NSG6435 Final 2 EXAM WITH CORRECT |\ |\ |\ |\ |\ |\
ANSWERS
The nurse is seeing an adolescent boy and his parents in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
clinic for the first time. What should the nurse do first? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔introduce self |\ |\ |\
What action is most likely to encourage parents to talk about
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
their feelings related to their child's illness? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Use open-ended questions.
|\ |\ |\
What is the single most important factor to consider when
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
communicating with children? - CORRECT ANSWERS ✔✔The |\ |\ |\ |\ |\ |\ |\
child's developmental level
|\ |\
What is an important consideration for the nurse who is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
communicating with a very young child? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Use transition objects such as a doll.
|\ |\ |\ |\ |\ |\
When introducing hospital equipment to a preschooler who
|\ |\ |\ |\ |\ |\ |\ |\
seems afraid, the nurse's approach should be based on which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
principle? - CORRECT ANSWERS ✔✔The child may think the
|\ |\ |\ |\ |\ |\ |\ |\ |\
equipment is alive. |\ |\
Which age group is most concerned with body integrity? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔School-age child |\ |\ |\
,An 8-year-old girl asks the nurse how the blood pressure
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
apparatus works. The most appropriate nursing action is to: -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Explain in simple terms how it works.
|\ |\ |\ |\ |\ |\ |\ |\
When the nurse interviews an adolescent, it is especially
|\ |\ |\ |\ |\ |\ |\ |\ |\
important to: - CORRECT ANSWERS ✔✔Allow an opportunity to
|\ |\ |\ |\ |\ |\ |\ |\ |\
express feelings. |\
The nurse is having difficulty communicating with a hospitalized
|\ |\ |\ |\ |\ |\ |\ |\ |\
6-year-old child. What technique might be most helpful? -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Ask the child to draw a picture.
|\ |\ |\ |\ |\ |\ |\ |\
The nurse is taking a health history on an adolescent. What best
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
describes how the chief complaint should be determined? -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Ask adolescent, "Why did you come here
|\ |\ |\ |\ |\ |\ |\ |\ |\
today?"
Where in the health history should the nurse describe all details
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
related to the chief complaint? - CORRECT ANSWERS ✔✔Present
|\ |\ |\ |\ |\ |\ |\ |\ |\
illness
The nurse is interviewing the mother of an infant. She reports, "I
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
had a difficult delivery, and my baby was born prematurely." This
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
information should be recorded under which heading? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Birth history
|\ |\ |\
When interviewing the mother of a 3-year-old child, the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
asks about developmental milestones such as the age of walking
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
without assistance. This should be considered because these
|\ |\ |\ |\ |\ |\ |\ |\
,milestones are: - CORRECT ANSWERS ✔✔An important part of the |\ |\ |\ |\ |\ |\ |\ |\ |\
child's past growth and development
|\ |\ |\ |\ |\
The nurse is taking a sexual history on an adolescent girl. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
best way to determine whether she is sexually active is to: -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Ask her, "Are you having sex with |\ |\ |\ |\ |\ |\ |\ |\ |\
anyone?"
When doing a nutritional assessment on an Hispanic family, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse learns that their diet consists mainly of vegetables,
|\ |\ |\ |\ |\ |\ |\ |\ |\
legumes, and starches. The nurse should recognize that this diet:
|\ |\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔May provide sufficient amino acids.
|\ |\ |\ |\ |\ |\ |\ |\
Which parameter correlates best with measurements of the
|\ |\ |\ |\ |\ |\ |\ |\
body's total protein stores? - CORRECT ANSWERS ✔✔Upper arm
|\ |\ |\ |\ |\ |\ |\ |\ |\
circumference
An appropriate approach to performing a physical assessment on
|\ |\ |\ |\ |\ |\ |\ |\
a toddler is to: - CORRECT ANSWERS ✔✔Use minimal physical
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
contact initially. |\
With the National Center for Health Statistics (NCHS) criteria,
|\ |\ |\ |\ |\ |\ |\ |\ |\
which body mass index (BMI)-for-age percentile indicates a risk
|\ |\ |\ |\ |\ |\ |\ |\ |\
for being overweight? - CORRECT ANSWERS ✔✔85th percentile
|\ |\ |\ |\ |\ |\ |\
The nurse is using the NCHS growth chart for an African-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
American child. The nurse should consider that: - CORRECT |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔The NCHS charts are accurate for U.S. African- |\ |\ |\ |\ |\ |\ |\ |\
American children. |\
, Which tool measures body fat most accurately? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Calipers |\
By what age do the head and chest circumferences generally
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
become equal? - CORRECT ANSWERS ✔✔1 to 2 years
|\ |\ |\ |\ |\ |\ |\ |\
The earliest age at which a satisfactory radial pulse can be taken
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in children is: - CORRECT ANSWERS ✔✔2 years
|\ |\ |\ |\ |\ |\ |\
Where is the best place to observe for the presence of petechiae
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in dark-skinned individuals? - CORRECT ANSWERS ✔✔Oral
|\ |\ |\ |\ |\ |\ |\
mucosa
When palpating the child's cervical lymph nodes, the nurse notes
|\ |\ |\ |\ |\ |\ |\ |\ |\
that they are tender, enlarged, and warm. The best explanation
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
for this is: - CORRECT ANSWERS ✔✔Infection or inflammation
|\ |\ |\ |\ |\ |\ |\ |\ |\
close to the site. |\ |\ |\
The nurse has just started assessing a young child who is febrile
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and appears very ill. There is hyperextension of the child's head
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(opisthotonos) with pain on flexion. The most appropriate action |\ |\ |\ |\ |\ |\ |\ |\ |\
is to: - CORRECT ANSWERS ✔✔Refer for immediate medical
|\ |\ |\ |\ |\ |\ |\ |\ |\
evaluation.
The nurse should expect the anterior fontanel to close at age: -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔12 to 18 months |\ |\ |\ |\ |\
ANSWERS
The nurse is seeing an adolescent boy and his parents in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
clinic for the first time. What should the nurse do first? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔introduce self |\ |\ |\
What action is most likely to encourage parents to talk about
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
their feelings related to their child's illness? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Use open-ended questions.
|\ |\ |\
What is the single most important factor to consider when
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
communicating with children? - CORRECT ANSWERS ✔✔The |\ |\ |\ |\ |\ |\ |\
child's developmental level
|\ |\
What is an important consideration for the nurse who is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
communicating with a very young child? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Use transition objects such as a doll.
|\ |\ |\ |\ |\ |\
When introducing hospital equipment to a preschooler who
|\ |\ |\ |\ |\ |\ |\ |\
seems afraid, the nurse's approach should be based on which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
principle? - CORRECT ANSWERS ✔✔The child may think the
|\ |\ |\ |\ |\ |\ |\ |\ |\
equipment is alive. |\ |\
Which age group is most concerned with body integrity? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔School-age child |\ |\ |\
,An 8-year-old girl asks the nurse how the blood pressure
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
apparatus works. The most appropriate nursing action is to: -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Explain in simple terms how it works.
|\ |\ |\ |\ |\ |\ |\ |\
When the nurse interviews an adolescent, it is especially
|\ |\ |\ |\ |\ |\ |\ |\ |\
important to: - CORRECT ANSWERS ✔✔Allow an opportunity to
|\ |\ |\ |\ |\ |\ |\ |\ |\
express feelings. |\
The nurse is having difficulty communicating with a hospitalized
|\ |\ |\ |\ |\ |\ |\ |\ |\
6-year-old child. What technique might be most helpful? -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Ask the child to draw a picture.
|\ |\ |\ |\ |\ |\ |\ |\
The nurse is taking a health history on an adolescent. What best
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
describes how the chief complaint should be determined? -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Ask adolescent, "Why did you come here
|\ |\ |\ |\ |\ |\ |\ |\ |\
today?"
Where in the health history should the nurse describe all details
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
related to the chief complaint? - CORRECT ANSWERS ✔✔Present
|\ |\ |\ |\ |\ |\ |\ |\ |\
illness
The nurse is interviewing the mother of an infant. She reports, "I
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
had a difficult delivery, and my baby was born prematurely." This
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
information should be recorded under which heading? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Birth history
|\ |\ |\
When interviewing the mother of a 3-year-old child, the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
asks about developmental milestones such as the age of walking
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
without assistance. This should be considered because these
|\ |\ |\ |\ |\ |\ |\ |\
,milestones are: - CORRECT ANSWERS ✔✔An important part of the |\ |\ |\ |\ |\ |\ |\ |\ |\
child's past growth and development
|\ |\ |\ |\ |\
The nurse is taking a sexual history on an adolescent girl. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
best way to determine whether she is sexually active is to: -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Ask her, "Are you having sex with |\ |\ |\ |\ |\ |\ |\ |\ |\
anyone?"
When doing a nutritional assessment on an Hispanic family, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse learns that their diet consists mainly of vegetables,
|\ |\ |\ |\ |\ |\ |\ |\ |\
legumes, and starches. The nurse should recognize that this diet:
|\ |\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔May provide sufficient amino acids.
|\ |\ |\ |\ |\ |\ |\ |\
Which parameter correlates best with measurements of the
|\ |\ |\ |\ |\ |\ |\ |\
body's total protein stores? - CORRECT ANSWERS ✔✔Upper arm
|\ |\ |\ |\ |\ |\ |\ |\ |\
circumference
An appropriate approach to performing a physical assessment on
|\ |\ |\ |\ |\ |\ |\ |\
a toddler is to: - CORRECT ANSWERS ✔✔Use minimal physical
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
contact initially. |\
With the National Center for Health Statistics (NCHS) criteria,
|\ |\ |\ |\ |\ |\ |\ |\ |\
which body mass index (BMI)-for-age percentile indicates a risk
|\ |\ |\ |\ |\ |\ |\ |\ |\
for being overweight? - CORRECT ANSWERS ✔✔85th percentile
|\ |\ |\ |\ |\ |\ |\
The nurse is using the NCHS growth chart for an African-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
American child. The nurse should consider that: - CORRECT |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔The NCHS charts are accurate for U.S. African- |\ |\ |\ |\ |\ |\ |\ |\
American children. |\
, Which tool measures body fat most accurately? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Calipers |\
By what age do the head and chest circumferences generally
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
become equal? - CORRECT ANSWERS ✔✔1 to 2 years
|\ |\ |\ |\ |\ |\ |\ |\
The earliest age at which a satisfactory radial pulse can be taken
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in children is: - CORRECT ANSWERS ✔✔2 years
|\ |\ |\ |\ |\ |\ |\
Where is the best place to observe for the presence of petechiae
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in dark-skinned individuals? - CORRECT ANSWERS ✔✔Oral
|\ |\ |\ |\ |\ |\ |\
mucosa
When palpating the child's cervical lymph nodes, the nurse notes
|\ |\ |\ |\ |\ |\ |\ |\ |\
that they are tender, enlarged, and warm. The best explanation
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
for this is: - CORRECT ANSWERS ✔✔Infection or inflammation
|\ |\ |\ |\ |\ |\ |\ |\ |\
close to the site. |\ |\ |\
The nurse has just started assessing a young child who is febrile
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and appears very ill. There is hyperextension of the child's head
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(opisthotonos) with pain on flexion. The most appropriate action |\ |\ |\ |\ |\ |\ |\ |\ |\
is to: - CORRECT ANSWERS ✔✔Refer for immediate medical
|\ |\ |\ |\ |\ |\ |\ |\ |\
evaluation.
The nurse should expect the anterior fontanel to close at age: -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔12 to 18 months |\ |\ |\ |\ |\
