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    Exam Review

    1. A nurse in the pediatric clinic is discussing Piaget's theory of cognitive development with a newly licensed nurse. The nurse should review which of the following types of thinking that occurs during adolescent development?
      A)
      Abstract thinking
      B)
      Concrete thinking
      C)
      Egocentric thinking
      D)
      Preoperational Thinking
    2. Which of the following is an appropriate nursing intervention to promote thermoregulation in an infant patient?
      A)
      Provide the infant with appropriate clothing and blankets to maintain warmth.
      B)
      Offer the infant a cool beverage to drink frequently.
      C)
      Keep the infant in a well-ventilated room with a fan.
      D)
      Place the infant in direct sunlight for extended periods of time.
    3. A nurse is teaching a class about Kohlberg's theory of moral development. The nurse should instruct that which of the following stages involves challenging rules that impinge on the rights of others?
      A)
      Punishment and obedience
      B)
      Social contract
      C)
      Good boy-nice girl
      D)
      Law and order
    4. A nurse is assessing a 15-month-old toddler. Which of the following findings should the nurse report to the provider?
      A)
      The toddler cannot turn a doorknob.
      B)
      The toddler cannot jump with both feet.
      C)
      The toddler cannot build a tower of six to seven cubes.
      D)
      The toddler cannot stand upright without support.
    Page 1 of 13

    Exam Review

    1. A pediatric patient weighing 22 kg is prescribed amoxicillin 50 mg/kg/day in divided doses every 8 hours. The medication is available as a suspension containing 125 mg/5 mL. How many mL of the suspension should the nurse administer for each dose?
      A)
      11.67 mL
      B)
      14.67 mL
      C)
      15.67 mL
      D)
      17.67 mL
    2. A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following developmental tasks should the nurse include as being expected of a preschooler?
      A)
      Controls impulsive feelings
      B)
      Builds a collection of cards
      C)
      Participates in imaginary play
      D)
      Expresses need for privacy
    3. A nurse teaches the parents of a 10-month-old infant about home safety. Which of the following information should the nurse include in the teaching? (Select all that apply.)
      (SATA)
      A)
      Serve food in small, non-circular pieces.
      B)
      Fit the mattress so that it is snug against the sides of the crib.
      C)
      Set the water heater at 65.6° C (150° F).
      D)
      Install accordion style gates.
      E)
      Tie plastic bags in knots before discarding them.
    4. A nurse is caring for a toddler. Which of the following statements should the nurse use when preparing to obtain the child's vital signs?
      A)
      "Can I listen to your lungs?"
      B)
      "I am going to listen to your heart."
      C)
      "I am going to take your blood pressure now."
      D)
      "Can you stand very still while I feel how warm you are?"
    Page 2 of 13

    Exam Review

    1. A nurse is collecting data from an adolescent. Which of the following should the nurse identify as the most significant risk for suicide?
      A)
      Family conflict
      B)
      Availability of firearms
      C)
      Active psychiatric disorder
      D)
      Homosexuality
    2. A nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Place Erikson's stages of psychosocial development in order from birth to adolescence. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
      (SATA)
      A)
      Identity vs. role confusion
      B)
      Initiative vs. guilt
      C)
      Autonomy vs. shame and doubt
      D)
      Trust vs. mistrust
      E)
      Industry vs. inferiority
    3. A nurse is planning care for a 2-month-old infant following a surgical procedure. Which of the following pain rating scales should the nurse use to determine the infant's pain level?
      A)
      OUCHER scale
      B)
      FLACC scale
      C)
      FACES scale
      D)
      PANAD scale
    4. A 10-month-old baby weighs 8 kilograms. What is the recommended fluid maintenance rate for this baby?
      A)
      50.5 mL/hour
      B)
      33.3 ml/hour
      C)
      30 ml/hour
      D)
      25.3 ml/hour
    Page 3 of 13

    Exam Review

    1. A nurse is teaching a class about Piaget's stages of cognitive development. The nurse should instruct that abstract thinking develops during which of the following stages?
      A)
      Preoperational
      B)
      Sensorimotor
      C)
      Formal operational
      D)
      Concrete operational
    2. A nurse is developing a health program for the parents of school-age boys. Which of the following information about pubescent changes should the nurse include in the program?
      A)
      Puberty might be delayed if scrotal changes have not occurred by the age of 11 years.
      B)
      Changes in the voice signal the beginning of puberty.
      C)
      Growth spurts in height occur toward the end of midpuberty.
      D)
      Gynecomastia commonly occurs during late puberty.
    3. A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?
      A)
      Skin integrity
      B)
      Body weight
      C)
      Respiratory rate
      D)
      Blood pressure
    4. A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse?
      A)
      "Sometimes my child acts bossy with his friends."
      B)
      "My child has recently lost both front top teeth."
      C)
      "My child often cheats when we play board games."
      D)
      "The teacher says my child has to squint to see the board."
    Page 4 of 13

    Exam Review

    1. A nurse is collecting data from an infant at a well-child visit. The nurse should understand that birth weight typically doubles by what age?
      A)
      12 months
      B)
      9 months
      C)
      3 months
      D)
      6 months
    2. A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse. The nurse should understand that these behaviors indicate which of the following developmental reactions?
      A)
      Regression
      B)
      Developing autonomy
      C)
      Separation anxiety reaction
      D)
      Resentment toward the mother
    3. A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    4. A nurse is assessing a child who has failure to thrive. Which of the following findings should the nurse expect?
      A)
      Slow heart rate
      B)
      Low body weight
      C)
      Hyperactive behavior
      D)
      Repetitive movements
    Page 5 of 13

    Exam Review

    1. A nurse is teaching a class about Piaget's stages of cognitive development. The nurse should instruct that object permanence develops during which of the following stages?
      A)
      Preoperational
      B)
      Concrete operational
      C)
      Formal operational
      D)
      Sensorimotor
    2. A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings should the nurse expect?
      A)
      Uses thumb and index fingers in a pincer grasp
      B)
      Lateral incisors
      C)
      Closed posterior fontanel
      D)
      Sitting steadily without support
    3. A nurse is caring for a 4-year-old child who is resistant to taking medication. Which strategies should the nurse use to elicit the child's cooperation?
      A)
      Tell the child he will have to have a shot instead.
      B)
      Offer the child a choice of taking the medication with juice or water.
      C)
      Tell the child it is candy.
      D)
      Hide the medication in a large dish of ice cream.
    4. A nurse is obtaining the length and weight of a 6-month-old infant. Which of the following actions should the nurse take? (Select all that apply.)
      A)
      Place a disposable covering on the scale.
      B)
      Weigh the infant in a diaper.
      C)
      Measure the infant from crown of the head to the heels of feet.
      D)
      Use a stadiometer to measure the infant.
      E)
      Balance the scale to 0 prior to use.
    Page 6 of 13