NUR 243 Test #1
The nurse is developing a community outreach program to help reduce
childhood mortality. What topic below would be essential to include?
~ Human immunodeficiency virus
~ Congenital anomalies
~ Motor vehicle accidents
~ Low birth weights
Motor vehicle accidents
The nurse is assessing the vital signs of a child who is being evaluated in an
urgent care center. The child is to be seen by a PNP. The mother asks, "Why is
my child being seen by the PNP and not the doctor?" What is the best response
by the nurse?
~ The PNO functions similar to a physician's assistant, so you should be
perfectly at ease.
~ The child may be seen by the physician instead if you would like.
~ Seeing the PNP is just one more step in having your child evaluated in this
setting.
~ The PNP is an experienced RN with advanced education in the diagnosis and
treatment of children.
The PNP is an experienced RN with advanced education in the diagnosis and
treatment of children.
When caring for an adolescent, in which case must the nurse share
information with the parents no matter which state the care is provided in?
,Tuberculosis
The school nurse is planning a screening program. What items should be
included to address issues related to the "new morbidity"?
~ Academic difficulties, violence, and other mental health issues
~ The number of children with chronic illness at the school
~ Statistics related to health insurance coverage of the children
~ HIV infection, asthma, and respiratory allergy testing
Academic difficulties, violence, and other mental health issues
A single mother asks the nurse for suggestions on disciplining her 2-year-old
son. Which suggestion would be most appropriate?
~ Encourage the mother to emphasize the inappropriate behavior.
~ Wait an hour or so before enforcing the discipline.
~ Have the child spend 2 minutes in time-out.
~ Withhold a privilege from the toddler for a week.
Have the child spend 2 minutes in time-out.
The nurse is teaching a group of students about the possible effects of
immigration on the health status of children. Which response by the group
would indicate the need for additional teaching?
~ The children of immigrants have better access to preventive care.
~ The children of immigrants have limited involvement in activities due to the
language barrier.
~ The children of immigrants lack adequate support systems.
~ The children of immigrants face increased stressors due to relocation.
The children of immigrants have better access to preventive care.
Which would the nurse identify as a protective factor for youth violence?
~ Exposure to family violence
~ Limited involvement in social activities
,~ Inconsistency of parental support
~ Commitment to academic performance
Commitment to academic performance
In an effort to control healthcare costs, what is the best recommendation by
the nurse?
~ "Shop around to find the most inexpensive health insurance plan."
~ "Find a job that provides family health insurance at a minimal cost."
~ "Stress primary prevention, using the healthcare system for check-ups."
~ "Avoid seeing a physician until your child becomes ill."
"Stress primary prevention, using the healthcare system for check-ups."
The mother of a 3-month-old boy asks the nurse about starting solid foods.
What is the most appropriate response by the nurse?
~ "It's okay to start puréed solids at this age if fed via the bottle."
~ "Infants don't require solid food until 12 months of age."
~ "Solid foods should be delayed until age 6 months, when the infant can
handle a spoon on his own."
~ "The tongue extrusion reflex disappears at age 4 to 6 months, making it a
good time to start solid foods."
"The tongue extrusion reflex disappears at age 4 to 6 months, making it a good
time to start solid foods."
The father of a 2-month-old girl is expressing concern that his infant may be
getting spoiled. The nurse's best response is:
~ "She just needs love and attention. Don't worry; she's too young to spoil."
~ "Consistently meeting the infant's needs helps promote a sense of trust."
~ "Infants need to be fed and cleaned; if you're sure those needs are met, just
let her cry."
~ "Consistency in meeting needs is important, but you're right, holding her too
much will spoil her."
, "Consistently meeting the infant's needs helps promote a sense of trust."
Parents of an 8-month-old girl express concern that she cries when left with
the babysitter. How does the nurse best explain this behavior?
~ Crying when left with the sitter may indicate difficulty with building trust.
~ Stranger anxiety should not occur until toddlerhood; this concern should be
investigated.
~ Separation anxiety is normal at this age; the infant recognizes parents as
separate beings.
~ Perhaps the sitter doesn't meet the infant's needs; choose a different sitter.
Separation anxiety is normal at this age; the infant recognizes parents as
separate beings.
The nurse is providing anticipatory guidance to the mother of a 6-month-old
infant. What is the best instruction by the nurse in relation to the infant's oral
health?
~ "Start brushing her teeth after all the baby teeth come in."
~ "Use a washcloth with toothpaste to clean her mouth."
~ "Clean your baby's gums, then new teeth, with a washcloth."
~ "Rinse your baby's mouth with water after every feeding."
"Clean your baby's gums, then new teeth, with a washcloth."
A 9-month-old infant's mother is questioning why cow's milk is not
recommended in the first year of life as it is much cheaper than formula. What
rationale does the nurse include in her response?
~ It is permissible to substitute cow's milk for formula at this age as he is so
close to 1 year old.
~ Cow's milk is poor in iron and does not provide the proper balance of
nutrients for the infant.
~ As long as the mother provides whole milk, rather than skim, she can start
cow's milk in infancy.
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