A 10-year-old weighs 99 lb (44.9 kg) and has a BMI of 24.8 kg/m2 (>95th percentile). Which is
the most important assessment for the nurse to make before initiating a weight loss plan?
1. Child's pattern of daily physi
...
A 10-year-old weighs 99 lb (44.9 kg) and has a BMI of 24.8 kg/m2 (>95th percentile). Which is
the most important assessment for the nurse to make before initiating a weight loss plan?
1. Child's pattern of daily physical activity
2. Family's eating habits
3. Family's financial resources for purchasing healthy foods
4. Family's readiness for change Ans- 4
The nurse receives change of shift report on 4 clients. Which client should the nurse assess first?
1. 6-month-old with respiratory syncytial virus and pulse oximetry of 90%
2. 1-year-old with otitis media and a temperature of 102.5 F (39.2 C) rectally
3. 2-year-old with suspected epiglottitis
4. 3-year-old who has a barking-type cough Ans- 3
The clinic nurse reviews teaching provided to the parent of a child being considered for growth
hormone replacement therapy at home. Which statement by the parent indicates that teaching has
been effective?
1. "Treatment will be considered a success when my child grows at a rate equal to peers."
2. "Treatment will be required throughout my child's life."
3. "Treatment will begin when my child becomes an adolescent."
4. "Treatment will require a daily injection under my child's skin." Ans- 4
The nurse is performing an assessment on a 2-day-old infant with suspected Hirschsprung
disease. Which findings should the nurse anticipate? Select all that apply.
1. Bright red bleeding from anus
2. Distended abdomen
3. Has not passed stool (meconium)
4. Nonbilious vomiting
5. Refusal to feed Ans- 2,3,5
A nurse is planning to complete a physical examination of a toddler. Which approach is an
appropriate intervention by the nurse?
1. Encourage the parent to be involved with the child
2. Engage in physical contact by removing the toddler's outer clothing first
3. Have medical equipment lying on a counter within view
4. Perform an examination in a head-to-toe order Ans- 1
Which findings in a newborn are considered abnormal and should be reported to the health care
provider (HCP)? Select all that apply.
1. Cyanosis of the hands and feet
2. Decreased muscle tone
3. Heart rate of 150/min
4. Sacral dimple
5. Single artery in the umbilical cord Ans- 2,4,5
A nurse is discussing parallel play with parents of toddlers. Which statement should be included
in the discussion?
1. "One toddler will take on a follower role."
2. "One toddler's choice of a toy determines the choices of others."
3. "The child may actively watch other children in the group."
4. "The children play without group goals." Ans- 4
What is the most therapeutic intervention the nurse should complete when admitting a 10-monthold to the pediatric unit?
1. Allow the child to sit on the primary caregiver's lap while auscultating breath sounds
2. Instruct the primary caregiver to restrain the
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