In using growth charts in paediatric assessment, the nurse should know which of the following? Select all that apply

1. In using growth charts in paediatric assessment, the nurse should know which of the following? Select all that apply.

a. measures height overweight

b. provide information in percent

c. measures height over age

d. Providing information about individual infant’s growth

e. are gender specific

2. The nurse is conducting a well-child assessment with a 12-year-old grade 7 pre-pubescent girl. Which vaccination(s) should the nurse recommend?

a. Hepatitis and Human Papilloma Virus

b. Varicella

c. Diptheria, Tetanus and Polio

d. Measles, Mumps, Rubella

3. To plan nursing care for a 14-year-old newly diagnosed with Type 1 Diabetes, the nurse needs to consider which characteristic of adolescence?

a. Need to be similar to peers

b. Desire to be unique

c. Preoccupation with the future

d. Awareness of peers that diabetes is a debilitating disease

4. Which of the following assessment findings in a patient suspected of dehydration support the use of oral rehydration therapy instead of intravenous fluid?

a. Anuria

b. Capillary refill > 4 seconds

c. Moderate thirst

d. Deep and rapid respiration

5. To plan nursing care for a 14 year old newly diagnosed with Type 1 Diabetes, the nurse needs to consider which characteristic of adolescence?

a. Need to be similar to peers

b. Desire to be unique

c. Preoccupation with the future

d. Awareness of peers that diabetes is a debilitating disease

6. The nurse demonstrates knowledge of growth and development by understanding which of the following statements as accurate. Select all that apply.

a. Growth is a continuous and even process

b. Development occurs in an undetermined pattern.

c. Growth is best evaluated by comparing measurements over time

d. Rapid growth is normal during infancy and adolescence periods

7. The nurse is visiting a child and their family in the community. The nurse demonstrates family-centred care when they include the following: Select all that apply.

a. Include the grandparents as they are substitute caregivers when needed

b. Discuss the impact of the child’s illness on siblings

c. Refuse to inform the family of an error related to care

d. Focus nursing care on the child solely

e. Discuss with the family the concerns they have with the care provided

8. During a well-baby visit at 32 weeks, the nurse would expect the infant to respond in the following manner(s) Select all that apply.

a.

smiles and laughs

b.

responds to their name

c.

expresses evidence of stranger anxiety

d.

reacts to loud noise with Moro reflex

9. The nurse is caring for a 17-year-old admitted to an inpatient unit for acetaminophen toxicity. The patient states that they took 500 mg tablets repeatedly to manage a migraine headache. Which of the following nursing actions would be important in the pan for nursing care? Select all that apply.

a. toxicity screen for illicit drugs

b. assessment of suicidality

c. patient teaching about the safe use of over-the-counter medications

d. Liver Function Tests

10. A parent is inquiring about toilet training. Which of the following would indicate to the nurse the need for more parent teaching?

a. Bowel training often occurs before the bladder

b. Toilet training is often influenced by psycho-social circumstances

c. Demonstration of toilet habits by older siblings may be helpful

d. Children should be forced to sit on the toilet

11. When completing the safety check at the bedside of a paediatric patient, the nurse should note which of the following? Select all that apply.

a. The oxygen is functioning and the proper mask size is available for the patient

b. The proper IV solution is being administered and the IV site is intact

c. All medications were given on the preceding shift as ordered

d. The bedding is dry and clean

12. During a well-baby visit at 2 weeks, the nurse would expect the infant to respond in the following manner

a. responds to their name

b. smiles and laughs

c. reacts to loud noise with Moro reflex

d. expresses evidence of stranger anxiety

13. The nurse is caring for a paediatric patient who has been admitted to the general surgery ward. The child weighs 52 lbs and has been ordered Acetominophen 500 mg PO q6h. The safe dose range is 10-15mg/kg q6h. Based on the nurse’s calculations, what should be the nursing priority action?

a. Assess pain to determine dose

b. Determine the appropriate dose and administer as calculated

c. Query the order as the dose is unsafe and request a new order

d. Administer the medication as ordered

14. When assessing a patient who is in hypovolemic shock, does the nurse considers a drop in blood pressure to be indicative of what stage of shock?

a. irreversible shock

b. compensated shock

c. decompensated shock

15. A nurse examines a class of seven-year-old students during a school health program. According to Erikson’s theory, which behaviour would the students display?

a. Students exhibit a sense of care for others.

b. Students show an eagerness to learn social skills.

c. Students like to pretend and try out new roles

d. Students want to know “Who am I?”

16. The nurse is teaching parents about injury prevention in infants related to aspiration. The nurse includes all the following recommendations except:

Food choices should be based on the presence of teeth
Inspect toys for removable parts
Remove small objects from floors
Avoid feeding the infant while in a supine position
17. An 16 month old is seen at the well-child clinic. Which of the following assessment findings by the nurse indicates good progression in development? Select all that apply.

Parents report that the child helps to dress self
The child communicates using several words
The nurse notes the presence of a crude pincer grasp
The nurse notes that the anterior fontanelle is open
17. An 11-month-old is seen at the well-child clinic. Which of the following assessment findings by the nurse indicates good progression in development? Select all that apply.

a.The child communicates using several words

b.The nurse notes that the anterior fontanelle is closed

c.Parents report that the child helps to feed themselves

d.The nurse notes the presence of a crude pincer grasp

18. Which of the flowing are fine-motor skills that can be accomplished by a 5 -year old child? Select all that apply.

a.ties shoelaces

b.can use scissors well

c.can draw a person with facial features

d.can draw a person with five to nine body parts

19. The nurse is caring for a 6-year old patient who will be discharged home in two weeks. The family, including both parents and an older sibling are present. The nurse knows which of the following actions is most consistent with the principles of family centred care?

Visit the family when not assigned to work at the hospital to see how the discharge plan is going
Provide feedback to the family after observing their care for the child’s feeding tube
Develop a plan with the parents without the older sibling’s involvement
Recommend that the family participate in medical rounds a few days before their discharge
20. Which of the following are expected growth and development patterns of the 12-month old child? Select all that apply.

tripled the birth weight
opens doors
builds an eight-block tower
copies behaviours and words
walks alone