NURS 341 Wong's Nursing Care of Infants and Children Chapter NCLEX Review Questions and Answers

Document Content and Description Below

1. Because injuries are the most common cause of death and disability in children in the United States which stage of development correctly determines the type of injury that may occur? Select all tha... t apply - ANSWER a. The need to conform and gain acceptance from his peers may make a child accept a dare b. Toddlers who can run and climb may be susceptible to burns, falls, and collisions with objects c. A crawling infant may aspirate due to the tendency to place objects in his mouth 1. The National Children's Study is the largest prospective long-term study of children's health and development in the United States. Which of these options are the goals of this study? Select all that apply - ANSWER a. Provide information for families to eradicate unhealthy diets, dental caries, and childhood obesity b. Significantly reduce violence, substance abuse, and mental health disorders among the nations children. 1. The newest nurse on the pediatric unit is concerned about maintaining a professional distance in her relationship with a patient and the patient's family. Which comment indicates that she needs more mentoring regarding her patient-nurse relationship? - ANSWER I realize that caring for the child means I can visit them on my days off if they ask me. 1. The overriding goal of atraumatic care is: - ANSWER Do No Harm 1. A family you are caring for on the pediatric unit asks you about nutrition for their baby. What facts will you want to include in this nutritional information? Select all that apply. - ANSWER a. Breastfeeding provides micronutrients and immunologic properties b. Eating preferences and attitudes relating to food are established by family influences and culture. c. During adolescence, parental influence diminishes and adolescence make food choices related to peer acceptability and sociability 2. Duvall's Developmental Stages of the Family include which of the following? Select all that apply. - ANSWER a) Stages families progress through in adult hood b) Stages that designate how parenting progresses as a child develops c) Stages that describe the journey a couple will take as their children mature 2. Family Systems Theory includes: - ANSWER A balance between morphogenesis and morphostasis is necessary 2. The nurse is explaining the strategy of consequences to a parent he is working with. Which response by the patient indicates more teaching is needed when he describes the types of consequences? - ANSWER Transforming: Allowing the child to come to the conclusion on his or her own 2. Culture includes which of the following? Select all that apply - ANSWER a) Culture humility, which requires that health care providers participate in a continual process of self reflection and self critique. b) Recognizing the power of the health care provider role that views the patient and family as full members of the health care team c) A particular group with its values, beliefs, norms, patterns, and practices that are learned, shared and transmitted from one generation to another. d) A complex whole in which each part is interrelated, including beliefs tradition, life ways, and heritage. 2. Ways to integrate spiritual practices into nursing care include: - ANSWER Becoming knowledgable about the religious worldviews of cultural groups found in the patient you care for. 3. When caring for a child with a cleft lip, a parent asks the nurse, "Did I cause this defect in my child?" What is the best response by the nurse? - ANSWER "Early in the pregnancy there may be an abnormality in the developmental process; the reasons for this are largely still unknown." 3. The nurse may be called upon to have knowledge about sex chromosome aneuploidies. In answering familie's questions, the nurse can report: - ANSWER "Klinefelter's syndrome is the most common of all sex chromosome aneuploidies, and mental development is normal in most cases." 3. When parents consider genetic testing, especially after having a child born with an anomaly which information could the nurse use to further instruct the family? - ANSWER a) Genetic screening can provide early recognition of a disease, before signs and symptoms occur, for which effective intervention and therapy exists. B) Screening can occur at different times in a persons life: pre conceptual, newborn screening, or maternal screening. C) Genetic testing can help identify carriers of a genetic disease for the purpose of maximizing parenthood planning options. D)Recognizing a genetic disorder can further facilitate genetic evaluation by collecting pregnancy, labor and delivery, perinatal, medical, and developmental histories. 3. The nurse is discharging an infant diagnosed with PKU from the hospital. Which statement made by the parents indicates further need for teaching? - ANSWER "I will bring my baby back to the doctor to obtain another blood draw sample by 4 weeks of age since the first sample was drawn before he was 24 hours old." 3. The pediatric nurse may be in the unique position to talk with a family about further genetic evaluation their child. Which assessment findings by the nurse may alert the nurse to this need? Select all that apply - ANSWER A) Skeletal abnormalities: limb abnormalities, asymmetry, hyperextendible joints. B) Recurrent infection or immunodeficiency: ear infections, pneumonia, poor healing of the umbilicus. C) Development and speech delays or loss of developmental milestones. 4. While interviewing the parents who have just arrived in the health care clinic, the nurse begins the interview. Which statement below involves therapeutic communication techniques? Select all that apply. - ANSWER A) Using broad, open-ended questions so that parents can feel open to discuss issues. B) Redirecting by asking guided questions to keep the parents on task. C) Careful listening, which relies on the use of clues and verbal leads to help move the conversation along. 4. A nurse looks over her assignment for the day that includes an infant, a preschool-age child, a third-grader, and a sophomore in high school. Which techniques take into consideration developmental stages when working with pediatric patients? - ANSWER Explaining and demonstrating what the blood pressure machine does to the third-grader before taking her blood pressure. 4. These general approaches can be helpful when performing a physical exam. Select all that apply. - ANSWER A) With toddlers restraint may be necessary, and requesting a parent's assistance is appropriate. B) When examining a preschooler, giving a choice of which parts to examine may be helpful in gaining the child's cooperation. 4. When assessing blood pressure in a child: - ANSWER Knowledge of normal mean is important: newborn, 65/41; 1 month to 2 years, 95/58; 2-5years, 101/57 4. Growth measurement is a key element in children of their health status. One measurement for height is linear growth measurement. What should the nurse do to perfect this technique? Select all that apply. - ANSWER A) Understand the difference in measurement for children who can stand alone and for those who must lie recumbent. D) Reposition the child and repeat the procedure. Measure at least twice (ideally 3 times). Average the measurements for the final value. E) Demonstrate competency when measuring the growth of infants, children, and adolescents. Refresher session should be taken when a lack of standardization occurs. 5. When caring for their infant, a parent asks you, "Is Emily in a lot of pain? How would you know since she can't really tell yo [Show More]

Last updated: 1 year ago

Preview 1 out of 11 pages