NUR 414- EXAM 3 REVIEW 2025
QUESTIONS AND ANSWERS
The mother of a toddler tells the nurse during a routine well-child appointment that she is
concerned because, "It seems like my son is falling and hitting his head all of the time." What is
the best response by the nurse?
"Most mothers are concerned because their toddlers fall a lot. As long as your child seems to be
developmentally normal it shouldn't be a concern."
"Due to the size of their heads and immature neck muscles falling is common, but I will let the
physician know your concerns."
"You probably don't have anything to worry about. It is common for toddlers to fall."
"I understand your concern, but toddlers fall and hit their heads a lot since they are not very
coordinated yet." - ANS "Due to the size of their heads and immature neck muscles falling is
common, but I will let the physician know your concerns."
Upon assessment of an infant the nurse suspects the infant has positional plagiocephaly. What
question(s) should the nurse ask the parents to help confirm if this is correct? Select all that
apply.
"How much tummy time do you plan each day for your infant?"
"Do you change the position of your infant at night when the child is sleeping?"
"Do you follow the recommended guidelines of placing your infant on their back to sleep rather
than the abdomen?"
"Besides transporting your infant in the car, how much time do you place your infant in the car
seat every day?"
"Do you rock your infant to sleep or lay the infant in the crib or bassinet to fall asleep?" -
ANS "How much tummy time do you plan each day for your infant?"
"Do you change the position of your infant at night when the child is sleeping?"
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, "Do you follow the recommended guidelines of placing your infant on their back to sleep rather
than the abdomen?"
A preschool-age child has just been admitted to the pediatric unit with a diagnosis of bacterial
meningitis. The nurse would include which recommendation in the nursing plan?
Take vital signs every 4 hours
Monitor temperature every 4 hours
Encourage the parents to hold the child
Decrease environmental stimulation - ANS Decrease environmental stimulation
The parent of a 12-year-old child with Reye syndrome approaches the nurse wanting to know
how this happened to the child, saying, "I never give my children aspirin!" What could the nurse
say to begin educating the parent?
"Sometimes it is hard to tell what products may contain aspirin."
"Do you think that maybe your child took aspirin on his or her own?"
"Do not worry; you are in good hands. We have it under control now."
"Aspirin in combination with the virus will make the brain swell and the liver fail." -
ANS "Sometimes it is hard to tell what products may contain aspirin."
The nurse is caring for a child who has suffered a febrile seizure. While speaking with the child's
parents, which statement by a parent indicates a need for further education? - ANS "I hate to
think that I will need to be worried about my child having seizures for the rest of his life."
Absence seizures are marked by what clinical manifestation?
Loss of motor activity accompanied by a blank stare
Loss of muscle tone and loss of consciousness
Sudden, brief jerks of a muscle group
2 Copyright ©2025 FYNDLAY ALL RIGHTS RESERVED.
QUESTIONS AND ANSWERS
The mother of a toddler tells the nurse during a routine well-child appointment that she is
concerned because, "It seems like my son is falling and hitting his head all of the time." What is
the best response by the nurse?
"Most mothers are concerned because their toddlers fall a lot. As long as your child seems to be
developmentally normal it shouldn't be a concern."
"Due to the size of their heads and immature neck muscles falling is common, but I will let the
physician know your concerns."
"You probably don't have anything to worry about. It is common for toddlers to fall."
"I understand your concern, but toddlers fall and hit their heads a lot since they are not very
coordinated yet." - ANS "Due to the size of their heads and immature neck muscles falling is
common, but I will let the physician know your concerns."
Upon assessment of an infant the nurse suspects the infant has positional plagiocephaly. What
question(s) should the nurse ask the parents to help confirm if this is correct? Select all that
apply.
"How much tummy time do you plan each day for your infant?"
"Do you change the position of your infant at night when the child is sleeping?"
"Do you follow the recommended guidelines of placing your infant on their back to sleep rather
than the abdomen?"
"Besides transporting your infant in the car, how much time do you place your infant in the car
seat every day?"
"Do you rock your infant to sleep or lay the infant in the crib or bassinet to fall asleep?" -
ANS "How much tummy time do you plan each day for your infant?"
"Do you change the position of your infant at night when the child is sleeping?"
1 Copyright ©2025 FYNDLAY ALL RIGHTS RESERVED.
, "Do you follow the recommended guidelines of placing your infant on their back to sleep rather
than the abdomen?"
A preschool-age child has just been admitted to the pediatric unit with a diagnosis of bacterial
meningitis. The nurse would include which recommendation in the nursing plan?
Take vital signs every 4 hours
Monitor temperature every 4 hours
Encourage the parents to hold the child
Decrease environmental stimulation - ANS Decrease environmental stimulation
The parent of a 12-year-old child with Reye syndrome approaches the nurse wanting to know
how this happened to the child, saying, "I never give my children aspirin!" What could the nurse
say to begin educating the parent?
"Sometimes it is hard to tell what products may contain aspirin."
"Do you think that maybe your child took aspirin on his or her own?"
"Do not worry; you are in good hands. We have it under control now."
"Aspirin in combination with the virus will make the brain swell and the liver fail." -
ANS "Sometimes it is hard to tell what products may contain aspirin."
The nurse is caring for a child who has suffered a febrile seizure. While speaking with the child's
parents, which statement by a parent indicates a need for further education? - ANS "I hate to
think that I will need to be worried about my child having seizures for the rest of his life."
Absence seizures are marked by what clinical manifestation?
Loss of motor activity accompanied by a blank stare
Loss of muscle tone and loss of consciousness
Sudden, brief jerks of a muscle group
2 Copyright ©2025 FYNDLAY ALL RIGHTS RESERVED.
