NSG 6435 FINAL EXAM STUDY GUIDE 1 WITH ANSWERS (graded A+).
• The nurse is seeing an adolescent boy and his parents in the clinic for the
... [Show More] first time. What should the nurse do first?
Introduce self.
• What action is most likely to encourage parents to talk about their feelings related to their child’s illness?
Use open-ended questions.
• What is the single most important factor to consider when communicating with children?
The child’s developmental level
• What is an important consideration for the nurse who is communicating with a very young child?
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?
The child may think the equipment is alive.
• Which age group is most concerned with body integrity?
School-age child
• An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most appropriate nursing action is to:
Explain in simple terms how it works.
• When the nurse interviews an adolescent, it is especially important to:
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?
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?
Ask adolescent, “Why did you come here today?”
• Where in the health history should the nurse describe all details related to the chief complaint?
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?
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:
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:
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:
May provide sufficient amino acids.
• Which parameter correlates best with measurements of the body’s total protein stores?
Upper arm circumference
• An appropriate approach to performing a physical assessment on a toddler is to:
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?
85th percentile
• The nurse is using the NCHS growth chart for an African-American child. The nurse should consider that:
The NCHS charts are accurate for U.S. African-American children.
• Which tool measures body fat most accurately?
Calipers
• By what age do the head and chest circumferences generally become equal?
1 to 2 years
• The earliest age at which a satisfactory radial pulse can be taken in children is:
2 years
• Where is the best place to observe for the presence of petechiae in dark-skinned individuals?
Oral mucosa [Show Less]