Exam 4: Communication and Physical Assessment of the Child and Family

A nurse is assigned to four children of different ages. In which age group should the nurse understand that body integrity is a concern?

Which is most important to document about immunizations in the child's health history?

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

A nurse is performing an assessment on a school-age child. Which findings suggest the child is getting an excess of vitamin A? (Select all that apply.)

A nurse is preparing to perform a physical assessment on a toddler. Which approach should the nurse use for this child?

At what age should the nurse expect the anterior fontanel to close?

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

Which is the most appropriate vision acuity test for a child who is in preschool?

At about what age does the Babinski sign disappear?

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?

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

A nurse is assessing a child with an unrepaired ventricular septal defect. Which heart sound does the nurse expect to assess?

How does the nurse assess a child's capillary refill time?

Which figure depicts a nurse performing a test for the triceps reflex?

A nurse is planning to use an interpreter during a health history interview of a non-English speaking patient and family. Which nursing care guidelines should the nurse include when using an interpreter? (Select all that apply.)

Pulses can be graded according to certain criteria. Which is a description of a normal pulse?

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

Which tool measures body fat most accurately?

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

The nurse is preparing to perform a physical assessment on a 10-year-old girl. The nurse gives her the option of her mother either staying in the room or leaving. How should this action be interpreted?