Question 1

What is the appropriate placement for a tongue blade to assess the mouth and throat?

Accepted Answer

A)  Centre back area of tongue 
B)  Side of the tongue 
C)  Against the soft palate 
D)  On the lower jaw 
A)  Centre back area of tongue 
B)  Side of the tongue 
C)  Against the soft palate 
D)  On the lower jaw B

Question 2

What is the most frequently used test for measuring visual acuity?

Accepted Answer

A)  Denver Eye Screening test 
B)  Allen picture card test 
C)  Ishihara vision test 
D)  Snellen letter chart 
A)  Denver Eye Screening test 
B)  Allen picture card test 
C)  Ishihara vision test 
D)  Snellen letter chart D

Question 3

By what age do the head and chest circumferences generally become equal?

Accepted Answer

A)  1 month 
B)  6 to 9 months 
C)  1 to 2 years 
D)  2.5 to 3 years 
A)  1 month 
B)  6 to 9 months 
C)  1 to 2 years 
D)  2.5 to 3 years C

Question 4

What is an important consideration for the nurse who is communicating with a very young child?

Accepted Answer

A)  Speak loudly,clearly,and directly. 
B)  Use transition objects,such as a doll. 
C)  Disguise one's own feelings,attitudes,and anxiety. 
D)  Initiate contact with the child when his or her parent is not present. 
A)  Speak loudly,clearly,and directly. 
B)  Use transition objects,such as a doll. 
C)  Disguise one's own feelings,attitudes,and anxiety. 
D)  Initiate contact with the child when his or her parent is not present.

Question 5

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?

Accepted Answer

A)  Birth history 
B)  Present illness 
C)  Chief complaint 
D)  Review of systems 
A)  Birth history 
B)  Present illness 
C)  Chief complaint 
D)  Review of systems

Question 6

What is the earliest age at which a satisfactory radial pulse can be taken in children?

Accepted Answer

A)  1 year 
B)  2 years 
C)  3 years 
D)  6 years 
A)  1 year 
B)  2 years 
C)  3 years 
D)  6 years

Question 7

How should the nurse assess a child's capillary filling time?

Accepted Answer

A)  Inspect the chest. 
B)  Auscultate the heart. 
C)  Palpate the apical pulse. 
D)  Palpate the skin to produce a slight blanching. 
A)  Inspect the chest. 
B)  Auscultate the heart. 
C)  Palpate the apical pulse. 
D)  Palpate the skin to produce a slight blanching.

Question 8

When interviewing the mother of a 3-year-old child,the nurse asks about developmental milestones,such as the age when he started walking without assistance.How should milestones be considered?

Accepted Answer

A)  They are unnecessary because the child is age 3 years. 
B)  They are an important part of the family history. 
C)  They are an important part of the child's past growth and development. 
D)  They are an important part of the child's review of systems. 
A)  They are unnecessary because the child is age 3 years. 
B)  They are an important part of the family history. 
C)  They are an important part of the child's past growth and development. 
D)  They are an important part of the child's review of systems.

Question 9

A nurse is taking the sexual history of an adolescent girl.Which is the best way to determine whether she is sexually active?

Accepted Answer

A)  Ask,"Are you sexually active?" 
B)  Ask,"Are you having sex with anyone?" 
C)  Ask,"Are you having sex with a boyfriend?" 
D)  Ask both the girl and her parent if she is sexually active. 
A)  Ask,"Are you sexually active?" 
B)  Ask,"Are you having sex with anyone?" 
C)  Ask,"Are you having sex with a boyfriend?" 
D)  Ask both the girl and her parent if she is sexually active.

Question 10

When teaching new parents about their infants' anterior fontanel,the nurse tells them that it will close at which age?

Accepted Answer

A)  2 months 
B)  2 to 4 months 
C)  6 to 8 months 
D)  12 to 18 months 
A)  2 months 
B)  2 to 4 months 
C)  6 to 8 months 
D)  12 to 18 months

Question 11

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.What is the priority action?

Accepted Answer

A)  Refer for immediate medical evaluation. 
B)  Continue assessment to determine cause of neck pain. 
C)  Ask parent when neck was injured. 
D)  Record "head lag" on assessment record and continue assessment of child. 
A)  Refer for immediate medical evaluation. 
B)  Continue assessment to determine cause of neck pain. 
C)  Ask parent when neck was injured. 
D)  Record "head lag" on assessment record and continue assessment of child.

Question 12

What is the most important thing for a nurse to say when interviewing an adolescent?

Accepted Answer

A)  Focus the discussion on the peer group. 
B)  Allow for an opportunity to express feelings. 
C)  Emphasize that confidentiality will always be maintained. 
D)  Use the same type of language as the adolescent. 
A)  Focus the discussion on the peer group. 
B)  Allow for an opportunity to express feelings. 
C)  Emphasize that confidentiality will always be maintained. 
D)  Use the same type of language as the adolescent.

Question 13

What approach is most likely to encourage parents to talk about their feelings related to their child's illness?

Accepted Answer

A)  Being sympathetic 
B)  Using direct questions 
C)  Using open-ended questions 
D)  Avoiding periods of silence 
A)  Being sympathetic 
B)  Using direct questions 
C)  Using open-ended questions 
D)  Avoiding periods of silence

Question 14

Which parameter correlates best with measurements of the body's total protein stores?

Accepted Answer

A)  Height 
B)  Weight 
C)  Skin-fold thickness 
D)  Upper arm circumference 
A)  Height 
B)  Weight 
C)  Skin-fold thickness 
D)  Upper arm circumference

Question 15

During a funduscopic examination of a school-aged child,the nurse notes a brilliant,uniform red reflex in both eyes.How would the nurse document this finding?

Accepted Answer

A)  A normal finding 
B)  An abnormal finding;the child needs a referral to an ophthalmologist 
C)  A sign of possible visual defect;the child needs vision screening 
D)  A sign of small hemorrhages,which usually resolve spontaneously 
A)  A normal finding 
B)  An abnormal finding;the child needs a referral to an ophthalmologist 
C)  A sign of possible visual defect;the child needs vision screening 
D)  A sign of small hemorrhages,which usually resolve spontaneously

Question 16

The nurse is testing an infant's visual acuity.By what age should the infant be able to fix on and follow a target?

Accepted Answer

A)  1 month 
B)  1 to 2 months 
C)  3 to 4 months 
D)  6 months 
A)  1 month 
B)  1 to 2 months 
C)  3 to 4 months 
D)  6 months

Question 17

What type of breath sound is normally heard over the entire surface of the lungs,except for the upper intrascapular area and the area beneath the manubrium?

Accepted Answer

A)  Vesicular 
B)  Bronchial 
C)  Adventitious 
D)  Bronchovesicular 
A)  Vesicular 
B)  Bronchial 
C)  Adventitious 
D)  Bronchovesicular

Question 18

The nurse is having difficulty communicating with a hospitalized 6-year-old child.What technique is most helpful in improving communication?

Accepted Answer

A)  Suggest that the child keep a diary. 
B)  Suggest that the parent read fairytales to the child. 
C)  Ask the parent if the child is always uncommunicative. 
D)  Ask the child to draw a picture. 
A)  Suggest that the child keep a diary. 
B)  Suggest that the parent read fairytales to the child. 
C)  Ask the parent if the child is always uncommunicative. 
D)  Ask the child to draw a picture.

Question 19

Which behaviour indicates to the nurse that the patient is experiencing information overload?

Accepted Answer

A)  Maintains eye contact 
B)  Plays with hair 
C)  Has fixed,narrowed eyes 
D)  Remains focused on the topic of discussion 
A)  Maintains eye contact 
B)  Plays with hair 
C)  Has fixed,narrowed eyes 
D)  Remains focused on the topic of discussion

Question 20

Where in the health history should the nurse describe all the details related to the chief complaint?

Accepted Answer

A)  Past history 
B)  Chief complaint 
C)  Present illness 
D)  Review of systems 
A)  Past history 
B)  Chief complaint 
C)  Present illness 
D)  Review of systems

Exam 33: Communication, History, Physical, and Developmental Assessment

What is the appropriate placement for a tongue blade to assess the mouth and throat?

What is the most frequently used test for measuring visual acuity?

By what age do the head and chest circumferences generally become equal?

What is an important consideration for the nurse who is communicating with a very young child?

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?

What is the earliest age at which a satisfactory radial pulse can be taken in children?

How should the nurse assess a child's capillary filling time?

When interviewing the mother of a 3-year-old child,the nurse asks about developmental milestones,such as the age when he started walking without assistance.How should milestones be considered?

A nurse is taking the sexual history of an adolescent girl.Which is the best way to determine whether she is sexually active?

When teaching new parents about their infants' anterior fontanel,the nurse tells them that it will close at which age?

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.What is the priority action?

What is the most important thing for a nurse to say when interviewing an adolescent?

What approach is most likely to encourage parents to talk about their feelings related to their child's illness?

Which parameter correlates best with measurements of the body's total protein stores?

During a funduscopic examination of a school-aged child,the nurse notes a brilliant,uniform red reflex in both eyes.How would the nurse document this finding?

The nurse is testing an infant's visual acuity.By what age should the infant be able to fix on and follow a target?

What type of breath sound is normally heard over the entire surface of the lungs,except for the upper intrascapular area and the area beneath the manubrium?

The nurse is having difficulty communicating with a hospitalized 6-year-old child.What technique is most helpful in improving communication?

Which behaviour indicates to the nurse that the patient is experiencing information overload?

Where in the health history should the nurse describe all the details related to the chief complaint?

Contemporary Perinatal and Pediatric Nursing in Canada

The Family and Culture

Community Care

Perinatal Nursing in Canada

Health Promotion

Health Assessment

Reproductive Health

Infertility, Contraception, and Abortion

Preconception, Genetics, Conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Nursing Care of the Family During Labour and Birth

Pain Management During Labour

Fetal Health Surveillance During Labour

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Infants with Gestational Age Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Pediatric Nursing in Canada

Family, Social, Cultural, and Religious Influences on Children’s Health

Developmental Influences on Child Health Promotion

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, Complex Conditions, and End-of-Life Care

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological or Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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