NSG 6435 Week 10 Final Exam (Version 2)

NSG 6435 Week 10 Final Exam (Version 2) • What action is most likely to encourage parents to talk about their feelings related to their child’s illness? Use open-ended questions. • What is the single most important factor to consider when communicating with children? The child’s developmental level • What is an important consideration for the nurse who is communicating with a very young child? Use transition objects such as a doll. • When introducing hospital equipment to a preschooler who seems afraid, the nurse’s approach should be based on which principle? The child may think the equipment is alive. • Which age group is most concerned with body integrity? School-age child • An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most appropriate nursing action is to: Explain in simple terms how it works. • When the nurse interviews an adolescent, it is especially important to: Allow an opportunity to express feelings. • The nurse is having difficulty communicating with a hospitalized 6-year-old child. What technique might be most helpful? Ask the child to draw a picture. • The nurse is taking a health history on an adolescent. What best describes how the chief complaint should be determined? Ask adolescent, “Why did you come here today?” • Where in the health history should the nurse describe all details related to the chief complaint? Present illness • The nurse is interviewing the mother of an infant. She reports, “I had a difficult delivery, and my baby was born prematurely.” This information should be recorded under which heading? Birth history • When interviewing the mother of a 3-year-old child, the nurse asks about developmental milestones such as the age of walking without assistance. This should be considered because these milestones are: An important part of the child’s past growth and development. • The nurse is taking a sexual history on an adolescent girl. The best way to determine whether she is sexually active is to: Ask her, “Are you having sex with anyone?” • When doing a nutritional assessment on an Hispanic family, the nurse learns that their diet consists mainly of vegetables, legumes, and starches. The nurse should recognize that this diet: May provide sufficient amino acids. • Which parameter correlates best with measurements of the body’s total protein stores? Upper arm circumference • An appropriate approach to performing a physical assessment on a toddler is to: Use minimal physical contact initially. • With the National Center for Health Statistics (NCHS) criteria, which body mass index (BMI)–for-age percentile indicates a risk for being overweight? 85th percentile • The nurse is using the NCHS growth chart for an African-American child. The nurse should consider that: The NCHS charts are accurate for U.S. African-American children. • Which tool measures body fat most accurately? Calipers • By what age do the head and chest circumferences generally become equal? 1 to 2 years • The earliest age at which a satisfactory radial pulse can be taken in children is: 2 years • Where is the best place to observe for the presence of petechiae in dark-skinned individuals? Oral mucosa • When palpating the child’s cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm. The best explanation for this is: Infection or inflammation close to the site. • The nurse has just started assessing a young child who is febrile and appears very ill. There is hyperextension of the child’s head (opisthotonos) with pain on flexion. The most appropriate action is to: Refer for immediate medical evaluation. • The nurse should expect the anterior fontanel to close at age: 12 to 18 months • During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. The nurse should recognize that this is: A normal finding. • Binocularity, the ability to fixate on one visual field with both eyes simultaneously, is normally present by what age? 3 to 4 months • The most frequently used test for measuring visual acuity is the: Snellen letter chart. • The nurse is testing an infant’s visual acuity. By what age should the infant be able to fix on and follow a target?