WITH NGN VERIFIED QUESTIONS
GRADED A+ ASSURED SUSESS
A nurse is assessing the pain level of a 3 year old toddler. Which of the following
assessmentscales should the nurse use?
a. Feaces
b. Numeric
c. CRIES
d. Visual
analogA
The nurse should use the FACES pain rating scale for pediatric clients who are 3 years
old andolder. This scale allows the toddler to point to the face that depicts their current
level of pain. The nurse can then determine the need for pain management.
A nurse is planning an educational program to teach parents about protecting their children
fromsunburns. Which of the following instructions should the nurse plan to include?
a. "allow your child to play outside during the hours between 10:00am and 2:00pm."
b. "choose a waterproof sunscreen with a minimum SPF of 15."
c. "dress you child in loose weave polyester fabric prior to sun exposure."
d. "reapply sunscreen every 4
hours."B
The nurse should instruct parents to avoid allowing their children to play outside
during the hours between 1000 and 1400 because the child is at greatest risk for
,developing a sunburnduring this time.
The nurse should instruct parents to apply a waterproof sunscreen with a minimum SPF of
15 forchildren. The parents should apply the sunscreen prior to sun exposure to reduce the
risk of sunburn.
The nurse should instruct parents to dress their children in tight weave cotton fabric prior
to sunexposure to protect the skin from the sun.
The nurse should instruct parents to reapply sunscreen every 2 to 3 hr.
,A nurse is performing hearing screenings for children at a community health fair. Which
of the following children should the nurse refer to a provider for a more extensive hearing
evaluation?
a. an 18 month old toddler who has unintelligible speech
b. a 3 month old infant who has exaggerated startle response
c. a 4 year old preschooler who prefers playing with others rather than alone
d. an 8 month old infant who is not yet making babbling
soundsD
The nurse should refer a toddler who does not possess intelligible speech by the age
of 24months to a provider for a more extensive evaluation of hearing.
The nurse should refer infants who are under the age of 4 months and lack a startle
response to aprovider for a more extensive evaluation of hearing.
The nurse should refer a preschooler who prefers playing alone and avoids interaction
withothers to a provider for a more extensive evaluation of hearing.
The nurse should refer an infant who is not making babbling sounds by the age of 7
months to aprovider for a more extensive evaluation of hearing.
A nurse in an emergency department is assessing a 3 month old infant who has rotavirus
and isexperiencing acute vomiting and diarrhea. Which of the following manifestations
should the nurse identify as an indication that the infant has moderate to severe
dehydration?
a. HR 124
b. increased tear production
c. sunken anterior fontanel
d. capillary refill 2
secondsC
, A heart rate of 124/min is within the expected reference range of 106 to 186/min for a 3-
to the 5-month-old infant. The nurse should expect the infant who has moderate to severe
dehydrationto have tachycardia.
An infant who has moderate to severe dehydration is more likely to have an absence of
tearsrather than increased tear production.
The nurse should recognize that a sunken anterior fontanel is an indication of moderate to
severedehydration due to the acute loss of fluid.
A capillary refill of 2 seconds is within the expected reference range of 2 seconds or less for a
3-