1.
What is the one group that should be constant in a child's life?
Correct Answer
B. Family
Explanation
The family is the one group that should be constant in a child's life (p. 1)
2.
True or False:A nurse must be aware that the child is a primary concern, the child's family is the priority concern in terms of care.
Correct Answer
B. False
Explanation
A nurse must be aware that while THE CHILD IS THE PRIORITY CONCERN, the child's family is also in need of care (p. 1)
3.
Positive family relationships are characterized by parent-child...
Correct Answer
E. Warmth and respect
Explanation
Positive family relationships are characterized by parent-child WARMTH and RESPECT (p. 1)
4.
Who is the expert regarding the child's health condition, the child's usual behaviour in different situations, and the child's routine needs?
Correct Answer
B. The family
Explanation
Family-centered care includes the FAMILY as the expert regarding the child's health condition, the child's usual behaviour in different situations, and the child's routine needs (p. 2).
5.
Which of the following is not included in promoting family-centered care?
Correct Answer
E. None of the above
Explanation
All of these are aspects of promoting family-centered care (p. 2)
6.
Which of the following is composed of two parents and their children (e.g. biologic or adoptive)?
Correct Answer
C. Nuclear family
Explanation
Nuclear families are composed of two parents and their children (e.g. biologic or adoptive) (p. 2)
7.
Which of the following is composed of one parent and one or more children?
Correct Answer
E. None of the above
Explanation
Single-parent families are composed of one parent and one or more children (p. 2)
8.
Which of the following is composed of a common-law tie between two members of the same sex who may or may not have children?
Correct Answer
A. Same-sex family
Explanation
Same-sex family involves a common-law tie between two members of the same sex who may or may not have children (p. 2)
9.
Which of the following is composed of at least one stepparent, stepsibling, or half-sibling?
Correct Answer
C. Blended family
Explanation
The blended family is composed of at least one stepparent, stepsibling, or half-sibling (p. 2)
10.
Which of the following is composed of at least one parent, one or more children, and other individuals either related or not related?
Correct Answer
B. Extended family
Explanation
The extended family is composed of at least one parent, one or more children, and other individuals either related or not related (p. 2)
11.
Which of the following is composed of a child or children that have been placed in an approved living environment away from the family of origin - usually with one or two parents?
Correct Answer
E. None of the above
Explanation
A foster family is composed of a child or children that have been placed in an approved living environment away from the family of origin - usually with one or two parents (p. 2)
12.
Which of the following is not included in positive parental influences?
Correct Answer
E. None of the above
Explanation
Positive parental influences include:
Parents who are in good mental health
Maintained structure in the household
Parents' engagement in activities with their children
Communication that validates the child's feelings
Monitoring of children for safety with special consideration for their developmental needs
(p. 3)
13.
Which of the following parenting styles involves Parents try to control their children's behaviours and attitudes through unquestioned rules and expectations?
Correct Answer
B. Dictatorial or authoritarian
Explanation
Dictatorial or authoritarian parenting styles is described as parents try to control their children's behaviours and attitudes through unquestioned rules and expectations. E.g. Children may not watch TV on school nights (p. 3)
14.
Which of the following parenting styles involves parents who exert little or no control over their children's behaviours?
Correct Answer
D. Permissive or laissez-faire
Explanation
Permissive or laissez-faire parent style is described as parents who exert little or no control over their children's behaviours. E.g. Children may watch TV whenever they want to watch it (p. 3).
15.
Which of the following parenting styles involves parents that direct children's behaviours by setting rules and explaining the reason for each rule setting and also reinforce deviations from the rules?
Correct Answer
C. Democratic or authoritative
Explanation
Authoritative or democratic parenting styles are described as parents who direct children's behaviour by setting rules and explaining the reason for each rule setting. Parents also negatively reinforce deviation from the rules. E.g. Children may watch IV for an hour if their homework is complete. If homework is not complete and children are watching TV, then the privilege will be taken away from a specified time, because the children did not follow the rule (p. 3).
16.
Which of the following is not one of the guidelines for promoting healthy behaviour in children?
Correct Answer
E. None of the above
Explanation
Guidelines for promoting healthy behaviour in children include:
Setting realistic limits and expectations based on developmental tasks
Validating the child's feelings
Providing reinforcement for appropriate behaviour
Focusing on the child's behaviour when disciplining the child
Explaining expectations to a child in a manner that the child can understand
(p. 3-4)
17.
Family assessment does not include which of the following?
Correct Answer
E. None of the above
Explanation
Family assessment includes: Genogram, Structure, Developmental tasks, Family functions/roles, Family stressors (p. 4)
18.
A collection of learned, adaptive, and transmitted social values and beliefs that form the context from which a group interprets the human experience is
Correct Answer
C. Culture
Explanation
Culture is a collection of learned, adaptive, and transmitted social values and beliefs that form the context from which a group interprets the human experience (p. 9)
19.
True or False: When a cultural value/behaviour is a direct hindrance to the child's health/wellness, the nurse should attempt to repattern that belief to one that is compatible with health promotion
Correct Answer
A. True
Explanation
When a cultural value or behavior directly hinders a child's health or wellness, it is important for the nurse to attempt to repattern that belief to one that promotes health. This is because the nurse's role is to advocate for the child's well-being and ensure they receive the best possible care. By addressing and challenging cultural values or behaviors that may be detrimental to the child's health, the nurse can help promote positive changes and improve the child's overall well-being.
20.
When using an interpreter, which of the following is true
Correct Answer
E. None of the above
Explanation
Direct the questions to the FAMILY, not the interpreter
DO NOT interrupt the interpreter and the family as they talk
REFRAIN from making comments about the family to the interpreter, as the family may understand some English
Use layman's terminology if possible, knowing that some words may not have an equivalent word in the child/family's language
As ONE question at a time
Allow time for the interpreter and the family to be introduced and become acquainted before starting the interview
Allow the interpreter to know the reason for, and type of questions, that will be asked; expect response (brief or detailed); and with whom to converse
Inquire about the child's father rather than the mother's husband when asking questions about pregnancy, marriage, and/or sex
Do not try to interpret answers
(p. 14)
21.
The expected range for infant temperature (axillary or rectal) is
Correct Answer
C. 36.5-37.5C
Explanation
Infant temperature (axillary or rectal) 36.5-37.5C (97.7-99.5F) (p. 19)
22.
Your infantile patient has a temperature of 97.9, this is
Correct Answer
A. Within normal limits
Explanation
Infant temperature (axillary or rectal) 36.5-37.5C (97.7-99.5F) (p. 19)
23.
Which of the following is a normal pulse for an infant?
Correct Answer
B. 145
Explanation
Normal infantile pulse range is 120 to 160/min (p. 19)
24.
What is the normal pulse range for infantile patients?
Correct Answer
C. 120-160/min
Explanation
Normal range for infantile pulse is 120-160/min (p. 19)
25.
Your infantile patient is breathing 20 breaths per minute, this is
Correct Answer
B. Abnormal, low
Explanation
Normal infantile respirations are 23-50 breaths/minute (p. 19)
26.
The normal infantile range for respirations is
Correct Answer
A. 23-50 breaths/minute
Explanation
Normal infantile respirations range from 23 to 50 breaths/minute (p. 19)
27.
True or False:Normal infant blood pressure runs higher than normal adult blood pressure
Correct Answer
B. False
Explanation
False. BP reading for the 90th percentile taken by oscillometry is 110/71 mmHg (p. 19). Remember that babies are smaller and require less pressure to get blood to extremities.
28.
True or False:Normal childhood temperature (oral) range is 37 to 38C
Correct Answer
B. False
Explanation
Normal childhood temperature (oral) is 36-38C (96.8-100.4F) (p. 19).
29.
Normal childhood range for temperature (oral) encompasses
Correct Answer
E. All of the above
Explanation
Normal childhood temperature (oral) is 36-38C (96.8-100.4F) (p. 19).
30.
The normal respiratory rate range for children is
Correct Answer
C. 20-30/minute
Explanation
Normal childhood respiratory rate ranges from 20-30 breaths/minute (p. 19).
31.
Normal childhood pulse range is
Correct Answer
C. 75-100/minute
Explanation
The normal childhood pulse ranges from 75 to 100/minute (p. 19).
32.
Your pediatric patient has a pulse of 115 bpm, this is
Correct Answer
C. Abnormal, high
Explanation
The normal childhood pulse ranges from 75 to 100/minute (p. 19).
33.
True or False:As a child's age increases, their blood pressure decreases
Correct Answer
B. False
Explanation
BP will continue to rise as the child grows (p. 19).
34.
Your pediatric patient's mother states the following, "Normal BP is any reading that is more than the 90th percentile adjusted for height and weight." This statement...
Correct Answer
B. Warrants further patient/family education
Explanation
For ages 2 to 5 years, BP reading for the 90th percentile taken by oscillometry is 112/66 BP. BP will continue to rise as the child grows. Normal BP is any reading that is LESS than the 90th percentile adjusted for height and weight (p. 19).
35.
Your adolescent patient has an oral temperature of 100.2F, this is
Correct Answer
A. Within normal limits
Explanation
Normal range for adolescent temperature (oral) is 3638C (96.8-100.4F) (p. 20).
36.
The normal range for an adolescent's pulse is
Correct Answer
C. 60-90bpm
Explanation
Normal adolescent pulse is 60 to 90 beats per minute (p. 20)
37.
True or False:The normal range for adolescent respirations is 15-20 breaths per minute
Correct Answer
B. False
Explanation
The normal range for respirations in an adolescent patient population is 16 to 19 breaths per minute (p. 20)
38.
The newly graduated nurse states, "Limp posture is expected in infants with extension of the extremities;" this statement is
Correct Answer
A. True
Explanation
When examining an infant's muscle tone and general appearance, limp posture is expected in infants with extension of the extremities (p. 20).
39.
True or False:Lesions are normal findings in children from 2 to 5 years of age
Correct Answer
B. False
Explanation
When assessing the skin, the nurse should be aware that lesions are not normal findings (p. 21).
40.
The infant displays assymetrical skin folds, this is
Correct Answer
B. Abnormal
Explanation
Skin folds should be symmetrical (p. 21).
41.
The posterior fontanel usually closes by
Correct Answer
B. 2-3 months
Explanation
The posterior fontanel usually closes by 2 to 3 months (p. 21).
42.
A concerned mother asks the nurse when to expect the closing of the anterior fontanel. The nurses best response is
Correct Answer
D. At 18 months of age
Explanation
The anterior fontanel usually closes by 18 months (p. 21).
43.
The doctor orders a visual acuity test in a 1 year old child, the nurse should
Correct Answer
A. Hold an object in front of the infant's eyes and check to see if she is able to fix on the object and follow it
Explanation
Visual acuity may be difficult in children under 3 (p. 22).
Infants' visual acuity can be assessed by holding an object in front of the infant's eyes and checking if they are able to fix on the object and follow it (p. 22).
44.
What tool is used to assess color vision?
Correct Answer
A. Ishihara test
Explanation
Color vision should be assessed using the Ishihara color test (p. 22).
45.
True or False: Extraocular movements must be symmetrical in children of all ages
Correct Answer
B. False
Explanation
Extraocular movements may not be symmetrical in newborns (p. 22).
46.
True or False: Infants should turn away from sound
Correct Answer
B. False
Explanation
Infants should turn toward sounds (p. 23).
47.
The infant's tongue has a white coating that can be easily removed, this is
Correct Answer
A. Normal
Explanation
Infants may have a white coating on the tongue form milk that can be easily removed. Oral candidiasis coating is not easily removed (p. 24).
48.
How many deciduous teeth and how many permanent teeth is expected?
Correct Answer
A. 20 deciduous teeth and 32 permanent teeth
Explanation
Children and adolescents - Teeth should be white, smooth, with 20 deciduous and 32 permanent teeth (p. 24).
49.
A concerned mother expresses that her infant's chest moves in irregular rhythms, the nurse
Correct Answer
B. Assures her that this can be normal in infants
Explanation
In regards to thorax and lung movements in infants, irregular rhythms are common
50.
Abdominal movements are seen during respirations more in which age group
Correct Answer
B. Children younger than 6 years
Explanation
Children under 6 - More abdominal movement is seen during respirations (p. 24).