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    Exam Review

    1. Which is the nurse's best reply when the parents of a 9-month-old infant state that they are worried about their baby's thumb-sucking?
      A)
      Thumb-sucking would be discouraged when the teeth begin to erupt.
      B)
      A pacifier would be substituted for the thumb.
      C)
      There is no need to restrain nonnutritive sucking during infancy.
      D)
      Thumb-sucking would be discouraged by age 12 months.
    2. Which would the nurse tell the parents of an 8-month-old about the infant's ability to pick up pieces of food?
      A)
      It is palmar grasp, which is expected at this age.
      B)
      It is an abnormal finding that requires evaluation.
      C)
      It is pincer grasp, which is expected at this age.
      D)
      It indicates that the infant is hyperactive.
    3. The nurse advises the postpartum patient to breastfeed regularly to lower her risk for postpartum hemorrhage. The reason behind this suggestion is that this method of feeding increases which production?
      A)
      estrogen production
      B)
      oxytocin production
      C)
      lactose production
      D)
      progesterone production
    4. A parent tells the nurse, "I am worried about my 13-year-old son. He hasn't started puberty, and my daughter did when she was 11 years of age. "Which would the nurse explain to the parent about puberty in boys and girls?
      A)
      Unusual because the onset of pubescence is usually the same in siblings
      B)
      Unusual and requires further evaluation of the son
      C)
      Abnormal because the onset of pubescence is usually earlier in boys than it is in girls
      D)
      Normal because the onset of pubescence is usually earlier in girls than it is in boys
    Page 1 of 6

    Exam Review

    1. What is a warning sign of ineffective adaptation to extrauterine life if noted when assessing a 24-hour-old breastfed newborn before discharge?
      A)
      Apical heart rate of 90 beats/min, slightly irregular, when awake and active
      B)
      Harlequin color sign
      C)
      Weight loss representing 5% of the newborn's birth weight
      D)
      Acrocyanosis
    2. Which is the most acceptable nursing intervention for a child who refuses to drink milk at the hospital because at home the child drinks milk from a small glass?
      A)
      Telling the child that both glasses have the same amount
      B)
      Asking the child's parents to give the milk to the child
      C)
      Compelling the child to drink milk, as it is healthy
      D)
      Pouring the milk into a small glass for the child to drink
    3. Which suggestion regarding participation in sports would the nurse provide the parents of an 8-year-old girl who wants to join a soccer team?
      A)
      Competition is detrimental to the establishment of a positive self-image.
      B)
      Girls should compete only against girls because at this age boys are larger and have more muscle mass.
      C)
      Sports participation is encouraged if the sport is appropriate to the child's abilities.
      D)
      Organized sports such as soccer are not appropriate at this age.
    4. A couple who is going through a divorce asks the nurse how to disclose this news to their 4-year-old child. Which would be the nurse's best response?
      A)
      "You should take your child to see a psychiatrist to break the news."
      B)
      "You should not discuss it with the child until after the divorce is final."
      C)
      "You should ask the grandparents or another relative to break the news."
      D)
      "You should sit down and calmly explain the situation to your child."
    Page 2 of 6

    Exam Review

    1. Arrange the steps of how the nurse does an abdominal assessment on an infant in the correct order.
      A)
      Inspection of the contour of the abdomen
      1
      B)
      Auscultation of bowel sounds
      2
      C)
      Documentation of observations
      4
      D)
      Palpation of abdominal organs
      3
    2. During an otoscopic examination on an infant, in which direction is the pinna pulled?
      A)
      up and forward
      B)
      down and back
      C)
      down and forward
      D)
      up and back
    3. A nurse must inform a pregnant mother and her partner that their child may have a congenital anomaly. Of the best practices listed below, which would take priority?
      A)
      Refer the couple to a geneticist.
      B)
      Give the parents information about support groups.
      C)
      Assess and address the couple's emotions.
      D)
      Warn the parents about Internet information.
    4. The nurse advises a postpartum patient not to give any water to her 1-month-old infant after breastfeeding. Which is the reason for this advice?
      A)
      The infant's calorie consumption is increased by excess water.
      B)
      The infant has sufficient fluid reserves, which prevent dehydration.
      C)
      The infant does not have any fluctuations in fluid balance.
      D)
      The breast milk contains enough water to hydrate the child.
    Page 3 of 6

    Exam Review

    1. The nurse is assessing the apical pulse of a school-age child older than 7 years of age. Where does the nurse palpate to locate the apical pulse?
      A)
      Lateral to the left midclavicular line and fourth intercostal space
      B)
      Lateral to the left midclavicular line and fifth intercostal space
      C)
      At the left midclavicular line and fifth intercostal space
      D)
      At the left midclavicular line and fourth intercostal space
    2. The nurse taught new parents the guidelines to follow regarding the bottle-feeding of their newborn. They will be using formula from a can of concentrate. The parents will demonstrate an understanding of the nurse's instructions if they do which action?
      A)
      Wash the top of the can and can opener with soap and water before opening the can.
      B)
      Add some honey to sweeten the formula and make it more appealing to a fussy newborn.
      C)
      Adjust the amount of water added according to the weight gain pattern of the newborn.
      D)
      Warm formula in a microwave oven for a couple of minutes before feeding.
    3. Which information would the nurse include about injury prevention when preparing a health teaching session for school-age children?
      A)
      Peer pressure is not strong enough to affect risk-taking behavior.
      B)
      Injuries from burns are the highest at this age because of fascination with fire.
      C)
      Lack of muscular coordination and control results in an increased incidence of injuries.
      D)
      Most injuries occur in or near school or home.
    4. The nurse helps a breastfeeding mother change the diaper of her 16-hour-old newborn after the first bowel movement. The mother expresses concern because the large amount of thick, sticky stool is very dark green, almost black in color. How should the nurse respond to this mother's concern?
      A)
      Asking the mother what she ate at her last meal
      B)
      Suggesting that the mother ask her pediatrician to explain newborn stool patterns to her
      C)
      Telling the mother not to worry because breastfed babies have this type of stool
      D)
      Explaining to the mother that the stool is called meconium and is expected of all newborns for the first few bowel movements
    Page 4 of 6

    Exam Review

    1. Which is the priority teaching tip the nurse should provide about bottle-feeding?
      A)
      Infants may stool with each feeding in the first weeks.
      B)
      Some infants take longer to feed than others.
      C)
      Feed newborn at least every 3 to 4 hours.
      D)
      Hold infant semi-upright while feeding.
    2. A child is brought to the emergency department after falling down the basement stairs. Which finding may cause the nurse to suspect child maltreatment on assessment? Select all that apply.
      A)
      History of a broken arm last year from falling off a swing
      B)
      Bruising located only on the right arm and leg
      C)
      Caregiver anxious that the child get immediate medical attention
      D)
      Brought to the emergency department by an unrelated adult
      E)
      Red, green, and yellow bruising on more than one plane of the body
    3. The nurse is caring fora postpartum patient who has been advised to give expressed breast milk to the newborn. Which should the nurse tell the patient about the use and storage of expressed milk? Select all that apply.
      A)
      "Store breast milk in serving sizes of 2 to 4 ounces."
      B)
      "Never refreeze thawed breast milk."
      C)
      "Always heat frozen milk in the microwave."
      D)
      "Wash your hands before pumping breast milk."
      E)
      "Never store breast milk with other food items."
    4. The nurse is assessing the heart sounds of a child and decides that the child needs further evaluation. Which could be the reason for seeking further evaluation?
      A)
      Presence of S1 and S2 heart sounds
      B)
      Presence of S3 and S4 heart sounds
      C)
      Auscultation of an S1 heart sound
      D)
      Auscultation of an S3 heart sound
    Page 5 of 6

    Exam Review

    1. Which type of play would the nurse suggest to the parents of a 9-month-old infant? Select all that apply.
      A)
      Push-pull toy
      B)
      Pat-a-cake
      C)
      Soft stuffed toy
      D)
      Large plastic ball
      E)
      Peekaboo
    2. The practice of cultural humility is continual and an important concept in the nursing process. How can nurses facilitate this process? Select all that apply.
      A)
      Acting in a culturally appropriate manner
      B)
      Integrating cultural knowledge
      C)
      Recognizing cultural differences
      D)
      Helping the family adapt to the health care practices
      E)
      Being aware of their own beliefs and practices
    3. Which information would the community nurse provide when educating a group of parents about sleep and rest requirements of school-age children? Select all that apply.
      A)
      school-aged children need to have 1- to 2-hour long naps per day.
      B)
      Children 12 years of age need approximately 6 hours of sleep per night.
      C)
      Children 7 years of age should be encouraged to read before bedtime.
      D)
      Children 5 years of age need approximately 11 hours of sleep a night.
      E)
      Children 6 years of age should be encouraged to read before bedtime.
    4. The nurse is interviewing the mother of a 9-year-old child. As the nurse begins to assess the child's nutrition, which is the most appropriate question to ask?
      A)
      "How well does your child eat?"
      B)
      "Does your child eat well?"
      C)
      "Is your child eating what the rest of the family eats?"
      D)
      "What is your child eating now?"
    Page 6 of 6