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

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?

The nurse is seeing an adolescent boy and his parents in the clinic for the first time. What should the nurse do first?

A nurse is counseling parents of a child beginning to show signs of being overweight. The nurse accurately relates which body mass index (BMI)-for-age percentile indicates a risk for being overweight?

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

The nurse is using the Centers for Disease Control and Prevention (CDC) growth chart for an African-American child. Which statement should the nurse consider?

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. Which is the most appropriate action?

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

When the nurse interviews an adolescent, which is especially important?

The nurse is interviewing the mother of an infant. She reports, "I had a difficult delivery, and my baby was born preterm." This information should be recorded under which of the following headings?

When doing a nutritional assessment on a Hispanic family, the nurse learns that their diet consists mainly of vegetables, legumes, and starches. How should the nurse assess this diet?

Which approach would be best to use to ensure a positive response from a toddler?

What is an appropriate screening test for hearing that can be administered by the nurse to a 5-year-old child?

A nurse notes that a 10-month-old infant has a larger head circumference than chest. The nurse interprets this as a normal finding because the head and chest circumference become equal at which age?

While caring for a critically ill child, the nurse observes that respirations are gradually increasing in rate and depth, with periods of apnea. What pattern of respiration will the nurse document?

Which would be best for the nurse to use when determining the temperature of a preterm infant under a radiant heater?

A 5-year-old girl is having a checkup before starting kindergarten. The nurse asks her to do the "finger-to-nose" test. What is the nurse testing for?

A nurse is assessing a patient admitted for an asthma exacerbation. Which breath sounds does the nurse expect to assess?

The nurse observes yellow staining in the sclera of eyes, soles of feet, and palms of hands. How should the nurse document these findings?

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

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