Peds Exam 1

Question 1

From a worldwide perspective, infant mortality in the United States

Answer 1

Is the highest of the other developed nations

Question 2

The major cause of death for children older than 1 year is

Answer 2

Unintentional injuries

Question 3

In addition to injuries, the leading causes of death in adolescents ages 15 to 19 years are

Answer 3

Homicide, suicide

Question 4

The type of injury a child is especially susceptible to at a specific age is most closely related to:

Answer 4

Developmental level of the child

Question 5

Which statement regarding childhood morbidity is the most accurate

Answer 5

Morbidity is not distributed randomly

Question 6

Which statement is most descriptive of pediatric family-centered care

Answer 6

It recognizes that the family is the constant in a childs life

Question 7

The nurse is preparing staff in-service education about atraumatic care for pediatric patients. Which
intervention should the nurse include

Answer 7

Prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed
animal.

Question 8

What type of family is one in which all members are related by blood

Answer 8

Consanguineous

Question 9

The nurse is teaching a group of new parents about the experience of role transition. Which statement by a
parent indicates a correct understanding of the teaching

Answer 9

My marital relationship can have a positive or negative effect on the role transition

Question 10

A 3-year-old girl was adopted immediately after birth. The parents have just asked the nurse how they
should tell the child that she is adopted. Which guideline concerning adoption should the nurse use in planning
her response?

Answer 10

Telling the child is an important aspect of their parental responsibilities

Question 11

A mother brings 6-month-old Eric to the clinic for a well-baby checkup. She comments, I want to go back to
work, but I dont want Eric to suffer because Ill have less time with him. The nurses most appropriate answer is:

Answer 11

Lets talk about the child care options that will be best for Eric

Question 12

Which term best describes a group of people who share a set of values, beliefs, practices, social
relationships, law, politics, economics, and norms of behavior

Answer 12

culture

Question 13

Which term best describes the emotional attitude that ones own ethnic group is superior to others

Answer 13

Ethnocentrism

Question 14

Health beliefs vary among the cultural groups living in the United States. The belief that health is a state of
harmony with nature and the universe is common in which culture?

Answer 14

native american

Question 15

The father of a hospitalized child tells the nurse, He cant have meat. We are Buddhist and vegetarians. The
nurses best intervention is to:

Answer 15

order the child a meatless tray

Question 16

Children are taught the values of their culture through observation and feedback relative to their own
behavior. In teaching a class on cultural competence, the nurse should be aware that which factor(s) may be
culturally determined (Select all that apply)?
a. Degree of competition
b. Racial variation
c. Determination of status
d. Social roles
e. Geographic boundaries

Answer 16

A,C,D

Question 17

A nurse is caring for an African-American child recently admitted to the hospital. The nurse should be
aware of which broad cultural characteristics for this child when planning care (Select all that apply)?
a. Silence may indicate a lack of trust.
b. Maintaining constant eye contact may be viewed as aggressive.
c. Self-care and folk medicine do not play a role in health care.
d. Illness may be seen as the will of God.
e. No importance is attached to nonverbal behavior.

Answer 17

A, B, D

Question 18

The head-to-tail direction of growth is referred to as

Answer 18

Cephalocaudal

Question 19

An infant who weighs 7 pounds at birth would be expected to weigh how many pounds at age 1 year

Answer 19

21 pounds

Question 20

How does the onset of the pubertal growth spurt compare in girls and boys

Answer 20

girls are usually first

Question 21

A childs skeletal age is best determined by

Answer 21

Radiographs of the hand and wri

Question 22

By the time children reach their twelfth birthday, they should have learned to trust others and should have
developed a sense of

Answer 22

industry

Question 23

According to Kohlberg, children develop moral reasoning as they mature. What is most characteristic of a preschoolers stage of moral development

Answer 23

Actions are determined as good or bad in terms of their consequences

Question 24

At what age do children tend to imitate the religious gestures and behaviors of others without
understanding their significance

Answer 24

toddlerhood

Question 25

Which function of play is a major component of play at all ages

Answer 25

sensorymotor activity

Question 26

What is probably the single most important influence on growth at all stages of development

Answer 26

nutrition

Question 27

Frequent developmental assessments are important for which reason

Answer 27

Critical periods of development occur during childhood

Question 28

Play serves many purposes. In teaching parents about appropriate activities, the nurse should inform them that play serves the following function (Select all that apply): a. Intellectual development b. Physical development c. Self-awareness d. Creativity e. Temperament development

Answer 28

A, C, D

Question 29

When introducing hospital equipment to a preschooler who seems afraid, the nurses approach should be based on which principle

Answer 29

The child may think the equipment is alive

Question 30

Which age group is most concerned with body integrity

Answer 30

school aged

Question 31

An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most appropriate nursing action is to:

Answer 31

explain it in simple terms

Question 32

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:

Answer 32

An important part of the childs past growth and development

Question 33

An appropriate approach to performing a physical assessment on a toddler is to

Answer 33

Use minimal physical contact initially

Question 34

The nurse is using the NCHS growth chart for an African-American child. The nurse should consider that

Answer 34

The NCHS charts are accurate for U.S. African-American children

Question 35

The earliest age at which a satisfactory radial pulse can be taken in children is:

Answer 35

2 years

Question 36

Which data would be included in a health history (Select all that apply a. Review of systems b. Physical assessment c. Sexual history d. Growth measurements e. Nutritional assessment f. Family medical history

Answer 36

A,C,E,F

Question 37

A nurse is performing an assessment on a school-age child. Which findings suggest the child is receiving an excess of vitamin A (Select all that apply)? a. Delayed sexual development b. Edema c. Pruritus d. Jaundice e. Paresthesia

Answer 37

A,C,D

Question 38

A nurse is performing an assessment on a school-age child. Which findings suggest the child is receiving an excess of vitamin A (Select all that apply)? a. Delayed sexual development b. Edema c. Pruritus d. Jaundice e. Paresthesia

Answer 38

A,D,E

Question 39

In which developmental stage is the child first able to localize pain and describe both the amount and the intensity of the pain felt?

Answer 39

Preschool stage

Question 40

When assessing pain in any child, the nurse should consider that

Answer 40

The childs behavioral, physiologic, and verbal responses are valuable when assessing pain

Question 41

A 2-year-old child has been returned to the nursing unit after an inguinal hernia repair. Which pain assessment tool should the nurse use to assess this child for the presence of pain

Answer 41

FLACC tool

Question 42

Because of their striving for independence and productivity, which age-group of children is particularly vulnerable to events that may lessen their feeling of control and power?

Answer 42

school aged children

Question 43

Latasha, age 8 years, is being admitted to the hospital from the emergency department with an injury from falling off her bicycle. What will help her most in her adjustment to the hospital

Answer 43

Explain hospital schedules such as mealtimes

Question 44

What is an age-appropriate nursing intervention to facilitate psychologic adjustment for an adolescent expected to have a prolonged hospitalization (select all that apply)? a. Encourage parents to bring in homework and schedule study times. b. Allow the adolescent to wear street clothes. c. Involve the parents in care. d. Follow home routines. e. Encourage parents to bring in favorite foods

Answer 44

A, B, E

Question 45

A nurse plans therapeutic play time for a hospitalized child. Which are the benefits of therapeutic play (select all that apply)? a. Serves as method to assist disturbed children b. Allows the child to express feelings c. The nurse can gain insight into the childs feelings d. The child can deal with concerns and feelings e. Gives the child a structured play environment

Answer 45

B,C,D

Question 46

child is being discharged from an ambulatory care center after an inguinal hernia repair. Which discharge interventions should the nurse implement (select all that apply)? a. Discuss dietary restrictions. b. Hold any analgesic medications until the child is home. c. Send a pain scale home with the family. d. Suggest the parents fill the prescriptions on the way home. e. Discuss complications that may occur.

Answer 46

A,C,E

Question 47

A nurse is interviewing the parents of a toddler about use of complementary or alternative medical practices. The parents share several practices they use in their household. Which should the nurse document as complementary or alternative medical practices (select all that apply)? a. Use of acetaminophen (Tylenol) for fever b. Administration of chamomile tea at bedtime c. Hypnotherapy for relief of pain d. Acupressure to relieve headaches e. Cool mist vaporizer at the bedside for stuffiness

Answer 47

B,C,D

Question 48

The nurse is planning how to best prepare a 4-year-old child for some diagnostic procedures. Guidelines for preparing this preschooler should include

Answer 48

Telling the child that procedures are never a form of punishment

Question 49

The emergency department nurse is cleaning multiple facial abrasions on 9-year-old Mike. His mother is present. He is crying and screaming loudly. The nurse should

Answer 49

tell him it is ok to scream and cry

Question 50

The nurse is doing a prehospitalization orientation for a 7-year-old child who is scheduled for cardiac surgery. As part of the preparation, the nurse explains that she will not be able to talk because of an endotracheal tube but that she will be able to talk when it is removed. This explanation is:

Answer 50

An appropriate part of the childs preparation

Question 51

The nurse is preparing for the admission of an infant who will have several procedures performed. In which situation is informed consent required (Select all that apply)? a. Catheterized urine collection b. Intravenous (IV) line insertion c. Oxygen administration d. Lumbar puncture e. Computed tomography (CT) scan with contrast

Answer 51

D,E

Question 52

The advantages of the ventrogluteal muscle as an injection site in young children include which of the following (Select all that apply)? a. Less painful than vastus lateralis b. Free of important nerves and vascular structures c. Cannot be used when child reaches a weight of 20 pounds d. Increased subcutaneous fat, which increases drug absorption e. Easily identified by major landmarks

Answer 52

A,B,E