Question 1

A nurse is assessing a 12-month-old baby.What question about growth and development is most appropriate?

Accepted Answer

A)  Can the baby roll over? 
B)  Does your baby pull himself up? 
C)  Is your baby cruising around yet? 
D)  Will your baby sit alone? 
A)  Can the baby roll over? 
B)  Does your baby pull himself up? 
C)  Is your baby cruising around yet? 
D)  Will your baby sit alone? C

Question 2

The nurse percussing over an empty stomach expects to hear which sound?

Accepted Answer

A)  Tympany 
B)  Resonance 
C)  Flatness 
D)  Dullness 
A)  Tympany 
B)  Resonance 
C)  Flatness 
D)  Dullness A

Question 3

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. B

Question 4

Which measurement is not indicated for a 4-year-old well-child examination?

Accepted Answer

A)  Blood pressure 
B)  Weight 
C)  Height 
D)  Head circumference 
A)  Blood pressure 
B)  Weight 
C)  Height 
D)  Head circumference

Question 5

The nurse palpated the anterior fontanel of a 14-month-old infant and found that it was closed.What does this finding indicate?

Accepted Answer

A)  This is a normal finding. 
B)  This finding indicates premature closure of cranial sutures. 
C)  This is abnormal, and the child should have a developmental evaluation. 
D)  This is an abnormal finding, and the child should have a neurologic evaluation. 
A)  This is a normal finding. 
B)  This finding indicates premature closure of cranial sutures. 
C)  This is abnormal, and the child should have a developmental evaluation. 
D)  This is an abnormal finding, and the child should have a neurologic evaluation.

Question 6

The nurse is assessing a 4-year-old child's visual acuity.The results indicate a visual acuity of 20/40 in both eyes.The child's father asks the nurse about his son's results.Which response,if made by the nurse,is correct?

Accepted Answer

A)  "Your child will need a referral to the ophthalmologist before he can attend preschool next week." 
B)  "Your child's visual acuity is normal for his age." 
C)  "The results of this test indicate your child may be color blind." 
D)  "Your child did not pass; he will need to see an eye doctor." 
A)  "Your child will need a referral to the ophthalmologist before he can attend preschool next week." 
B)  "Your child's visual acuity is normal for his age." 
C)  "The results of this test indicate your child may be color blind." 
D)  "Your child did not pass; he will need to see an eye doctor."

Question 7

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)  Sonorous rhonchi 
C)  Crackles 
D)  Wheeze 
A)  Pleural friction rub 
B)  Sonorous rhonchi 
C)  Crackles 
D)  Wheeze

Question 8

A nurse working with infants recognizes which findings as possible signs of brain dysfunction? (Select all that apply.)

Accepted Answer

A)  Irritability 
B)  Nausea 
C)  Anorexia 
D)  Vomiting 
E)  Fever 
A)  Irritability 
B)  Nausea 
C)  Anorexia 
D)  Vomiting 
E)  Fever

Question 9

Examination of the abdomen is performed correctly by the nurse in which order?

Accepted Answer

A)  Inspection, palpation, and auscultation 
B)  Palpation, inspection, and auscultation 
C)  Palpation, auscultation, and inspection 
D)  Inspection, auscultation, and palpation 
A)  Inspection, palpation, and auscultation 
B)  Palpation, inspection, and auscultation 
C)  Palpation, auscultation, and inspection 
D)  Inspection, auscultation, and palpation

Question 10

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 11

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 12

A nurse is reviewing pediatric physical assessment techniques.Which statement about performing a pediatric physical assessment is correct?

Accepted Answer

A)  Physical examinations proceed systematically from head to toe unless developmental considerations dictate otherwise. 
B)  The physical examination should be done with parents in the examining room for children of any age. 
C)  Measurement of head circumference is done until the child is 5 years old. 
D)  The physical examination is done only when the child is cooperative. 
A)  Physical examinations proceed systematically from head to toe unless developmental considerations dictate otherwise. 
B)  The physical examination should be done with parents in the examining room for children of any age. 
C)  Measurement of head circumference is done until the child is 5 years old. 
D)  The physical examination is done only when the child is cooperative.

Question 13

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 14

The nurse assesses a child's oculomotor,trochlear,and abducent nerves by using which technique?

Accepted Answer

A)  Assessing the six cardinal gazes 
B)  Identification of common odors 
C)  Having child bite on a tongue blade 
D)  Ask child to shrug against resistance 
A)  Assessing the six cardinal gazes 
B)  Identification of common odors 
C)  Having child bite on a tongue blade 
D)  Ask child to shrug against resistance

Question 15

Which statements about performing a pediatric physical assessment are correct for a school-age child? (Select all that apply.)

Accepted Answer

A)  Physical examinations proceed systematically from head to toe. 
B)  The physical examination should be done with parents in the waiting room. 
C)  Measurement of head circumference is obtained. 
D)  The physical examination is done only when the child is cooperative. 
E)  Remove clothing and have the child put on an examination gown. 
A)  Physical examinations proceed systematically from head to toe. 
B)  The physical examination should be done with parents in the waiting room. 
C)  Measurement of head circumference is obtained. 
D)  The physical examination is done only when the child is cooperative. 
E)  Remove clothing and have the child put on an examination gown.

Question 16

Which parameter correlates best with measurements of the body's total muscle mass-to-fat ratio?

Accepted Answer

A)  Height 
B)  Weight 
C)  Skinfold thickness 
D)  Mid-arm circumference 
A)  Height 
B)  Weight 
C)  Skinfold thickness 
D)  Mid-arm circumference

Question 17

When interviewing the mother of a 3-year-old child,the nurse asks about developmental milestones.This should be considered

Accepted Answer

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

Question 18

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 19

What should the nurse recognize as a possible indicator of child abuse in a 4-year-old child being treated for ear pain at the emergency department on a cold winter day? (Select all that apply.)

Accepted Answer

A)  The child extends his arms to be hugged by the nurse. 
B)  The child is wearing clean, baggy shorts, sandals, and an oversized T-shirt. 
C)  The child answers all questions in complete sentences and smiles afterward. 
D)  The child has dirty, broken teeth. 
E)  The child states "I'm so fat" when the nurse tells his mother he weighs 25 lb. 
A)  The child extends his arms to be hugged by the nurse. 
B)  The child is wearing clean, baggy shorts, sandals, and an oversized T-shirt. 
C)  The child answers all questions in complete sentences and smiles afterward. 
D)  The child has dirty, broken teeth. 
E)  The child states "I'm so fat" when the nurse tells his mother he weighs 25 lb.

Question 20

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

Exam 33: Physical Assessment of Children

A nurse is assessing a 12-month-old baby.What question about growth and development is most appropriate?

The nurse percussing over an empty stomach expects to hear which sound?

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

Which measurement is not indicated for a 4-year-old well-child examination?

The nurse palpated the anterior fontanel of a 14-month-old infant and found that it was closed.What does this finding indicate?

The nurse is assessing a 4-year-old child's visual acuity.The results indicate a visual acuity of 20/40 in both eyes.The child's father asks the nurse about his son's results.Which response,if made by the nurse,is correct?

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

A nurse working with infants recognizes which findings as possible signs of brain dysfunction? (Select all that apply.)

Examination of the abdomen is performed correctly by the nurse in which order?

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?

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

A nurse is reviewing pediatric physical assessment techniques.Which statement about performing a pediatric physical assessment is correct?

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

The nurse assesses a child's oculomotor,trochlear,and abducent nerves by using which technique?

Which statements about performing a pediatric physical assessment are correct for a school-age child? (Select all that apply.)

Which parameter correlates best with measurements of the body's total muscle mass-to-fat ratio?

When interviewing the mother of a 3-year-old child,the nurse asks about developmental milestones.This should be considered

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

What should the nurse recognize as a possible indicator of child abuse in a 4-year-old child being treated for ear pain at the emergency department on a cold winter day? (Select all that apply.)

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?

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 HealthCare

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 an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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