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Questions in this quiz (30)
1Several blood tests are ordered for a preschool child with severe anemia. She is crying and upset because she remembers the venipuncture done at the clinic 2 days ago. What should the nurse explain to the child?
- A
Venipuncture discomfort is very brief. - B
Topical application of local anaesthetic can eliminate venipuncture pain.
- A
2Why is iron-deficiency anemia common during toddlerhood?
- AMilk is a poor source of iron.
- BIron cannot be stored during fetal development.
3The nurse is recommending how to prevent iron-deficiency anemia in a healthy term breastfed infant. What should she tell the parents?
- A
Iron-fortified infant cereal can be used at approximately 6 months of age. - BIron-fortified infant cereal can be used by age 2 months.
- A
4What is the name of the condition in which the normal, adult hemoglobin is partly or completely replaced by abnormal hemoglobin?
- A
Sickle cell anemia - B
Iron-deficiency anemia
- A
5A school-age child is admitted in vaso-occlusive sickle cell crisis. What should the child’s care include?
- APain management and administration of heparin
- BAdequate hydration and pain management
6The parents of a child hospitalized with sickle cell anemia tell the nurse that they are concerned about narcotic analgesics causing addiction. What should the nurse explain about narcotic analgesics?
- AThey are given as a last resort because of the threat of addiction.
- B
They rarely cause addiction because they are medically indicated.
7What is the purpose of initiating chelation therapy on a child with β-thalassemia major?
- AEliminate excess iron.
- BTreat the disease.
8Which of the following sentences is most descriptive of the pathophysiology of leukemia?
- AUnrestricted proliferation of immature white blood cells (WBCs) occurs.
- BThrombocytopenia (excessive destruction of platelets) occurs.
9A boy with leukemia screams whenever he needs to be turned or moved. What is the most probable cause of his pain?
- ABone involvement
- B
Petechial hemorrhages
10Which one of the following is a psychosocial developmental task of toddlerhood?
- AAbility to delay gratification
- B
Development of a conscience
11A parent of an 18-month-old boy tells the nurse that he says “no” to everything and has rapid mood swings. If he is scolded, he shows anger and then immediately wants to be held. What is the best interpretation of this behaviour?
- AThis is normal behaviour for his age.
- B
This is unusual behaviour for his age.
12What best describes a toddler’s cognitive development at age 20 months?
- ASearches for an object only if he or she sees it being hidden
- BRealizes that “out of sight” is not out of reach
13Although a 14-month-old girl received a shock from an electrical outlet recently, her parents found her about to place a paper clip in another outlet. What is the best interpretation of this behaviour?
- AThis is typical behaviour because of her inability to transfer knowledge to new situations.
- BThis is not typical behaviour because toddlers should know better than to repeat an act that caused pain.
14Two toddlers are playing in a sandbox, when one child suddenly grabs a toy from the other. What is the best interpretation of this behaviour?
- AThis is typical behaviour because toddlers are egocentric.
- BToddlers should have the cognitive ability to know right from wrong.
15In the clinic waiting room, a nurse observes a parent showing an 18-month-old child how to make a tower out of blocks. What should the nurse recognize in this situation?
- AToddlers are capable of building a tower of blocks.
- BToddlers are too young to imitate the behaviour of others.
16A father tells the nurse that his daughter wants the same plate and cup used at every meal, even if they go to a restaurant. Which of the following should be the nurse’s response?
- A
It demonstrates ritualism, which is common at this age. - B
It shows regression, which is common at this age.
- A
17Developmentally, most children at age 12 months do which of the following?
- AEat the same food as the rest of the family.
- BRelinquish the bottle voluntarily.
18What is a characteristic of physical development for a 30-month-old child?
- A
Primary dentition is complete. - B
Birth weight has doubled.
- A
19Which statement best describes the infant’s physical development?
- ABirth weight doubles by age 6 months and triples by 1 year.
- BThe anterior fontanel closes by age 6 to 10 months.
20In terms of fine motor development, which of the following actions should a 7-month-old infant be able to perform?
- A
Transfer objects from one hand to the other. - B
Hold crayon and make a mark on paper.
- A
21In terms of gross motor development, what can the nurse expect a 5-month-old infant to do?
- ARoll from abdomen to back.
- BSit erect without support.
22At which age can most infants sit steadily unsupported?
- A4 months
- B8 months
23At which age do most infants begin to fear strangers?
- A
6 months - B4 months
- A
24 The nurse is interviewing the father of 12-month-old Megan. She is playing on the floor when she notices an electrical outlet and reaches up to touch it. Her father says “No” firmly, and moves her away from the outlet. To teach the father, the nurse should say which of the following applies to Megan at this developmental level?
- AShe is old enough to understand the word “No.”
- B
She is too young to understand the word “No.”
25What information can be given to the parents of a 12-month-old child regarding appropriate play activities for this age?
- AIntroduce large push-pull toys for kinetic stimulation.
- B
Place a cradle gym across his crib to facilitate fine motor skills.
26What is an appropriate play activity for a 7-month-old infant to encourage visual stimulation?
- APlaying peek-a-boo
- BPlaying pat-a-cake
27A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant. What should the nurse recommend that the infant be given?
- A
Commercial iron-fortified formula - BWhole cow’s milk
- A
28 The parents of a 12-month-old child ask the nurse if the child can eat hot dogs. Which of the following should inform the nurse’s reply?
- AHot dogs must be sliced into sections to prevent aspiration.
- B
Hot dogs must be cut into small, irregular pieces to prevent aspiration
29Which of the following statements represents accurate information about the physiological assessment of children’s pain?
- AOf limited value as sole indicator of pain
- BOf most value is when children also report having pain
30 By what age does birth length usually double?
- A2
- B4
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- Quiz on Untitled, created by caspian11 on 10/06/2015.
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- caspian11
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