HAP Midterm Exam Practice Questions with
accurate answers
A 1-month-old infant has a head measurement of 34 cm and has a chest
circumference of 32 cm. Based on the interpretation of these findings,
the nurse would:
a. Refer the infant to a physician for further
evaluation.
b. Consider these findings normal for a 1- month-old infant.
c. Expect the chest circumference to be
greater than the head circumference.
d. Ask the parent to return in 2 weeks to reevaluate the head and chest
circumferences. Ans✓✓✓ B
The newborn's head measures approximately 32 to 38 cm and is
approximately 2 cm
larger than the chest circumference. Between 6 months and 2 years, both
measurements are approximately the same, and after age 2 years, the
chest circumference is greater than the head circumference.
A 1-month-old infant has a head measurement of 34 cm and has a chest
circumference of 32 cm. Based on the interpretation of these findings,
the nurse would:
a. Refer the infant to a physician for further evaluation.
,b. Consider these findings normal for a 1- month-old infant.
c. Expect the chest circumference to be greater than the head
circumference.
d. Ask the parent to return in 2 weeks to reevaluate the head and chest
circumferences. Ans✓✓✓ B
The newborn's head measures approximately 32 to 38 cm and is
approximately 2 cm larger than the chest circumference. Between 6
months and 2 years, both measurements are approximately the same, and
after age 2 years, the chest circumference is greater than
the head circumference.
A 14-year-old girl is anxious about not having reached menarche. When
taking the health history, the nurse should ascertain which of the
following? The age that:
a. The girl began to develop breasts.
b. Her mother developed breasts.
c. She began to develop pubic hair.
d. She began to develop axillary hair. Ans✓✓✓ A
Full development from stage 2 to stage 5 takes an average of 3 years,
although the range
is 1 to 6 years. Pubic hair develops during this time, and axillary hair
appears 2 years
,after the onset of pubic hair. The beginning of breast development
precedes menarche by
approximately 2 years. Menarche occurs in breast development stage 3
or 4, usually just
after the peak of the adolescent growth spurt, which occurs around age
12 years
A 16-year-old boy has just been admitted to the unit for overnight
observation after being in an automobile accident. What is the nurse's
best approach to communicating with him?
a. Use periods of silence to communicate respect for him.
b. Be totally honest with him, even if the information is unpleasant.
c. Tell him that everything that is discussed will be kept totally
confidential.
d. Use slang language when possible to help him open up. Ans✓✓✓ B
Successful communication with an adolescent is possible and can be
rewarding. The guidelines are simple. The first consideration is one's
attitude, which must be one of respect. Second, communication must be
totally honest. An adolescent's intuition is highly tuned and can detect
phoniness or the withholding of information. Always tell him or her the
truth.
A 17-year-old single mother is describing how difficult it is to raise a 3-
year-old child by herself. During the course of the interview she states,
"I can't believe
, a. "You feel alone."
b. "You can't believe he left you alone?"
c. "It must be so hard to face this all alone."
d. "I would be angry, too; raising a child alone is no picnic." Ans✓✓✓
C
An empathetic response recognizes the feeling and puts it into words. It
names the feeling, allows its expression, and strengthens rapport. Other
empathetic responses are,
"This must be very hard for you," "I understand," or simply placing your
hand on the person's arm. Simply reflecting the person's words or
agreeing with the person is not an empathetic response.
A 19-year-old woman comes to the clinic at the insistence of her brother.
She is wearing black combat boots and a black lace nightgown over the
top of her other clothes. Her hair is dyed pink with black streaks
throughout. She has several pierced holes in her nares and ears and is
wearing an earring through her eyebrow and heavy
black makeup. The nurse concludes that:
a. She probably does not have any problems.
b. She is only trying to shock people and that her dress should be
ignored.
c. She has a manic syndrome because of her abnormal dress and
grooming.
accurate answers
A 1-month-old infant has a head measurement of 34 cm and has a chest
circumference of 32 cm. Based on the interpretation of these findings,
the nurse would:
a. Refer the infant to a physician for further
evaluation.
b. Consider these findings normal for a 1- month-old infant.
c. Expect the chest circumference to be
greater than the head circumference.
d. Ask the parent to return in 2 weeks to reevaluate the head and chest
circumferences. Ans✓✓✓ B
The newborn's head measures approximately 32 to 38 cm and is
approximately 2 cm
larger than the chest circumference. Between 6 months and 2 years, both
measurements are approximately the same, and after age 2 years, the
chest circumference is greater than the head circumference.
A 1-month-old infant has a head measurement of 34 cm and has a chest
circumference of 32 cm. Based on the interpretation of these findings,
the nurse would:
a. Refer the infant to a physician for further evaluation.
,b. Consider these findings normal for a 1- month-old infant.
c. Expect the chest circumference to be greater than the head
circumference.
d. Ask the parent to return in 2 weeks to reevaluate the head and chest
circumferences. Ans✓✓✓ B
The newborn's head measures approximately 32 to 38 cm and is
approximately 2 cm larger than the chest circumference. Between 6
months and 2 years, both measurements are approximately the same, and
after age 2 years, the chest circumference is greater than
the head circumference.
A 14-year-old girl is anxious about not having reached menarche. When
taking the health history, the nurse should ascertain which of the
following? The age that:
a. The girl began to develop breasts.
b. Her mother developed breasts.
c. She began to develop pubic hair.
d. She began to develop axillary hair. Ans✓✓✓ A
Full development from stage 2 to stage 5 takes an average of 3 years,
although the range
is 1 to 6 years. Pubic hair develops during this time, and axillary hair
appears 2 years
,after the onset of pubic hair. The beginning of breast development
precedes menarche by
approximately 2 years. Menarche occurs in breast development stage 3
or 4, usually just
after the peak of the adolescent growth spurt, which occurs around age
12 years
A 16-year-old boy has just been admitted to the unit for overnight
observation after being in an automobile accident. What is the nurse's
best approach to communicating with him?
a. Use periods of silence to communicate respect for him.
b. Be totally honest with him, even if the information is unpleasant.
c. Tell him that everything that is discussed will be kept totally
confidential.
d. Use slang language when possible to help him open up. Ans✓✓✓ B
Successful communication with an adolescent is possible and can be
rewarding. The guidelines are simple. The first consideration is one's
attitude, which must be one of respect. Second, communication must be
totally honest. An adolescent's intuition is highly tuned and can detect
phoniness or the withholding of information. Always tell him or her the
truth.
A 17-year-old single mother is describing how difficult it is to raise a 3-
year-old child by herself. During the course of the interview she states,
"I can't believe
, a. "You feel alone."
b. "You can't believe he left you alone?"
c. "It must be so hard to face this all alone."
d. "I would be angry, too; raising a child alone is no picnic." Ans✓✓✓
C
An empathetic response recognizes the feeling and puts it into words. It
names the feeling, allows its expression, and strengthens rapport. Other
empathetic responses are,
"This must be very hard for you," "I understand," or simply placing your
hand on the person's arm. Simply reflecting the person's words or
agreeing with the person is not an empathetic response.
A 19-year-old woman comes to the clinic at the insistence of her brother.
She is wearing black combat boots and a black lace nightgown over the
top of her other clothes. Her hair is dyed pink with black streaks
throughout. She has several pierced holes in her nares and ears and is
wearing an earring through her eyebrow and heavy
black makeup. The nurse concludes that:
a. She probably does not have any problems.
b. She is only trying to shock people and that her dress should be
ignored.
c. She has a manic syndrome because of her abnormal dress and
grooming.
