NSG6435 Final Exam 2 The nurse is seeing an adolescent boy and his parents in the clinic for the first time.What should the nurse do first?(ANS- introduce self
What action is most likely to encourage parents to talk about their feelings related to their child's illness?(ANS- Use open-ended questions.
What is the single most important factor to consider when communicating with children?(ANS- The child's developmental level
What is an important consideration for the nurse who is communicating with a very young child?(ANS- 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?(ANS- The child may think the equipment is alive.
Which age group is most concerned with body integrity?(ANS- School-age child
An 8-year-old girl asks the nurse how the blood pressure apparatus works. The
most appropriate nursing action is to:
(ANS- Explain in simple terms how it works.
When the nurse interviews an adolescent, it is especially important to:
(ANS- Allow an opportunity to express feelings.
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The nurse is having difficulty communicating with a hospitalized 6-year-old child.What technique might be most helpful?(ANS- 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?(ANS- Ask adolescent, "Why did you come here today?"
Where in the health history should the nurse describe all details related to the chief complaint?(ANS- 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?(ANS- 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:
(ANS- 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:
(ANS- 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:
(ANS- May provide sufficient amino acids.
Which parameter correlates best with measurements of the body's total protein stores?(ANS- Upper arm circumference
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An appropriate approach to performing a physical assessment on a toddler is to:
(ANS- 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?(ANS- 85th percentile
The nurse is using the NCHS growth chart for an African-American child. The
nurse should consider that:
(ANS- The NCHS charts are accurate for U.S. African-American children.
Which tool measures body fat most accurately?(ANS- Calipers
By what age do the head and chest circumferences generally become equal?(ANS- 1 to 2 years
The earliest age at which a satisfactory radial pulse can be taken in children is: (ANS- 2 years
Where is the best place to observe for the presence of petechiae in dark-skinned individuals?(ANS- 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:
(ANS- 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:
(ANS- Refer for immediate medical evaluation.
The nurse should expect the anterior fontanel to close at age:
(ANS- 12 to 18 months
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