Question 1

Which are effective auscultation techniques?

Accepted Answer

A)  Ask the child to breathe shallowly. 
B)  Apply light pressure on the chest piece. 
C)  Use a symmetric and orderly approach. 
D)  Place the stethoscope over one layer of clothing. 
E)  Warm the stethoscope before placing it on the skin. 
A)  Ask the child to breathe shallowly. 
B)  Apply light pressure on the chest piece. 
C)  Use a symmetric and orderly approach. 
D)  Place the stethoscope over one layer of clothing. 
E)  Warm the stethoscope before placing it on the skin.

Question 2

The Asian parent of a child being seen in the clinic avoids eye contact with the nurse.What is the best explanation for this considering cultural differences?

Accepted Answer

A)  The parent feels inferior to the nurse. 
B)  The parent is showing respect for the nurse. 
C)  The parent is embarrassed to seek health care. 
D)  The parent feels responsible for her child's illness. 
A)  The parent feels inferior to the nurse. 
B)  The parent is showing respect for the nurse. 
C)  The parent is embarrassed to seek health care. 
D)  The parent feels responsible for her child's illness.

Question 3

The nurse is performing an otoscopic examination on a child.Which are normal findings the nurse should expect?

Accepted Answer

A)  Ashen gray areas 
B)  A well-defined light reflex 
C)  A small, round, concave spot near the center of the drum 
D)  The tympanic membrane is a nontransparent grayish color 
E)  A whitish line extending from the umbo upward to the margin of the membrane 
A)  Ashen gray areas 
B)  A well-defined light reflex 
C)  A small, round, concave spot near the center of the drum 
D)  The tympanic membrane is a nontransparent grayish color 
E)  A whitish line extending from the umbo upward to the margin of the membrane

Question 4

What is the appropriate placement of a tongue blade for assessment of the mouth and throat?

Accepted Answer

A)  On the lower jaw 
B)  Side of the tongue 
C)  Against the soft palate 
D)  Center back area of the tongue 
A)  On the lower jaw 
B)  Side of the tongue 
C)  Against the soft palate 
D)  Center back area of the tongue

Question 5

Which type of breath sound is normally heard over the entire surface of the lungs except for the upper intrascapular area and the area beneath the manubrium?

Accepted Answer

A)  Vesicular 
B)  Bronchial 
C)  Adventitious 
D)  Bronchovesicular 
A)  Vesicular 
B)  Bronchial 
C)  Adventitious 
D)  Bronchovesicular

Question 6

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

Accepted Answer

A)  Rinne test 
B)  Weber test 
C)  Pure tone audiometry 
D)  Eliciting the startle reflex 
A)  Rinne test 
B)  Weber test 
C)  Pure tone audiometry 
D)  Eliciting the startle reflex

Question 7

The nurse understands that blocks to therapeutic communication include what?

Accepted Answer

A)  Socializing 
B)  Use of silence 
C)  Using clichés 
D)  Defending a situation 
E)  Using open-ended questions 
A)  Socializing 
B)  Use of silence 
C)  Using clichés 
D)  Defending a situation 
E)  Using open-ended questions

Question 8

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

Accepted Answer

A)  Suggestive of chronic pulmonary disease 
B)  Suggestive of impending respiratory failure 
C)  An abnormal finding warranting investigation 
D)  A normal finding in infants younger than 1 year of age 
A)  Suggestive of chronic pulmonary disease 
B)  Suggestive of impending respiratory failure 
C)  An abnormal finding warranting investigation 
D)  A normal finding in infants younger than 1 year of age

Question 9

Because children younger than 5 years are egocentric,the nurse should do which when communicating with them?

Accepted Answer

A)  Focus communication on the child. 
B)  Use easy analogies when possible. 
C)  Explain experiences of others to the child. 
D)  Assure the child that communication is private. 
A)  Focus communication on the child. 
B)  Use easy analogies when possible. 
C)  Explain experiences of others to the child. 
D)  Assure the child that communication is private.

Exam 4: Communication, physical, and Developmental Assessment

Which are effective auscultation techniques?

The Asian parent of a child being seen in the clinic avoids eye contact with the nurse.What is the best explanation for this considering cultural differences?

The nurse is performing an otoscopic examination on a child.Which are normal findings the nurse should expect?

What is the appropriate placement of a tongue blade for assessment of the mouth and throat?

Which type of breath sound is normally heard over the entire surface of the lungs except for the upper intrascapular area and the area beneath the manubrium?

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

The nurse understands that blocks to therapeutic communication include what?

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

Because children younger than 5 years are egocentric,the nurse should do which when communicating with them?

Perspectives of Pediatric Nursing

Social,cultural,religious,and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child With Chronic Illness or Disability

Family-Centered Palliative Care

The Child With Cognitive, sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child With Fluid and Electrolyte Imbalance

The Child With Renal Dysfunction

The Child With Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child With Respiratory Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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