A nurse on a pediatric floor is preparing an education program on working with families for a group of newly hired nurses. Which of the following should
... [Show More] the nurse include when discussing the developing theory?
A. Describes that stress is inevitable.
B. Emphasizes that change with one member affects the entire family.
C. Provides guidance to assist families adapting to stress.
D. Defines consistencies in how families change.
D. Defines consistencies in how families change.
A nurse is assisting a group of parents of adolescents to develop skills that will improve communication within the family. The nurse hears one parent state, " My son knows he better do what i say." Which of the following parenting styles is the parent exhibiting?
A. Authoritarian.
B. Permissive.
C. Authoritative.
D. Passive.
A. Authoritarian.
A nurse is performing family assessment. which of the following should the nurse include? ( Select all that apply)
a. medical history
b. parents education level
c. child's physical growth.
d. support systems.
e. stressors
A B D E
A nurse is preparing assess a pre-school-age child. which of the following is an appropriate action by the nurse to prepare the child?
A. Allow the child to role-play
B. Use medical terminology to describe what will happen
C. Separate the child from her parent during the examination
D. Keep medical equipment visible to the child.
A. Allow the child to role-play
a nurse is checking the vital signs of a 3 yr old child during a well child visit. which of the following findings should the nurse report to the provider?
A. Temp of 99.0
B. HR of 106
C. RR of 30
D. BP 88/54
C. RR of 30
A nurse is assessing a 6-month old infant. Which of the following reflexes should the infant exhibit?
A. moro
B. plantar grasp
C. steeping
D. tonic neck
B. plantar grasp
a nurse is assessing a child's ears. which of the following is an expected finding?
A. light reflex is located at the 2 o' clock position
B. tympanic membrane is red in color
C. bony landmarks are not visible
D. cerumen is present bilaterally
D. cerumen
a nurse is performing a neurological assessment on an adolescent. which of the following is an appropriate reaction by the adolescent when the nurse checks the trigeminal cranial nerve? ( select all that apply)
A. clenching teeth together tightly
B. recognizing sour tastes on the back of the tongue
C. identifying smells through each nostril
D. detecting facial touches with eyes closed
E. Looking down and in with the eyes
A D
a nurse is assessing a 12-month old infant during a well-child visit. which of the following findings should the nurse report to the provider?
A. a closed anterior fontanel
B. eruption of six teeth
C. birth weight doubled
D. birth length increased 50%
C. birth weight double.
a nurse is conducting a well-baby visit with a 4 month old infant. which of the following immunizations should the nurse plan to administer to the infant? (select all that apply)
A. MMR
B. IPV
C. PCV
D. Varicella
E. RV
B C E
a nurse is providing education about introducing new foods to the parents of a 4 month old infant. the nurse should recommend that the parents introduce which of the following foods first?
A. strained yellow vegetables
B. iron-fortified cereals
C. pureed fruits
D. whole milk
B iron- fortified cereals
a nurse is assessing a 2 1/1 yr old toddler at a well child visit. which of the following findings should the nurse report to the provider?
a. ht increased by 7.5 cm in the past yr.
b. head circumference exceeds chest
c. anterior and posterior fontanels close.
d. current weight equals four times the birth weight
b head circumference exceeds chest.
A nurse is performing a developmental screening on an 18 month old. Which of the following skills should the toddler be able to perform (select all that apply)
A. build a tower with six blocks
B. throw a ball overhand
C. walk up and down stairs
D. draw circles
E. use a spoon without rotation
B. E.
a nurse is providing teaching about age-appropriate activities to the parent of a 2 year old. which of the following statements by the parents indicates an understanding of the teaching?
A. " I will send my childs favorite stuffed animal when she will be napping away from home"
B. " my child should be ablate stand on one foot for a second"
C. "the soccer team my child will be playing on starts practicing next week"
D. " i should expect my child to be able to draw circles"
A. " I will send my childs favorite stuffed animal when she will be napping away from home"
a nurse is providing anticipatory guidance to the parents of a toddler. which of the following should the nurse include? ( select all that apply)
A. Develop food habits that will prevent dental caries.
B. Meeting caloric needs results in an increase appetite.
C. Expression of bedtime fears is common.
D. Expects behaviors associated with negativism and ritualism.
E. Annual screenings for pku are important
A C D
A nurse is discussing prepubescent and preadolescence with a group of parents of the school-age children. which of the following information should the nurse include in the discussion?
A. Initial physiologic changes appear during early childhood
B. changes in height and weight occur slowly during this period
C. growth differences between boy and girls become evident.
D. signs of sexual maturation become highly visible in boys
C.
A nurse is conducting a well child visit with a child who is scheduled to receive the recommended immunizations for 11 to 12 yrs old. which of the following immunizations should the nurse administer?
A. TIV
B. PCV
C. MCV4
D. tDAP
E. RV
A C D
a nurse is providing education about age-appropriate activities for the parents of a 6 yr old child. which of the following activities should the nurse include in teaching?
A jumping rope
B. playing card games
C. Solving jig saw puzzles
D. Joining competitive sports
A. jumping rope
a nurse is teaching a course about safety during the school age years to group of parents. which of the following information should the nurse include in the course? ( select all that apply)
A. gating stairs at the top and bottom
B. wearing helmets when riding bicycles and skateboarding
C. riding safely in bed of pickup trucks
D. implementing firearm safety
E. Wearing seat belts
B D E
a nurse is providing teaching about expected changes during puberty to a group of parents of early adolescent girls. which of the following statements by one of the parents indicates an understanding of the teaching?
A. girls usually stop growing about 2 yrs after menarche
B. girls are expected to gain 65lbs during punters
C. girls experience menstruation prior to breast development
D. girls typically grow more than 10 inches during puberty
A. girls usually stop growing about 2 yrs after menarche
anurse is providing anticipatory guidance to the parent of a 13 yr old adolescent. which of the following screenings should the nurse recommend for the adolescent? ( select all that apply)
A. BMI
B. Blood lead level
C. 24 hr dietary recall
D. weight
E. scoliosis
A. D. E
a nurse is caring for an adolescent whose mother expresses concerns long hours. which of the following conditions should the nurse inform the mother as requiring additional sleep during adolescence?
A. sleep terrors
B. rapid growth
C. elevated zinc levels
D. slowed metabolism
B rapid growth
a nurse is teaching a class about puberty in boys. which of the following should the nurse include as the first manifestation of sexual maturation?
A. pubic hair growth
B. vocal changes
C. testicular enlargement
D. facial hair growth
c testicular enlargement
a nurse is planning to administer the influenza vaccine to a toddler. which of the following actions should the nurse take?
A. administer subcutaneously in the abdomen
B. use 20-guage needle
C. divide the medication into two injections
D. place the child in the supine position
D place the child in the supine position
a nurse is preparing to administer an IM injection to a child. which of the following muscle groups in contraindicated?
A. deltoid
B. ventrogluteal
C. vastus lateralis
D. dorsogluteal
D dorsogluteal
a nurse is teaching a parent of an infant about administration of oral medications. which of the following should the nurse include in the teaching? (select all that apply)
A. use a universal dropper for medication administration
B. ask the pharmacy to add flavoring to the medication
C. add the medication to a formula bottle before feeding
D. use the nipple of a bottle to administer the medication
E. hold the infant in a semi reclining position
B. D. E
a nurse is preparing to administer medication to a toddler. which of the following actions should the nurse take? (select all that apply)
A. identify the toddler by asking the parent
B. tell the parent to administer the medication
C. calculate the safe dosage
D. ask the toddler what toy he wants to hold during administration
E. offer juice after the medication
C D E
a nurse is caring for an infant who needs otic medication. which of the following is an appropriate action for the nurse to take?
A. hold the infant in an upright position
B. pull the pinna downward and straight back
C. hyperextended the infants neck
d. ensure that the medication is cool
B.
a nurse is completing a pain assessment of an infant. which of the following pain scales should the nurse use?
A. FACES
B. FLACC
C. oucher
D.non communicating children pani check list
B
a nurse is planning care for child following a surgical procedure. which of the following interventions should the nurse include in the plan of care?
A. administer NSAIDS for pain greater than 7 on a scale 0 to 10
B. administer intranasal analgesics PRN
C. adminiter IM analgesics for pain
D. administer IV analgesics on a schedule
D
nurse is assessing an infant. which of the following are manfestations of pain in an infant (select all that apply)
A. pursed lips
B. loud cry
C. lowered eyebrows
D. rigid body
E. pushes away stimulus
B C D
an urse is planning care of an infant who is experiencing pain. which of the following interventions shoudl the nurse include the plan of care( select all that apply)
A. offer a pacifier
B. use guided imagery
C. use swaddling
D. initiate a behavioral contract
E. encourage kangaroo care
A C E
a nurse is preparing toddler for an IN cath insertion using atraumatic care. which of the following actions should the nurse take? (select all that apply)
A. explain the procedure using the child favorite toy
B ask the parents to leave during the procedure
C. perform the procedure with the child in his bed
D allow the child to make one choice regarding the procedure
E. apply lidocaine and prilocaine cream to three potential insertion sites
A D E
A nurse is planning to perform a peripheral vision test on a child. Which of the following actions should the nurse take?
A. Place the child 10 ft away from Snellen Chart
B. Show a set of cards to the child one at a time.
C. Cover the child's eye while performing the test on the other eye.
D. Have the child focus on an object while performing the test.
D
A nurse is teaching a group of parents about possible manifestations of Down syndrome. Which of the following findings should the nurse include in the teaching (Select all that apply)
A. A large head with bulging fontanels
B. Larger ears that are set back
C. Protruding abdomen
D. Broad, short feet and hands
E. Hypotonia
C D E
A nurse is assessing a child who has myopia. Which of the following findings should the nurse expect (Select all that apply)
A. Headaches
B. Photophobia
C. difficulty reading
D. difficulty focusing on close objects
E. poor school performance
a c e
A nurse is assessing a toddler for possible hearing loss. Which of the following findings are indications of a hearing impairment? (select all that apply)
A. Uses monotone speech
B. Speaks loudly
C. Repeats sentences
D. appears shy
E. is overly attentive to the surroundings.
a b d
a nurse is teaching the parent of an infant who has down syndrome. Which of the following statements by the parent indicates an understanding of the teaching?
A. " I should expect him to have frequent diarrhea"
B. " i should place a cool mist humidifier in his room"
C. " I should avoid the use of lotion on his room"
D. " I should expect him to grow faster in length than other infants"
b
A nurse is teaching an adolescent to self-administer a corticosteroid medication using a metered-dose inhaler (MDI). Which of the following instructions should the nurse include (select all that apply)?
A. Shake the device prior to use
B. Rinse and expectorate after administration.
C. Inhale slowly with medication administration.
D. Exhale quickly after medication administration.
E. wait 30 seconds between puffs
b c
A nurse caring for a child who is receiving oxygen therapy and is on a continuous oxygen saturation monitor that is reading 89%. which of the following actions should the nurse take first?
A. Increase the oxygen flow rate
B. Encourage the child to take deep breaths
C.Ensure proper placement of the sensor probe
D. Place the child in the Fowler's position
c
A nurse in the emergency department is assessing a newly-admitted infant. Which of the following findings is an early indication of hypoxemia?
A. Nonproductive cough
B. hypoventilation
C. cyanosis
D. nasal stuffiness
c
A nurse is caring for a child who is receiving oxygen. which of the following findings indicates toxicity?
A.increased blood pressure
B. hyperventilation
C. decreased PaCO2
D. Unconsciousness
D.
a nurse is caring for a child who is receiving a bronchodilator medication by nebulizer aerosol therapy. which of the following actions should the nurse take? (select all that apply)?
A. instruct the child that the treatment will last 30 min
B. obtain vital signs prior to the procedure
C. tell the child to take slow deep breaths
D. determine if the child should use a mask
E. attach the device to an air source
b c d e
a nurse is caring for a child who has bronchiolitis. which of the following actions should the nurse take? (select all that apply)
A. administer oral prednisone
B. initiate cheat percussion and postural drainage
C. administer humidified oxygen
D. suction the nasopharynx as needed
E. administer oral penicillin
c d
a nurse is teaching a group of parents about influenza. which of the following information should the nurse include in the teaching?
a. amantadine will prevent the illness
b. rimanatadine is administered IM
c. zanamivir can be given to children 1 year and older
d. oseltamivir should be given within 48 hours of onset of symptoms
d
a nurse is caring for a child who is in the postoperative period following a tonsillectomy. which of the follow is a clinical finding of post operative bleeding?
a. Hgb 11.6 and Hct 37%
b.inflamed and reddened throat
c.frequent swallowing and clearing of the throat
d. blood tinged mucus
c
a nurse is caring for a child in the post operative period following a tonsillectomy. which of the actions should the nurse take?
a. encourage the child to blow her nose gently
b. administer analgesics on a schedule
c. offer orange juice
d. position the child in supine
b
a nurse is assessing a child who has epiglottis . which of the following findings should the nurse expect (select all that apply)
a. harness and difficulty speaking
b. difficulty swallowing
c. low grade fever
d. drooling
e. dry barking cough
f. stridor
a b d e f
a nurse is assessing a child who has asthma. which of the following are indications of deterioration in the childs respiratory status? (select all that apply)
a. oxygen saturation 95%
b. wheezing
c. retraction of sternal muscles
d. warm extremities
e.nasal flaring
b c e
a nurse is teaching an adolescent about the appropriate use of his asthma medications. which of the following medications should the nurse instruct the client to use as needed before exercise?
a. fluticasone /salmeterol
b. montelukast
c. prednisone
d. alubterol
d
a nurse is planning care of a child who has asthma. which of the following interventions should the nurse include in the plan of care? (select all that apply)
a. perform chest percussion.
b. place the child in an upright position
c. monitor oxygen saturation
d. administer bronchodilators
e. administer dornase alfa daily
b c d
a nurse is teaching a child who has asthma how to use a peak flow meter. which of the following information should the nurse include in the teaching (select all that apply)
a.zero the meter before each use
b. record the average of the attempts
c. perform three attempts
d. deliver a long, slow breath into the meter
e. sit in a chair with feet on the floor
a c
a nurse is discussing risk factors for asthma with a group of newly licensed nurses. which of the following interventions should the nurse include in the plan of care? (select all that apply)
a. family of history of asthma
b. family history of allergies
c. exposure to smoke
d. low birth weight
e.being underweight
a b c d
a nurse is reviewing the diagnostic findings for a preschool age child who is suspected of having cystic fibrosis. which of the following findings should the nurse identify as an indication of cystic fibrosis?
a. sweat chloride 85 meq/l
b. increased serum levels of fat soluble vitamins
c. 72 hr stool analysis sample indicating hard, packed stools
d. chest x-rays negative atelectasis
a
a nurse is admitting a child who has cystic fibrosis. which of the following medications should the nurse anticipate including in the plan of care? (select all that apply)
a. tobramycin
b. loperamide
c. fat-soluble vitamin
d. albuterol
e. dornase alfa
a c d e
a nurse is performing an admission assessment for a child who has cystic fibrosis. which of the following findings should the nurse expect? (select all that apply)
a. wheezing
b. clubbing of the fingers and toes
c. barrel-shaped chest
d. thin watery mucus
e. rapid growth spurts
a b c
a nurse is providing discharge teaching for a child who has cystic fibrosis. which of the following instructions should the nurse include?
a. provide a low calorie low protein diet
b. administer pancreatic enzymes
c. implement a fluid restriction during times of infection
d. restrict physical activity
b
a nurse is assessing an infant who has coarction of the aorta. which of the following findings should the nurse expect? (Select all that apply)
a. weak femoral pulses
b. cool skin of the lower extremities
c. severe cyanosis
d. clubbing of the fingers
e. heart failure
a b e
a nurse is assessing an infant who has heart fialure. which of the following findings should the nurse expect ( select a that apply)
a. bradycardia
b. cool extremities
c. peripheral edema
d. increased urinary output
e. nasal flaring
b c e
a nurse is providing teaching to the mother of an infant who has prescription for digoxin. which of the following instructions should the nurse include?
a. " do not offer your baby fluids after giving the medication."
b. " digonix increases your babys heart rate"
c. "give the correct dose of the mediation at regularly schedule times."
d. " if your baby vomits a dose, you should repeat the dose to ensure that he gets the correct amount"
c
a nursing is caring for a 2 yr old child who has a heart defect and is schedule for cardiac catheterization. which of the following actions should the nurse take?
a. place on NPO status for 12 hr prior to the procedure.
b. check for iodine or shellfish allergies prior to the procedure
c. elevate the affected extremity following the procedure
d. limit fluid intake following the procedure
b
a nurse is caring for a child who is suspected of having rheumatic fever. which of the following findings should the nurse expect? ( select all that apply)
a. erythema marginatrum (rash)
b. continuous joint pain of the digits
c. tender, subcutaneous nodules
d. decreased erythrocyte sedimentation rate
e. elevated c-reactive protein
a e
a nurse is preparing to administer immunizations to a 4 month old infant. which of the following is an appropriate action for the nurse to take in providing atraumatic care?
a. administer 81 mg of aspirin
b. use the z track method when injecting
c. ask the parents too leave the room during the injection
d. provide sucrose solution on the pacifier
d
a nurse is planning to administer recommended immunizations to a 2 month old infant. which of the following vaccines should the nurse plan to give? (select all that apply)
a. rv
b. Dtap
c. Hib
d. Hep a
e. pcv14
f. ipv
a b c e f
a nurse is planning to administer recommended immunizations to a 4 yr old child. which of the following vaccines should the nurse plan to give? (Select all that apply)
a.ipv
b. Hib
c. MMR
d. VAR
e. Hep B
f. Dtap
a c d f
a nurse is preparing to administer the varicella vaccine to an adolescent. which of the following questions shouldthe nurse ask to determine whether there is a contraindication to administering the vaccine?
a. "do you have an allergy to eggs?"
b. " have you ever had encephalopathy following immunizations??"
c. "are you current taking corticosteriod medication?"
d. "have you ever had an anaphylactic reaction to yeast?"
c
a nurse is teaching a group of parents about complications of communicable diseases can lead to pneumonia? select all that apply
a. rubella
b. rubeola
c. whooping cough
d. varicella
e. mumps
b c d
a nurse is providing teaching for an adolescent client who has mononucleosis. the client has a fever, fatigue, swollen lymph nodes, sore throat, and a sore upper abdomen. which of the following instructions should the nurse include in the teaching? select all that apply.
a. take antibiotics until symptoms subside.
b. drink plenty of liquids
c. avoid participating in strenuous activities.
d. allow for periods of rest
e. take aspirin as needed for fever and discomfort
f gargle with salt water ever 2 to 3 hrs
b c d e f
a nurse is assessing a client who has pertussis.. which of the following findings should the nurse expect? select all that apply
a. runny nose
b. mild fever
c. cough with whooping sound
d. swollen salivary glands
e. red rash
a b c
a nurse is teaching a group of parents about communicable diseases. the nurse should include that which of the following is the best method to prevent a communicable disease?
a. hand washing
b. avoiding persons who have active disease
c. covering your mouth
d. obtaining immunizations
d
a nurse is reviewing the medical record of a newborn who has necrotizing enterocolitis (NEC). which of the following findings is a risk factor for NEC?
a. macrosomia
b. transient tachypnea of the newborn (TTN)
c. maternal gestational hypertension
d. gestational age 36 weeks
d
a nurse is assessing a newborn who has congenital hypothyroidism. which of the following findings should the nurse expect? (select all that apply)
a. hypertonicity
b. cool extremities
c. short neck
d. tachycardia
e. hyperreflexia
b c
a nurse is teaching the parent of a newborn how to treat the newborns plagiocephaly. which of the following statements by the parent indicates an understanding of the teaching?
a. " i should put my baby to sleep on her belly during her afternoon nap."
b. " i should ensure my babys head is in the same position each time she sleeps"
c. " i should have my baby wear the prescribed helmet 23 hrs a day."
d. " i should allow my baby to sleep in her infant swing"
c
a nurse is developing a plan of care for a newborn who has hyperbilirubinemia and is to undergo photograph. which of the following actions should the nurse include in the plan of care?
a. reposition the newborn every 4hr
b. lotion the newborns skin twice per day
c. check the newborns temp every 8 hr
d. remove the newborns eye mask during feedings.
d
a nurse is providing preconception teaching with a client who hasp ku. which of the following information should the nurse include in the teaching?
a. follow a low phenylalanine diet once pregnancy is confirmed
b. the client will undergo testing of phenylalanine levels one to two times per week throughout pregnancy.
c. increase intake of dietary proteins prior to conception.
d. the client will require a c section birth due to the likelihood of having a fetus with macrosomia
b
a nurse is caring for a child who is experiencing respiratory distress. which of the following findings are early manifestations of respiratory distress? select all that apply
a. bradypnea
b. peripheral cyanosis
c. tachycardia
d. diaphoresis
e. restlessness
c d e
a nurse in the emergency department is caring for a child whose parents reports that the child has swallowed paint thinner. the child is lethargic, gagging, and is cyanotic. which of the following actions should the nurse take?
a. induce vomiting with syrup of ipecac
b. insert ng tube and administer activated charcoal
c. prepare for intubation with a cuffed endotracheal tube
d. administer chelation therapy using deferoxamine mesylate
c
a nurse in the emergency department is admitting an infant who experienced a life threatening event. which of the following prescriptions by the provider should the nurse anticipate (select all that apply)
a. electroencephalogram
b. electrocardiogram
c. urine culture
d. abgs
e. blood culture
a b e
a nurse is providing teaching to a parent about acetaminophen poisoning. which of the following information should the nurse include in the teaching?
a. nausea begins at 24 hr after ingestion.
b. pallor can appear as early as 2 hr after ingestion
c. jaundice will appear in 12 hr if the child is toxic
d. children can have 4 g/day of acetaminophen
b
a nurse in a community center is providing an inservice to a group of parents on managment of airway obstructions in toddlers. which of the following responses by the parents indicates understanding? (select all that apply)
a. " i will push on my child abdomen"
b. i will hyperentend my childs head to open his airway
c. i will listen over my childs mouth for sounds of breathing
d. i will use my finger to check my childs mouth for objects
e. i will place my child in me car and take him to the closest emgerency facility
a c d
a nurse is teaching a group of parents about characteristics of infants who have failure to thrive. which of the following characteristics should the nurse include in the teaching?
a. intense fear of strangers
b. increased risk for childhood obesity
c. inability to form close relationships with siblings
d. developmental delays
d
a nurse is providing instrution to the teacher of a child who has adhd. which of the following classroom strategies should the nurse include in the teaching ? select all that apply
a. eliminate testing
b. allow for regular breaks
c. combine verbal instruction with visual cues
d. establish consistent classroom rules
e. increase stimuli in environment
b c d [Show Less]