza snack in the oven if he gets hungry. c. The child has to stay in his room until the parents get home. d. On cold days, the child is allowed to make hot chocolate in the microwave. Which intervention is most appropriate in order to facilitate the development of trust in an infant who is hospitalized? pictures of the child's family at the bedside tapes of the mother's voice the infant a pacifier rage the parents to room in and participate in care Which intervention should the nurse suggest to the parents of a 12-month-old as the most effective way to reduce the incidence of early-childhood caries? a. Encourage parents to give the child a bottle of juice at bedtime. b. Advise the parents to begin regular visits to the dentist. c. Advise the parents to provide a pacifier instead of a bottle at bedtime. d. Encourage parents to brush the child's teeth daily. Which is the most appropriate anticipatory guidance to give parents relative to food allergies in infants? a. Document episodes of fussiness following eating. b. Instruct parents to read all baby food labels carefully. c. Allow 3-5 days between the introductions of new foods. d. Instruct the parents on how to make their own baby food. Which nursing diagnosis would best reflect potential safety issues related to the older infant? a. Potential for Injury related to "slow-to-warm-up" infant temperament b. Potential for Injury related to car seat use c. Knowledge Deficit: Parents, related to older infant nutrition d. Potential for Injury related to increased capability for mobility Which nursing intervention is most developmentally appropriate for a hospitalized 10 year old? a. Encourage the child to play with safe medical equipment. b. Encourage dependency on the child's parents while the child is hospitalized. c. Allow the child to assist with dressing changes. d. Obtain a complete health history from the child. Which nursing strategies are important when talking with teenagers about sexuality? a. Include sex education in school and give information about STIs. b. Tell the teens to watch television programs about meaningful relationships. c. Arrange for a group of teens to talk about their sexual experiences. d. Provide verbal explanations about sex. Which observation is most representative of the type of play usually seen in toddlers? child who dresses up like a fireman children sitting side by side, each playing with a toy truck children putting a puzzle together d.a child who sits on the floor by himself playing with blocks Which response by the school nurse to a 16-year-old would be appropriate when the boy tells the nurse he smokes? a. "If you continue to smoke, you will get lung cancer and die." b. "We need to discuss how smoking can affect your health." c. "You are hurting your family with your secondhand smoke." d. "Did you know that smoking can stunt your growth?" Which should the nurse recognize as increasing the risk of an accident for a 6-month-old infant? (Select all that apply.) a. A rear-facing car seat b. The ability of the infant to crawl c. The presence of other siblings in the home d. The infant's attendance at a child care facility 2 days per week Which statement made by the grandmother of a 7-month-old infant during a health visit would indicate that more teaching regarding nutrition was needed? a. "He seems to know that it is time to eat when we put him in his high chair." b. "He is a little young to use a spoon the right way, but I still let him try." c. "I don't worry if he only takes a few bites of a new food at each meal." d. "I am going to make sure that this grandchild is not a picky eater. I give him whatever we are eating." Which strategy by the nurse is best when communicating with a 3 year old? a. Avoid telling the toddler about the hernia repair procedure too far in advance. b. Talk and sing frequently during care. c. Make sure to speak in a high-pitched voice to ensure the toddler pays attention. d. Teach the toddler to count backwards from 10 in order to relax before the procedure. Which toy is most age-appropriate for a 2 year old? e vacuum ng cups ouse While in the physician's office, the mother of an 8-month-old girl states, "She always has her bottle with formula in her mouth. I'm worried she will gain too much weight." The nurse should respond to this information by focusing on which potential problem? a. The infant is still drinking formula. b. The infant might be developing early-childhood caries. c. The infant still is consuming fluids from a bottle. d. The mother lets the infant keep the bottle instead of encouraging play with toys
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growth amp development nclex
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growth amp development nclex quiz
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growth amp development nclex test 2023
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a 2 year old has been biting other children at daycare which response by the nurse to the p
