Question 1

When introducing hospital equipment to a preschooler who seems afraid,which principle should the nurse keep in mind?

Accepted Answer

A)  The child may think the equipment is alive. 
B)  The child is too young to understand what the equipment does. 
C)  Explaining the equipment will only increase the child's fear. 
D)  One brief explanation is enough to reduce the child's fear.

Question 2

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

Accepted Answer

A)  Introduce him- or herself. 
B)  Make the family comfortable. 
C)  Explain the purpose of the interview. 
D)  Give an assurance of privacy.

Question 3

During an examination of a toddler's extremities,the nurse notes that the child is bowlegged.How should the nurse document this finding?

Accepted Answer

A)  It is abnormal and requires further investigation. 
B)  It is abnormal unless it occurs in conjunction with knock-knee. 
C)  It is normal if the condition is unilateral or asymmetric. 
D)  It is normal because the lower back and leg muscles are not yet well developed.

Question 4

The nurse asks a preschool-age child to do the "finger-to-nose" test.What is the nurse testing for?

Accepted Answer

A)  Deep tendon reflexes 
B)  Cerebellar function 
C)  Sensory discrimination 
D)  Ability to follow directions

Question 5

A nurse is taking the health history of an adolescent.Which statement best describes how to determine the chief complaint?

Accepted Answer

A)  Ask for a detailed listing of symptoms. 
B)  Ask the adolescent,"Why did you come here today?" 
C)  Use what the adolescent says to determine,in correct medical terminology,what the problem is. 
D)  Interview the parent away from the adolescent to determine the chief complaint.

Question 6

Which tool measures body fat most accurately?

Accepted Answer

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

Question 7

Which data are included in a health history?

Accepted Answer

A)  Review of systems 
B)  Physical assessment 
C)  Vital sign assessment 
D)  Growth measurements

Question 8

The nurse must check vital signs on a 2-year-old boy who is brought to the clinic for his 24-month checkup.Which criteria should the nurse use to determine the appropriate-size blood pressure cuff?

Accepted Answer

A)  The cuff is labelled "toddler." 
B)  The cuff bladder width is approximately 80% of the circumference of the upper arm. 
C)  The cuff bladder length covers 80 to 100% of the circumference of the upper arm. 
D)  The cuff bladder covers 50 to 66% of the length of the upper arm.

Question 9

According to the WHO Growth Reference Charts,which body mass index (BMI)-for-age percentile indicates a risk for being overweight?

Accepted Answer

A)  Tenth percentile 
B)  Twenty-fifth percentile 
C)  Ninetieth percentile 
D)  Ninety-fifth percentile

Question 10

Which statement describes the emerging illocutionary stage?

Accepted Answer

A)  The child is reflexive to stimuli. 
B)  The child shows increasing purpose in action. 
C)  The child communicates intentionally with signals and gestures. 
D)  The child communicates intentionally with vocalizations and verbalizations.

Question 11

Binocularity is normally present by what age?

Accepted Answer

A)  1 month 
B)  3 to 4 months 
C)  6 to 8 months 
D)  12 months

Question 12

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

Accepted Answer

A)  The child's physical condition 
B)  The presence or absence of the child's parent 
C)  The child's developmental level 
D)  The child's nonverbal behaviours

Question 13

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)  S3,S4 
C)  Murmur 
D)  Physiological splitting

Question 14

What is the correct order of the steps for examining the abdomen?

Accepted Answer

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

Question 15

Which assessment findings of the head indicate deficient or excess nutrition? Select all that apply.Express answer with small letters followed by a comma and a space-e.g. ,a,b,c

Accepted Answer

A)  Frontal bone prominence 
B)  Occipital prominence 
C)  Hard,tender lumps in occiput 
D)  Even moulding 
E)  Delayed fusion of sutures
F) Symmetrical facial features

Question 16

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

Accepted Answer

A)  Face 
B)  Buttocks 
C)  Oral mucosa 
D)  Palms and soles

Question 17

Which is an appropriate approach to performing a physical assessment on a toddler?

Accepted Answer

A)  Always proceed in a head-to-toe direction. 
B)  Perform traumatic procedures first. 
C)  Use minimum physical contact initially. 
D)  Demonstrate use of equipment.

Question 18

An 8-year-old girl asks the nurse how the blood pressure apparatus works.What is the most appropriate act for the nurse to take?

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 when it is used.

Question 19

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

Question 20

When palpating a child's cervical lymph nodes,the nurse notes that they are tender,enlarged,and warm.What is the best explanation for this finding?

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

Exam 33: Communication, History, Physical, and Developmental Assessment