PEDS Exam 1 NCLEX Style Practice Test.
1. To establish a good
3. Asking open-ended questions
interview relationship
with an adoles- cent, RATIONALE: Open-ended questions allow the adolescent
which strategy is most to share information and feelings. Asking personal
appropriate? questions not related to the situation jeopardizes the trust
that must be estab- lished because the adolescent may
1. Asking personal
feel as though he's being in- terrogated with
questions unrelated to
unnecessary questions. Writing everything down during
the situation
the interview can be a distraction and doesn't allow the
2. Writing down
nurse to observe how the adolescent behaves.
everything the teen
Discussing the nurse's thoughts and feelings may bias
says
the assessment and is inappropriate when interviewing
3. Asking open-ended
any client
ques- tions
4. Discussing the nurse's
own thoughts and
feelings about the
situation 3. Anxiety over school absences
2. A chronically ill school- RATIONALE: The school-age child is becoming
age child is most industrious and attempts to master school-related
vulnerable to which activities. Therefore, school absences are likely to cause
stressor? extreme anxiety for a school-age child who's chronically
ill. Mutilation anxiety is more common in adolescents.
1. Mutilation anxiety Anticipatory grief is rare in a school-age child. Fear of
2. Anticipatory grief hospital procedures is most pronounced in preschool-
3. Anxiety over school age
ab- sences
4. Fear of hospital procedures children.
3. When developing a care the nurse considers the child's
plan for an adolescent, psy- chosocial needs. During ado-
, PEDS Exam 1 NCLEX Style Practice Test.
lescence, psychosocial 2. establishing an identity.
devel- opment focuses
on: RATIONALE: According to Erikson, the primary psychosocial
task during adolescence is to establish a personal identity
while over- coming role or identity confusion. The
adolescent attempts to establish a group identity by
seeking acceptance and approval from peers, and strives
to attain a personal identity by becoming
, PEDS Exam 1 NCLEX Style Practice Test.
1. becoming industrious. more independent from his family. Becoming industrious
2. establishing an is the developmental task of the school-age child;
identity.
achieving intimacy is the task of the young adult; and
3. achieving intimacy. developing initiative is the task of the preschooler.
4. developing initiative.
2. Proximodistal
4. A nurse notes that an
infant develops arm RATIONALE: Proximodistal development progresses from
movement be- fore fine- the center of the body to the extremities, such as from
motor finger skills and the arm to
interprets this as an ex-
ample of which pattern of de- the fingers. Cephalocaudal development occurs
along the body's
velopment? long axis; for example, the infant develops control over the
head, mouth, and eye movements before the upper
1. Cephalocaudal body, torso, and legs. Mass-to-specific development,
2. Proximodistal sometimes called ditteren- tiation, occurs as the child
3. Differentiation masters simple operations before complex functions and
4. Mass-to-specific moves from broad, general patterns of behavior to more
refined ones.
5. A teenage mother brings
her 1-year-old child to . "Let's see about further developmental testing."
the pedia-
trician's office for a well-baby RATIONALE: Stating that further developmental
testing is neces- checkup. She says that her in- sary is appropriate because at age
12 months a child should be fant can't sit alone or roll over. sitting up and rolling
over. Therefore, this child may have de-
An appropriate response 2. "Let's see about further de-
by the nurse would be: velopmental testing."
3. "Don't worry, this is normal for
1. "This is very her age."
abnormal. Your child
must be sick."
, PEDS Exam 1 NCLEX Style Practice Test.
velopmental problems. Saying the infant's
behavior is abnormal or suggesting that
the mother hasn't seen her infant do
these milestones isn't therapeutic and can
cut ott communication with the mother.
Telling the mother that the infant's behavior
is normal misleads the mother with false
reassurance.
1. To establish a good
3. Asking open-ended questions
interview relationship
with an adoles- cent, RATIONALE: Open-ended questions allow the adolescent
which strategy is most to share information and feelings. Asking personal
appropriate? questions not related to the situation jeopardizes the trust
that must be estab- lished because the adolescent may
1. Asking personal
feel as though he's being in- terrogated with
questions unrelated to
unnecessary questions. Writing everything down during
the situation
the interview can be a distraction and doesn't allow the
2. Writing down
nurse to observe how the adolescent behaves.
everything the teen
Discussing the nurse's thoughts and feelings may bias
says
the assessment and is inappropriate when interviewing
3. Asking open-ended
any client
ques- tions
4. Discussing the nurse's
own thoughts and
feelings about the
situation 3. Anxiety over school absences
2. A chronically ill school- RATIONALE: The school-age child is becoming
age child is most industrious and attempts to master school-related
vulnerable to which activities. Therefore, school absences are likely to cause
stressor? extreme anxiety for a school-age child who's chronically
ill. Mutilation anxiety is more common in adolescents.
1. Mutilation anxiety Anticipatory grief is rare in a school-age child. Fear of
2. Anticipatory grief hospital procedures is most pronounced in preschool-
3. Anxiety over school age
ab- sences
4. Fear of hospital procedures children.
3. When developing a care the nurse considers the child's
plan for an adolescent, psy- chosocial needs. During ado-
, PEDS Exam 1 NCLEX Style Practice Test.
lescence, psychosocial 2. establishing an identity.
devel- opment focuses
on: RATIONALE: According to Erikson, the primary psychosocial
task during adolescence is to establish a personal identity
while over- coming role or identity confusion. The
adolescent attempts to establish a group identity by
seeking acceptance and approval from peers, and strives
to attain a personal identity by becoming
, PEDS Exam 1 NCLEX Style Practice Test.
1. becoming industrious. more independent from his family. Becoming industrious
2. establishing an is the developmental task of the school-age child;
identity.
achieving intimacy is the task of the young adult; and
3. achieving intimacy. developing initiative is the task of the preschooler.
4. developing initiative.
2. Proximodistal
4. A nurse notes that an
infant develops arm RATIONALE: Proximodistal development progresses from
movement be- fore fine- the center of the body to the extremities, such as from
motor finger skills and the arm to
interprets this as an ex-
ample of which pattern of de- the fingers. Cephalocaudal development occurs
along the body's
velopment? long axis; for example, the infant develops control over the
head, mouth, and eye movements before the upper
1. Cephalocaudal body, torso, and legs. Mass-to-specific development,
2. Proximodistal sometimes called ditteren- tiation, occurs as the child
3. Differentiation masters simple operations before complex functions and
4. Mass-to-specific moves from broad, general patterns of behavior to more
refined ones.
5. A teenage mother brings
her 1-year-old child to . "Let's see about further developmental testing."
the pedia-
trician's office for a well-baby RATIONALE: Stating that further developmental
testing is neces- checkup. She says that her in- sary is appropriate because at age
12 months a child should be fant can't sit alone or roll over. sitting up and rolling
over. Therefore, this child may have de-
An appropriate response 2. "Let's see about further de-
by the nurse would be: velopmental testing."
3. "Don't worry, this is normal for
1. "This is very her age."
abnormal. Your child
must be sick."
, PEDS Exam 1 NCLEX Style Practice Test.
velopmental problems. Saying the infant's
behavior is abnormal or suggesting that
the mother hasn't seen her infant do
these milestones isn't therapeutic and can
cut ott communication with the mother.
Telling the mother that the infant's behavior
is normal misleads the mother with false
reassurance.
