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    Exam Review

    1. Which term best describes a group of people who share a set of values, beliefs, practices, social relationships, law, politics, economics, and norms of behavior?
      A)
      race
      B)
      culture
      C)
      ethnicity
      D)
      social group
    2. Which of the following is a long-term consequence of pain?
      A)
      Improved inflammatory response.
      B)
      Hyposensitivity to pain.
      C)
      Increased motor performance.
      D)
      Decreased immune system function.
    3. The nurse is observing parents playing with their 10-month-old daughter. What should the nurse recognize as evidence that the child is developing object permanence?
      A)
      Looking for the toy parents hide under a blanket.
      B)
      Returning the blocks to the same spot on the table.
      C)
      Recognizing that a ball of clay is the same when flattened out.
      D)
      Banging two cubes held in her hands.
    4. The nurse is obtaining vital signs on a 1-year-old child. What is the most appropriate site for assessing the pulse rate?
      A)
      apical
      B)
      radial
      C)
      carotid
      D)
      femoral
    Page 1 of 13

    Exam Review

    1. Which of the following stages of psychosocial development is appropriate for a typical toddler?
      A)
      initiative vs. guilt
      B)
      autonomy vs. shame and doubt
      C)
      industry vs. inferiority
      D)
      trust vs. mistrust
    2. The nurse is assessing an infant during a health supervision visit. Which assessment findings are considered normal variations for this client? Select all that apply.
      (SATA)
      A)
      always breathing through the nose
      B)
      a rounded chest
      C)
      hearing breath sounds over the entire chest
      D)
      pubertal development
      E)
      knock-knees
    3. The developmental theorist who developed the cognitive stages was:
      A)
      Erikson.
      B)
      Piaget.
      C)
      Kohlberg.
      D)
      Fowler.
    4. A child has an order for amoxicillin 0.3 g. The child weighs 25 kg. The safe dose range for this medication is 20-40 mg/kg/day. The ordered dose is safe and effective (not too high or too low).
      A)
      True
      B)
      False
    Page 2 of 13

    Exam Review

    1. A nurse is planning play activities for school-age children. Which type of a play activity should the nurse plan?
      A)
      Solitary
      B)
      parallel
      C)
      associative
      D)
      cooperative
    2. A nurse is giving liquid medication to a 2-month-old baby in the pediatrics unit. Which intervention is most appropriate to consider when giving medicine to a child this age?
      A)
      Be firm when administering the medication or the child will not cooperate.
      B)
      Explain to the child what the medication is for and why it is important.
      C)
      Ask the parents to hold the child down to administer the medication.
      D)
      Hold the child and talk in soothing tones while giving the medication.
    3. The head-to-tail direction of growth is referred to as:
      A)
      cephalocaudal.
      B)
      proximodistal.
      C)
      mass to specific.
      D)
      sequential.
    4. When examining the head and face of a pediatric patient, which of the following assessments should be expected?
      A)
      Flat back of the head.
      B)
      Symmetry or a balance in the features of the face and in the head.
      C)
      Patches of missing hair.
      D)
      Asymmetry or an imbalance in the features of the face and in the head.
    Page 3 of 13

    Exam Review

    1. The nurse is preparing an in-service education to staff about care for pediatric patients. Which intervention should the nurse include?
      A)
      Prepare the child for separation from their parents during hospitalization by having the child watch a video.
      B)
      Prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed animal.
      C)
      Prepare the child to accept the loss of control associated with hospitalization by telling them they will not be able to have their own way while in the hospital.
      D)
      Prepare the child to accept pain that is connected with a treatment or procedure by letting them stick themselves with a small needle.
    2. A nurse is assigned to four children of different ages. In which age group should the nurse understand that the child will attach literal meaning to common phrases such as "coughing your head off"?
      A)
      infant
      B)
      toddler
      C)
      preschooler
      D)
      school-age child
      E)
      adolescent
    3. When receiving the hand-off report, the nurse leaving reports that Elsie's mother is insisting there is some kind of problem with Elsie, but the nurse is sure she is fine. As the nurse coming on, your best action is to:
      A)
      call social work as Elsie's mother is being difficult.
      B)
      review Elsie's admission history.
      C)
      see Elsie after all the other patients because it will take time to talk with the mother.
      D)
      go and discuss the mother's concerns as soon as possible.
    4. A 5-month-old is admitted to the hospital. Which of the following assessment information would be concerning?
      A)
      rounded abdomen
      B)
      heart rate 115 beats/min
      C)
      retractions of the sternum with breathing
      D)
      lower legs appear bowed
    Page 4 of 13

    Exam Review

    1. Which of the following statements from the parent would the nurse recognize as the permissive style of parenting?
      A)
      "Our children are on a strict schedule; I rule the household."
      B)
      "Little Johnny is my buddy. He tells me when it's time for bed."
      C)
      "I make the schedule, but Josie is allowed to help with little details."
      D)
      "I couldn't be bothered with details; Jane eats whatever she finds in the fridge."
    2. An appropriate play activity for a 7-month-old infant to encourage visual stimulation is:
      A)
      playing peek-a-boo.
      B)
      playing pat-a-cake.
      C)
      imitating animal sounds.
      D)
      allowing the child to feel sand.
    3. At an appointment for her 2-year-old daughter, a mother talks about how happy her child gets when mom praises her for dressing herself, even if her shirt and shoes might be on backwards. The mother is helping to foster which of the following with regards to psychosocial development?
      A)
      industry
      B)
      initiative
      C)
      identity
      D)
      autonomy
    4. When assessing children, the nurse recognizes that their body systems are like adults, just smaller.
      A)
      True
      B)
      False
    Page 5 of 13

    Exam Review

    1. What are some drug reactions that are unique to children? Select all that apply.
      A)
      growth suppression
      B)
      permanent discoloration of teeth
      C)
      abscess at site of IM injection
      D)
      kernicterus (jaundice)
    2. Which of the following is an important reminder when giving medications to children? Select all that apply.
      A)
      Make sure the child is sitting up when you are giving them oral medication.
      B)
      All medications can be mixed with food to disguise the taste.
      C)
      Child doses should never exceed the adult dose, regardless of the size of the child.
      D)
      When giving medication with an oral syringe, squirt the syringe directly into the back of the throat.
      E)
      If the child is old enough, offer them the option of taking PO medication through an oral syringe or medicine cup.
    3. A nurse is checking the vital signs of a 3-year-old child during a well-child visit. Which of the following findings should the nurse report to the provider?
      A)
      temperature 37.2 °C (98.9 °F)
      B)
      pulse 97 beats/min
      C)
      respiration 52 breaths/min
      D)
      blood pressure 88/54 mmHg
    4. The nurse is preparing to assess a toddler client. Which activities would gain cooperation from the toddler? Select all that apply.
      A)
      Asking the parents to wait outside.
      B)
      Allowing the child to sit in their parent's lap.
      C)
      Administering vaccinations prior to the assessment.
      D)
      Handing the child a stethoscope while taking the health history.
    Page 6 of 13