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Duplicate of Exam 1 Review
Duplicate of Exam 1 Review
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1
Glycogen loading is practiced by the high school football team. What is most important to monitor in these students?
the amount of protein the student is eating
the amount of carbohydrates the student is eating
how often the students engage in this practice
how many hours the student exercises each day
2
The parent of an 8-year-old child requests information from the nurse on proper nutrition for his child. Which is true?
“Approximately 40%-50% of daily calories should come from protein.”
“An 8-year-old needs 800 to 1,000 mg of calcium daily."
"A child who is moderately active needs 1,200 - 1,400 calories a day.”
“25%-35% of his daily caloric intake should come from carbohydrate"
3
A student is providing preop care to a 9yo having surgery. Which action by the student would cause the RN to intervene?
Delays preoperative teaching until immediately before the procedure.
Provides the child with the opportunity to see and touch IV equipment.
Explains the surgery using a diagram and simple anatomical terms.
Allows the child to select which arm will be used for the intravenous site.
4
RN is reviewing the EMR of an 11-year-old child with a conduct disorder. Which are characteristics of this?
history of temper tantrums and head banging
history of being easily annoyed and dismissive
Initiator of physical fights, history of arson and truancy
Submissive to others and history of depression
5
Which behavior by an 18yo is consistent with successful progression through the stages of Piaget’s theoryof development?
uses critical thought processes to handle a problem
has a strong sense of understanding of internal identity
reflects a strong moral code
Able to be part of a large group of peers while maintaining a sense of self
6
A parent is concerned that her 7yo child has 3 cavities. What education should the nurse provide?
"You should be brushing her teeth at this age"
"You should use an electronic toothbrush to brush her teeth"
"Children need help brushing teeth until they are 7-10 years of age"
"You should be taking her for a teeth cleaning every year"
7
A caregiver reports her 3 yo gets 6-8 hours of sleep at night. How would the nurse respond to this?
" That is appropriate sleep for a 3 yr old"
"A 3 yr old should sleep 8-10 hours at night"
" A 3 yr old should sleep an average of 12 hours at night"
" A 3 yr old should sleep 14-16 hours and nap"
8
At 4 years of age, a child is developing a conscience.
True
False
9
Nurse is discussing interventions for health eating (8 yo girl). Which response indicates a need for further discussion?
"My daughter likes to have a glass of milk with her meal."
Mother states: "My daughter eats one item at a time."
"My daughter likes many different kinds of fruits and vegetables."
"My daughter must stay at the table until she has cleaned her plate."
10
Considering the moral development of a 7yo which actions are most consistent with the anticipated state of development?
child gears his actions to avoid getting punished
child only gives consideration to how the actions will impact himself.
child considers the impact of actions on others in his environment.
child focuses on being a good girl or boy (a "good person")
11
A nurse is preparing a plan for a school-age child to address a hospitalization. Which factor should the nurse include?
can take in new information at a rapid rate and asks "why" and "how" a lot
increased attention span & interest in an activity for long length of time
Grows and develops skills more rapidly than at any other time in her life
insists he or she can "do it" and then reverts to being dependent
12
What would lead the nurse to suspect that an adolescent has bulimia?
nail pitting
body mass index less than 17
bradycardia
calluses on back of knuckles
13
A child seeks for a toy when it is covered by a blanket. This is known as:
Cephalocaudal
Object Recognition
Proximodistal
Object Permanence
14
A teen states his parents embarrass him in front of his friends when they kiss him goodbye. This teen is revisting:
The industry stage of development identified by Erikson
The initiative stage of development identified by Erikson
The generativity stage of development identified by Erikson
The autonomy stage of development identified by Erikson
15
A newborn weighs 9lb 8oz at birth, what would the nurse expect her to weight at 6 mo in
KG
?
6.81 kg
12.27 kg
8.63 kg
11.36kg
16
A school age child has an average growth of this per year:
1 in and 2 lbs
5 in and 15 lbs
2.5 in and 7 lbs
little to no growth is expected at this age
17
An IM medication is ordered on a 9mo. The nurse is aware that the preferred injection site for this patient is:
Ventro gluteal
Dorsal gluteal
Deltoid
Vastus lateralis or anterolateral thigh
18
A provider writes an order to administer Benadryl 15 mg PO. Concentration is 12.5mg/5ml. How many mls would you give?
3 ml
12 mg
10 ml
6 ml
19
Bike safety should include:
All of the above
Child should demonstrate ability to ride bike safely before riding on road
Child should be aware that all traffic signs and signals must be observed.
Child should learn to watch & listen for cars & stop and look both ways
20
An athlete who had a concussion 2 wks ago is having issues in a class that he did well in before What should RN do 1st
Ask the student to describe the issues he is having in the class.
Notify parents that their child should see the family health care provider.
Ask teacher if he is achieving the recommended level of cognitive activity
Perform a neurologic assessment to see if there are any changes
21
Which condition is characterized by multiple motor tics & one or more vocal tics many times throughout the day for >1yr?
Asperger syndrome
Attention deficit hyperactivity disorder
Trichotillomania
Tourette syndrome
22
What statement of a mom of 13 yo would lead the RN to suspect oppositional defiant disorder rather than conduct disorder
“He has frequent temper tantrums.”
“He is constantly lying to me.”
“He has stolen hundreds of dollars from my purse.”
“He was pulling the neighbor's dog around by his leash.”
23
12 yo is upset a friend stole something & he knows its not acceptable behavior. What stage of moral development is this?
Freud's Latency Stage
Erikson's Industry vs. Inferiority Stage
Piaget's Concrete Operational Stage
Kohlberg's Conventional Stage 4
24
A nurse is preparing to conduct health screenings of students age 6-8. Which screening should the nurse prioritize?
Scoliosos screening
Nutritional needs
Immunization record review
Vision and hearing
25
What history would the nurse interpret as the
most
sensitive indicator of intellectual disability?
History of seizures
Vision deficit
Language delay
Preterm birth
26
Nurse is assessing an adolescent girl with anorexia nervosa. What would indicate that the girl requires hospitalization?
body mass index of 18
soft, sparse body hair and dry, sallow skin
weight gain of one-half pound per week
food refusal
27
According to Erickson,
this
is crucial in the 1st year of life and serves as the foundation for later psychosocial tasks
Trust
Phallic stage
Preoperational stage
Obedience
28
The nurse is caring for a 7-year-old with Tourette syndrome. The nurse would be alert for which comorbid condition?
Asperger syndrome
depression
anxiety disordera
attention deficit hyperactivity disorder (ADHD)
29
A 9yo is having a physical. Knowing that the child is in Piaget’s period of concrete operational thought, you sould see:
Children at this age know lying is bad-she gets sent to her room for it.
Children at this age consider an action and its consequence
Children at this age make generalized assumptions about groups of things.
Children at this age view the world in terms of their own experience
30
The nurse is caring for a 12 yo patient confined to her bed due to spinal surgery. What would be the best intervention?
Ask for the parents' assistance.
Encourage the child to complete her homework.
Offer the child reading materials.
Enlist the aid of a child-life specialist.
31
A caregiver of an infant asks the nurse what to do if her baby is behind on milestones. How should the nurse respond?
"Your baby will be monitored when he is in school"
"Your baby was full term so there should no be a reason to worry"
"There are early intervention programs that the provider can refer you to"
"You shouldn't be concerned, when the baby is older we can check him again"
32
Using Piaget's theory, what would be the
best
explanation about the formal operations level of cognitive development?
>12yrs a child can think in the abstract, including complex problem solving
@ 7-11 years, children internalize actions and can perform them in the mind
< age 2, children learn by touching, tasting, & feeling
Children 2-7yo explore & look at things from their own point of view
33
A 16 year old is seeking care due to pregnancy, according to federal law consent for treatment must be obtained from:
the father of the baby
the patient
the caregiver
the provider
34
An 11 year old female states that she was sexually assaulted, as the admitting nurse you should:
Report to law enforcement or contact the sexual abuse team to assess the pt
First ensure that the child is telling the truth, then report the event
Get specific details & document in the chart-there is not a need to report
Ask the caregiver to leave the room and examine the patients genitals
35
A 15 yo is concerned that her medication is going to make her gain weight. The nurse is aware this is due to:
Patients this age have high anxiety
Teenagers may make up excuses not to take a medication
Patients this age are concerned with what adults think of them
Body Image being important to patients this age
36
In deciding on projects for a unit, the nurse determines the 8-year-old will be best suited to work on which activity?
stack blocks in a tower
form vases from blocks of clay
put together a model plane
build a sandcastle with a water-filled moat
37
A toddler is receiving a medication IM. The nurse should use the following needle gauge and length:
22-25g/ 5/8 in
18-20g/ 1.5in
22 -25 g/ 2 in
20-22g/1 in
38
A nurse is educating parents on the use of fluoride for their 2-year-old son. The nurse would include the following:
"Flouride does not help with tooth decay"
"Use a grape size amt of fluroide toothpaste and allow the child to spit"
"You can use pea size amt of fluroide toothpaste and encourage him to spit"
"Children this age do not need flouride"
39
A father reports his toddler is throwing fits when out in public. How should the nurse respond?
"Ignore the behavior and do not give in to the childs demands"
"Reward the child after they calm down"
"Tell the toddler that he will get a time out when he gets home"
"You can use any type of discipline you feel is right"
40
Erickson's Autonomy vs Shame and Doubt stage is associated with which age group?
Infant
Pre-School
Adolescent
Toddler
41
A 17-year-old adolescent tells the nurse he thinks he is gay. Which statement from the nurse is best?
“You are not gay; you are confused.”
“We need to talk about safe sex.”
“Tell me what makes you think you are gay.”
“This puts you in an at-risk category.”
42
By 9 months of age, a child should be able to:
Walk independently
Sit from standing position
Cruise furniture
Crawl with abdomen off the floor
43
For a school age child, you would expect respiratory and heart rate to decrease and blood pressure to increase.
False
True
44
According to Piaget, the adolescent develops the ability to think outside of the present.
False
True
45
A nurse knows that the following are associated with ADHD:
Impulsivity, laziness and defiance
Defiance, anxiety and hypoactivity
Inattention, impulsivity, and distractibility
Increased attention, obsessiveness and anxitey
46
A mom of a 12yo is learning about risk factors of drugs & alcohol use. Which indicates a need for further teaching?
“A family hx of ETOH use disorder(do)is a risk factor for substance use do”
“Just because his friends are experimenting does not mean that he will.”
“If my husband or I have a substance use do it could increase his risk”
“Negative life events are a potential risk factor.”
47
An order for Rocephin 350 mg IM is received. Concentration of Rocephin is 1 gm/2.5ml. How many mls would you give?
1.2 ml
0.085 ml
0.875 ml
8.75 ml
48
A 14 yo states: I am so clumsy when I play sports & its totally embarrassing Which response by the nurse is appropriate?
"Have you noticed any changes in your vision or hearing lately?"
"I understand you are worried. Has anyone else in your family had this?"
"I will ask the primary health care provider order a MRI"
"Experiencing rapid uneven growth can interfere with coordination"
49
RN is caring for a child on Lithium for bipolar disorder. Dad inquires about potential side effects. Most approrprite?
He may experience a decrease in his appetite or difficulty sleeping
You need to watch for dry mouth, urinary retention, and constipation
This medication can cause seizures, agitation, headache, and nausea
You may see excessive urination, thirst, tremor, nausea wt gain or diarrhea
50
Which of the following is most important when assessing pain?
Documentation of the pain score
Using the same tool to assess the child's pain each time
Asking the caregiver about the patients pain tolerance
Obtaining a pain rating from the child with each assessment
51
A nurse assessing a 10-year-old girl documents the appearance of breast buds, identifying this as what body change?
Tanner stage 5
thelarche
puberty
menarche
52
Seperation anxiety is common at what age?
2 months
9 months
4 months
36 months
53
A nurse is speaking with a group of teachers about bullying Which statement would indicate a need for further education?
“Boys are twice as likely to be bullies and to be victims of bullying.
“Being bullied can have negative effects throughout a child’s life.”
“Boys bully more often but girls are more likely to be bullied.”
“Kids who are bullied can display physical and psychological symptoms.”
54
A 9 yo states "my friend said soccer is dumb so now I want to play tennis." Which best explains effects of peer groups?
Children this age will only listen to caregivers
Acceptance by friends is very important at this age
Children this age prefer to play only with adolescents
Children at this age do not like team sports
55
The caregiver of an adolescent should be concerned if he/she displays the following after starting antidepressants:
Loss of appetite
Loss of interest or pleasure
Increased excitement
Wanting to be around peers
56
The immune system of a school age child matures to adult level at this age:
10 years old
8 years old
18 years old
13 years old
57
What would the nurse be
least
likely to include in a teaching regarding techniques to manage behavior?
Provide positive feedback for self-control efforts.
Set limits with the child for responsible behavior.
Ignore inappropriate behaviors.
Focus the child's attention on the negative behavior.
58
Parents have concern about the amt of time their child (9yo) spends with friends outside the home. Peer groups provide:
time to remain dependent on their parent
an opportunity for child to become self sufficient
time to establish relationships with the opposite sex
a sense of security as child gains independence
59
Mom is concerned her 14yo is always eating. He is 54 kg & 165cm tall. What is the best explanation the nurse can give?
"The calories help his body increase muscle mass."
"He needs the calories because he participates in sports."
"His calorie intake predisposes him to future obesity."
"He is substituting food for unfilled needs."
60
Mom reports her toddler has begun sucking her thumb again since the birth of her brother, how would respond to this?
"Younger children may exhibit regressive behavior during times of stress"
"This is most likely just for attention, it should stop soon"
"You can place some spicy sauce on her thumb to see if this makes her stop"
"This may cause her to need braces later in life, you should have her stop"
61
A nurse is caring for a 5 yo girl with depression. The nurse anticipates a referral to a therapist that specializes in:
hypnosis.
individual therapy.
behavioral therapy.
play therapy.
62
Nurse is promoting nutrition to a teen who is in a growth spurt, which food is recommended for its high iron content?
whole grain bread
fat-free milk
fresh orange juice
organic carrots
63
Nurse is providing education to an adolescent prescribed tetracycline PO. What should the nurse include in this teaching
Take the medication on an empty stomach.
Limit the amount of sun exposure.
Improvement should be seen in 1 week.
Take the prescribed 500 mg throughout treatment.
64
The nurse knows that the anterior fontanelle should close by:
6 months of age
18 months of age
4 months of age
12 months of age
65
How would a nurse address the issue of excessive electronics exposure?
"It appears as if your child is watching too much TV. What do you think?"
"Would you like a pamphlet on how TV watching affects a child's health?"
"Children who watch a great deal of tv are more likely to become obese."
"One hour of electronics a day should be the limit for children."
66
Which statement would lead the RN to suspect autism spectrum disorder rather than possible learning disability in a 3yo?
“He is not speaking in complete sentences.”
"We can understand a lot of what he says, but no one else can.”
“He seems to be speaking words less and less frequently.”
“He is unable to sit still for a short story.”
67
A preschool child talks to her stuffed animal at night. This is known as what?
Animism
Autism
Stranger Anxiety
Regression
68
When administering ear drops in a child younger than 3 years of age the nurse should:
Pull the pinna of the ear up and back
Pull the pinna of the ear down and back
Pull the lobule forward
Pull the tragus of the ear back
