Question 1

A 16-year-old male tells the nurse, "For weeks now, I am just not interested in doing anything, and I've stopped all my sports activities. I just feel sad all the time, and I just don't want to go on." The nurse completes an assessment and begins to develop a plan of care. What is the most appropriate nursing intervention at this time?

Accepted Answer

A)  Inform the patient you will be contacting his parents.
B)  Inform the patient you are completing a mental health referral.
C)  Teach the patient about coping strategies.
D)  Contact the patient's teachers for further information. B

Question 2

The nurse is beginning a routine assessment on a client who is 3 years of age. Which is the most appropriate action by the nurse to gain trust and cooperation from the child?

Accepted Answer

A)  Explain to the child what is going to be done at the visit.
B)  Allow the child to control the pace of the assessment.
C)  Encourage the parents to leave the room during the assessment.
D)  Play a game of ball with the child. D

Question 3

A parent brings a toddler to the clinic for well-child care. Which is most important for the nurse to assess?

Accepted Answer

A)  How successful the child is with potty training
B)  How the child acts when you enter the room
C)  Whether the child is using eating utensils
D)  Whether the home is childproofed D

Question 4

The nurse conducts a class on health promotion for a group of young male adults. Which comment indicates to the nurse the teaching is effective?

Accepted Answer

A)  "I need to get screened for colon cancer."
B)  "I am going to continue doing testicular self-exams."
C)  "I will request a prostate check at my annual exam."
D)  "I have no need to do breast self-exams until I am 40."

Question 5

The nurse is providing information to a parent group of adolescent children about body piercings and tattoos. Which information is most important for the nurse to include in the teaching? Select all that apply.

Accepted Answer

A)  Body piercing and tattooing often indicate low self-esteem.
B)  Tattoos and piercings can be a source of hepatitis.
C)  Tattoos and piercings carry a high risk of skin infections.
D)  Body piercings and tattoos are indications of drug abuse.
E)  Body piercings and tattoos indicate psychosocial problems.

Question 6

An adolescent, single mother of a 2-month-old infant comes to the clinic and tells the nurse, "Sometimes no matter what I do, my baby won't stop crying, and I hold him up in the air and shake him until he stops." Based on these statements by the mother, which is the first action by the nurse?

Accepted Answer

A)  Teach the mother about the dangers of shaking a baby.
B)  Report child abuse to the appropriate authorities.
C)  Teach the mother other methods to stop the baby from crying.
D)  Encourage the mother to obtain more support from a significant other.

Question 7

A parent brings a 5-year-old male child to the healthcare clinic for a regular health visit prior to kindergarten admission. Which comment by the parent indicates the need for follow-up questions by the nurse?

Accepted Answer

A)  "He is not a good child like my firstborn."
B)  "I've had to do lice treatments a couple of times."
C)  "He has an imaginary friend called Buddy."
D)  "He is so funny when imitating his father."

Question 8

The pediatric nurse is presenting information about teeth brushing to a preschooler class. Prior to the start of class, the nurse spends some time meeting and talking with the students. Which statement(s) by the preschoolers indicates normal development for this group? Select all that apply.

Accepted Answer

A)  "I am going to read my book. I love my book."
B)  "You should never steal anything from anyone."
C)  "Water and ice are really not the same."
D)  "I can count to 20 without any help."
E)  "I already know how to brush my teeth."

Question 9

A mother watches the nurse perform an assessment on her newborn and asks the nurse why the nurse is doing things like stroking the bottom of the newborn's feet. Which response by the nurse is correct?

Accepted Answer

A)  "Just checking the blood flow to your baby's feet to make sure it's normal."
B)  "Testing to see if your baby's neuromuscular system is fully developed."
C)  "Evaluating to see if your baby has the reflex responses we anticipate."
D)  "Determining if your baby has normal sensation in his feet."

Question 10

The nurse is preparing a health promotion class for middle-aged males. As part of the teaching plan, the nurse will provide information on which common health problems associated with this age group? Select all that apply.

Accepted Answer

A)  Cardiovascular disease
B)  Cancer
C)  Alcoholism
D)  Obesity
E)  Sports injuries

Question 11

A 38-year-old client comes into the clinic for a health examination. The nurse is aware of the psychosocial development tasks and common health problems for this age group. Which question is most important for the nurse to ask?

Accepted Answer

A)  Whether the client has episodes of feeling depressed
B)  Whether the client practices safe sex
C)  About the client's exercise habits
D)  About the health history of the client's parents

Question 12

The nurse teaches the parent of a preschool-age child about expected development. Which comment by the parent indicates understanding of the information?

Accepted Answer

A)  "She understands that the monsters in books are not real."
B)  "When I mention her birthday is in a week, she understands."
C)  "I am saving to buy her the roller skates she's been asking for."
D)  "I can't expect her to understand why a friend doesn't agree with her."

Question 13

The nurse is interviewing the parents of an infant. One parent states, "I was not raised in a family of faith, and I don't know how to give that to my child." Using James Fowler's Spiritual Development Theory, which information does the nurse provide?

Accepted Answer

A)  The stages of faith development are closely associated with evolving cognitive abilities.
B)  Faith, for a child, requires the ability to use logic and hypothetical thinking.
C)  In a family of faith, a child reaches high levels of faith refinement in adolescence.
D)  Parents without a personal understanding of faith will need professional assistance.

Question 14

The nurse works in a pediatric emergency department. During the nurse's shift, a 6-year-old child arrives with a parent. The nurse notices bruises on the child, and the parent avoids answering any questions about them. Which is the most appropriate action by the nurse?

Accepted Answer

A)  Contact a child abuse hotline.
B)  Notify the physician.
C)  Contact the nurse's supervisor.
D)  Continue to ask the mother more questions.

Question 15

The nurse is performing physical assessment on a female client who is in her early 50s. Which comment made by the client is a cue indicating the need for further assessment for a problem?

Accepted Answer

A)  "My skin is so dry I need to use lotion every day after I bathe."
B)  "I have episodes when I feel really hot even when others are not."
C)  "It's getting harder to lift those big bags of dog food."
D)  "I have to write myself notes because I'm getting so forgetful."

Question 16

A 52-year-old female comes to the office for her routine yearly physical examination. As part of the nurse's assessment, which physical change in women of this age group is most expected?

Accepted Answer

A)  Graying hair
B)  Breast cancer
C)  Menopause
D)  Mood swings

Question 17

The nurse in a pediatric clinic is performing a developmental assessment on a toddler who is a regular client. Over a period of months, the nurse notices the toddler's inability to walk without holding on to something and poor pincer grasp. The parent states, "There is nothing wrong with my child. We just need to give him more time." Which developmental principle does the nurse convey to the parent using Havighurst's Developmental Task Theory?

Accepted Answer

A)  Many infants and toddlers will lag behind in physical development.
B)  Failure to master a task leads to difficulty mastering future tasks.
C)  Young children often require additional time for developmental tasks.
D)  Concerns about early cognitive and physiological tasks are unfounded.

Question 18

The nurse is providing prenatal counseling for a couple who is trying to become pregnant. The priority for the nurse is to include which information?

Accepted Answer

A)  Stages of growth and development of the fetus
B)  Recommended schedule of visits to her healthcare provider
C)  Recommended average weight gain during pregnancy
D)  Healthy eating habits before and during pregnancy

Question 19

According to Erikson, which behavior demonstrates an important psychosocial task for a toddler to exhibit?

Accepted Answer

A)  Acting defiantly by refusing to hold a parent's hand while crossing the street
B)  Recognizing that it is wrong to take a toy away from someone else
C)  Displaying an ability to understand the concept of time in hours
D)  Expressing to parents and playmates when something is disliked

Question 20

Which action is an example of a school-aged child meeting a psychosocial development task?

Accepted Answer

A)  Wants to show off the latest mastered bicycle trick
B)  Becomes interested in friendships with the opposite sex
C)  Starts to see the value of making good decisions
D)  Wants to buy the same jacket bought by a friend

Exam 9: Life Span: Infancy Through Middle Adulthood