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A nurse manager 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 the nurse include when discussing the developmental 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 - correct answers D A nurse is assisting a group of parents of adolescents to develop skills that will improve communication. The nurse heads one parent states "my son knows he better do what | say". Which of the parenting styles is he exhibiting? A. Authoritarian B. Permissive C. Authroitative D. Passive - correct answers A A nurse is performimg 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 - correct answers A, B, D, E A nurse is preparing to assess a preschool-age child. Which of the following is an appripirate action by the nurse to prepare the child? A. Allow the child to role play using miniature equipment B. use medical terminology to describe what will happen C. separate th child from her parents during examination D. keep medical equipment visible to the child - correct answers A A nurse is checking the vital signs of a 3-year-old during a well child visit, which of the following findings should the nurse report to the provider? A. temperature 37.2C (99.0F) B. Heart rate of 106/min C. Respirations 30/min D. Blood pressure 88/54 mmHg - correct answers C Anurse is assessing a child's ears. Which of the following is an expected finding? A. Light reflex is located at the 2 0 clock position B. Tympanic membrane is red in color C. bone landmarks are not visible D. Cerumen is present bilaterally - correct answers D A nurse is assessing a 6-month-old infant. Which of the following reflexes shoud! the infant exhibit? A. Moro B. Plantar grasp C. Stepping D. Tonic necl - correct answers B 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. clencing the teeth together tightly B. recognizing a sour tast C. identifying smells through each nostril C. Pureed foods D. Whole Milk - correct answers B Anurse is providing teaching about dental care and teething to the parent of a 9-month-old. Which of the following statements by the parent indicates an understanding of the teaching? A. | can give my baby a warm teething ring to relieve discomfort B. | should clean my baby's teeth which a cool, wet washcloth C. | can give Advil for up to 5 days while my baby is teething D. 1 should place diluted juice in the bottle my baby drinks while falling asleep - correct answers B A nurse is performing a develomental 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 6 blocks B. Throw a ball overhead C. walk up and down stais D. draw circles E. use a spoon without rotation - correct answers B, E A nurse is providing teaching about age-appropriate activities to the parent of a 2 year old. Which of the following statemetns by the parent indicates an understanding of the teaching? A. | will send my child's favorite studdef animal when she will be napping away from home B. My child should be able tot stand on one foot for a second C. The soccer team my child will be playing on starts next week D. | should expect my child to be able to draw circles - correct answers A 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. Metting caloric needs resulting in an increased appetite C. expression of bedtime fears is common D. Expect behaviors associated with negativism and ritualism E. Annual screenings for phenylketonuria are important - correct answers A, C, D A nurse is providing teaching to the parent of a preschool age shcil about methods to promote sleep. Which of the following statements by the parent indicated an understanding of the teaching? A. | wil sleep in the bed with my child if she wakes up during the night B. | will let my child stay up and additional 2 hours on weekend nights C. | will et my child watch television for 30 minutes nust before bedtime each night D. | will keep a dim lamp on in my child's room during the night - correct answers D A nurse is conducting a well child visit with a 5 year old child. Which immunizations shoudl the nurse plan to administer to the child? (Select all that apply) A. DTaP B. IPV C. MMR D. PCV E. Hib - correct answers A, B, C A nurse is preparing an education program for a group of parents of preschool-age children about promoting optimum nutrition. Which of the following information should the nurse include in the teaching? A. saturated fats should equal 20% of total daily caloric intake B. Average calorie intake should be 1800 calories per day C. dailyintake of fruits and vegetables should total 2 servings D. Healthy diets include a total of 8g of protein each day - correct answers B A nurse is assessing a 2.5-year-old toddler at a well-child visit. Which of the following findings should the nurse report to the provider? A. height increased by 7.5cm or 3inches in the past year B. Head circumference exceeds chest circumference D. Tdap E. RV - correct answers A,C, D A nurse is teaching a course about safety during the school age years to a 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 bicyles or skateboarding C. riding safely in bed of pickup trucks D. implementing firearm safety E. wearing seat belts - correct answers B, D, E A nurse is providing teaching about expected changes during puberty to a gorup of parents of early adolescent girls. Which of the following statements by one of the parents indicates and understanding of the teaching? A. girls usually stop growning abotu 2 years after menarche B. girs] are expected to gain about 65 pounds during puberty C. girls experience menstartion prior to breast development D. Girls typiucaly grow more than 10 inches during puberty - correct answers A A nurse is providing anticipatory guidance to the parent of a 13 year odl adolescent. Which of the following screenings shoudl the nurse reccomend for the adolescent? (select all that apply) A. body mass index B. blood lead level C. 24 hour dietary recall D. Weight E. Scoliosis - correct answers A, D, E A nurse is caring for an adolescent whose mother expresses ocncersn about her child sleeping such long hours. Which of the following conditions shoud! the nurse inform the mother as requiring additional sleep during adolescnets? A. sleep terrors B. rapid growth C. elevated zinc levels D. slowed metabolism - correct answers B A nurse is teaching 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. voval changes C. testicular enlargement D. facial hair growth - correct answers C A nurse is planning to administer the influenza vaccine to a toddler. Which of the following actions should the nurse take? A. administer subg to the abdomen B. use a 20guage needle C. Divide the medicaiton into two injections D. place the child in supine position - correct answers D A nurse is preparing to administer an IM injection to a child. Which of the following muscle gorups is contraindicated? A. Deltoid B. ventrogluteal C. vastus lateralus D. dorsogluteal - correct answers D 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. as the pharamacy to add flavoringto the medication C. add the medication to a formula bottle before feeding D. administer IV analgesics on a schedule - correct answers D Anurse is assessing an infant. Which of the following are manifestations of pain in an infant? (select all that apply) A. Pursed lips B. loud cry C. lowered eybrows D. Rigid body E. pushes away stimulus - correct answers B,C,D A nurse is planning care for an infant who is experincing pain. Which of the following interventions should the nurse include in the plan of care? (select all that apply) A. offer a pacifier B. use of guided imagery C. use swaddling D. initiate a behavioral contract E. encourage kangaroo care - correct answers A,C,E A nurse is preparing a toddler for an IV catheter insertion using atraumatic care. Which of the following actions shoud! the nurse take? (select all that apply) A. explain the procedure using the child's favorite toy B. ask the paretns to leave during the procedure C. perform the procedure with the child in his bed D. allow the child to make on choice regarding the procedure E. apply lidocaine and prilocaine cream to three potential insetion sites - correct answers A, D, E A nurse is caring for a preschooler. Which of the following is the expected behavior of a preschool-age child? A. Describing manifestations of illness B. relating fears to magical thinking C. understanding cause of illness D. awareness of body functioning - correct answers B Anurse on a pediatric unit is caring for a toddler. Which of the following behaviors is an effect of hospitalization? (select all that apply) A. believes the experience is a punishment B. experiences separtion anxiety C. displays intense emotions D. axhibits regressive behaviors E. Manifests disturbance in body image - correct answers B, C, D A nurse is teaching a parent about parallel play in children. Which of the following should the nurse include in the teaching? A. children sit and observe others playing B. Children exhibit organized play when in a group C. the child plays alone D. The child plays independently when in a group - correct answers D A nurse is teaching a group of parents about separation anxiety. Which of the following information shoudl the nurse include in the teaching? A. it is often observed int the school age child B. detachment is the stage exhibited in the hospital C. it results in prolonged issues of adaptibility D. kicking a stranger is an example - correct answers D A nurse is caring for child who is dying. Which of the following are findings of impending death? ( select all that apply) A. heightened sense of hearing B. tachycardia C. difficulty swallowing D. | will listen and respons as the family talks about thier child's life - correct answers D Anurse is caring for a client who has suspected meningitis and a decreased level of consiousness. Which fo the following actions by the nurse is appropriate? A. place the patient on NPO status B. prepare the client for a liver biopsy C. position the patient in dorsal recumbent D. put the client in a protective environment - correct answers A Anurse is reviewing cerebrospinal fluid analysis for a client wha has suspected meningitis. Which of the following findings shoudl the nurse identify as indicating viral mengingits? (select all that apply) A. negative gram stain) B. normal glucose content C. Cloudy color D. decreased WBC count E. normal protein count - correct answers A, B, E A nurse is caring fro a 4 month old infant wha has meningitis, Which fo the following findings is associated with this diagnosis? A. fepressed anterior fontanel B. constipation C. presence of rooting reflex D. high pitched crying - correct answers D Anurse is caring for a patient who possibly has Reye syndrome. Which of the following is a risk factor for developing reye syndrome? A. recent hisotyr of infectious cystitis cauased by candida B. recent hisotrial of bacterial otitis media C. recent epidose of gastrenteritis D. Recent episode of Haemophilus influenzae meningitis - correct answers C A nurse is developing an inservice about viral and bacterial meningiting. The nurse shoudl include that the introduction of which of the following immunizations decreased the incidence of bacterial meningitis in children? (select all that apply) A. IPV B. PCV C. Dtap D. Hib ETIB - correct answers B, D A nurse is caring for a child who has absence seizures. Which of the following findings should the nurse expect? (select all that apply) A. loss of consciousness B. appearance of daydreamimg C. dropping held objects D. falling to the floor E having a piercing cry - correct answers A, B, C A nurse is caring for a child who just experienced a generalized seizure. Which of teh following is the priority actio for the nurse to take? A. Maintain the child in a side ying position B. loosen the childs restricitve clothing C. reorient the hcild to the environment D. not the time and characteristics of the seizure - correct answers A A nurse is providing teaching to the parent of a child who is to have an EEG. Which of the following responses hodul the nurse include in the teaching? A. decaffieicated beverages should be offred on the morning of the procedure B. do nto wash your child's care the night before the procedure C. withold all foods the morning of the procedure C. increase motor response D. increased sleeping E. increased senory response - correct answers A, B, D A nurse is caring for a child with ICP. Which of the following actions shudl the nurse take? (select all that apply) A. suction the endotracheal tube every 2hours B. maintian a quiet environment C. use two pillows to elevate the head D. administer a stoal softener E. maintian body alignment - correct answers B, D, E A nurse is assessing a child who has a concussion. Which of the following findings should the nurse expect. (select all that apply) A. amnesia B. systemic hypertension C. bradycardia D. respiratory depression E. confusion - correct answers A, C, D, E A nurse is caring for a child who is taking mannitol for cerebral edema. Which of the following adverse effects shoudl the nurse monitor the child for and report to the provider? A. bradycardia B. weight loss C. confusion E. constipation - correct answers C 
