NSG-434 Exam 1 QUESTIONS WITH CORRECT ANSWERS 2025

NSG-434 Exam 1 QUESTIONS WITH
CORRECT ANSWERS 2025
parent/caregiverMcommunicationM-MCORRECTMANSWERM--EncourageMparents/McaregiverMtoMtalk

-DirectingMtheMfocusMtoMkeepMonMtheMsubject

-ListeningMandMculturalMawarenessMareMimportantMforMeffectiveMcommunication

-LookMforMclues,MverbalMleads,MandMsignalsMfromMtheMparent/Mcaregiver

-
UsingMsilenceMcanMhelpMtheMparent/caregiverMgatherMtheirMthoughtsMandMdevelopManswersMforMquestion
sMasked

-BeingMempathetic

-
ProvidingManticipatoryMguidanceM(ex:MclientMdiagnosedMwithMleukemiaMwhoMwillMundergoMchemotherapy
)

-AvoidingMcommunicationMblocksMforMbothMtheMnurseMandMtheMparent/caregiver



communicatingMwithMchildrenM-MCORRECTMANSWERM--
UntilMinfantsMreachMtheMageMatMwhichMtheyMexperienceMstrangerManxiety,MtheyMreadilyMrespondMtoManyMf
irm,MgentleMhandlingMandMquiet,McalmMspeech.



-PlayMisManMeffectiveMwayMofMcommunicatingMwithMyoungerMchildren

-ChildrenMyoungerMthanM5MyearsMofMageMareMegocentric.



-YoungerMschool-
ageMchildrenMrelyMlessMonMwhatMtheyMseeMandMmoreMonMwhatMtheyMknowMwhenMfacedMwithMnewMproble
ms

-FunctionalMaspectMofMallMprocedures,Mobjects,MandMactivities

-WhatMisMgoingMtoMtakeMplaceMandMwhyMitMisMbeingMdoneMtoMthemMspecifically

-School-ageMchildrenMhaveMaMheightenedMconcernMaboutMbodyMintegrity



-AsMchildrenMmoveMintoMadolescence,MtheyMfluctuateMbetweenMchildMandMadultMthinkingMandMbehavior

-PrivacyMandMconfidentialityMisMimportantMtoMthem

,GeneralMTips:

-
AvoidMsuddenMorMrapidMadvances,MbroadMsmiles,MextendedMeyeMcontact,MandMotherMgesturesMthatMmayM
beMseenMasMthreatening.

-TalkMtoMtheMparentMifMtheMchildMisMinitiallyMshy.

-
CommunicateMthroughMtransitionMobjectsM(suchMas,Mdolls,Mpuppets,MandMstuffedManimals)MbeforeMquesti
oningMaMyoungMchildMdirectly.

-GiveMolderMchildrenMtheMopportunityMtoMtalkMwithoutMtheMparentsMpresent.

-AssumeMaMpositionMthatMisMatMeyeMlevelMwithMtheMchild.

-SpeakMinMaMquiet,Munhurried,MandMconfidentMvoice.

-SpeakMclearly,MbeMspecific,MandMuseMsimpleMwordsMandMshortMsentences.

-StateMdirectionsMandMsuggestionsMpositively.

-OfferMaMchoiceMonlyMwhenMoneMexists.

-BeMhonestMwithMchildren.

-AllowMchildrenMtoMexpressMtheirMconcernsMandMfears.

-UseMaMvarietyMofMcommunicationMtechniques.



historyMtakingM-MCORRECTMANSWERM--
TheMformatMusedMforMhistoryMtakingMmayMbeM(1)Mdirect,MinMwhichMtheMnurseMasksMforMinformationMviaMdi
rectMinterviewMwithMtheMinformant,MorM(2)Mindirect,MinMwhichMtheMinformantMsuppliesMtheMinformationM
byMcompletingMsomeMtypeMofMquestionnaire.



-Informant:MtheMperson(s)MwhoMfurnishesMtheMinformation

-ChiefMcomplaint:MspecificMreason

-PresentMillness:MnarrativeMofMtheMchiefMcomplaint

-
AnalyzingMofMsymptom(s):MassessmentMincludesMtype,Mlocation,Mseverity,Mduration,MandMinfluencingMfact
ors

,-
BirthMHistory:MhealthMduringMpregnancy,MtheMlaborMandMdelivery,MandMinfant'sMconditionMimmediatelyMaf
terMbirth

-DietaryMHistory

-PreviousMIllnesses,MInjuries,MandMOperations:MbeginMwithMaMgeneralMquestion

-
Allergies:MaskMaboutMcommonlyMknownMallergicMdisorders;MunusualMreactionsMtoMdrugs,Mfood,MorMlatexM
products;

reactionsMtoMotherMcontactMagents,MsuchMasMpoisonousMplants,Manimals,MhouseholdMproducts,MorMfabrics

-
CurrentMMedications:Mvitamins,MantipyreticsM(especiallyMaspirin),Mantibiotics,Mantihistamines,Mdecongest
ants,MnutritionalMsupplements,MorMherbsMandMhomeopathicMmedications

-Immunizations

-GrowthMandMDevelopment:M

-ReviewMtheMchild'sMgrowthMincludingMtheMfollowing:

•MeasurementsMofMweight,Mlength,MandMheadMcircumferenceMatMbirth

•PatternsMofMgrowthMonMtheMgrowthMchartMandManyMsignificantMdeviationsMfromMpreviousMpercentiles

-Habits:

•BehaviorMpatterns,MsuchMasMnailMbiting,MthumbMsucking,MpicaM(habitualMingestionMofMnonfoodMsubstanc
es),MritualsM("security"MblanketMorMtoy),MandMunusualMmovementsM(headMbanging,Mrocking,MovertMmastu
rbation,MwalkingMonMtoes)

•ActivitiesMofMdailyMliving,MsuchMasMhoursMofMsleepMandMarising,MdurationMofMnighttimeMsleepMandMnaps,M
typeMandMdurationMofMexercise,MregularityMofMstoolsMandMurination,MageMofMtoiletMtraining,MandMdaytime
MorMnighttimeMbedwetting



•UnusualMdisposition;MresponseMtoMfrustration

•Us



NutritionalMAssessmentM-MCORRECTMANSWERM--
DietaryMintake:MrecallMofMfoodMconsumption,MespeciallyMamountsMeaten,MisMfrequentlyMunreliable

-ClinicalMexaminationMofMnutrition:Mhair,Mskin,Mmouth,Meyes

-EvaluationMofMnutritionalMassessment:Mmalnourished,MatMrisk,MwellMnourished,

overweightMorMobese

, sequenceMofMtheMexaminationM-MCORRECTMANSWERM--Head-to-toeMsequenceMforMassessingMadultMclients

-SequenceMforMpediatricMassessmentsMgenerallyMalteredMtoMaccommodateMchild'sMdevelopmentalMneeds

-UseMchronologicalMageMasMtheMmainMcriteria



goalsMofMpediatricMassessmentM-MCORRECTMANSWERM--
MinimizeMstressMandManxietyMassociatedMwithMassessmentMofMvariousMbodyMparts

-FosterMtrustingMnurse-child-parentMrelationships

-AllowMforMmaximumMpreparationMofMchild

-PreserveMsecurityMofMparent-childMrelationship,MespeciallyMwithMyoungMchildren

-MaximizeMaccuracyMandMreliabilityMofMassessmentMfindings



preparationMofMtheMchildM-MCORRECTMANSWERM--Child'sMperceptionMofMpainfulMprocedures

-CooperationMusuallyMenhancedMwithMparent'sMpresence

-Age-appropriateMtechniques

-PositioningMandMpreparation

-
AlthoughMtheMphysicalMexaminationMconsistsMofMpainlessMprocedures,MforMsomeMchildrenMtheMuseMofMaMt
ightMarmMcuff,MprobesMinMtheMearsMandMmouth,MpressureMonMtheMabdomen,MandMaMcoldMpieceMofMmetalM
toMlistenMtoMtheMchestMareMstressful.

-ForMinfantsMandMtoddlers,MperformMtraumaticMproceduresMlast.

-EncourageMparent/caregiverMtoMassistMwithMholdingMtheMchild.



-ImportantMtoMgetMdownMonMaMchild'sMlevel;MkidsMwon'tMtrustMyouMunlessMyouMdo

-Don'tMtouchMchildrenMunlessMtheyMgiveMyouMpermissionM(whichMtheyMdoMinMvariousMways)

-NeverMholdMaMchildMdownMorMaskMaMparentMtoMholdMthemMdownMforMaMprocedure



physicalMexaminationM-MCORRECTMANSWERM-GrowthMMeasurements:

-GrowthMcharts

-Length

-Height