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Chapter 19 Practice Test
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Questions in this quiz (32)
1The nurse is about to administer prescribed medication to a 4 year old. The medication is renally excreted. Which of the following statements is correct concerning this scenario?
- AThe dosage reflects the status that kidneys are not fully matured until after age 5.
- BThe dosage reflects the status that kidneys have reached full maturity
- CThe dosage reflects the status that kidneys are hyperactive from birth to age 5.
- DRenally excreted meds are contraindicated for children under 5 years. The nurse needs to call the physician for clarification
2A nurse is discussing genetic disorders with a local community group. Which of the following statements would the nurse make during the presentation?
- ADown syndrome is most likely to appear during the preschool years
- BHemophilia is most likely to appear during the preschool years
- CCystic fibrosis is most likely to appear during the preschool years
- DMultiple sclerosis is most likely to appear during the preschool years
3A mother comments to the school nurse that her child has poor hygiene habits and asks the nurse for suggestions as to how to teach her child to improve on his hygiene. Which of the following recommendations would the nurse give the mother?
- AHave him learn it at school
- BModel the behavior at home
- CLecture him about hygiene
- DPunish him when he forgets to brush his teeth
4A 5-year-old is consuming a daily caloric intake of 1400 calories. Approximately what portion of the diet should be comprised of carbohydrates?
- A300 calories
- B700 calories
- C900 calories
- D1200 calories
5A nurse is determining caloric needs for a preschooler who weighs 18 kg. Which of the following represents the daily caloric needs for this child?
- A1360 calories
- B1540 calories
- C1620 calories
- D1800 calories
6Which of the following foods will a 5-year-old child need help eating?
- APudding
- BMacaroni and cheese
- CChicken
- DJelly sandwich
7A 2-year-old child has hives. Of the following items ingested, which is most likely to have caused the allergic reaction?
- AApple juice
- BOatmeal-peanut cookies
- CJelly sandwich
- DBanana
8A 4-year-old boy had an episode of enuresis. Which of the following actions should be taken by the parents?
- AHave him change his own pajamas before returning to bed.
- BTake away one video game
- CTell his 6-year-old sister about the incident
- DMake him wear his diaper to bed.
9A nurse is working with a local day care center to develop appropriate outdoor play activities for 5-year-old children at the center. Which of the following activities would the nurse most likely recommend?
- AHaving the children bring their bikes to the center so they can go for bike rides in the neighborhood
- BDrawing outdoor scenes using portable easels and chalks or crayons
- CTaking the children swimming at the neighborhood pool
- DPlaying on the outdoor preschool equipment while being supervised by day care personnel
10A 4-year-old girl asks her mother for a second cup of yogurt before starting to eat the first cup she was given. What will the child most likely do with the extra helping?
- AEat it herself
- BAsk her brother if he wants it
- CFeed it to her dog
- DGive it to her imaginary friend.
11Which sleep ritual is age appropriate for a preschooler?
- AAsking for every light in the home to be turned on at bedtime
- BSaying good night to all 20 stuffed animals in the room before going to sleep
- CGoing right to sleep
- DAsking the parent to read multiple books on the bookshelf before going to bed
12During a well-child visit, a parent tells the nurse that their preschooler occasionally wakes up during the middle of the night and tells them about “scary things.” He is fully awake when the parents enter the room. The child often recalls the incident the following morning. Based on growth and development, which of the following would be the most common reason for the preschooler to wake up?
- ANightmares
- BNight terrors
- CEnuresis
- DHunger
13Which of the following is a hallmark of Piaget’s preconceptual substage?
- AUsing language to function symbolically
- BUsing concrete thought processes
- CUsing mental abstracting
- DUsing transductive reasoning
14A preschooler and her school-age brother both have received the same swimming tube as a gift. The brother accidentally took his sister’s swimming tube. The sister protested that she needed her swimming tube to go swimming. Which of the following is being demonstrated by this behavior by the sister?
- AAbstract thinking
- BConcrete thinking
- CJealousy
- DA temper tantrum
15A school nurse is planning to assess the visual acuity of the preschool students at the school. Which of the following tests would be used?
- ASnellen Screening test
- BDenver Eye Screening test
- CIshihara’s test
- DCover test
16A nurse is reviewing the chart of a preschool child who has been diagnosed with Asperger’s syndrome. Which of the following findings is the nurse most likely to discover?
- AEating finger foods at 10 months old
- BAbsent crawling at 10 months old
- CSeparation anxiety at 10 months old
- DSaying “ma-ma” at 10 months old
17A 4-year-old child tells the school nurse that he invented a new song. Which of the following would be the best response by the nurse?
- ACongratulate the child on a job well done
- BTell the child that he is too young to invent anything
- CNicely tell the child that it does not sound like a song
- DAsk the child to come back later when there is more time to listen to the song
18Autism disorder is common and is invariably encountered by nurses providing care for children. Which of the following statements is correct concerning this disorder?
- AIt is caused by maternal drug abuse especially cocaine during the in utero period
- BIt is caused by child vaccines
- CIt is considered as a genetically determined disorder
- DIt is more common with children who had high Apgar scores as newborns
19A nurse is using primary prevention strategies to prevent child abuse in the community. Which of the following interventions would the nurse implement?
- AEducate the public about violence and the potential for abuse
- BRemove a child who has been abused from the home
- CReport a case of child abuse.
- DRefer a parent who abused their child to counseling
20During a well-child visit, a father tells the nurse that the preschool-aged child has been enjoying their “road trips” that they take together. On such occasions, the child gets to sit in the front seat of the car with him. Which of the following actions should the nurse take next?
- AReport the father to the local child protective agency
- BEncourage the father to have the child sit in the back seat instead
- CInstruct the father on the dangers of having small children in the front seat
- DProvide the parent with educational materials about car seat safety
21A nurse is discussing with parents how to prevent burns in a preschooler. Which of the following recommendations is the nurse most likely to give the parents?
- ADo not read to the child while sitting on the sofa in front of the fireplace
- BDo not cook on a gas grill until the child is a teenager
- CDo not leave cigarettes and matches on the kitchen counter
- DDo not cook with the child in the kitchen.
22A mother thinks her 2-year-old child drank Drano. What should the nurse tell the mother to do next?
- ACall the pediatrician on call
- BGive ipecac syrup
- CCall the Poison Control Center
- DWait to see if the child will vomit
23Which of the following is the most common intraocular tumor in young children?
- ANeuroblastoma
- BWilms’ tumor
- CRetinoblastoma
- DLeukemia
24The nurse suspects a 5-year-old child has asthma. Which information garnered from the child’s medical history would be a risk factor for asthma or for exacerbating asthma?
- AThe child was breast-fed
- BThe child sleeps every night with the family dog in his bed.
- CThe child was born via a C-section
- DThe child had pressure equalizer tubes as an infant
25The nurse makes a home visit to a child who has recently been diagnosed with asthma. Which environmental finding has the potential to trigger an asthma exacerbation?
- ARadiator heating system
- BAir conditioner
- CHardwood flooring
- DWall-to-wall carpeting
26The nurse is conducting a physical exam on a 3-year-old child. Which of the following would be the best way for the nurse to approach the child during the exam?
- ALet the child listen to the nurse’s heart with the stethoscope
- BTell him to sit quietly while the nurse examines him
- CAsk his parents to leave the room to minimize distractions
- DAsk another nurse to hold him while the nurse examines him.
27A nurse is using the Healthy People 2020 health promotion and disease prevention objectives for preschoolers when planning for health policy development in the community. Which of the following health policies would the nurse support?
- AIncreased regulation of WIC programs to insure compliance
- BDecrease the number of children exposed to pet dander
- CRegulation of the paint allowed for use with toys
- DAll of the above
28The nurse is observing the development of gross motor skills of young children at a community recreation center. The nurse is watching a particular child who alternates feet when descending stairs and uses a pencil with good control. On average, what is the youngest age this child is likely to be?
- A3 years old
- B4 years old
- C5 years old
- D6 years old
29On average, how old is a preschooler with a receptive vocabulary of up to 5600 words?
- A42 months old
- B48 months old
- C54 months old
- D60 months old
30Which of the following signs may be indicative of childhood cancer? (SELECT ALL THAT APPLY)
- ABruises
- BPale skin
- CEnlarged lymph nodes
- DHives
31Which of the following statements are correct concerning testing of developmental level? (SELECT ALL THAT APPLY).
- AThe various approved screening tools serve as valid diagnostic tools
- BThe Parent’s Evaluation of Developmental Status (PEDS) is valid for ages 5 to 12 years
- CPositive findings on screening tests warrant referral to developmental and medical specialists.
- DThe Battelle Developmental Inventory Screening Tool is commonly used in the primary care setting
32Which of the following behaviors by a preschooler indicates use of an effective coping mechanism? (SELECT ALL THAT APPLY)
- AThe preschooler walks away from the situation
- BThe preschooler blames a friend for causing the problem
- CThe preschooler states what he is upset about
- DThe preschooler has a temper tantrum
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