Exam 34: Communication, history, physical and Developmental Assessment

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. The most appropriate action is to:

What is the single most important factor to consider when communicating with children?

The nurse is taking a sexual history on an adolescent girl. The best way to determine whether she is sexually active is to:

The appropriate placement of a tongue blade for assessment of the mouth and throat is the:

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

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

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

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

The nurse is taking a health history on an adolescent. What best describes how the chief complaint should be determined?

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

Which data would be included in a health history? Choose all that apply.

Where is the best place to observe for the presence of petechiae in dark-skinned individuals?

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?

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

Which tool measures body fat most accurately?

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

Examination of the abdomen is performed correctly by the nurse in this order:

The nurse must assess a child's capillary filling time. This can be accomplished by:

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?

With the National Center for Health Statistics (NCHS) criteria,which body mass index (BMI)-for-age percentile indicates a risk for being overweight?