NSG 6435 Final study questions 2020 - South University | NSG 6435 Final study questions 2020

NSG 6435 Final study questions 2020 - South University The nurse is seeing an adolescent boy and his parents in the clinic for the first time. What should the nurse do first? Introduce self. • What action is most ...

NSG 6435 Final study questions 2020 - South University The nurse is seeing an adolescent boy and his parents in the clinic for the 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 • When palpating the child’s cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm. The best explanation for this is: Infection or inflammation close to the site. • The nurse has just started assessing a young child who is febrile and appears very ill. There is hyperextension of the child’s head (opisthotonos) with pain on flexion. The most appropriate action is to: Refer for immediate medical evaluation. • The nurse should expect the anterior fontanel to close at age: 12 to 18 months • During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. The nurse should recognize that this is: A normal finding. • Binocularity, the ability to fixate on one visual field with both eyes simultaneously, is normally present by what age? 3 to 4 months • The most frequently used test for measuring visual acuity is the: Snellen letter chart. • The nurse is testing an infant’s visual acuity. By what age should the infant be able to fix on and follow a target? 3 to 4 months • The appropriate placement of a tongue blade for assessment of the mouth and throat is the: Side of the tongue. • What type of breath sound is normally heard over the entire surface of the lungs except for the upper intrascapular area and the area beneath the manubrium? Vesicular •            What term is used to describe breath sounds that are produced as air passes through narrowed passageways? Wheezes • The nurse must assess a child’s capillary filling time. This can be accomplished by: Palpating the skin to produce a slight blanching. • What heart sound is produced by vibrations within the heart chambers or in the major arteries from the back-and-forth flow of blood? Murmur • Examination of the abdomen is performed correctly by the nurse in this order: Inspection, auscultation, and palpation • The nurse has a 2-year-old boy sit in “tailor” position during palpation for the testes. The rationale for this position is that: It prevents cremasteric reflex. • During examination of a toddler’s extremities, the nurse notes that the child is bowlegged. The nurse should recognize that this finding is: Normalbecause the lower back and leg muscles are not yet well developed. • Kimberly is having a checkup before starting kindergarten. The nurse asks her to do the “finger-to-nose" test. The nurse is testing for: Cerebellar function. • The nurse must check vital signs on a 2-year-old boy who is brought to the clinic for his 24-month checkup. Which criteria should the nurse use in determining the appropriate-size blood pressure cuff? Choose all that apply. The cuff bladder width is approximately 40% of the circumference of the upper arm. The cuff bladder length covers 80% to 100% of the circumference of the upper arm. • Which data would be included in a health history? Choose all that apply Nutritional assessment Family medical history Sexual history Review of systems • Which statement best describes the infant’s physical development? Birth weight doubles by age 5 months and triples by age 1 year. • The nurse is assessing a 6-month-old healthy infant who weighed 7 pounds at birth. The nurse should expect the infant to now weigh approximately: 15 pounds • The nurse is doing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed. This should be interpreted as A normal finding. Because the anterior fontanel normally closes between ages 12 and 18 months, • By what age does the posterior fontanel usually close? 6 to 8 weeks • The parents of a 9-month-old infant tell the nurse that they have noticed foods such as peas and corn are not completely digested and can be seen in their infant’s stool. The nurse bases her explanation on knowing that: This is normal because of the immaturity of digestive processes at this age. - - - - - - - - - - - -- - - - - • The nurse is guiding parents in selecting a day care facility for their child. When making the selection, it is especially important to consider: Teachers knowledgeable about development. • The parent of a 4-year-old son tells the nurse that the child believes “monsters and boogeyman” are in his bedroom at night. The nurse’s best suggestion for coping with this problem is to: Suggest involving the child to find a practical solution such as a night light. • Preschoolers’ fears can best be dealt with by: Actively involving them in finding practical methods to deal with the frightening experience. • A normal characteristic of the language development of a preschool-age child is: Stammering. • During the preschool period the emphasis of injury prevention should be placed on: Education for safety and potential hazards • Acyclovir (Zovirax) is given to children with chickenpox to: Decrease the number of lesions • What may be given to high risk children after exposure to chickenpox to prevent varicella? Varicella zoster immune globulin (VZIG) • Vitamin A supplementation may be recommended for the young child who has: Measles (rubeola). • When is a child with chickenpox considered to be no longer contagious? When lesions are crusted • In which communicable disease are Koplik spots present? Measles (rubeola) • What describes a child who is abused by the parent(s)? Unintentionally contributes to the abusing situation • A common characteristic of those who sexually abuse children is that they: Pressure the victim into secrecy. • A 3-month-old infant dies shortly after arrival to the emergency department. The infant has subdural and retinal hemorrhages but no external signs of trauma. The nurse should suspect: Shaken-baby syndrome. • Strict isolation is required for a child who is hospitalized with (choose all that apply): Mumps. Chickenpox. Exanthema subitum (roseola). Erythema infectiosum (fifth disease). • What is 51-19