NURS 420 Exam 1 Questions with verified answers
A 12-month-old boy weighed 8 lb 2 oz at birth. Understanding
developmental milestones, what should the nurse caring for the child
expect the current weight to be?
1. 16 lb 4 oz
2. 20 lb 5 oz
3. 24 lb 6 oz
4. 32 lb 8 oz Ans✓✓✓ Answer: 241b 6oz
Rationale: Children should triple their birth weight by 12 months of age
A 13-year-old boy is hospitalized for a femur fracture. He was hit by a
car while he and his friends were racing bikes near a major intersection.
The child ' s parents are concerned about his judgment. The nurse
should tell the parents that the behavior is:
1. Typical of young teens.
2. Related to hormonal surges during adolescence.
3. An isolated incident and will not likely happen again.
4. Related to teen rebellion. Ans✓✓✓ Answer: Typical of young teens
,Rationale: The brains of young teens are not completely developed,
which often leads to poor judgment and impulse control.
A 13-year-old tells the nurse that he is worried because his breasts are
growing. They hurt, and he is embarrassed to take his shirt off during
gym class. What should the nurse tell him?
1. "The pediatrician will draw some blood to fi nd out why your breasts
are
growing."
2. "It is just a slight hormonal imbalance that can be easily corrected
with
medication."
3. "This is a normal condition of puberty that will resolve within a year
or two."
4. "This is a rare finding that occurs in about 5% of boys during
puberty." Ans✓✓✓ Answer: "This is a normal condition of puberty that
will resolve within a year or two."
,Rationale: Gynecomastia and breast tenderness are common for about
a third of boys during middle puberty. Gynecomastia usually resolves in
2 years.
A 16-year-old male is hospitalized for cystic fibrosis. He will be an
inpatient for 2 weeks while he receives IV antibiotics. Which action
taken by the nurse will most enhance his psychosocial development?
1. Fax the teen's teacher and have her send in his homework.
2. Encourage the teen's friends to visit him in the hospital.
3. Encourage the teen's grandparents to visit frequently.
4. Tell the teen he is free to use his phone to call or text friends.
Ans✓✓✓ Answer: Encourage the teen's friends to visit him in the
hospital.
Rationale: Teens are most concerned about being like their peers.
Having the teen's friends visit will help him feel he is still part of the
school and social environment.
A 2-year-old admitted to the hospital 2 days ago has been crying and is
inconsolable much of the time. The nurse's best response to the child's
parents who are concerned about this behavior is that the child is in
the:
, 1. Detachment phase of separation anxiety, which is normal for
children during hospitalization.
2. Despair stage of separation anxiety, which is normal for children
during hospitalization.
3. Bargaining stage of separation anxiety, which is normal for children
during hospitalization.
4. Protest stage of separation anxiety, which is normal for children
during hospitalization. Ans✓✓✓ Answer: Protest stage of separation
anxiety, which is normal for children during hospitalization
Rationale: During this protest stage, children are often inconsolable and
often cry more than they do when they are at home
A 4-year-old boy has been hospitalized because he fell down the stairs.
His mother is crying and states, "This is all my fault." Which is the
nurse's best response?
1. "Accidents happen. You shouldn't t blame yourself."
2. "Falls are one of the most common injuries in this age-group."
3. "It may be a good idea to put a gate on the stairs."
4. "Your son should be proficient at walking down the stairs by now."
Ans✓✓✓ Answer: "Falls are one of the most common injuries in this
age-group"
A 12-month-old boy weighed 8 lb 2 oz at birth. Understanding
developmental milestones, what should the nurse caring for the child
expect the current weight to be?
1. 16 lb 4 oz
2. 20 lb 5 oz
3. 24 lb 6 oz
4. 32 lb 8 oz Ans✓✓✓ Answer: 241b 6oz
Rationale: Children should triple their birth weight by 12 months of age
A 13-year-old boy is hospitalized for a femur fracture. He was hit by a
car while he and his friends were racing bikes near a major intersection.
The child ' s parents are concerned about his judgment. The nurse
should tell the parents that the behavior is:
1. Typical of young teens.
2. Related to hormonal surges during adolescence.
3. An isolated incident and will not likely happen again.
4. Related to teen rebellion. Ans✓✓✓ Answer: Typical of young teens
,Rationale: The brains of young teens are not completely developed,
which often leads to poor judgment and impulse control.
A 13-year-old tells the nurse that he is worried because his breasts are
growing. They hurt, and he is embarrassed to take his shirt off during
gym class. What should the nurse tell him?
1. "The pediatrician will draw some blood to fi nd out why your breasts
are
growing."
2. "It is just a slight hormonal imbalance that can be easily corrected
with
medication."
3. "This is a normal condition of puberty that will resolve within a year
or two."
4. "This is a rare finding that occurs in about 5% of boys during
puberty." Ans✓✓✓ Answer: "This is a normal condition of puberty that
will resolve within a year or two."
,Rationale: Gynecomastia and breast tenderness are common for about
a third of boys during middle puberty. Gynecomastia usually resolves in
2 years.
A 16-year-old male is hospitalized for cystic fibrosis. He will be an
inpatient for 2 weeks while he receives IV antibiotics. Which action
taken by the nurse will most enhance his psychosocial development?
1. Fax the teen's teacher and have her send in his homework.
2. Encourage the teen's friends to visit him in the hospital.
3. Encourage the teen's grandparents to visit frequently.
4. Tell the teen he is free to use his phone to call or text friends.
Ans✓✓✓ Answer: Encourage the teen's friends to visit him in the
hospital.
Rationale: Teens are most concerned about being like their peers.
Having the teen's friends visit will help him feel he is still part of the
school and social environment.
A 2-year-old admitted to the hospital 2 days ago has been crying and is
inconsolable much of the time. The nurse's best response to the child's
parents who are concerned about this behavior is that the child is in
the:
, 1. Detachment phase of separation anxiety, which is normal for
children during hospitalization.
2. Despair stage of separation anxiety, which is normal for children
during hospitalization.
3. Bargaining stage of separation anxiety, which is normal for children
during hospitalization.
4. Protest stage of separation anxiety, which is normal for children
during hospitalization. Ans✓✓✓ Answer: Protest stage of separation
anxiety, which is normal for children during hospitalization
Rationale: During this protest stage, children are often inconsolable and
often cry more than they do when they are at home
A 4-year-old boy has been hospitalized because he fell down the stairs.
His mother is crying and states, "This is all my fault." Which is the
nurse's best response?
1. "Accidents happen. You shouldn't t blame yourself."
2. "Falls are one of the most common injuries in this age-group."
3. "It may be a good idea to put a gate on the stairs."
4. "Your son should be proficient at walking down the stairs by now."
Ans✓✓✓ Answer: "Falls are one of the most common injuries in this
age-group"
