Chapter 10: NURS 340 Preparation For The Nclex Questions and Answers Test Bank,100% CORRECT
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Chapter 10: NURS 340
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Chapter 10: NURS 340
Chapter 10: NURS 340 Preparation For The Nclex Questions and Answers Test Bank
Origin: Chapter 10, 1
1. The nurse is conducting a health history for a 9-year-old child with stomach pains. What is a recommended guideline when approaching the child for information?
A) Wear a white examination coa...
chapter 10 nurs 340 preparation for the nclex questions and answers test bank
1 the nurse is conducting a health history for a 9 year old child with stomach pains what is a recommended guideline wh
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Chapter 10: NURS 340 Preparation For The Nclex Questions and
Answers Test Bank
Origin: Chapter 10, 1
1. The nurse is conducting a health history for a 9-year-old child with
stomach pains. What is a recommended guideline when approaching the
child for information?
A) Wear a white examination coat when conducting the interview.
B) Allow the child to control the pace and order of the health history.
C) Use quick deliberate gestures to get your point across.
D) Do not make physical contact with the child during the
interview. Ans: B
Feedback:
The nurse should elicit the child's cooperation by allowing him or her
control over the pace and order of the health history, or anything else that
the child can control while still allowing the nurse to obtain the information
needed. A white examination coat or all- white uniform may be frightening
to children, who may associate the uniform with painful experiences or
find it too unfamiliar. The nurse should use slow deliberate gestures rather
than very quick or grand ones, which may be frightening to shy children.
The nurse should make physical contact with the child in a nonthreatening
way at first by briefly cuddling newborns before returning them to
caregivers, laying a hand on the head or arm of toddlers and preschoolers,
and warmly shaking the hand of older children and teens to convey a
gentle demeanor.
Origin: Chapter 10, 2
2. For which children would the nurse conduct an immediate comprehensive
health history?
A) A child who is brought to the emergency room with labored breathing
B) A child who is a new client in a pediatric office
C) A child who is a routine client and presents with signs of a sinus
infection
D) A child whose condition is improving
Ans: B
Feedback:
The purpose of the examination will determine how comprehensive the
history must be. A comprehensive history would be performed for a new
Page 1
, child in a pediatric office or a child who is admitted to the hospital. Also, if
the physician or nurse practitioner rarely sees the child or if the child is
critically ill, a complete and detailed history is in order, no matter what the
setting. The child who has received routine health care and presents with a
mild illness may need only a problem-focused history. In critical situations,
some of the history taking must be delayed until after the child's condition
is stabilized.
Origin: Chapter 10, 3
3. The nurse is performing a health history on a 6-year-old boy who is having
trouble adjusting to school. Which question would be most likely to elicit
valuable information?
A) 'Do you like your new school?'
B) 'Are you happy with your teacher?'
C) 'Do you enjoy reading a book?'
D) 'What are your new classmates like?'
Ans: D
Page 2
, Feedback:
A careful conversation and interview with the child and/or the caregiver
will provide important information about the child's health. Depending on
the intent of the health assessment, many of the questions will be direct,
and many will require the caregiver or child to answer simply "yes" or
"no." In other than emergency situations, though, asking open-ended
questions such as 'What are your classmates like?' offers an excellent
opportunity to learn more about the child's life.
Origin: Chapter 10, 4
4. The nurse performing a health history on a child asks the parents if their
child has experienced increased appetite or thirst. What body system is
the nurse assessing with this question?
A) Endocrine
B) Genitourinary
C) Hematologic
D) Neurologic
Ans: A
Feedback:
Indicators of problems with the endocrine system include increased thirst,
excessive appetite, delayed or early pubertal changes, and problems with
growth. For the genitourinary system the nurse would assess urinary
patterns and genitals. For the hematologic system the nurse would assess
lymph nodes, skin color, and bruising. Signs of neurologic problems
include numbness, tingling, difficulty learning, altered mood or ability to
stay alert, tremors, tics, and seizures.
Origin: Chapter 10, 5
5. The nurse is questioning the parents of a 2-year-old child to obtain a
functional history. Which topics might the nurse include? Select all
answers that apply.
A) The child's toileting habits
B) Use of car seats and other safety measures
C) Problems with growth and development
D) Prenatal and perinatal history
E) The child's race and ethnicity
F) Use of supplements and vitamins
Page 3
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