Pediatrics Exam 1-Growth EXAM
VERIFIED SOLUTIONS, SCORED A+
A .3-year-old .female .is .hospitalized .for .a .femur .fracture. .As .her .nurse, .what
.nursing .action .would .help .foster .the .child's .sense .of .autonomy?
1. .Allow .the .child .to .choose .what .time .to .take .her .oral .antibiotics
2. .Allow .the .child .to .have .a .doll .for .medical .play
3. .Allow .the .child .to .administer .her .own .dose .of .Keflex .(cephalexin) .via .oral
.syringe
4. .Allow .the .child .to .watch .age-appropriate .videos .- .CORRECT .ANSWER-3.
.Allowing .toddlers .to .participate .in .actions .of .which .they .are .capable .is .an
.excellent .way .to .enhance .their .autonomy.
A .16-year-old .male .is .hospitalized .for .cystic .fibrosis. .He .will .be .an .inpatient .for
.2 .weeks .while .he .receives .IV .antibiotics. .As .the .nurse .caring .for .this .patient,
.what .action .can .you .take .that .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 .grandparent's .to .visit .frequently
4. .Tell .the .teen .he .is .free .to .use .his .phone .to .call .friends .- .CORRECT .ANSWER-
2. .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 .6-month-old .male .is .at .his .well-child .checkup. .The .nurse .weighs .him, .and .his
.mother .asks .if .his .weight .is .normal .for .his .age. .The .nurse's .response .is:
1. ."At .6 .months .his .weight .should .be .approximately .three .times .his .birth
.weight."
2. ."Each .child .gains .weight .at .his .or .her .own .pace."
3. ."At .6 .months .his .weight .should .be .approximately .twice .his .birth .weight."
4. ."At .6 .months .a .child .should .weigh .about .10 .lb. .more .than .his .or .her .birth
.weight." .- .CORRECT .ANSWER-3. .Children .should .double .their .birth .weight .by .4
.to .6 .months .of .age.
The .nurse .caring .for .a .4-year-old .female .in .the .ER .is .about .to .start .a .peripheral
.IV. .The .nurse's .best .method .for .explaining .the .procedure .to .the .child .is .to: .
1. .Show .the .child .a .pamphlet .with .pictures .showing .the .IV .placement
.procedure
2. .Have .the .5-year-old .patient .next .door .tell .the .4-year-old .about .her .experience
.with .her .IV .placement
, 3. .Show .the .child .the .IV .placement .equipment, .and .demonstrate .the .procedure
.on .a .doll
4. .Tell .the .child .that .if .she .remains .still, .the .procedure .will .be .over .quickly .-
.CORRECT .ANSWER-3. .A .4-year-old .child .understands .things .in .very .concrete
.and .simple .terms. .Therefore, .medical .play .is .an .excellent .method .for .helping
.her .understand .the .procedure.
A .17-year-old .male .is .being .seen .in .the .E.R. .In .order .to .obtain .the .adolescent's
.health .information, .his .nurse .should: .
1. .Interview .the .adolescent .using .direct .questions
2. .Gather .information .during .a .casual .conversation
3. .Interview .the .adolescent .only .in .the .presence .of .his .parents
4. .Gather .information .only .from .the .parents .- .CORRECT .ANSWER-2. .Frequently
.adolescents .will .share .more .information .when .it .is .gathered .during .a .casual
.conversation.
A .7-year-old .female .is .being .admitted .to .the .hospital .for .a .diagnosis .of .acute
.lymphocytic .leukemia. .The .nurse .wants .to .gather .information .from .the .child
.regarding .her .feelings .about .her .diagnosis. .Which .nursing .action .is .most
.appropriate .to .gain .information .about .how .the .child .is .feeling?
1. .The .nurse .should .actively .attempt .to .make .friends .with .the .child .before
.asking .her .about .her .feelings
2. .The .nurse .should .ask .the .child's .parents .what .feelings .she .has .expressed .in
.regard .to .her .diagnosis
3. .The .nurse .should .provide .the .child .with .some .paper .to .draw .a .picture .of
.how .she .is .feeling
4. .The .nurse .should .ask .the .child .direct .questions .about .how .she .is .feeling .-
.CORRECT .ANSWER-3. .Often .children .will .include .much .more .detail .of .their
.feelings .in .drawings. .They .will .often .express .things .in .pictures .they .are .unable
.to .verbalize.
How .can .the .nurse .best .facilitate .the .trust .relationship .between .infant .and
.parent .while .the .infant .is .hospitalized?
1. .The .nurse .should .encourage .the .parents .to .remain .at .their .child's .bedside .as
.much .as .possible
2. .The .nurse .should .keep .the .parents .informed .about .all .aspects .of .their .child's
.condition
3. .The .nurse .should .encourage .the .parents .to .hold .their .child .as .much .as
.possible
4. .The .nurse .should .encourage .the .parents .to .participate .actively .in .their
.child's .care .- .CORRECT .ANSWER-3. .Having .the .parents .hold .their .child .while
.in .the .hospital .is .an .excellent .means .of .building .the .trust .relationship. .Infants
.are .most .secure .when .they .are .being .held, .patted, .and .spoken .to.
The .nurse .is .caring .for .a .7-year-old .female .on .the .school-age .unit. .Her .mother
.is .concerned .that .she .may .have .some .developmental .delays. .Which .of .the
.following .statements .would .indicate .to .the .nurse .that .the .child .is .not
.developmentally .on .track .for .her .age:
1. .The .child .is .able .to .follow .a .four-to-five-step .command
VERIFIED SOLUTIONS, SCORED A+
A .3-year-old .female .is .hospitalized .for .a .femur .fracture. .As .her .nurse, .what
.nursing .action .would .help .foster .the .child's .sense .of .autonomy?
1. .Allow .the .child .to .choose .what .time .to .take .her .oral .antibiotics
2. .Allow .the .child .to .have .a .doll .for .medical .play
3. .Allow .the .child .to .administer .her .own .dose .of .Keflex .(cephalexin) .via .oral
.syringe
4. .Allow .the .child .to .watch .age-appropriate .videos .- .CORRECT .ANSWER-3.
.Allowing .toddlers .to .participate .in .actions .of .which .they .are .capable .is .an
.excellent .way .to .enhance .their .autonomy.
A .16-year-old .male .is .hospitalized .for .cystic .fibrosis. .He .will .be .an .inpatient .for
.2 .weeks .while .he .receives .IV .antibiotics. .As .the .nurse .caring .for .this .patient,
.what .action .can .you .take .that .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 .grandparent's .to .visit .frequently
4. .Tell .the .teen .he .is .free .to .use .his .phone .to .call .friends .- .CORRECT .ANSWER-
2. .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 .6-month-old .male .is .at .his .well-child .checkup. .The .nurse .weighs .him, .and .his
.mother .asks .if .his .weight .is .normal .for .his .age. .The .nurse's .response .is:
1. ."At .6 .months .his .weight .should .be .approximately .three .times .his .birth
.weight."
2. ."Each .child .gains .weight .at .his .or .her .own .pace."
3. ."At .6 .months .his .weight .should .be .approximately .twice .his .birth .weight."
4. ."At .6 .months .a .child .should .weigh .about .10 .lb. .more .than .his .or .her .birth
.weight." .- .CORRECT .ANSWER-3. .Children .should .double .their .birth .weight .by .4
.to .6 .months .of .age.
The .nurse .caring .for .a .4-year-old .female .in .the .ER .is .about .to .start .a .peripheral
.IV. .The .nurse's .best .method .for .explaining .the .procedure .to .the .child .is .to: .
1. .Show .the .child .a .pamphlet .with .pictures .showing .the .IV .placement
.procedure
2. .Have .the .5-year-old .patient .next .door .tell .the .4-year-old .about .her .experience
.with .her .IV .placement
, 3. .Show .the .child .the .IV .placement .equipment, .and .demonstrate .the .procedure
.on .a .doll
4. .Tell .the .child .that .if .she .remains .still, .the .procedure .will .be .over .quickly .-
.CORRECT .ANSWER-3. .A .4-year-old .child .understands .things .in .very .concrete
.and .simple .terms. .Therefore, .medical .play .is .an .excellent .method .for .helping
.her .understand .the .procedure.
A .17-year-old .male .is .being .seen .in .the .E.R. .In .order .to .obtain .the .adolescent's
.health .information, .his .nurse .should: .
1. .Interview .the .adolescent .using .direct .questions
2. .Gather .information .during .a .casual .conversation
3. .Interview .the .adolescent .only .in .the .presence .of .his .parents
4. .Gather .information .only .from .the .parents .- .CORRECT .ANSWER-2. .Frequently
.adolescents .will .share .more .information .when .it .is .gathered .during .a .casual
.conversation.
A .7-year-old .female .is .being .admitted .to .the .hospital .for .a .diagnosis .of .acute
.lymphocytic .leukemia. .The .nurse .wants .to .gather .information .from .the .child
.regarding .her .feelings .about .her .diagnosis. .Which .nursing .action .is .most
.appropriate .to .gain .information .about .how .the .child .is .feeling?
1. .The .nurse .should .actively .attempt .to .make .friends .with .the .child .before
.asking .her .about .her .feelings
2. .The .nurse .should .ask .the .child's .parents .what .feelings .she .has .expressed .in
.regard .to .her .diagnosis
3. .The .nurse .should .provide .the .child .with .some .paper .to .draw .a .picture .of
.how .she .is .feeling
4. .The .nurse .should .ask .the .child .direct .questions .about .how .she .is .feeling .-
.CORRECT .ANSWER-3. .Often .children .will .include .much .more .detail .of .their
.feelings .in .drawings. .They .will .often .express .things .in .pictures .they .are .unable
.to .verbalize.
How .can .the .nurse .best .facilitate .the .trust .relationship .between .infant .and
.parent .while .the .infant .is .hospitalized?
1. .The .nurse .should .encourage .the .parents .to .remain .at .their .child's .bedside .as
.much .as .possible
2. .The .nurse .should .keep .the .parents .informed .about .all .aspects .of .their .child's
.condition
3. .The .nurse .should .encourage .the .parents .to .hold .their .child .as .much .as
.possible
4. .The .nurse .should .encourage .the .parents .to .participate .actively .in .their
.child's .care .- .CORRECT .ANSWER-3. .Having .the .parents .hold .their .child .while
.in .the .hospital .is .an .excellent .means .of .building .the .trust .relationship. .Infants
.are .most .secure .when .they .are .being .held, .patted, .and .spoken .to.
The .nurse .is .caring .for .a .7-year-old .female .on .the .school-age .unit. .Her .mother
.is .concerned .that .she .may .have .some .developmental .delays. .Which .of .the
.following .statements .would .indicate .to .the .nurse .that .the .child .is .not
.developmentally .on .track .for .her .age:
1. .The .child .is .able .to .follow .a .four-to-five-step .command
