Exam 4: Communication, Physical, and Developmental Assessment

What is an appropriate screening test for hearing that the nurse can administer to a 5-year-old child?

When assessing a preschooler's chest, what should the nurse expect?

The nurse is assessing a child's capillary refill time. This can be accomplished by doing what?

Which data should be included in a health history?

The nurse is performing an otoscopic examination on a child. Which are normal findings the nurse should expect? (Select all that apply.)

The nurse is testing an infant's visual acuity. By which age should the infant be able to fix on and follow a target?

When doing a nutritional assessment on a Hispanic family, the nurse learns that their diet consists mainly of vegetables, legumes, and starches. The nurse should recognize that this diet is which?

Which explains the importance of detecting strabismus in young children?

Which action should the nurse implement when taking an axillary temperature?

The nurse needs to take the blood pressure of a small child. Of the cuffs available, one is too large and one is too small. The best nursing action is which?

During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. The nurse should recognize that this is which?

The nurse is performing an oral examination on a preschool child. Which strategies should the nurse use to encourage the child to open the mouth for the examination? (Select all that apply.)

What is the earliest age at which a satisfactory radial pulse can be taken in children?

Which is considered a block to effective communication?

During a routine health assessment, the nurse notes that an 8-month-old infant has a significant head lag. Which is the most appropriate action?

The nurse is taking a health history of an adolescent. Which best describes how the chief complaint should be determined?

The nurse is taking a sexual history on an adolescent girl. Which is the best way to determine whether she is sexually active?

The nurse is caring for a non-English-speaking child and family. Which should the nurse consider when using an interpreter?

When auscultating an infant's lungs, the nurse detects diminished breath sounds. What should the nurse interpret this as?

The nurse has just started assessing a young child who is febrile and appears ill. There is hyperextension of the child's head (opisthotonos) with pain on flexion. Which is the most appropriate action?