Question 1

The nurse is obtaining vital signs on a 1-year-old child.What is the most appropriate site for assessing the pulse rate?

Accepted Answer

A)  Apical 
B)  Radial 
C)  Carotid 
D)  Femoral 
A)  Apical 
B)  Radial 
C)  Carotid 
D)  Femoral

Question 2

A school nurse is screening children for scoliosis.Which assessment findings should the nurse expect to observe for scoliosis? (Select all that apply.)

Accepted Answer

A)  Pain with deep palpation of the spinal column 
B)  Unequal shoulder heights 
C)  The trouser pant leg length appears shorter on one side 
D)  Inability to bend at the waist 
E)  Unequal waist angles 
A)  Pain with deep palpation of the spinal column 
B)  Unequal shoulder heights 
C)  The trouser pant leg length appears shorter on one side 
D)  Inability to bend at the waist 
E)  Unequal waist angles

Question 3

The nurse inspecting the skin of a dark-skinned child notices an area that is a dusky red or violet color.This skin coloration is associated with what?

Accepted Answer

A)  Cyanosis 
B)  Erythema 
C)  Vitiligo 
D)  Nevi 
A)  Cyanosis 
B)  Erythema 
C)  Vitiligo 
D)  Nevi

Question 4

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)  Snaps and clicks 
C)  Murmur 
D)  Physiologic splitting 
A)  S1, S2 
B)  Snaps and clicks 
C)  Murmur 
D)  Physiologic splitting

Question 5

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 6

The nurse has a 2-year-old boy sit in a "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 7

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 8

Which cranial nerve is assessed when the child is asked to imitate the examiner's wrinkled frown,wrinkled forehead,smile,and raised eyebrow?

Accepted Answer

A)  Accessory 
B)  Hypoglossal 
C)  Trigeminal 
D)  Facial 
A)  Accessory 
B)  Hypoglossal 
C)  Trigeminal 
D)  Facial

Question 9

The nurse is performing a comprehensive physical examination on a young child in the hospital.At what age can the nurse expect a child's head and chest circumferences to be almost equal?

Accepted Answer

A)  Birth 
B)  6 months 
C)  1 year 
D)  3 years 
A)  Birth 
B)  6 months 
C)  1 year 
D)  3 years

Question 10

The nurse is admitting a toddler to the pediatric infectious disease unit.What is the single most important component of the child's physical examination?

Accepted Answer

A)  Assessment of heart and lungs 
B)  Measurement of height and weight 
C)  Documentation of parental concerns 
D)  Obtaining an accurate history 
A)  Assessment of heart and lungs 
B)  Measurement of height and weight 
C)  Documentation of parental concerns 
D)  Obtaining an accurate history

Question 11

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

Question 12

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)  Let the child play with the stethoscope for distraction. 
D)  Document that data are not available because of crying. 
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)  Let the child play with the stethoscope for distraction. 
D)  Document that data are not available because of crying.

Question 13

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 14

A student nurse hears two registered nurses discussing a child who has neurologic soft signs.The student asks what this means.What response by the nurse is best?

Accepted Answer

A)  The baby's fontanels have not yet closed. 
B)  Tests of neurologic function are indeterminate. 
C)  The child can't perform activities he should be able to. 
D)  The child has a significant neurologic disorder. 
A)  The baby's fontanels have not yet closed. 
B)  Tests of neurologic function are indeterminate. 
C)  The child can't perform activities he should be able to. 
D)  The child has a significant neurologic disorder.

Question 15

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.

Question 16

Which tool measures body fat most accurately?

Accepted Answer

A)  Measuring board 
B)  Calipers 
C)  Cloth tape measure 
D)  Paper or metal tape measure 
A)  Measuring board 
B)  Calipers 
C)  Cloth tape measure 
D)  Paper or metal tape measure

Question 17

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.

Exam 33: Physical Assessment of Children

The nurse is obtaining vital signs on a 1-year-old child.What is the most appropriate site for assessing the pulse rate?

A school nurse is screening children for scoliosis.Which assessment findings should the nurse expect to observe for scoliosis? (Select all that apply.)

The nurse inspecting the skin of a dark-skinned child notices an area that is a dusky red or violet color.This skin coloration is associated with what?

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

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

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

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

Which cranial nerve is assessed when the child is asked to imitate the examiner's wrinkled frown,wrinkled forehead,smile,and raised eyebrow?

The nurse is performing a comprehensive physical examination on a young child in the hospital.At what age can the nurse expect a child's head and chest circumferences to be almost equal?

The nurse is admitting a toddler to the pediatric infectious disease unit.What is the single most important component of the child's physical examination?

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

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

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

A student nurse hears two registered nurses discussing a child who has neurologic soft signs.The student asks what this means.What response by the nurse is best?

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

Which tool measures body fat most accurately?

Which strategy is not always appropriate for pediatric physical examination?

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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