Question 1

Which chart should the nurse use to assess the visual acuity of an 8-year-old child?

Accepted Answer

A)  Lea chart 
B)  Snellen chart 
C)  HOTV chart 
D)  Tumbling E chart 
A)  Lea chart 
B)  Snellen chart 
C)  HOTV chart 
D)  Tumbling E chart

Question 2

Which assessment finding is considered a neurologic soft sign in a 7-year-old child?

Accepted Answer

A)  Plantar reflex 
B)  Poor muscle coordination 
C)  Stereognostic function 
D)  Graphesthesia 
A)  Plantar reflex 
B)  Poor muscle coordination 
C)  Stereognostic function 
D)  Graphesthesia

Question 3

When palpating the child's cervical lymph nodes,the nurse notes that they are tender,enlarged,and warm.What is the best explanation for this?

Accepted Answer

A)  Some form of cancer 
B)  Local scalp infection common in children 
C)  Infection or inflammation distal to the site 
D)  Infection or inflammation close to the site 
A)  Some form of cancer 
B)  Local scalp infection common in children 
C)  Infection or inflammation distal to the site 
D)  Infection or inflammation close to the site

Question 4

The CDC recommends that all health care providers use the World Health Organization (WHO)growth standards to monitor growth for infants and children aged 0-2 years.For children ages 2 and older the CDC growth chart should be used.These charts are standardized and appropriate for all children.Is this statement true or false?

Accepted Answer

A) True 
 B)False

Question 5

Which action is appropriate when the nurse is assessing breath sounds of an 18-month-old crying child?

Accepted Answer

A)  Ask the parent to quiet the child so the nurse can listen. 
B)  Auscultate breath sounds and chart that the child was crying. 
C)  Encourage the child to play with the stethoscope to distract and to calm down before auscultating. 
D)  Document that data are not available because of noncompliance. 
A)  Ask the parent to quiet the child so the nurse can listen. 
B)  Auscultate breath sounds and chart that the child was crying. 
C)  Encourage the child to play with the stethoscope to distract and to calm down before auscultating. 
D)  Document that data are not available because of noncompliance.

Question 6

A nurse is performing an assessment on a newborn.Which vital signs indicate a normal finding for this age group? Select all that apply.

Accepted Answer

A)  Pulse of 80-125 a minute 
B)  B/P of systolic 65-95 and diastolic 30-60 
C)  Temperature of 36.5-37.3 Celsius (axillary) 
D)  Temperature of 36.4-37 Celsius (axillary) 
E)  Respirations of 30-60 a minute 
A)  Pulse of 80-125 a minute 
B)  B/P of systolic 65-95 and diastolic 30-60 
C)  Temperature of 36.5-37.3 Celsius (axillary) 
D)  Temperature of 36.4-37 Celsius (axillary) 
E)  Respirations of 30-60 a minute

Question 7

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

Accepted Answer

A)  Ask her why she wants to know. 
B)  Determine why she is so anxious. 
C)  Explain in simple terms how it works. 
D)  Tell her she will see how it works as it is used. 
A)  Ask her why she wants to know. 
B)  Determine why she is so anxious. 
C)  Explain in simple terms how it works. 
D)  Tell her she will see how it works as it is used.

Question 8

Which strategy is not always appropriate for pediatric physical examination?

Accepted Answer

A)  Take the history in a quiet, private place. 
B)  Examine the child from head to toe. 
C)  Exhibit sensitivity to cultural needs and differences. 
D)  Perform frightening procedures last. 
A)  Take the history in a quiet, private place. 
B)  Examine the child from head to toe. 
C)  Exhibit sensitivity to cultural needs and differences. 
D)  Perform frightening procedures last.

Question 9

Which assessment should the nurse perform last when examining a 5-year-old child?

Accepted Answer

A)  Heart 
B)  Lungs 
C)  Abdomen 
D)  Throat 
A)  Heart 
B)  Lungs 
C)  Abdomen 
D)  Throat

Question 10

Which strategy is the best approach when initiating the physical examination of a 9-month-old male infant?

Accepted Answer

A)  Undress the infant and do a head-to-toe examination. 
B)  Have the parent hold the child on his or her lap. 
C)  Put the infant on the examination table and begin assessments at the head. 
D)  Ask the parent to leave because the infant will be upset. 
A)  Undress the infant and do a head-to-toe examination. 
B)  Have the parent hold the child on his or her lap. 
C)  Put the infant on the examination table and begin assessments at the head. 
D)  Ask the parent to leave because the infant will be upset.

Question 11

The nurse has a 2-year-old boy sit in "tailor" position during palpation for the testes.What is the rationale for this position?

Accepted Answer

A)  It prevents cremasteric reflex. 
B)  Undescended testes can be palpated. 
C)  This tests the child for an inguinal hernia. 
D)  The child does not yet have a need for privacy. 
A)  It prevents cremasteric reflex. 
B)  Undescended testes can be palpated. 
C)  This tests the child for an inguinal hernia. 
D)  The child does not yet have a need for privacy.

Question 12

What term should be used in the nurse's documentation to describe auscultation of breath sounds that are short,popping,and discontinuous on inspiration?

Accepted Answer

A)  Pleural friction rub 
B)  Bronchovesicular sounds 
C)  Crackles 
D)  Wheeze 
A)  Pleural friction rub 
B)  Bronchovesicular sounds 
C)  Crackles 
D)  Wheeze

Question 13

What heart sound is produced by vibrations within the heart chambers or in the major arteries from the back-and-forth flow of blood?

Accepted Answer

A)  S1, S2 
B)  S3, S4 
C)  Murmur 
D)  Physiologic splitting. 
A)  S1, S2 
B)  S3, S4 
C)  Murmur 
D)  Physiologic splitting.

Question 14

In which section of the health history should the nurse record that the parent brought the infant to the clinic today because of frequent diarrhea?

Accepted Answer

A)  Review of systems 
B)  Chief complaint 
C)  Lifestyle and life patterns 
D)  Health history 
A)  Review of systems 
B)  Chief complaint 
C)  Lifestyle and life patterns 
D)  Health history

Question 15

When is the most appropriate time to inspect the genital area during a well-child examination of a 14-year-old girl?

Accepted Answer

A)  It is not necessary to inspect the genital area. 
B)  Examine the genital area first. 
C)  After the abdominal assessment. 
D)  Do the genital inspection last. 
A)  It is not necessary to inspect the genital area. 
B)  Examine the genital area first. 
C)  After the abdominal assessment. 
D)  Do the genital inspection last.

Question 16

Kimberly is having a checkup before starting kindergarten.The nurse asks her to do the "finger-to-nose" test.The nurse is testing for

Accepted Answer

A)  Deep tendon reflexes 
B)  Cerebellar function 
C)  Sensory discrimination 
D)  Ability to follow directions 
A)  Deep tendon reflexes 
B)  Cerebellar function 
C)  Sensory discrimination 
D)  Ability to follow directions

Question 17

During examination of a toddler's extremities,the nurse notes that the child is bowlegged.The nurse should recognize that this finding is

Accepted Answer

A)  Abnormal, requiring further investigation 
B)  Abnormal unless it occurs in conjunction with knock-knee 
C)  Normal if the condition is unilateral or asymmetric 
D)  Normal, because the lower back and leg muscles are not yet well developed 
A)  Abnormal, requiring further investigation 
B)  Abnormal unless it occurs in conjunction with knock-knee 
C)  Normal if the condition is unilateral or asymmetric 
D)  Normal, because the lower back and leg muscles are not yet well developed

Exam 33: Physical Assessment of Children

Which chart should the nurse use to assess the visual acuity of an 8-year-old child?

Which assessment finding is considered a neurologic soft sign in a 7-year-old child?

When palpating the child's cervical lymph nodes,the nurse notes that they are tender,enlarged,and warm.What is the best explanation for this?

Which action is appropriate when the nurse is assessing breath sounds of an 18-month-old crying child?

A nurse is performing an assessment on a newborn.Which vital signs indicate a normal finding for this age group? Select all that apply.

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

Which strategy is not always appropriate for pediatric physical examination?

Which assessment should the nurse perform last when examining a 5-year-old child?

Which strategy is the best approach when initiating the physical examination of a 9-month-old male infant?

The nurse has a 2-year-old boy sit in "tailor" position during palpation for the testes.What is the rationale for this position?

What term should be used in the nurse's documentation to describe auscultation of breath sounds that are short,popping,and discontinuous on inspiration?

What heart sound is produced by vibrations within the heart chambers or in the major arteries from the back-and-forth flow of blood?

In which section of the health history should the nurse record that the parent brought the infant to the clinic today because of frequent diarrhea?

When is the most appropriate time to inspect the genital area during a well-child examination of a 14-year-old girl?

Kimberly is having a checkup before starting kindergarten.The nurse asks her to do the "finger-to-nose" test.The nurse is testing for

During examination of a toddler's extremities,the nurse notes that the child is bowlegged.The nurse should recognize that this finding is

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating With Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion during Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family With Special Needs

Pregnancy-Related Complications

Concurrent Disorders During Pregnancy

The Woman With an Intrapartum Complication

The Woman With a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s Health Care

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child With a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child With a Fluid and Electrolyte Alteration

The Child With an Infectious Disease

The Child With an Immunologic Alteration

The Child With a Gastrointestinal Alteration

The Child With a Genitourinary Alteration

The Child With a Respiratory Alteration

The Child With a Cardiovascular Alteration

The Child With a Hematologic Alteration

The Child With Cancer

The Child With an Alteration in Tissue Integrity

The Child With a Musculoskeletal Alteration

The Child With an Endocrine or Metabolic Alteration

The Child With a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With a Developmental Disability

The Child With a Sensory Alteration

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