Question 1

The nurse notes that a 3-year-old client has yellow-green nasal discharge. Which type of infection should the nurse suspect?

Accepted Answer

A)   Ear.
B)   Frontal Sinus.
C)   Throat.
D)   Upper respiratory.E) A) and D)
F) All of the above

Question 2

A parent asks the nurse when their baby's anterior fontanel will close. Which information should the nurse provide the parent?

Accepted Answer

A)   4 weeks to 3 months.
B)   3 to 6 months.
C)   9 to 12 months.
D)   12 to 18 months.E) A) and D)
F) A) and B) D

Question 3

The nurse assessing the musculoskeletal system of a 4-year-old child observes them rising to a standing position after being supine. Which finding should the nurse be concerned about?

Accepted Answer

A)   The child rises without using arm support.
B)   The child reaches out for the parent to pick them up.
C)   The child places their hands on the floor and straightens their legs.
D)   The child places their hands on their knees and pushes their trunk up.E) C) and D)
F) B) and C)

Question 4

When reviewing a pediatric client's medical record, which should the nurse consider environmental factors that influence growth and development? Select all that apply.

Accepted Answer

A)   Nutrition.
B)   Climate.
C)   Heredity.
D)   Culture.
E)   Religion.F) B) and D)
G) D) and E)

Question 5

The nurse is preparing to assess the reflexes of a 5-month-old infant. Which reflexes should the nurse anticipate to document? Select all that apply.

Accepted Answer

A)   Palmar grasp.
B)   Stepping.
C)   Rooting.
D)   Tonic neck.
E)   Babinski.F) A) and B)
G) B) and E)

Question 6

The nurse is preparing to assess the musculoskeletal system of a 9-month-old infant. Which finding should the nurse anticipate to include in the documentation?

Accepted Answer

A)   Genu valgum.
B)   Genu varum.
C)   Lordotic curve.
D)   Scoliosis.E) A) and B)
F) A) and C)

Question 7

Which parental statement reflects appropriate behavior for Piaget's sensorimotor stage of development?

Accepted Answer

A)   "We have started buying more colorful toys."
B)   "We play with water toys in the bathtub."
C)   "We bought some blocks with numbers."
D)   "We have been playing peek-a-boo."E) A) and D)
F) All of the above

Question 8

The nurse is preparing to assess a child with acute gastroenteritis. Which question is the most important to ask the parent?

Accepted Answer

A)   "Has your child been vomiting?"
B)   "Has your child had diarrhea?"
C)   "Has your child been drinking fluids?"
D)   "Has your child been urinating?"E) A) and B)
F) B) and C)

Question 9

The nurse is preparing to assess the blood pressure of a young child. Which technique should the nurse use to assess the pressure?

Accepted Answer

A)   Left arm.
B)   Both arms.
C)   Arm and thigh.
D)   Right arm.E) B) and C)
F) A) and B)

Question 10

An adolescent male expresses concern to the nurse about their enlarged breast tissue. Which response should the nurse provide the client?

Accepted Answer

A)   "This change will resolve on its own."
B)   "This may be due to a hormone imbalance."
C)   "Are you experiencing any breast pain?"
D)   "Have you noticed any lumps in the tissue?"E) C) and D)
F) B) and C) A

Question 11

The nurse is preparing to assess a child with exacerbated asthma. Which initial symptoms should the nurse anticipate? Select all that apply.

Accepted Answer

A)   Nasal flaring.
B)   Cyanosis.
C)   Failure to thrive.
D)   Increased respiratory rate.
E)   Accessory muscle use.F) C) and D)
G) A) and C)

Question 12

A parent asks the nurse when their child will have 20/20 vision. Which time frame should the nurse respond to the client with?

Accepted Answer

A)   1 yr.
B)   3 yrs.
C)   5 yrs.
D)   7 yrs.E) None of the above
F) B) and C) D

Question 13

The nurse is assessing a child urine output. The child weighs 64 lbs. Which should the nurse identify as the minimal acceptable output? ________ ml/hr.

Accepted Answer

The answer of The nurse is assessing a child urine...

Question 14

The parent of a 2-day-old newborn expresses concern that their infant's head is misshapen. Which response should the nurse provide the parent?

Accepted Answer

A)   "Every newborn has a different shaped head."
B)   "It is okay, the cranial bones are not yet fused."
C)   "I will be taking measurements of the newborn's head."
D)   "Your newborn can be fitted for a helmet to reshape their head."E) B) and C)
F) A) and D)

Question 15

According to Piaget's theory of cognitive development, which behaviors should the nurse expect when assessing a preschool-age client? Select all that apply.

Accepted Answer

A)   Being egocentric and failing to see another's point of view.
B)   Focusing on one aspect of a given situation at once.
C)   Assuming everyone else in their world sees things as they do.
D)   Believing in magical powers of thought to control the universe.
E)   Understanding cause-and-effect relationships.F) B) and E)
G) B) and C)

Question 16

The nurse is reviewing the common foods that cause an allergic reaction in children with a group of parents. Select all that apply.

Accepted Answer

A)   Milk.
B)   Eggs.
C)   Wheat.
D)   Cheese.
E)   Shellfish.F) B) and E)
G) A) and D)

Question 17

The nurse is preparing to discuss growth and development with expectant parents. Which growth patterns should the nurse consider prior to discussing the information? Select all that apply.

Accepted Answer

A)   Cephalocaudal direction.
B)   Simple to complex.
C)   Distal to proximal direction.
D)   Generalized response to specific response.
E)   Anterior to posterior.F) A) and B)
G) A) and D)

Question 18

The nurse is preparing to assess a 5-year-old child using Piaget's theory of cognitive development. Which stage should the nurse anticipate to use?

Accepted Answer

A)   Formal Operations.
B)   Concrete Operations.
C)   Preoperational Skills.
D)   Sensorimotor.E) A) and D)
F) B) and C)

Question 19

The nurse is preparing to assess an adolescent. Which should the nurse recognize is a common finding?

Accepted Answer

A)   Somatic complaints.
B)   Depression.
C)   Substance abuse.
D)   Eating disorders.E) C) and D)
F) B) and D)

Question 20

The nurse is preparing to elicit the Babinski reflex on a 6-month-old infant. Which technique should the nurse use?

Accepted Answer

A)   Touch the infant's foot at the base of the toes.
B)   Turn the infant's head to one side while the infant is supine.
C)   Stroke the plantar surface of the foot from the heel to the toe.
D)   Hold the infant upright and allow the feet to touch a surface.E) B) and C)
F) A) and B)

Exam 26: Infants, Children, and Adolescents

The nurse notes that a 3-year-old client has yellow-green nasal discharge. Which type of infection should the nurse suspect?

Correct AnswerverifiedShow Answer

A parent asks the nurse when their baby's anterior fontanel will close. Which information should the nurse provide the parent?

Correct AnswerverifiedD

The nurse assessing the musculoskeletal system of a 4-year-old child observes them rising to a standing position after being supine. Which finding should the nurse be concerned about?

Correct AnswerverifiedShow Answer

When reviewing a pediatric client's medical record, which should the nurse consider environmental factors that influence growth and development? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is preparing to assess the reflexes of a 5-month-old infant. Which reflexes should the nurse anticipate to document? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is preparing to assess the musculoskeletal system of a 9-month-old infant. Which finding should the nurse anticipate to include in the documentation?

Correct AnswerverifiedShow Answer

Which parental statement reflects appropriate behavior for Piaget's sensorimotor stage of development?

Correct AnswerverifiedShow Answer

The nurse is preparing to assess a child with acute gastroenteritis. Which question is the most important to ask the parent?

Correct AnswerverifiedShow Answer

The nurse is preparing to assess the blood pressure of a young child. Which technique should the nurse use to assess the pressure?

Correct AnswerverifiedShow Answer

An adolescent male expresses concern to the nurse about their enlarged breast tissue. Which response should the nurse provide the client?

Correct AnswerverifiedA

The nurse is preparing to assess a child with exacerbated asthma. Which initial symptoms should the nurse anticipate? Select all that apply.

Correct AnswerverifiedShow Answer

A parent asks the nurse when their child will have 20/20 vision. Which time frame should the nurse respond to the client with?

Correct AnswerverifiedD

The nurse is assessing a child urine output. The child weighs 64 lbs. Which should the nurse identify as the minimal acceptable output? ________ ml/hr.

Correct AnswerverifiedShow Answer

The parent of a 2-day-old newborn expresses concern that their infant's head is misshapen. Which response should the nurse provide the parent?

Correct AnswerverifiedShow Answer

According to Piaget's theory of cognitive development, which behaviors should the nurse expect when assessing a preschool-age client? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is reviewing the common foods that cause an allergic reaction in children with a group of parents. Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is preparing to discuss growth and development with expectant parents. Which growth patterns should the nurse consider prior to discussing the information? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is preparing to assess a 5-year-old child using Piaget's theory of cognitive development. Which stage should the nurse anticipate to use?

Correct AnswerverifiedShow Answer

The nurse is preparing to assess an adolescent. Which should the nurse recognize is a common finding?

Correct AnswerverifiedShow Answer

The nurse is preparing to elicit the Babinski reflex on a 6-month-old infant. Which technique should the nurse use?

Correct AnswerverifiedShow Answer

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