Question 1

The nurse would examine a child with low-set ears for anomalies in which organ that formed at the same time as the ears in embryonic development?

Accepted Answer

A)  heart 
B)  kidneys 
C)  liver 
D)  lungs 
A)  heart 
B)  kidneys 
C)  liver 
D)  lungs

Question 2

Normal systolic blood pressure (BP)for a 4-year-old child is approximately

Accepted Answer

A)  72 mm Hg. 
B)  84 mm Hg. 
C)  88 mm Hg. 
D)  92 mm Hg. 
A)  72 mm Hg. 
B)  84 mm Hg. 
C)  88 mm Hg. 
D)  92 mm Hg.

Question 3

Your examination of a 5-year-old child reveals limited abduction and internal rotation of the child's right hip accompanied by muscle spasm,proximal thigh atrophy,and a painless limp.These findings indicate

Accepted Answer

A)  dislocated hip. 
B)  Duchenne muscular dystrophy. 
C)  juvenile rheumatoid arthritis. 
D)  Legg-Calvé-Perthes disease. 
A)  dislocated hip. 
B)  Duchenne muscular dystrophy. 
C)  juvenile rheumatoid arthritis. 
D)  Legg-Calvé-Perthes disease.

Question 4

Your 5-year-old male patient has an absent anal reflex along with anorectal tears and ecchymosis,which are most likely caused by

Accepted Answer

A)  cancer of the anus. 
B)  a congenital disorder. 
C)  sexual abuse. 
D)  a spinal cord lesion. 
A)  cancer of the anus. 
B)  a congenital disorder. 
C)  sexual abuse. 
D)  a spinal cord lesion.

Question 5

When inspecting the ear of a 2-year-old child with suspected otitis media,you should do all of the following,EXCEPT

Accepted Answer

A)  ask the child where it hurts. 
B)  pull the lower auricle down and out to straighten the canal. 
C)  insert the speculum about 1/4 inch to 1/2 inch. 
D)  introduce air into the canal by gently squeezing the bulb attachment. 
A)  ask the child where it hurts. 
B)  pull the lower auricle down and out to straighten the canal. 
C)  insert the speculum about 1/4 inch to 1/2 inch. 
D)  introduce air into the canal by gently squeezing the bulb attachment.

Question 6

Which of the following are characteristic findings in a child with Down syndrome?

Accepted Answer

A)  a portion of the sclera seen above the iris 
B)  optical blink reflex 
C)  brushfield spots 
D)  infantile esotropia 
A)  a portion of the sclera seen above the iris 
B)  optical blink reflex 
C)  brushfield spots 
D)  infantile esotropia

Question 7

Strategies for increasing patient cooperation include all of the following,EXCEPT

Accepted Answer

A)  demonstrating procedures on a doll, stuffed toy, or the caregiver. 
B)  humming, whistling, or using small toys to distract the child. 
C)  playing games to decrease anxiety and establish trust. 
D)  insisting on the patient's obedience. 
A)  demonstrating procedures on a doll, stuffed toy, or the caregiver. 
B)  humming, whistling, or using small toys to distract the child. 
C)  playing games to decrease anxiety and establish trust. 
D)  insisting on the patient's obedience.

Question 8

A cleft palate that involves the uvula,soft palate,hard palate,or a combination,is classified as a(n)____________________ malformation.

Accepted Answer

midline
Explanation:If the roof of the m

Question 9

Which of the following typically occurs between 5 and 7 months of age?

Accepted Answer

A)  closure of the posterior fontanel 
B)  development of the frontal sinus 
C)  eruption of the first lower central incisors 
D)  salivation and production of tears 
A)  closure of the posterior fontanel 
B)  development of the frontal sinus 
C)  eruption of the first lower central incisors 
D)  salivation and production of tears

Question 10

The startle reflex in an infant under 4 months is normal.Which of the following are manifestations of the startle reflex? Select all that apply.

Accepted Answer

A)  Flexing arms and legs 
B)  Extending and then flexing arms 
C)  Flexing the toes 
D)  Thumb and index fingers form a C 
E)  Arching of the back
F) Rolling of the eyes 
A)  Flexing arms and legs 
B)  Extending and then flexing arms 
C)  Flexing the toes 
D)  Thumb and index fingers form a C 
E)  Arching of the back
F) Rolling of the eyes

Question 11

Which of the following can cause microcephaly? Select all that apply.

Accepted Answer

A)  Syphilis 
B)  Rubella 
C)  Genetic defects 
D)  Bacterial meningitis 
E)  Intrauterine infections
F) Drug or alcohol ingestion during pregnancy 
A)  Syphilis 
B)  Rubella 
C)  Genetic defects 
D)  Bacterial meningitis 
E)  Intrauterine infections
F) Drug or alcohol ingestion during pregnancy

Question 12

Findings of excessive salivation,along with reports of choking and coughing during the newborn's feeding,may indicate which of the following?

Accepted Answer

A)  early signs of viral infection 
B)  hypertrophic pyloric stenosis 
C)  milk allergy 
D)  tracheoesophageal fistula 
A)  early signs of viral infection 
B)  hypertrophic pyloric stenosis 
C)  milk allergy 
D)  tracheoesophageal fistula

Question 13

The nurse performs a transillumination of an infant's head in order to

Accepted Answer

A)  assess for swelling or masses. 
B)  assess closure of the anterior and posterior fontanels. 
C)  ascertain if the suture lines are open, untied, or overlapping. 
D)  rule out anencephaly. 
A)  assess for swelling or masses. 
B)  assess closure of the anterior and posterior fontanels. 
C)  ascertain if the suture lines are open, untied, or overlapping. 
D)  rule out anencephaly.

Question 14

Assessing the rooting or sucking reflexes in the infant also tests which cranial nerve(s)?

Accepted Answer

A)  CN III, IV, and VI 
B)  CN V 
C)  CN VIII 
D)  CN IX and X 
A)  CN III, IV, and VI 
B)  CN V 
C)  CN VIII 
D)  CN IX and X

Question 15

Hydrocephalus is suspected when the circumference of the head of an infant measures above the

Accepted Answer

A)  75th percentile. 
B)  85th percentile. 
C)  90th percentile. 
D)  95th percentile. 
A)  75th percentile. 
B)  85th percentile. 
C)  90th percentile. 
D)  95th percentile.

Question 16

Children in which age group typically gain 3 to 6 pounds and grow 1 to 2 inches (2.5-5 cm)per year?

Accepted Answer

A)  12-24 months 
B)  2-6 years 
C)  6-12 years 
D)  13-18 years 
A)  12-24 months 
B)  2-6 years 
C)  6-12 years 
D)  13-18 years

Question 17

If a 2-year-old child received a caution on the Denver II,this would indicate that the child

Accepted Answer

A)  attempted but did not successfully complete one of the tasks. 
B)  failed to perform a task that has been achieved by 75%-90% of children the same age. 
C)  failed to perform a task that has been achieved by 100% of children the same age. 
D)  refused to perform one of the critical tasks. 
A)  attempted but did not successfully complete one of the tasks. 
B)  failed to perform a task that has been achieved by 75%-90% of children the same age. 
C)  failed to perform a task that has been achieved by 100% of children the same age. 
D)  refused to perform one of the critical tasks.

Question 18

You are administering the Denver II during your examination of a 2-year-old child.The Denver II is a commonly used tool for assessing neuromuscular development of the child from birth through

Accepted Answer

A)  3 years of age. 
B)  4 years of age. 
C)  6 years of age. 
D)  10 years of age. 
A)  3 years of age. 
B)  4 years of age. 
C)  6 years of age. 
D)  10 years of age.

Question 19

A child who displays the characteristics of genu varum has a distance between the two medial condyles of

Accepted Answer

A)  less than 2 inches. 
B)  more than 2 inches. 
C)  less than 1 inch. 
D)  more than 1 inch. 
A)  less than 2 inches. 
B)  more than 2 inches. 
C)  less than 1 inch. 
D)  more than 1 inch.

Question 20

Which finding from palpating the abdomen of a young child indicates pyloric stenosis?

Accepted Answer

A)  abdominal distention, palpable stool over the abdomen, and absence of stool in the rectum 
B)  olive-shaped mass palpated in the right epigastric area 
C)  sausage-shaped mass with intermittent pain on palpation of the upper abdomen 
D)  soft, rounded mass in the left upper abdomen 
A)  abdominal distention, palpable stool over the abdomen, and absence of stool in the rectum 
B)  olive-shaped mass palpated in the right epigastric area 
C)  sausage-shaped mass with intermittent pain on palpation of the upper abdomen 
D)  soft, rounded mass in the left upper abdomen

Exam 25: The Pediatric Patient

The nurse would examine a child with low-set ears for anomalies in which organ that formed at the same time as the ears in embryonic development?

Normal systolic blood pressure (BP)for a 4-year-old child is approximately

Your examination of a 5-year-old child reveals limited abduction and internal rotation of the child's right hip accompanied by muscle spasm,proximal thigh atrophy,and a painless limp.These findings indicate

Your 5-year-old male patient has an absent anal reflex along with anorectal tears and ecchymosis,which are most likely caused by

When inspecting the ear of a 2-year-old child with suspected otitis media,you should do all of the following,EXCEPT

Which of the following are characteristic findings in a child with Down syndrome?

Strategies for increasing patient cooperation include all of the following,EXCEPT

A cleft palate that involves the uvula,soft palate,hard palate,or a combination,is classified as a(n)____________________ malformation.

Which of the following typically occurs between 5 and 7 months of age?

The startle reflex in an infant under 4 months is normal.Which of the following are manifestations of the startle reflex? Select all that apply.

Which of the following can cause microcephaly? Select all that apply.

Findings of excessive salivation,along with reports of choking and coughing during the newborn's feeding,may indicate which of the following?

The nurse performs a transillumination of an infant's head in order to

Assessing the rooting or sucking reflexes in the infant also tests which cranial nerve(s)?

Hydrocephalus is suspected when the circumference of the head of an infant measures above the

Children in which age group typically gain 3 to 6 pounds and grow 1 to 2 inches (2.5-5 cm)per year?

If a 2-year-old child received a caution on the Denver II,this would indicate that the child

You are administering the Denver II during your examination of a 2-year-old child.The Denver II is a commonly used tool for assessing neuromuscular development of the child from birth through

A child who displays the characteristics of genu varum has a distance between the two medial condyles of

Which finding from palpating the abdomen of a young child indicates pyloric stenosis?

Critical Thinking And The Nursing Process

Communication Techniques And The Patient Interview

The Complete Health History Including Documentation

Developmental Assessment

Cultural Assessment

Spiritual Assessment

Nutritional Assessment

Physical Examination Techniques

General Survey, vital Signs, and Pain

Skin, hair, and Nails

Head, neck, and Regional Lymph Nodes

Eyes

Ears, nose, mouth, and Throat

Breasts And Regional Nodes

Thorax And Lungs

Heart

Peripheral Vasculature And Lymphatic System

Abdomen

Musculoskeletal System

Mental Status And Neurological Techniques

Female Genitalia

Male Genitalia

Anus, rectum, and Prostate

The Pregnant Patient

The Older Adult Patient

The Complete Health History And Physical Examination

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