Chapter 8 My Nursing Test Banks

Ball/Bindler/Cowen, Principles of Pediatric Nursing: Caring for Children 6th Edition Test Bank
Chapter 8

Question 1

Type: MCMA

Which of these aspects of developmental health supervision should be included in each healthcare visit of young children?

Standard Text: Select all that apply.

1. Assessment

2. Discipline

3. Education

4. Intervention

5. Toilet training

Correct Answer: 1,3,4

Rationale 1: The main recommendations for developmental health supervision of young children include assessment, education, intervention, and care coordination. This standard framework should be used as guidelines for each healthcare visit. Discipline and toilet training, while important to the care of children, are age specific and not part of the main developmental plans.

Rationale 2: The main recommendations for developmental health supervision of young children include assessment, education, intervention, and care coordination. This standard framework should be used as guidelines for each healthcare visit. Discipline and toilet training, while important to the care of children, are age specific and not part of the main developmental plans.

Rationale 3: The main recommendations for developmental health supervision of young children include assessment, education, intervention, and care coordination. This standard framework should be used as guidelines for each healthcare visit. Discipline and toilet training, while important to the care of children, are age specific and not part of the main developmental plans.

Rationale 4: The main recommendations for developmental health supervision of young children include assessment, education, intervention, and care coordination. This standard framework should be used as guidelines for each healthcare visit. Discipline and toilet training, while important to the care of children, are age specific and not part of the main developmental plans.

Rationale 5: The main recommendations for developmental health supervision of young children include assessment, education, intervention, and care coordination. This standard framework should be used as guidelines for each healthcare visit. Discipline and toilet training, while important to the care of children, are age specific and not part of the main developmental plans.

Global Rationale: The main recommendations for developmental health supervision of young children include assessment, education, intervention, and care coordination. This standard framework should be used as guidelines for each healthcare visit. Discipline and toilet training, while important to the care of children, are age specific and not part of the main developmental plans.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 8.1 Describe the areas of assessment and intervention for health supervision visits for toddlers and preschoolers: growth and developmental surveillance, nutrition, physical activity, oral health, mental and spiritual health, family and social relations, disease prevention strategies, and injury prevention strategies.

Question 2

Type: MCSA

A 27-month-old toddler who is in the pediatric office for a well-child visit begins to cry the moment he is placed on the examination table. The parent attempts to comfort the toddler; however, nothing is effective. Which of these actions by the nurse takes priority?

1. Instruct the father to hold the toddler down tightly to complete the examination.

2. Allow the toddler to sit on the parents lap and begin the assessment.

3. Allow the toddler to stand on the floor until he stops crying.

4. Ask another nurse in the office to hold the toddler, since the parent is not able to control the toddlers behavior.

Correct Answer: 2

Rationale 1: Toddlers are most comfortable when sitting with the parents. Much of the examination can be completed in this way. Allowing the toddler to stand on the floor is inappropriate. A nurse can assist if the parent is unable to hold the child during the examination of the throat and ears to prevent injury from movement.

Rationale 2: Toddlers are most comfortable when sitting with the parents. Much of the examination can be completed in this way. Allowing the toddler to stand on the floor is inappropriate. A nurse can assist if the parent is unable to hold the child during the examination of the throat and ears to prevent injury from movement.

Rationale 3: Toddlers are most comfortable when sitting with the parents. Much of the examination can be completed in this way. Allowing the toddler to stand on the floor is inappropriate. A nurse can assist if the parent is unable to hold the child during the examination of the throat and ears to prevent injury from movement.

Rationale 4: Toddlers are most comfortable when sitting with the parents. Much of the examination can be completed in this way. Allowing the toddler to stand on the floor is inappropriate. A nurse can assist if the parent is unable to hold the child during the examination of the throat and ears to prevent injury from movement.

Global Rationale: Toddlers are most comfortable when sitting with the parents. Much of the examination can be completed in this way. Allowing the toddler to stand on the floor is inappropriate. A nurse can assist if the parent is unable to hold the child during the examination of the throat and ears to prevent injury from movement.

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 8.3 Plan health promotion and health maintenance strategies employed during health supervision visits of young children.

Question 3

Type: MCSA

At a routine healthcare visit, a nurse measures a toddler and plots the height and weight on the growth charts. The nurse documents that the toddler is above the 95th percentile for weight and is at the 5th percentile for height. How should the nurse interpret these data?

1. The toddler is proportionate for the age.

2. The toddler needs to eat more at each feeding.

3. The height and weight are disproportionate, and the toddler needs further evaluation.

4. The family is most likely short.

Correct Answer: 3

Rationale 1: Usually height and weight are at approximately the same percentile. When the weight of a child is found to be at the 95th percentile, the childs height is also greater than the 50th percentile. The height and weight for the child described in this question are a concern, and the child may need further endocrine testing.

Rationale 2: Usually height and weight are at approximately the same percentile. When the weight of a child is found to be at the 95th percentile, the childs height is also greater than the 50th percentile. The height and weight for the child described in this question are a concern, and the child may need further endocrine testing.

Rationale 3: Usually height and weight are at approximately the same percentile. When the weight of a child is found to be at the 95th percentile, the childs height is also greater than the 50th percentile. The height and weight for the child described in this question are a concern, and the child may need further endocrine testing.

Rationale 4: Usually height and weight are at approximately the same percentile. When the weight of a child is found to be at the 95th percentile, the childs height is also greater than the 50th percentile. The height and weight for the child described in this question are a concern, and the child may need further endocrine testing.

Global Rationale: Usually height and weight are at approximately the same percentile. When the weight of a child is found to be at the 95th percentile, the childs height is also greater than the 50th percentile. The height and weight for the child described in this question are a concern, and the child may need further endocrine testing.

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 8.1 Describe the areas of assessment and intervention for health supervision visits for toddlers and preschoolers:growth and developmental surveillance, nutrition, physical activity, oral health, mental and spiritual health, family and social relations, disease prevention strategies, and injury prevention strategies.

Question 4

Type: MCSA

A nurse is preparing to perform a physical assessment on a toddler. Which action is most appropriate for the nurse to take?

1. Perform the assessment from head to toe.

2. Leave intrusive procedures such as ear and eye examinations until the end.

3. Explain each part of the examination to the child before performing it.

4. Ask the mother to tell the child not to be afraid.

Correct Answer: 2

Rationale 1: Intrusive procedures such as examination of the ears, throat, eye, and genital areas should be done last to decrease the anxiety of the child during the initial phases of the examination, which includes the heart and lungs.

Rationale 2: Intrusive procedures such as examination of the ears, throat, eye, and genital areas should be done last to decrease the anxiety of the child during the initial phases of the examination, which includes the heart and lungs.

Rationale 3: Intrusive procedures such as examination of the ears, throat, eye, and genital areas should be done last to decrease the anxiety of the child during the initial phases of the examination, which includes the heart and lungs.

Rationale 4: Intrusive procedures such as examination of the ears, throat, eye, and genital areas should be done last to decrease the anxiety of the child during the initial phases of the examination, which includes the heart and lungs.

Global Rationale: Intrusive procedures such as examination of the ears, throat, eye, and genital areas should be done last to decrease the anxiety of the child during the initial phases of the examination, which includes the heart and lungs.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 8.3 Plan health promotion and health maintenance strategies employed during health supervision visits of young children.

Question 5

Type: MCMA

Which of these developmental milestones should the nurse expect to find in children who are between 2 and 3 years old?

Standard Text: Select all that apply.

1. Always feeds self

2. Scribbles and draws on paper

3. Kicks a ball

4. Throws ball overhand

5. Goes up and down stairs

Correct Answer: 2,3,5

Rationale 1: Children between the ages of 2 and 3 years can scribble and draw on paper, kick a ball, and go up and down the stairs. Children who are between the ages of 3 and 4 years can feed themselves. Children between the ages of 4 and 5 years can throw a ball overhand.

Rationale 2: Children between the ages of 2 and 3 years can scribble and draw on paper, kick a ball, and go up and down the stairs. Children who are between the ages of 3 and 4 years can feed themselves. Children between the ages of 4 and 5 years can throw a ball overhand.

Rationale 3: Children between the ages of 2 and 3 years can scribble and draw on paper, kick a ball, and go up and down the stairs. Children who are between the ages of 3 and 4 years can feed themselves. Children between the ages of 4 and 5 years can throw a ball overhand.

Rationale 4: Children between the ages of 2 and 3 years can scribble and draw on paper, kick a ball, and go up and down the stairs. Children who are between the ages of 3 and 4 years can feed themselves. Children between the ages of 4 and 5 years can throw a ball overhand.

Rationale 5: Children between the ages of 2 and 3 years can scribble and draw on paper, kick a ball, and go up and down the stairs. Children who are between the ages of 3 and 4 years can feed themselves. Children between the ages of 4 and 5 years can throw a ball overhand.

Global Rationale: Children between the ages of 2 and 3 years can scribble and draw on paper, kick a ball, and go up and down the stairs. Children who are between the ages of 3 and 4 years can feed themselves. Children between the ages of 4 and 5 years can throw a ball overhand.

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 8.1 Describe the areas of assessment and intervention for health supervision visits for toddlers and preschoolers:growth and developmental surveillance, nutrition, physical activity, oral health, mental and spiritual health, family and social relations, disease prevention strategies, and injury prevention strategies.

Question 6

Type: MCSA

A nurse observes the parent/child interaction during the 4-year-old well-child checkup and notes that the parent speaks harshly to the child and uses negative remarks when speaking with the nurse. Which statement by the nurse would be most beneficial?

1. Perhaps you should leave the room so that I can speak with your child privately.

2. I am going to refer you for counseling since your interactions with your child seem so negative.

3. Lets talk privately. Lets discuss the way you speak with your child and possible ways to be more positive.

4. Addressing the child, the nurse says, Are you unhappy when Mommy talks to you like this?

Correct Answer: 3

Rationale 1: The best approach to this encounter would be for the nurse to discuss concerns with the parent privately, since the nurse wants to help the parent develop a good relationship with the child. The child should not be a part of this conversation. Since the child is only 6 years old, it would be difficult to ask the parent to leave the room. If the nurse also wants to speak alone with the child, the nurse perhaps would escort the child to another area and speak briefly with the child. Referring to counseling without a discussion with the parent is not appropriate. The nurse should not ask the child if she is unhappy with the parent.

Rationale 2: The best approach to this encounter would be for the nurse to discuss concerns with the parent privately, since the nurse wants to help the parent develop a good relationship with the child. The child should not be a part of this conversation. Since the child is only 6 years old, it would be difficult to ask the parent to leave the room. If the nurse also wants to speak alone with the child, the nurse perhaps would escort the child to another area and speak briefly with the child. Referring to counseling without a discussion with the parent is not appropriate. The nurse should not ask the child if she is unhappy with the parent.

Rationale 3: The best approach to this encounter would be for the nurse to discuss concerns with the parent privately, since the nurse wants to help the parent develop a good relationship with the child. The child should not be a part of this conversation. Since the child is only 6 years old, it would be difficult to ask the parent to leave the room. If the nurse also wants to speak alone with the child, the nurse perhaps would escort the child to another area and speak briefly with the child. Referring to counseling without a discussion with the parent is not appropriate. The nurse should not ask the child if she is unhappy with the parent.

Rationale 4: The best approach to this encounter would be for the nurse to discuss concerns with the parent privately, since the nurse wants to help the parent develop a good relationship with the child. The child should not be a part of this conversation. Since the child is only 6 years old, it would be difficult to ask the parent to leave the room. If the nurse also wants to speak alone with the child, the nurse perhaps would escort the child to another area and speak briefly with the child. Referring to counseling without a discussion with the parent is not appropriate. The nurse should not ask the child if she is unhappy with the parent.

Global Rationale: The best approach to this encounter would be for the nurse to discuss concerns with the parent privately, since the nurse wants to help the parent develop a good relationship with the child. The child should not be a part of this conversation. Since the child is only 6 years old, it would be difficult to ask the parent to leave the room. If the nurse also wants to speak alone with the child, the nurse perhaps would escort the child to another area and speak briefly with the child. Referring to counseling without a discussion with the parent is not appropriate. The nurse should not ask the child if she is unhappy with the parent.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 8.4 Discuss the importance of family in child health care, and include family assessment in each health supervision visit.

Question 7

Type: MCSA

A nurse who is the manager of an ambulatory pediatric healthcare center is planning protocols for the routine healthcare visits of the children. Children at this care center have a high incidence of obesity. At which age should the nurses at this clinic calculate the body mass index (BMI) for all pediatric clients?

1. 12 months

2. 24 months

3. 36 months

4. 4 years

Correct Answer: 2

Rationale 1: The body mass index is first calculated at 2 years of age and gives information about the relationship between the height and weight of the child. With this information, the nurse would be able to develop strategies that may reduce the incidence of obesity.

Rationale 2: The body mass index is first calculated at 2 years of age and gives information about the relationship between the height and weight of the child. With this information, the nurse would be able to develop strategies that may reduce the incidence of obesity.

Rationale 3: The body mass index is first calculated at 2 years of age and gives information about the relationship between the height and weight of the child. With this information, the nurse would be able to develop strategies that may reduce the incidence of obesity.

Rationale 4: The body mass index is first calculated at 2 years of age and gives information about the relationship between the height and weight of the child. With this information, the nurse would be able to develop strategies that may reduce the incidence of obesity.

Global Rationale: The body mass index is first calculated at 2 years of age and gives information about the relationship between the height and weight of the child. With this information, the nurse would be able to develop strategies that may reduce the incidence of obesity.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 8.3 Plan health promotion and health maintenance strategies employed during health supervision visits of young children.

Question 8

Type: MCSA

Which of these measures used by a nurse will help relieve parental anxiety related to the changing appetite in the toddler who is gaining weight along the 50th percentile?

1. Discussing the growth of the toddler as compared to the growth chart

2. Suggesting ways to have the toddler eat higher calorie foods

3. Instructing the mother to feed the toddler alone without any distractions such as TV or music

4. Teaching the mother to avoid disciplining the toddler within one-half hour of eating

Correct Answer: 1

Rationale 1: Showing the parents the growth pattern of the child as compared to the normal growth chart will help relieve parental anxiety related to eating less food during the toddler years. Toddlers who are at the 50th percentile do not need additional high-calorie foods. Toddlers eat to their personal needs and there is no reason to restrict watching TV or other environmental stimuli during meals. There is no reason to relate timing of discipline and eating.

Rationale 2: Showing the parents the growth pattern of the child as compared to the normal growth chart will help relieve parental anxiety related to eating less food during the toddler years. Toddlers who are at the 50th percentile do not need additional high-calorie foods. Toddlers eat to their personal needs and there is no reason to restrict watching TV or other environmental stimuli during meals. There is no reason to relate timing of discipline and eating.

Rationale 3: Showing the parents the growth pattern of the child as compared to the normal growth chart will help relieve parental anxiety related to eating less food during the toddler years. Toddlers who are at the 50th percentile do not need additional high-calorie foods. Toddlers eat to their personal needs and there is no reason to restrict watching TV or other environmental stimuli during meals. There is no reason to relate timing of discipline and eating.

Rationale 4: Showing the parents the growth pattern of the child as compared to the normal growth chart will help relieve parental anxiety related to eating less food during the toddler years. Toddlers who are at the 50th percentile do not need additional high-calorie foods. Toddlers eat to their personal needs and there is no reason to restrict watching TV or other environmental stimuli during meals. There is no reason to relate timing of discipline and eating.

Global Rationale: Showing the parents the growth pattern of the child as compared to the normal growth chart will help relieve parental anxiety related to eating less food during the toddler years. Toddlers who are at the 50th percentile do not need additional high-calorie foods. Toddlers eat to their personal needs and there is no reason to restrict watching TV or other environmental stimuli during meals. There is no reason to relate timing of discipline and eating.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 8.1 Describe the areas of assessment and intervention for health supervision visits for toddlers and preschoolers: growth and developmental surveillance, nutrition, physical activity, oral health, mental and spiritual health, family and social relations, disease prevention strategies, and injury prevention strategies.

Question 9

Type: MCSA

Parents of a preschool child report that they find it necessary to spank the child at least once a day. Which response should the nurse make to the parents?

1. Spanking is one form of discipline; however, you want to be certain that you do not leave any marks on the child.

2. Lets talk about other forms of discipline that have a more positive effect on the child.

3. Can you try only spanking the child every other day for one week and see how that affects the childs behavior?

4. I think you are not parenting your child properly, so lets talk about ways to improve your parenting skills.

Correct Answer: 2

Rationale 1: The behavior reported by the parent was excessive. The only response that is appropriate is to find a more positive way of influencing behavior in this age child. The nurses response needs to reflect these feelings. To suggest spanking as an appropriate form of discipline is inappropriate, especially when the parent is describing daily spanking of the child.

Rationale 2: The behavior reported by the parent was excessive. The only response that is appropriate is to find a more positive way of influencing behavior in this age child. The nurses response needs to reflect these feelings. To suggest spanking as an appropriate form of discipline is inappropriate, especially when the parent is describing daily spanking of the child.

Rationale 3: The behavior reported by the parent was excessive. The only response that is appropriate is to find a more positive way of influencing behavior in this age child. The nurses response needs to reflect these feelings. To suggest spanking as an appropriate form of discipline is inappropriate, especially when the parent is describing daily spanking of the child.

Rationale 4: The behavior reported by the parent was excessive. The only response that is appropriate is to find a more positive way of influencing behavior in this age child. The nurses response needs to reflect these feelings. To suggest spanking as an appropriate form of discipline is inappropriate, especially when the parent is describing daily spanking of the child.

Global Rationale: The behavior reported by the parent was excessive. The only response that is appropriate is to find a more positive way of influencing behavior in this age child. The nurses response needs to reflect these feelings. To suggest spanking as an appropriate form of discipline is inappropriate, especially when the parent is describing daily spanking of the child.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 8.5 Integrate pertinent mental health care into health supervision visits for young children.

Question 10

Type: MCSA

A parent questions how her toddler plays with other toddlers. Which response by the nurse displays the best description of the differences in play between the toddler and the preschooler?

1. Toddlers play side by side, while preschoolers play cooperatively.

2. Toddlers play house and imitate adult roles, while preschoolers become the Mom or Dad while playing house.

3. Toddlers play cooperatively, while preschoolers play interactive games.

4. There are no differences between toddlers and preschoolers since both groups play cooperatively.

Correct Answer: 1

Rationale 1: Toddlers will play side by side with another child, but they do not interact with the child during play. Preschoolers play cooperatively with other children.

Rationale 2: Toddlers will play side by side with another child, but they do not interact with the child during play. Preschoolers play cooperatively with other children.

Rationale 3: Toddlers will play side by side with another child, but they do not interact with the child during play. Preschoolers play cooperatively with other children.

Rationale 4: Toddlers will play side by side with another child, but they do not interact with the child during play. Preschoolers play cooperatively with other children.

Global Rationale: Toddlers will play side by side with another child, but they do not interact with the child during play. Preschoolers play cooperatively with other children.

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 8.1 Describe the areas of assessment and intervention for health supervision visits for toddlers and preschoolers: growth and developmental surveillance, nutrition, physical activity, oral health, mental and spiritual health, family and social relations, disease prevention strategies, and injury prevention strategies.

Question 11

Type: MCSA

A mother of an 18-month old asks the nurse whether she can begin to introduce low-fat milk like the rest of the family drinks. The nurse answers the mother based on the knowledge that low-fat milk can safely be introduced at what age?

1. 18 months

2. 24 months

3. 3 years

4. 4 years

Correct Answer: 1

Rationale 1: Health promotion for the toddler includes whole milk until age 2. Age 1 is too early for low-fat milk; and it can safely be introduced before ages 3 and 4.

Rationale 2: Health promotion for the toddler includes whole milk until age 2. Age 1 is too early for low-fat milk, and it can safely be introduced before ages 3 and 4.

Rationale 3: Health promotion for the toddler includes whole milk until age 2. Age 1 is too early for low-fat milk, and it can safely be introduced before ages 3 and 4.

Rationale 4: Health promotion for the toddler includes whole milk until age 2. Age 1 is too early for low-fat milk, and it can safely be introduced before ages 3 and 4.

Global Rationale: Health promotion for the toddler includes whole milk until age 2. Age 1 is too early for low-fat milk, and it can safely be introduced before ages 3 and 4.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 8.1 Describe the areas of assessment and intervention for health supervision visits for toddlers and preschoolers: growth and developmental surveillance, nutrition, physical activity, oral health, mental and spiritual health, family and social relations, disease prevention strategies, and injury prevention strategies.

Question 12

Type: MCSA

The nurse is evaluating the car seat of a 3-year-old who weighs 42 pounds. Which recommendation should the nurse make about the car seat to the parents?

1. Convertible, rear-facing seat

2. Belt-positioning booster seat

3. A car seat with a harness approved for higher weights and heights

4. A regular seat with lap and shoulder strap

Correct Answer: 3

Rationale 1: The American Academy of Pediatrics and the National Highway Safety Administration recommend booster seats for children over 40 pounds and 4 years of age. A 3-year-old should be in a regular car seat with approved harness for higherweight/height children so that she is protected from injury. Rear-facing seats and regular seat with lap and shoulder strap are not appropriate for a 3-year-old.

Rationale 2: The American Academy of Pediatrics and the National Highway Safety Administration recommend booster seats for children over 40 pounds and 4 years of age. A 3-year-old should be in a regular car seat with approved harness for higherweight/height children so that she is protected from injury. Rear-facing seats and regular seat with lap and shoulder strap are not appropriate for a 3-year-old.

Rationale 3: The American Academy of Pediatrics and the National Highway Safety Administration recommend booster seats for children over 40 pounds and 4 years of age. A 3-year-old should be in a regular car seat with approved harness for higherweight/height children so that she is protected from injury. Rear-facing seats and regular seat with lap and shoulder strap are not appropriate for a 3-year-old.

Rationale 4: The American Academy of Pediatrics and the National Highway Safety Administration recommend booster seats for children over 40 pounds and 4 years of age. A 3-year-old should be in a regular car seat with approved harness for higherweight/height children so that she is protected from injury. Rear-facing seats and regular seat with lap and shoulder strap are not appropriate for a 3-year-old.

Global Rationale: The American Academy of Pediatrics and the National Highway Safety Administration recommend booster seats for children over 40 pounds and 4 years of age. A 3-year-old should be in a regular car seat with approved harness for higherweight/height children so that she is protected from injury. Rear-facing seats and regular seat with lap and shoulder strap are not appropriate for a 3-year-old.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 8.3 Plan health promotion and health maintenance strategies employed during health supervision visits of young children.

Question 13

Type: MCSA

During a clinic visit, the parents of a 15-month-old ask what disease and injury prevention topics would be appropriate to discuss at this age. Which response by the nurse is the most appropriate?

1. Its never too early to teach a child to wear a helmet when riding a bicycle.

2. Teaching simple handwashing is a good topic at this age.

3. Tell the child over and over to stay away from water unless you are with him.

4. Tell him firmly no when he tries to cross the street.

Correct Answer: 2

Rationale 1: Disease and injury prevention are ongoing topics at all ages. Simple handwashing is appropriate for a 15-month-old child. A 15-month-old is too young for bicycle riding, so this can be delayed. A 15-month-old is too young to understand water safety and crossing the street, and should never be left unattended in these situations.

Rationale 2: Disease and injury prevention are ongoing topics at all ages. Simple handwashing is appropriate for a 15-month-old child. A 15-month-old is too young for bicycle riding, so this can be delayed. A 15-month-old is too young to understand water safety and crossing the street, and should never be left unattended in these situations.

Rationale 3: Disease and injury prevention are ongoing topics at all ages. Simple handwashing is appropriate for a 15-month-old child. A 15-month-old is too young for bicycle riding, so this can be delayed. A 15-month-old is too young to understand water safety and crossing the street, and should never be left unattended in these situations.

Rationale 4: Disease and injury prevention are ongoing topics at all ages. Simple handwashing is appropriate for a 15-month-old child. A 15-month-old is too young for bicycle riding, so this can be delayed. A 15-month-old is too young to understand water safety and crossing the street, and should never be left unattended in these situations.

Global Rationale: Disease and injury prevention are ongoing topics at all ages. Simple handwashing is appropriate for a 15-month-old child. A 15-month-old is too young for bicycle riding, so this can be delayed. A 15-month-old is too young to understand water safety and crossing the street, and should never be left unattended in these situations.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 8.3 Plan health promotion and health maintenance strategies employed during health supervision visits of young children.

Question 14

Type: MCSA

Which assessment question would get the most accurate response when a nurse is assessing learning/reading skills in the early childhood years?

1. What rewards do you use when your child does something good?

2. What is your childs language like now?

3. Does your child get along well with others?

4. Do you keep books for your child readily available?

Correct Answer: 4

Rationale 1: Keeping books readily available will stimulate reading skills. This is the question that will provide the most information about learning/reading skills. Language and getting along with others are more communication skills. Rewards are more closely related to discipline.

Rationale 2: Keeping books readily available will stimulate reading skills. This is the question that will provide the most information about learning/reading skills. Language and getting along with others are more communication skills. Rewards are more closely related to discipline.

Rationale 3: Keeping books readily available will stimulate reading skills. This is the question that will provide the most information about learning/reading skills. Language and getting along with others are more communication skills. Rewards are more closely related to discipline.

Rationale 4: Keeping books readily available will stimulate reading skills. This is the question that will provide the most information about learning/reading skills. Language and getting along with others are more communication skills. Rewards are more closely related to discipline.

Global Rationale: Keeping books readily available will stimulate reading skills. This is the question that will provide the most information about learning/reading skills. Language and getting along with others are more communication skills. Rewards are more closely related to discipline.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 8.3 Plan health promotion and health maintenance strategies employed during health supervision visits of young children.

Question 15

Type: MCMA

The nurse is asked to teach injury prevention measures to a classroom of 4-year-old preschoolers. Which teaching points are most appropriate at this age?

Standard Text: Select all that apply.

1. Stop, drop and roll if clothes catch fire

2. Never go into the road alone.

3. Acceptable places for climbing

4. Safe meeting place outside the house in case of fire

5. Car seat safety

Correct Answer: 1,2,4,5

Rationale 1: Acceptable places to climb should be introduced in the toddler years when children are learning to walk, climb, and explore. It is not a topic for a preschool class. All the other topics are appropriate for this age.

Rationale 2: Acceptable places to climb should be introduced in the toddler years when children are learning to walk, climb, and explore. It is not a topic for a preschool class. All the other topics are appropriate for this age.

Rationale 3: Acceptable places to climb should be introduced in the toddler years when children are learning to walk, climb, and explore. It is not a topic for a preschool class. All the other topics are appropriate for this age.

Rationale 4: Acceptable places to climb should be introduced in the toddler years when children are learning to walk, climb, and explore. It is not a topic for a preschool class. All the other topics are appropriate for this age.

Rationale 5: Acceptable places to climb should be introduced in the toddler years when children are learning to walk, climb, and explore. It is not a topic for a preschool class. All the other topics are appropriate for this age.

Global Rationale: Acceptable places to climb should be introduced in the toddler years when children are learning to walk, climb, and explore. It is not a topic for a preschool class. All the other topics are appropriate for this age.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 8.3 Plan health promotion and health maintenance strategies employed during health supervision visits of young children.

Question 16

Type: MCSA

The nurse is performing a well-child exam on a child who turned 4 years old 3 months ago. What can the nurse ask the child to do to assess appropriate milestones for this age?

1. Jump up and down

2. Throw a ball

3. Stack three or more blocks

4. Draw lines on paper

Correct Answer: 2

Rationale 1: Jumping up and down, stacking three or more blocks, and drawing lines on paper are activities that represent milestones for young children. Throwing a ball and observing how it is thrown would assess a milestone for this age. By 45 years, a child begins to throw a ball overhand.

Rationale 2: Jumping up and down, stacking three or more blocks, and drawing lines on paper are activities that represent milestones for young children. Throwing a ball and observing how it is thrown would assess a milestone for this age. By 45 years, a child begins to throw a ball overhand.

Rationale 3: Jumping up and down, stacking three or more blocks, and drawing lines on paper are activities that represent milestones for young children. Throwing a ball and observing how it is thrown would assess a milestone for this age. By 45 years, a child begins to throw a ball overhand.

Rationale 4: Jumping up and down, stacking three or more blocks, and drawing lines on paper are activities that represent milestones for young children. Throwing a ball and observing how it is thrown would assess a milestone for this age. By 45 years, a child begins to throw a ball overhand.

Global Rationale: Jumping up and down, stacking three or more blocks, and drawing lines on paper are activities that represent milestones for young children. Throwing a ball and observing how it is thrown would assess a milestone for this age. By 45 years, a child begins to throw a ball overhand.

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 8.1 Describe the areas of assessment and intervention for health supervision visits for toddlers and preschoolers: growth and developmental surveillance, nutrition, physical activity, oral health, mental and spiritual health, family and social relations, disease prevention strategies, and injury prevention strategies.

Question 17

Type: MCMA

Which health promotion activities can the nurse recommend to the parents of a preschool-age child in order to enhance the childs self-concept?

Standard Text: Select all that apply.

1. Encourage a play date with a school-age child.

2. Praise the child for staying dry at night.

3. Tell the child there will be a punishment for bathroom accidents.

4. Set aside time for the child each day.

5. Discuss appropriate activities to engage in with the daycare provider.

Correct Answer: 2,4,5

Rationale 1: Health promotion activities focus on development of a healthy self-concept in the toddler and young child by helping parents to set up successful play experiences, to praise the child for successes, to use effective limit-setting techniques, and to realize and appreciate the childs unique characteristics. Health maintenance seeks to avoid the poor self-image that can occur with constant criticism or expectations not in alignment with the toddlers or preschoolers developmental capabilities.

Rationale 2: Health promotion activities focus on development of a healthy self-concept in the toddler and young child by helping parents to set up successful play experiences, to praise the child for successes, to use effective limit-setting techniques, and to realize and appreciate the childs unique characteristics. Health maintenance seeks to avoid the poor self-image that can occur with constant criticism or expectations not in alignment with the toddlers or preschoolers developmental capabilities.

Rationale 3: Health promotion activities focus on development of a healthy self-concept in the toddler and young child by helping parents to set up successful play experiences, to praise the child for successes, to use effective limit-setting techniques, and to realize and appreciate the childs unique characteristics. Health maintenance seeks to avoid the poor self-image that can occur with constant criticism or expectations not in alignment with the toddlers or preschoolers developmental capabilities.

Rationale 4: Health promotion activities focus on development of a healthy self-concept in the toddler and young child by helping parents to set up successful play experiences, to praise the child for successes, to use effective limit-setting techniques, and to realize and appreciate the childs unique characteristics. Health maintenance seeks to avoid the poor self-image that can occur with constant criticism or expectations not in alignment with the toddlers or preschoolers developmental capabilities.

Rationale 5: Health promotion activities focus on development of a healthy self-concept in the toddler and young child by helping parents to set up successful play experiences, to praise the child for successes, to use effective limit-setting techniques, and to realize and appreciate the childs unique characteristics. Health maintenance seeks to avoid the poor self-image that can occur with constant criticism or expectations not in alignment with the toddlers or preschoolers developmental capabilities.

Global Rationale: Health promotion activities focus on development of a healthy self-concept in the toddler and young child by helping parents to set up successful play experiences, to praise the child for successes, to use effective limit-setting techniques, and to realize and appreciate the childs unique characteristics. Health maintenance seeks to avoid the poor self-image that can occur with constant criticism or expectations not in alignment with the toddlers or preschoolers developmental capabilities.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 8.2 State components of self-concept for toddlers and preschoolers.

Question 18

Type: MCMA

The nurse is planning care for a preschool-age child and family. In order to assess the family, what should the nurse plan to do during each health supervision visit?

Standard Text: Select all that apply.

1. Discuss of the childs developmental status

2. Observe interactions among the family members

3. Discuss concerns with the parents

4. Administer age appropriate vaccinations

5. Record height and weight

Correct Answer: 1,2,3

Rationale 1: In order to assess the child and family, the nurse would plan to discuss the childs developmental status, observe interactions among the family members, and discuss any concerns with the parents. Administering age appropriate vaccinations and recording height and weight are appropriate interventions, but are not included during the family assessment process.

Rationale 2: In order to assess the child and family, the nurse would plan to discuss the childs developmental status, observe interactions among the family members, and discuss any concerns with the parents. Administering age appropriate vaccinations and recording height and weight are appropriate interventions, but are not included during the family assessment process.

Rationale 3: In order to assess the child and family, the nurse would plan to discuss the childs developmental status, observe interactions among the family members, and discuss any concerns with the parents. Administering age appropriate vaccinations and recording height and weight are appropriate interventions, but are not included during the family assessment process.

Rationale 4: In order to assess the child and family, the nurse would plan to discuss the childs developmental status, observe interactions among the family members, and discuss any concerns with the parents. Administering age appropriate vaccinations and recording height and weight are appropriate interventions, but are not included during the family assessment process.

Rationale 5: In order to assess the child and family, the nurse would plan to discuss the childs developmental status, observe interactions among the family members, and discuss any concerns with the parents. Administering age appropriate vaccinations and recording height and weight are appropriate interventions, but are not included during the family assessment process.

Global Rationale: In order to assess the child and family, the nurse would plan to discuss the childs developmental status, observe interactions among the family members, and discuss any concerns with the parents. Administering age appropriate vaccinations and recording height and weight are appropriate interventions, but are not included during the family assessment process.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub: 

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: LO 8.4 Discuss the importance of family in child health care, and include family assessment in each health supervision visit.

Ball/Bindler/Cowen, Principles of Pediatric Nursing 6th Ed. Test Bank

Copyright 2015 by Pearson Education, Inc.

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