Download Children's Exam 1 Practice: 45 Questions with Verified Answers and more Exams Nursing in PDF only on Docsity! Children's exam 1 practice 45 Questions with Verified Answers The nurse is asked to restrain a toddler-age child to protect an incision following surgery. The nurse is aware of which guidelines from the Joint Commission on - CORRECT ANSWER obtain an order that specifies reason, type of restraint, and start/stop time encourage games and activities that promote growth and development assess hygiene and elimination needs A pediatrician recommends that the family of a child with cystic fibrosis receive care in a medical home. Which is a benefit for this child, and family, with this service? - CORRECT ANSWER families will be provided support for finding resources and information A pediatric nurse caring for patients with special needs tells the parents that a health-care setting is available that provides comprehensive primary care services on an ongoing basis in a manner encouraging a positive relationship with the child, the family, and the health-care team. Which term does the nurse use when describing this health-care setting? - CORRECT ANSWER medical home A 12-year-old patient visits a pediatrician with his father. The patient has been experiencing headaches following a concussion that occurred during soccer practice. When conducting the interview with the patient and his father, which interview guideline is most appropriate for the nurse to use? - CORRECT ANSWER use the OLD CAT mneumonic to ask andy the appropriate questions The pediatric nurse working in a community clinic teaches the student nurse that when children become ill, the traditional setting for pediatric nursing care is the primary health-care provider. Which characteristics of a primary health-care provider will the nurse include when teaching the student nurse? - CORRECT ANSWER the facility allows the child to remain in the care of the family the facility provides well-child check ups the facility provides routine immunizations/vaccinations The pediatric nurse is aware that the Denver II Screening Test can help identify children at risk developmentally by measuring which skills? - CORRECT ANSWER personal and social language fine motor gross motor The pediatric nurse is explaining the procedure for debriding a wound to a preschooler. Which is an age-appropriate method of describing the process? - CORRECT ANSWER use play to demonstrate the procedure The pediatric nurse uses the technique of role modeling when preparing a hospitalized child for an insulin injection. Which actions are included in role modeling? - CORRECT ANSWER show the child a video of another child getting the injection showing the child how the injection will occur by pretending to inject self The pediatric nurse admitting a child to the hospital explains to the parents that the first stage of separation the child will experience is protest. Which reactions does the nurse educate the parents that the child may exhibit during this stage? - CORRECT ANSWER the child may cling to parent he child may cry or act aggressivley A pediatric nurse prepares to perform a physical assessment of a school-age child. Which is an accurate guideline to follow when examining school-age children? - CORRECT ANSWER before the physical assessment, take vital signs and growth measurements of height, length and head circumference, and skinfold thickness A pediatric nurse prepares a child to receive oxygen, via an oxygen tent delivery system, by allowing the child to place a teddy bear in and out of the tent and then rewarding the child with a sticker. Which practice is the nurse using? - CORRECT ANSWER therapeutic play The pediatric nurse admits a child with cancer to a day hospital. Which services are provided to the child in this setting? - CORRECT ANSWER antibiotic therapy blood transfusions manifestations support the current diagnosis of mania? - CORRECT ANSWER overly happy impulsive behavior The nurse is assessing a female adolescent client who is diagnosed with anorexia nervosa. The nurse knows that diagnostic criteria for anorexia nervosa include a weight less than ___% of what the expected weight is for height and/or age. - CORRECT ANSWER 85 The nurse is conducting a health history for a child who is being evaluated for mental illness. After reviewing the health history, which item affects this child's vulnerability for mental illness? - CORRECT ANSWER temperament The nurse is providing care to an adolescent who is experiencing posttraumatic stress disorder (PTSD) following a motor vehicle accident. Which clinical manifestations does the nurse anticipate based on the diagnosis? - CORRECT ANSWER experiencing frequent nightmares avoiding the road where the accident occurred experiencing symptoms of panic Child maltreatment includes abuse and neglect of a child less than _____ years of age by anyone who is in a caregiver or custodial role (e.g., a parent, foster caregiver, clergy, coach, or teacher). - CORRECT ANSWER 18 A 14-month-old and her mother visit the health clinic to inquire about vaccinations. Based on the child's age, which stage of development does the nurse document? - CORRECT ANSWER toddler A(n) ___________ domain approach to growth and development theories explains, describes, and predicts the various aspects of growth and development. - CORRECT ANSWER theoretical The mother of a 5-year-old male tells the clinic nurse that her son asked her about the differences in his anatomy and that of his baby sister. The nurse reassures the mother that this is normal behavior for her son because the child is in which of Freud's developmental stages? - CORRECT ANSWER phallic stage The school nurse is aware that the school-age child works on tasks requiring awareness of space (where things are in relation to other things), causality (logical consequences), categories (how things fit together), _______________ (physical quantity can remain constant even when state is altered), and numbers. - CORRECT ANSWER conservation A mother brings her 2-year-old daughter to the clinic for a checkup. She tells the nurse that the child has been "headstrong" lately and refuses to wear the clothing that she lays out for her each day. Based on Erickson's stages of development, which would be the best response from the nurse? - CORRECT ANSWER At 2 years of age, it is normal for your child to establish willpower, determination, and a can- do attitude about herself, which includes trying to dress herself. ___________refers to the bond or emotional and physical connection that develops between an infant and caregiver and that tends to endure. - CORRECT ANSWER attachment The nurse educator is presenting Albert Bandura's social learning theory of development to a group of nursing students. Which statements will the nurse educator include in the presentation? - CORRECT ANSWER Learning occurs within a social context through observation and modeling. There are several foundations for developing self-efficacy, including mastery, modeling, social persuasion, and decreasing the perception of stress and threat. Children who have not had adequate positive modeling, or who have not had access to success-inducing experiences, may suffer negative consequences and lack good self-efficacy. When assessing spirituality in children, the pediatric nurse is aware that Kohlberg's Level II, or the _____________ level for the child, is marked by the child's incorporation of social and interpersonal relationships. - CORRECT ANSWER conventional The student nurse learns that in ___________family development stage known as middle-age family, the family continues to focus on reinvesting in the couple's relationship, and relationships with the extended family are realigned. - CORRECT ANSWER duvall's A pediatric nurse assesses the language skills of a preschool child. This nurse is assessing an aspect of which developmental domain? - CORRECT ANSWER cognitive The pediatric nurse explains to the parents of a newborn that their baby will develop in a prescribed fashion. What might the nurse tell these parents regarding normal growth and development? - CORRECT ANSWER the baby's head is larger in proportion to the body the baby's sensory and motor skills begin developing from the head downward growth and development are a continuous process from conception to death The pediatric nurse knows that _______ identified seven stages related to faith and spiritual development. - CORRECT ANSWER fowler The pediatric nurse knows that ____________ refers to those characteristics present at birth that govern the way in which infants respond to their surroundings. - CORRECT ANSWER temperament A pediatric nurse explains Brazelton's "Touchpoints" model of child development to the parents of a toddler. Which will the nurse include in the teaching session? - CORRECT ANSWER There are 13 touchpoints in the model between birth and 3 years. In the model, periods of regression can occur just prior to periods of growth. The nurse can use the "Touchpoints" model to anticipate developmental transitions The nurse is planning care for a hospitalized adolescent patient. Which intervention is age-appropriate? - CORRECT ANSWER Allowing the patient's peers to visit during appropriate times