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123 Cards in this Set
- Front
- Back
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Which of the following statements is true concerning the increased use of telephone triage by nurses?
a) Health care costs have increased as a result b) Emergency department visits are not recommended c) Access to high-quality health care services has increased d) Home care is recommended when it is not appropriate |
Access to high-quality health care services has increased
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Which of the following is most likely to encourage parents to talk about their feelings related to their child's illness?
a) Be sympathetic b) Ask direct questions c) Use open-ended questions d) Avoid periods of silence |
Use open-ended questions
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What are some legal and ethical issues that arise for the nurse when using an interpreter?
a) Direct questions to interpreter b) Ask several questions at a time c) The family should be fully informed of all aspects of procedures before consenting d) Discourage interpreter and client from discussing topics not included in interview |
The family should be fully informed of all aspects of procedures before consenting
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Which one of the following approaches would be best to use to ensure a receptive response from a toddler?
a) Focus communication on the child and tell him or her how a procedure will feel b) Call the toddler's name while picking him or her up c) Call the toddler's name and say, "I am your nurse." d) Stand by the toddler, addressing him or her by name |
Focus communication on the child and tell him or her how a procedure will feel
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When the nurse interviews an adolescent, which of the following is especially important?
a) Focus the discussion on the peer group b) Display a genuine interest in the adolescent c) Emphasize that confidentiality will always be maintained d) Use the same type of language as the adolescent |
Display a genuine interest in the adolescent
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The nurse is taking a health history on a child. At the beginning of the interview a parent says, "I brought him here because he always has diarrhea." This should be recorded under which of the following headings?
a) History b) Chief complaint c) Review of systems d) Nutritional assessment |
Chief complaint
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Which of the following statements explains why it can be difficult to assess a child's dietary intake?
a) No systematic assessment tool has been delayed b) Biochemical analysis for assessing nutrition is expensive c) Families usually do not understand much about nutrition d) Recall of food consumption is frequently unreliable |
Recall of food consumption is frequently unreliable
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Which of the following approaches is the most appropriate when performing a physical assessment on a toddler?
a) Demonstrate use of equipment b) Perform traumatic procedures first c) Use minimum physical contact initially d) Always proceed in a head-to-toe direction |
Use minimum physical contact initially
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The nurse is assessing a 3-year-old African-American child who is being seen in the clinic for the first time. The child's height and weight are at the 20th percentile on the commonly used growth chart from the National Center for Health Statistics (NCHS). When interpreting these data, the nurse should recognize which of the following?
a) The data suggests the child requires nutritional intervention b) The NCHS charts are accurate for U.S. African-American children c) A correction factor is used when the NCHS chart is used for non-Caucasian ethnic groups d) No assessment can be made until several measurements are plotted over time |
The NCHS charts are accurate for U.S. African-American children
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When taking a child's blood pressure, the nurse should select a cuff with a bladder width that is large enough to cover what percentage of the upper arm?
a) 20% b) 40% c) 60% d) 80% |
40%
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Binocularity, the ability to fixate on one visual field with both eyes simultaneously, is normally present by what age?
a) 1 month b) 3 to 4 months c) 6 to 8 months d) 12 months |
3 to 4 months
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The nurse has a 2-year-old boy sit in "tailor" position while palpating for the presence of the testes. What is the rationale for this position?
a) It prevents cremasteric reflex b) Undescended testes can be palpated c) Child has an inguinal hernia d) Child does not yet have a need for privacy |
It prevents cremasteric reflex
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Kimberly is having a checkup before starting kindergarten. The nurse asks her to do the finger-to-nose test. The nurse is testing for which of the following?
a) Deep tendon reflexes b) Cerebellar function c) Sensory discrimination d) Ability to follow directions |
Cerebellar function
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The nurse is beginning to administer the Denver II to a small child when his mother says, "Can you tell me again what this Denver II is?" The nurse's best response is which of the following?
a) Its a simple intelligence test for young children b) It tells us what a child can do at a particular age c) Its a test we give to measure a child's development d) Its an excellent way to see if a child's development is normal |
It tells us what a child can do at a particular age
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See things only in relation to oneself and own point of view.
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Egocentric
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An essential parameter of nutritional status; the measurement of height, weight, head circumference, proportions, skinfold thickness, and arm circumference.
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Anthropometry
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The capacity to understand what another person is experiencing from within that persons frame of reference.
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Empathy
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Refers to the composition of the family; to those living in the home; and to the social, cultural, religious, and economic characteristics that influence the child's and family's overall health.
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Family structure
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Not therapeutic in the helping relationship because it leads to feelings of emotional overinvolvement and possible professional burnout
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Sympathy
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Concerned with how family members behave toward one another and with the quality of the relationship.
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Family function
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Involves assessing symptoms and forming clinical judgement for further medical care.
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Triage
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Skinfold thickness
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Measurement of body fat
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Which of the following would negatively affect the communication process between the nurse and the patient?
a) The nurse allows the child to express his or her concerns and fears b) The nurse includes the child, as well as the parents, int he communication process c) The nurse uses verbal and nonverbal communication to reflect approval of the patients statement d) The nurse uses a slow, even, steady voice to convey instructions |
The nurse uses verbal and nonverbal communication to reflect approval of the patients statement
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Mrs. Green has brought her daughter Karen to the clinic where you work as a nurse. Karen, age 12 years, is a new patient and needs a physical examination so that she can play volleyball. Which of the following techniques would not be helpful to establish effective communication during the interview process?
a) You introduce yourself and ask the name of all family members present b) After the introduction, you are careful to direct question about Karen to Mrs. Green, because she is the best source of information c) After the introduction and explanation of your role, you begin the interview by saying to Karen, "Tell me about your volleyball team." d) You choose to conduct the interview in a quiet area with few distractions |
After the introduction, you are careful to direct questions about Karen to Mrs. Green because she is the best source of information
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The nurse says to 15-year-old Monique, "Tell me about your cough." This is an example of which type of communication technique?
a) Direct b) Open-ended c) Reflective d) Closed |
Open ended
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While conducting an assessment of the child, the nurse communicates with the child's family. Which of the following does the nurse recognize as not productive in obtaining information?
a) Obtaining verbal and nonverbal input from the child b) Oberving the relationship between parents and child c) Using broad, open-ended questions d) Avoiding the use of guiding statements to direct the focus of the interview |
Avoiding the use of guiding statements to direct the focus of the interview
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The receptionist at the clinic where you are employed as a nurse has forwarded a call to you from Mrs. Garcia, mother of 4-year-old Maria. Mrs. Garcia tells you that Maria has had a fever all morning of around 37.8 degrees Celcius and that she now has diarrhea and vomiting. As you provide triage by phone, which of the following actions is appropriate?
a) Reassure Mrs. Garcia that Maria is not very sick and will be fine in a day or two b) Confer with the practitioner at once c) Wait to document in Marias medical record until she comes in for a visit d) Offer advice for home care and instruct Mrs. Garcia to call or come in to the clinic if Maria's symptoms do not improve |
Offer advice for home care and instruct Mrs. Garcia to call or come in to the clinic if Maria's symptoms do not improve
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__________ is the capacity to understand what another person is feeling by experiencing the situation from that person's frame of reference.
a) Sympathy b) Empathy c) reassurance d) Encouragement |
Empathy
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The nurse is conducting an interview with 8 year old Jesus and his mother, Mrs. Lopez. Mrs. Lopez is worried because Jesus has been acting up at home and at school and disrupting everyone. An interpreter has been requested, because the mother speaks little English. When using an interpreter for communication with Mrs. Lopez, the nurse realizes that:
a) The interpreter will have little to do because Jesus can interpret for his mother b) When the interpreter and Mrs. Lopez speak for a long period, it will be necessary to interrupt to refocus the interview c) The nurse needs to communicate directly with Mrs. Lopez and ignore the interpreter d) The nurse needs to pose questions to elicit only one answer at a time from Mrs. Lopez |
When the interpreter and Mrs. Lopez speak for a long period, it will be necessary to interrupt to refocus the interview
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True/False
Nonverbal components of the communication process do not convey significant messages. |
false
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True/False
Children are alert to their surrounding and attach meaning to gestures |
True
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True/False
Actively attempting to make friends with children before they have had an opportunity to evaluate an unfamiliar person will increase their anxiety. |
True
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True/False
The nurse should assume a position that is at eye level with the child. |
True
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True/False
Communication through transition objects, such as dolls or stuffed animals, delays the child's response to verbal communication offered by the nurse |
False
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To effectively provide anticipatory guidance to the family, the nurse should:
a) Provide information to deal with each problem as it develops b) Provide teaching and interventions based on needs identified by the professional c) Be suspicious of the parent's ability to deal effectively with the child's needs d) Assist the parents in building competence in their parenting abilities |
Assist the parents in building competence in their parenting abilities
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Focus communication on the child; experiences of others are of no interest to children in this stage.
a) Infancy b) Early childhood c) School-age years d) Adolescence |
Early childhood
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Children in this stage primarily use and respond to nonverbal communication.
a) Infancy b) Early childhood c) School-age years d) Adolescence |
Infancy
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Children in this stage interpret words literally and are unable to separate fact from fantasy.
a) Infancy b) Early childhood c) School-age years d) Adolescence |
Early childhood
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Children in this stage assign human attributes to inanimate objects.
a) Infancy b) Early childhood c) School-age years d) Adolescence |
Early childhood
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Children in this stage require explanations and reasons why procedures are being done to them.
a) Infancy b) Early childhood c) School-age years d) Adolescence |
School-age years
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Children in this stage have a heightened concern about body integrity, being overly sensitive to any activity that constitutes a threat to it.
a) Infancy b) Early childhood c) School-age years d) Adolescence |
School-age years
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Children in this stage are often willing to discuss their concern with an adult outside the family and often welcome the opportunity to interact with a nurse.
a) Infancy b) Early childhood c) School-age years d) Adolescence |
Adolescence
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Which of the following best describes the appropriate use of play as a communication technique with children?
a) Small infants have little response to activities that focus on repetitive actions such as patting and stroking b) Few clues about intellectual or social developmental progress are obtained from the observation of child's play behaviours c) Therapeutic play has little value in reduction of trauma from illness or hospitalization d) Play sessions serve as assessment tools for determining children's awareness and perception of illness |
Play sessions serve as assessment tools for determining children's awareness and perception of illness
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In eliciting the chief complaint, which of the following techniques is not appropriate?
a) Limiting the chief complaint to a brief statement restricted to one or two symptoms b) Using labelling-type questions such as "How are you sick?" to facilitate information exchange c) Recording the chief complaint in the child's or parent's own words d) using open-ended neutral questions to elicit information |
Using labelling-type questions such as "How are you sick?" to facilitate information exchange
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A complete pediatric health history include 10 expected outcomes. List these components.
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Identifying information, chief complaint, present illness, past history, review of symptoms, family medical history, psychosocial history, sexual history, family history, nutritional assessment
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Read the following entry from a pediatric health history: "Nausea and vomiting for 3 days. Started with abdominal cramping after eating hamburger at home. No pain or cramping at present. Unable to keep any food down but able to drink clear liquids without vomiting. No temperature elevation, no diarrhea.' Which component of the health history does this entry represent?
a) Chief complaint b) Past history c) Present illness d) review of symptoms |
Present illness
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Which of the following is not part of the past history to be included in a pediatric health history?
a) Symptom analysis b) Allergies c) Birth history d) Current medications |
Symptom analysis
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What are the most important previous growth patterns to record when completing a child's history of growth and development?
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Weight at 6 months, 1, 2, and 5 years.
Length at 1 and 4 years. Dentition-age of onset, # of teeth, and symptoms during teething. |
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What are the most important developmental milestones to record when completing the child's health history?
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Age of holding up head, sitting alone, walking, first words with meaning.
grade in school, scholastic performance. Does child have best friend? Interaction with other peers, adults |
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The nurse knows that the best description of the sexual history for a pediatric health history:
a) Includes a discussion of the patient's plan for future children b) Allows the patient to introduce sexual activity history c) Includes discussionof contraception methods only when the patient discloses current sexual acitivity d) Alerts the nurse to the need for sexually transmitted infection screening |
Alerts the nurse to the need for sexually transmitted infection screening
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List five categories to include in an assessment of pain.
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Severity, location, duration, precipitating factors, type
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Assessment of family structure is best conducted:
a) After the first meeting with the patient b) Only when a problem is suspected within a family c) Toward the end of the interview when rapport has been established d) By interviewing the patient about other family members' roles within the family |
Toward the end of the interview when rapport has been established
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Assessment of family interactions and roles, decision making and problem solving, communication, and expression of feelings and individuality is known as assessment of:
a) Family structure b) Family structure c) Family composition d) Home and community environment |
Family function
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The dietary history of a pediatric patient includes:
a) A 12 hour dietary intake recall b) A more specific, detailed history for the older child c) Financial and cultural factors that influence food selection d) Criticism of parents' allowance of nonessential foods |
Financial and cultural factors that influence food selection
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In pediatric examinations, the normal sequence of head-to-toe direction is often altered to accommodate the patient's developmental needs. Which of the following goals is least likely to guide the examination process?
a) Minimizing the stress and anxiety associated with the assessment of body parts b) Recording the findings according to the normal sequence c) Fostering a trusting nurse-child relationship d) Preserving the essential security of the parent-child relationship |
Recording the findings according to the normal sequence
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Mr. Alls brings his 12-month-old son Keith in for his regular well-infant examination. The nurse knows that the best approach to the physical examination for this patient will be to:
a) Have the infant sit in the parents lap to complete as much of the examination as possible b) Place the infant on the examination table with parent out of view c) Perform examination in head-to-toe examination d) Completely undress Keith and leave him undressed during the examination |
Have the infant sit in the parent's lap to complete as much of the examination as possible
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Behaviour that signals the childs readiness to cooperate during the physical examination does not include:
a) Talking to the nurse b) Making eye contact with the nurse c) Allowing physical touching d) Sitting on parents lap or playing with a doll |
Sitting on parents lap or playing with a doll
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The assessment method that the nurse expects to provide the best information about the physical growth pattern of a preschool-age child is;
a) Recording height and weight measurements of the child and comparing growth measurements over time b) Keeping a flow sheet for height, weight and head circumference increases c) Obtaining a history of sibling growth patterns d) Measuring the height, weight, and head circumference of the child |
Recording height and weight measurements of the child and comparing growth measurements over time
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True/False
Normal growth patterns may vary among children of the same age-group |
True
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True/False
A sudden weight increase in a 10-year-old whose weight has been steady before is not an area for concern. |
False
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True/False
Growth is a continuous but uneven process, and the most reliable evaluation is based on comparison of growth measurements over a prolonged time. |
true
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True/False
Growth measurements during the physical examination should be age-specific and include length, height, skinfold thickness, and arm and head circumference |
true
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True/False
One convenient measurement of body fat is arm circumference |
False
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Which of the following findings for growth is cause for potential concern and should be followed closely?
a) Height and weight fall above the 5th percentile on the growth chart b) Height and weight fall below the 5th percentile on the growth chart c) Height and weight fall below the 95th percentile on the growth chart d) Height and weight fall within the 50th percentile on the growth chart |
Height and weight fall below 5th percentile on the growth chart
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Head circumference is:
a) Measured in all children up to the age of 24 months b) Equal to chest circumferences at about 1 to 2 years of age c) About 8 to 9 cm smaller than chest circumference during childhood d) Measured slightly below the eyebrows and pinna of the ears |
Equal to chest circumference at about 1 to 2 years of age
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In infants and young children, the __________ pulse should be taken because it is the most reliable. This pulse should be counted for ____________ because of the possibility of irregularities in rhythm. When counting respirations in infants, observe the _____________ movements and count for ___________ because their movements are irregular.
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Apical; 1 minute; abdominal; 1 minute
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Which of the following statements about temperature measurement in children is true?
a) Rectal site is preferred in children under 1 month of age b) The axillary site is recommended by the American Academy of Pediatrics as a screening test for fever in infants 1 month of age. c) Ear (tympanic) temperature is a precise measurement of core body measurement d) Oral temperature is a better indicator for rapid changes in core body temperature and accuracy and is the preferred method when the patient is under 5 years of age |
Oral temperature is a better indicator for rapid changes in core body temperature and accuracy and is the preferred method when the patient is under 5 years of age
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The nurse should obtain the vital signs of an infant in what order?
a) Measure temperature, then count the pulse, and then count respirations b) Count the pulse, then count respirations, and then measure the temperature c) Count respirations, then count the pulse, and then measure the temperature d) Measure the temperature, then count respirations, and then count the pulse |
Count respirations, then count the pulse, and then measure the temperature
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Which of the following findings should the nurse recognize as normal when measuring the vital signs of a 5 year old child?
a) Femoral pulses graded at +1 b) Oral temperature of 100.9 F c) Blood pressure of 101/61 d) respiratory rate of 28 breaths/min |
Blood pressure of 101/61
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Which of the following observations should be eliminated when recording the general appearance of the child?
a) Impression of childs nutritional status b) Behaviour, interactions with parents c) Hygiene, cleanliness d) Vital signs |
Vital signs
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Appears in dark-skinned patients as ashen-gray lips and tongue.
a) Pallor b) Cyanosis c) Erythema d) jaundice |
Pallor
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Appears in light-skinned patients as purplish to yellow-green areas.
a) Pallor b) Cyanosis c) Ecchymosis d) Erythema |
Ecchymosis
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May be a sign of anemia, chronic disease, edema, or shock.
a) Pallor b) Cyanosis c) Ecchymosis d) Erythema |
Pallor
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Fusion of digits.
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Syndactyly
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Redness of the skin that may be the result of infection, local inflammation, or increased temperature due to climatic conditions.
a) Cyanosis b) Pallor c) Erythema d) Ecchymosis |
Erythema
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Large, diffuse areas, usually blue or black and the result of injury.
a) Cyanosis b) Pallor c) Erythema d) Ecchymosis |
Ecchymosis
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Small, distinct pinpoint hemorrhages.
a) Erythema b) Pallor c) Ecchymosis d) Petechiae |
Petechiae
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Yellow staining of the skin usually caused by bile pigments.
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Jaundice
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Time it takes for the blanched area to return to its original color; used to test for circulation and hydration.
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Capillary refill time
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Extra digit.
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Polydactyly
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Injury to the sternocleidomastoid muscle with subsequent holding of the head to one side with the chin pointing toward the opposite side.
a) Pigeon chest b) Wryneck, or torticollis c) Opisthotonos d) Barrel chest |
Wryneck, or torticollis
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Hyperextension of the neck and spine.
a) Pigeon chest b) Wryneck, or torticollis c) Opisthotonos d) Barrel chest |
Opisthotonos
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Round chest.
a) Pigeon chest b) Wryneck, or torticollis c) Opisthotonos d) Barrel chest |
Barrel chest
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Sternum that protrudes outward.
a) Pigeon chest b) Wryneck, or torticollis c) Opisthotonos d) Barrel chest |
Pigeon chest
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Premature closure of the sutures of the head.
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Craniosynostosis
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Amount of elasticity to the skin.
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Tissue turgor
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Breast enlargement
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Gynecomastia
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Lateral bowing of the tibia.
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Genu varum
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Stance in which knees are close together but feet are spread apart; "knock knee".
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Genu valgum
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Result of the passage of air through fluid or moisture in the lungs.
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Wheezes
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Result of the passage of air through narrowed passageways in the lungs.
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crackles
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No anatomic or physiologic abnormality exists.
a) Innocent murmur b) Functional murmur c) Organic murmur |
Innocent murmur
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A cardiac defect with or without a physiologic abnormality exists.
a) Innocent murmur b) Functional murmur c) Organic murmur |
Organic murmur
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No anatomic cardiac defect exists, but a physiologic abnormality such as anemia is present.
a) Innocent murmur b) Functional murmur c) Organic murmur |
Functional murmur
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You are assessing skin turgor in 10 month old Ryan. You grasp the skin on the abdomen between the thumb and index finger, pull it taut, and quickly release it. The tissue remains suspended, or tented, for a few seconds, then slowly falls back on the abdomen. Which of the following conclusions can you correctly assume?
a) The tissue shows normal elasticity b) The child is properly hydrated c) The assessment was done incorrectly d) The child has poor skin turgour |
The child has poor skin turgour
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You are assessing 7-year-old Mary's lymph nodes. Using the distal portions of your fingers, you press gently but firmly in a circular motion along the occipital and postauricular node areas. You record the findings as "tender, enlarged, warm lymph nodes." Which of the following is true?
a) Your findings are within normal limits for Mary's age b) Your assessment technique was incorrect and should be repeated c) Your findings suggest infection or inflammation in the scalp area or external ear canal d) Your recording of the information is complete because it includes temperature and tenderness |
Your findings suggest infection or inflammation in the scalp area or external ear canal
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Which of the following assessment findings of the head and neck does not require a referral?
a) Head lag before 6 months of age b) Hyperextension of the head with pain on flexion c) Palpable thyroid gland, including isthmus and lobes d) Closure of the anterior fontanel at the age of 9 months |
Head lag before 6 months of age
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At what age is permanent eye color established?
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6 to 12 months
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Performed by using pseudoisochromatic cards.
a) Testing eyes for malalignment b) Testing light perception c) Testing peripheral vision d) Testing color vision |
Testing color vision
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Corneal light reflex test and cover test.
a) Testing eyes for malalignment b) Testing light perception c) Testing peripheral vision d) Testing color vision |
Testing eyes for malignment
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Performed by having the child look at a shiny object - first at a distance, then closer to the eyes; pupils should constrict as the object is brought near the eyes.
a) Testing eyes for reaction to light b) Testing eyes for accommodation c) Testing eyes for malalighment d) Testing light perception |
Testing eyes for accommodation
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One eye deviating from point of fixation.
a) Palpebral conjunctiva b) Strabismus c) Amblyopia |
Strabismus
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Performed by quickly shining a light source toward the eye and removing it; pupils constrict and then dilate.
a) Testing eyes for reaction to light b) Testing eyes for accommodation c) Testing eyes for malalighment d) Testing light perception |
Testing eyes for reaction to light
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Type of blindness resulting from uncorrected "lazy" eye.
a) Palpebral conjunctiva b) Strabismus c) Amblyopia |
Amblyopia
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Performed by having child fixate on a finger directly in front of the eyes, then moving it from the child's field of vision.
a) Testing eyes for malalignment b) Testing light perception c) Testing peripheral vision d) Testing color vision |
Testing peripheral vision
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Inside lining of the eyelids.
a) Palpebral conjunctiva b) Strabismus c) Amblyopia |
Palpebral conjunctiva
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Performed by shining light in the eyes and noting responses; used in newborns to test visual acuity.
a) Testing eyes for reaction to light b) Testing eyes for accommodation c) Testing eyes for malalignment d) Testing light perception |
Testing eyes for reaction to light
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Which of the following is an expected finding in the child's eye examination?
a) Opaque red reflex of the eye b) Ophthalmoscopic examination revealing that veins are darker and about one-fourth larger than arteries c) Strabismus in the 12 month old infant d) A 5-year-old child who reads the Snellen eye chart at the 20/40 level |
A 5-year-old who reads the Snellen eye chart at the 20/40 level
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To "pass" a line, child must correctly identify four out of six letters on the line; used for children who can read letters.
a) Snellen chart b) Tumbling chart c) HOTV chart |
Snellen chart
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Child is asked to point in the direction the letter is facing.
a) Snellen chart b) Tumbling chart c) HOTV chart |
Tumbling chart
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Child is asked to point to the correct letter on a board held in the hands.
a) Snellen chart b) Tumbling chart c) HOTV chart |
HOTV chart
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Which of the following children meet(s) referral criteria?
a) Jason, age 14 years, who identified fewer than four out of six correct letters with his right eye and five out of six correct with his left eye during visual acuity testing b) Sandra, age 3 years, who demonstrated eye movement with the unilateral cover test c) Tommy, age 4 years, who demonstrated a two-line difference between eyes on his visual acuity testing d) All of the above |
All of the above
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When assessing the ear of 2 year old child, the nurse should:
a) Expect cerumen in the external canal b) Use the smallest speculum to prevent trauma to the ear c) Pull the pinna up and back to visualizr the canal better d) Pull the pinna down and back to visualize the canal better |
Pull the pinna down and back to visualize the canal better
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The nurse is performing an otoscopic examination on 14-month-old Justin. Which of the following is recognized as an abnormal finding?
a) The umbo, tip of the malleus, appears as a round, opaque, concave spot near the center of the drum b) Light reflex is pointing away from the face c) Tympanic membrane is translucent, light pearly pink or gray d) Tympanic membrane is dull, nontransparent |
Tympanic membrane is dull, nontransparent
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The nurse is assessing the mouth and throat of 7-month-old Alex. Which of the following is recognized as a normal finding?
a) Membranes are bright pink, smooth, and glistening b) White curdy plaques are located on the tongue c) Redness and puffiness are present along the gum line d) Tip of the tongue extends to the gum line |
Membranes are bright pink, smooth, and glistening
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When assessing 4-year-old Gail's chest, the nurse should expect:
a) Movement of the chest wall to be symmetric bilaterally and coordinated with breathing b) Respiratory movements to be chiefly thoracic c) Anteroposterior diameter to be equal to the transverse diameter d) Retraction of the muscles between the ribs on respiratory movement |
Movement of the chest wall to be symmetric bilaterally and coordinated with breathing
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On auscultation of 8-year-old Tammie's lung fields, the nurse hears inspiratory sounds that are louder, longer, and higher pitched than on expiration. These sounds are heard over the chest, except over the scapula and sternum. These sounds are:
a) Bronchovesicular breath sounds b) Vesicular breath sounds c) Bronchial breath sounds d) Adventitious breath sounds |
Vesicular breath sounds
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On palpation of 3 year old Jennifer's apical impulse, where would the nurse expect to place the fingers?
a) At the lower left midclavicular line and fifth intercostal space b) Lateral to the left midclavicular line and fourth intercostal space c) Over the pulmonic valve d) Over the aortic valve |
At the lower left midclavicular line and fifth intercostal space
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When listening over the aortic area of the heart, where should the stethoscope be placed?
a) Second right intercostal space, close to sternum b) Second left intercostal space, close to sternum c) Fifth left intercostal space, close to sternum d) Fifth right intercostal space, left midclavicular line |
Second right intercostal space, close to sternum
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Examination of the abdomen is performed correctly by the nurse in what order?
a) Inspection, palpation, and auscultation b) Inspection, auscultation, and palpation c) Palpation, auscultation, and inspection d) Auscultation, inspection, and palpation |
Inspection, auscultation, and palpation
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When examining a child's genitalia, the nurse should:
a) Conduct this examination first so that the child will not be as apprehensive b) Ask the parent to leave the room so that the young child will not be as shy c) Wait until the end of the examination before discussing findings with the parent and child d) Understand that this examination may provoke anxiety in the child |
Understand that this examination may provoke anxiety in the child
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In performing an examination for scoliosis, the nurse understands that one of the following is an incorrect method.
a) The child should be examined only in his or her underpants (and a bra if an older girl) b) The child should stand erect with the nurse observing from behind c) The child should squat down with hands extended forward so that the nurse can observe for asymmetry of the shoulder blades d) The child should bend forward with the back parallel to the floor so that the nurse can observe from the side |
The child should squat down with hands extended forward so that the nurse can observe for asymmetry of the shoulder blades
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Name the six areas included in the neurologic examination.
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Behaviour, sensory testing, motor functioning, cerebellar functioning, reflexes, cranial nerves
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