Chapter NCLEX Review – Qs & As
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1. Because injuries are the most common a. The need to conform and gain acceptance from his peers
cause of death and disability in children in may make a child accept a dare
the United States which stage of b. Toddlers who can run and climb may be susceptible to
development correctly determines the type burns, falls, and collisions with objects
of injury that may occur? Select all that c. A crawling infant may aspirate due to the tendency to place
apply objects in his mouth
1. The National Children's Study is the largest a. Provide information for families to eradicate unhealthy diets,
prospective long-term study of children's dental caries, and childhood obesity
health and development in the United b. Significantly reduce violence, substance abuse, and mental
States. Which of these options are the goals health disorders among the nations children.
of this study? Select all that apply
1. The newest nurse on the pediatric unit is I realize that caring for the child means I can visit them on my
concerned about maintaining a professional days off if they ask me.
distance in her relationship with a patient
and the patient's family. Which comment
indicates that she needs more mentoring
regarding her patient-nurse relationship?
1. The overriding goal of atraumatic care is: Do No Harm
1. A family you are caring for on the pediatric a. Breastfeeding provides micronutrients and immunologic
unit asks you about nutrition for their baby. properties
What facts will you want to include in this b. Eating preferences and attitudes relating to food are
nutritional information? Select all that apply. established by family influences and culture.
c. During adolescence, parental influence diminishes and
adolescence make food choices related to peer acceptability
and sociability
2. Duvall's Developmental Stages of the a) Stages families progress through in adult hood
Family include which of the following? b) Stages that designate how parenting progresses as a child
Select all that apply. develops
c) Stages that describe the journey a couple will take as their
children mature
2. Family Systems Theory includes: A balance between morphogenesis and morphostasis is
necessary
, 2. The nurse is explaining the strategy of Transforming: Allowing the child to come to the conclusion on
consequences to a parent he is working his or her own
with. Which response by the patient
indicates more teaching is needed when he
describes the types of consequences?
2. Culture includes which of the following? a) Culture humility, which requires that health care providers
Select all that apply participate in a continual process of self reflection and self
critique.
b) Recognizing the power of the health care provider role that
views the patient and family as full members of the health care
team
c) A particular group with its values, beliefs, norms, patterns,
and practices that are learned, shared and transmitted from
one generation to another.
d) A complex whole in which each part is interrelated,
including beliefs tradition, life ways, and heritage.
2. Ways to integrate spiritual practices into Becoming knowledgable about the religious worldviews of
nursing care include: cultural groups found in the patient you care for.
3. When caring for a child with a cleft lip, a "Early in the pregnancy there may be an abnormality in the
parent asks the nurse, "Did I cause this developmental process; the reasons for this are largely still
defect in my child?" What is the best unknown."
response by the nurse?
3. The nurse may be called upon to have "Klinefelter's syndrome is the most common of all sex
knowledge about sex chromosome chromosome aneuploidies, and mental development is normal
aneuploidies. In answering familie's in most cases."
questions, the nurse can report:
3. When parents consider genetic testing, a) Genetic screening can provide early recognition of a
especially after having a child born with an disease, before signs and symptoms occur, for which effective
anomaly which information could the nurse intervention and therapy exists.
use to further instruct the family? B) Screening can occur at different times in a persons life: pre
conceptual, newborn screening, or maternal screening.
C) Genetic testing can help identify carriers of a genetic
disease for the purpose of maximizing parenthood planning
options.
D)Recognizing a genetic disorder can further facilitate genetic
evaluation by collecting pregnancy, labor and delivery,
perinatal, medical, and developmental histories.
3. The nurse is discharging an infant "I will bring my baby back to the doctor to obtain another
diagnosed with PKU from the hospital. blood draw sample by 4 weeks of age since the first sample
Which statement made by the parents was drawn before he was 24 hours old."
indicates further need for teaching?
3. The pediatric nurse may be in the unique A) Skeletal abnormalities: limb abnormalities, asymmetry,
position to talk with a family about further hyperextendible joints.
genetic evaluation their child. Which B) Recurrent infection or immunodeficiency: ear infections,
assessment findings by the nurse may alert pneumonia, poor healing of the umbilicus.
the nurse to this need? Select all that apply C) Development and speech delays or loss of developmental
milestones.
4. While interviewing the parents who have A) Using broad, open-ended questions so that parents can
just arrived in the health care clinic, the feel open to discuss issues.
nurse begins the interview. Which statement B) Redirecting by asking guided questions to keep the parents
below involves therapeutic communication on task.
techniques? Select all that apply. C) Careful listening, which relies on the use of clues and
verbal leads to help move the conversation along.