SOLUTIONS
In completing a pubertal assessment of a 14 year old female, the
nurse would document breast buds as which Tanner Stage?
a. four (4)
b. two (2)
c. one (1)
d. three (3)
e. five (5) Correct Answers b
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Following the reinsertion of an intravenous line, on a 13 month
old, the nurse notes a bulging anterior fontanelle. What would be
the nurse's priority intervention?
a. Note in documentation that child was crying
b. Reassess when the child is sleeping
c. Report finding to the health care provider
d. Attempt to calm child and reassess **? Correct Answers ?? I
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think c
In terms of gross motor development, what should the nurse
expect an infant age 5 months to do?
a. Turn from the abdomen to the back
b. Move from a prone to a sitting position
c. Roll from the back to the abdomen
d. Sit erect without support Correct Answers a. Turn from the
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abdomen to the back- 5 months
10 months: prone to sitting
6 month: back to front
8 months: sit well while unsupported
, A nurse examines a class of seven-year-old students during a
school health program. According to Erikson's theory, which
behavior would the students display?
a. Students like to pretend and try out new roles
b. Students exhibit a sense of care for others.
c. Students show an eagerness to learn social skills.
d. Students want to know "Who i am" Correct Answers c.
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Students show an eagerness to learn social skills.
Which vaccination should the nurse administer to a 6 month old
infant?
a. Measles, Mumps, Rubella
b. Covid
c. Hepatitis
d. Diptheria, Tetanus, Polio, Pertussis and Haemophilus
Influenzae B Correct Answers d
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When administering vaccines, which of the following reactions
must the nurse be most alert to?
a. The presence of irritation to the skin
b. The presence of pain at the injection site
c. The presence of an allergic reaction
d. The presence of fever Correct Answers c
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The nurse is caring for a 6-year old patient who will be
discharged home in two weeks. The family, including both
parents and an older sibling are present. The nurse knows which
of the following actions is most consistent with the principles of
family centered care?