Question 1

Which is the single most important factor to consider when communicating with children?

Accepted Answer

A)  Presence of the child's parent 
B)  Child's physical condition 
C)  Child's developmental level 
D)  Child's nonverbal behaviors

Question 2

Where is the best place to observe for the presence of petechiae in dark-skinned individuals?

Accepted Answer

A)  Face 
B)  Buttocks 
C)  Oral mucosa 
D)  Palms and soles

Question 3

The nurse's approach when introducing hospital equipment to a preschooler who seems afraid should be based on which principle?

Accepted Answer

A)  The child may think the equipment is alive. 
B)  Explaining the equipment will only increase the child's fear. 
C)  One brief explanation will be enough to reduce the child's fear. 
D)  The child is too young to understand what the equipment does.

Question 4

Which is the most frequently used test for measuring visual acuity?

Accepted Answer

A)  Snellen letter chart 
B)  Ishihara vision test 
C)  Allen picture card test 
D)  Denver eye screening test

Question 5

Which are effective auscultation techniques? (Select all that apply.)

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.

Question 6

An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most appropriate nursing action is which?

Accepted Answer

A)  Ask her why she wants to know. 
B)  Determine why she is so anxious. 
C)  Explain in simple terms how it works. 
D)  Tell her she will see how it works as it is used.

Question 7

The nurse is preparing to assess a 10-month-old infant. He is sitting on his father's lap and appears to be afraid of the nurse and of what might happen next. Which initial actions by the nurse should be most appropriate?

Accepted Answer

A)  Initiate a game of peek-a-boo. 
B)  Ask the infant's father to place the infant on the examination table. 
C)  Talk softly to the infant while taking him from his father. 
D)  Undress the infant while he is still sitting on his father's lap.

Question 8

Superficial palpation of the abdomen is often perceived by the child as tickling. Which measure by the nurse is most likely to minimize this sensation and promote relaxation?

Accepted Answer

A)  Palpate another area simultaneously. 
B)  Ask the child not to laugh or move if it tickles. 
C)  Begin with deeper palpation and gradually progress to superficial palpation. 
D)  Have the child "help" with palpation by placing his or her hand over the palpating hand.

Question 9

The nurse is aware that skin turgor best estimates what?

Accepted Answer

A)  Perfusion 
B)  Adequate hydration 
C)  Amount of body fat 
D)  Amount of anemia

Question 10

The nurse is assessing breath sounds on a child. Which are expected auscultated breath sounds? (Select all that apply.)

Accepted Answer

A)  Wheezes 
B)  Crackles 
C)  Vesicular 
D)  Bronchial 
E)  Bronchovesicular

Question 11

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.

Question 12

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

Question 13

Which parameter correlates best with measurements of total muscle mass?

Accepted Answer

A)  Height 
B)  Weight 
C)  Skinfold thickness 
D)  Upper arm circumference

Question 14

The nurse is having difficulty communicating with a hospitalized 6-year-old child. Which technique should be most helpful?

Accepted Answer

A)  Recommend that the child keep a diary. 
B)  Provide supplies for the child to draw a picture. 
C)  Suggest that the parent read fairy tales to the child. 
D)  Ask the parent if the child is always uncommunicative.

Question 15

Where in the health history does a record of immunizations belong?

Accepted Answer

A)  History 
B)  Present illness 
C)  Review of systems 
D)  Physical assessment

Question 16

Examination of the abdomen is performed correctly by the nurse in which order?

Accepted Answer

A)  Inspection, palpation, percussion, and auscultation 
B)  Inspection, percussion, auscultation, and palpation 
C)  Palpation, percussion, auscultation, and inspection 
D)  Inspection, auscultation, percussion, and palpation

Question 17

With the National Center for Health Statistics criteria, which body mass index (BMI)-for-age percentiles should indicate the patient is at risk for being overweight?

Accepted Answer

A)  10th percentile 
B)  75th percentile 
C)  85th percentile 
D)  95th percentile

Question 18

When the nurse interviews an adolescent, which is especially important?

Accepted Answer

A)  Focus the discussion on the peer group. 
B)  Allow an opportunity to express feelings. 
C)  Use the same type of language as the adolescent. 
D)  Emphasize that confidentiality will always be maintained.

Question 19

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

Question 20

Rectal temperatures are indicated in which situation?

Accepted Answer

A)  In the newborn period 
B)  Whenever accuracy is essential 
C)  Rectal temperatures are never indicated 
D)  When rapid temperature changes are occurring

Exam 4: Communication, Physical, and Developmental Assessment