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WorksheetsLPN Test 3
Total questions: 52
Worksheet time: 29mins
Which nursing intervention would help foster a hospitalized preschooler’s sense of autonomy?
Let the child choose what time to take the oral antibiotics.
Allow the child to have a stuffed animal for play in the playroom.
Allow the child to administer her own dose of Keflex via oral syringe.
Let the child watch age appropriate videos.
A nurse is collecting data about a school aged client. Which of the following statements by the client's parent should cause concern for the nurse?
"The teacher says my child has to squint to see the board."
"My child has recently lost both front top teeth."
"My child often cheats when we play board games."
"Sometimes my child acts bossy with his friends."
Which is the correct method for instilling eardrops in a five year old child?
Pull the pinna of the ear downward and back for instillation
Place cotton tightly in the ear after instillation
Have the child remain upright after instillation
Pull the pinna of the ear upward and back for instillation
Which of the following actions should the nurse plan to take that would promote cognitive development for a 14-year-old adolescent hospitalized for an extended term while receiving antibiotics by intermittent IV bolus?
Wear IV access gowns as much as possible
Discuss having a tutor to help with school activities
Write out a schedule for the day’s events
Restrict family visiting hours
Which nursing intervention should take place before all vaccinations are administered?
Document the vaccination to be administered on the immunization record.
Provide the vaccine information handout and answer all questions.
Administer the most painful vaccination first, and then alternate injection sites.
Refer to the vaccination as “baby shots” so the parent understands the baby will be given an injection.
The 5-year-old child would be expected to:
Use magical thinking.
Think abstractly.
Understand conservation of matter.
Be able to comprehend another person’s perspective.
A 5 year old pre-school child is admitted to the hospital with the following vital signs: HR 90, RR 26, /blood pressure 100/52, and temperature 98.9F. The parents ask the nurse if the vital signs are normal. The nurse’s best response is:
“Your son’s blood pressure is elevated, but the other vital signs are within the normal range.”
“Your son’s respiratory rate is elevated, but the other vital signs are within the normal range.”
“Your son’s temperature is elevated, but the other vital signs are within the normal range.”
“Your son’s heart rate is elevated, but the other vital signs are within the normal range.”
The nurse is caring for a hospitalized preschooler. His parents tell the nurse that they will be back to visit at 6 PM. When the preschooler asks the nurse when his parents are coming back, the nurse’s best response is:
“They will be here soon.”
“They will come soon after you eat supper.”
“They will be here after the 5 pm program.”
“I will tell you every time I see you how much longer it will be.”
A 4-year-old boy is hospitalized with a serious bacterial infection. He tells the nurse that he is sick because he was “bad.” The nurse’s best interpretation of this comment is that it is:
A sign of stress
Common at this age.
Suggestive of maladaptation.
Suggestive of excessive discipline at home.
In terms of language and cognitive development, a 4-year-old child would be expected to:
Think in abstract terms.
Follow simple commands.
Understand conservation of matter.
Comprehend another person’s perspective.
Which would be the most appropriate injury prevention/safety teaching for an adolescent?
Inquire which are their favorite sports, discuss the teen’s knowledge and application of appropriate safety principles.
Tell the teen to be careful because all sport have the potential for injury
Tell the teen not to let their friends encourage drinking, smoking, or taking drugs.
Ask the mother what sports the teen plays and if a helmet is worn with contact sports.
Imaginary playmates are beneficial to the preschool child because they:
Take the place of social interactions.
Take the place of pets and other toys.
Become friends in times of loneliness.
Accomplish what the child has already successfully accomplished
A useful skill that the nurse should expect a 5-year-old child to be able to master is to:
Tie shoelaces.
Use a knife to cut meat.
Hammer a nail.
Make change from a quarter
The parent of a pre-school child tells the nurse that the child believes “monsters and the boogeyman” are in his bedroom at night. The nurse’s best suggestion for coping with this problem is to:
Insist that the child sleep with his parents until the fearful phase passes.
Involve the child to find a practical solution.
Help the child understand that these fears are illogical.
Tell the child frequently that monsters and the boogeyman do not exist.
Which play patterns does a 3-year-old child typically display (select all that apply)?
Imaginary play
Parallel play
Cooperative play
Structural play
Associative play
Which statement accurately describes physical development during the school-age years?
The child’s weight almost triples.
A child grows an average of 2 inches per year.
Few physical differences are apparent among children at the end of middle childhood.
Fat gradually increases, which contributes to the child’s heavier appearance.
The best method to explain a procedure to a hospitalized preschool age child is to:
Show the child a pamphlet with pictures showing the procedure
Have the pre-school child in the next room tell the preschool child about their experience
Demonstrate the procedure on a doll.
Show the child a video of the procedure
What describes the cognitive abilities of school-age children?
Have developed the ability to reason abstractly
Become capable of scientific reasoning and formal logic
Progress from making judgments based on what they reason to making judgments based on what they see
Have the ability to classify, group and sort, and hold a concept in their minds while making decisions based on that concept
The role of the peer group in the life of the adolescent is:
It gives them an opportunity to learn dominance and hostility.
It allows them to remain dependent on their parents for a longer time.
It decreases their need to learn appropriate sex roles.
It provides them with security as they gain independence from their parents.
What is descriptive of the play of school-age children?
Individuality in play is better tolerated than at earlier ages.
Knowing the rules of a game gives an important sense of belonging.
They like to invent games, making up the rules as they go.
Team play helps children learn the universal importance of competition and winning
A 9-year-old girl often comes to the school nurse complaining of stomach pains. Her teacher says that she is completing her schoolwork satisfactorily, but lately she has been somewhat aggressive and stubborn in the classroom. The school nurse should recognize this as:
Signs of stress.
Developmental delay.
A physical problem causing emotional stress.
Lack of adjustment to the school environment.
An important consideration for the school nurse who is planning a class on bicycle safety is:
Most bicycle injuries involve collision with an automobile.
Head injuries are the major causes of bicycle-related fatalities.
Children should wear bicycle helmets if they ride on paved streets.
Children should not ride double unless the bicycle has an extra-large seat.
When teaching injury prevention during the school-age years, the nurse should include:
Teaching the need to fear strangers.
Teaching basic rules of water safety.
Avoiding letting children cook in microwave ovens.
Cautioning children against engaging in competitive sports.
Which behavior is not normally demonstrated in the 8-year-old child?
Understands that his or her point of view is not the only one
Enjoys telling riddles and silly jokes
Understands that pouring liquid from a small to a large container does not change the amount
Engages in fantasy and magical thinking
Which activity can the nurse provide for a school child to encourage a sense of industry?
Provide the child with the homework his teacher has sent.
Allow the child to help with his dressing change
Allow the child to choose what medicines he will take
Allow the child to help with his bath
Which activity is most appropriate for developing fine motor skills in the school-age child?
Drawing
Singing
Soccer
Swimming
Identify the statement that is the most accurate about moral development in the 9-year-old school-age child.
Right and wrong are based on physical consequences of behavior.
The child obeys parents because of fear of punishment.
The school-age child conforms to rules to please others.
Parents are the determiners of right and wrong for the school-age child.
Which behavior by parents or teachers will best assist the child in negotiating the developmental task of industry?
Identifying failures immediately and asking the child's peers for feedback
Structuring the environment so the child can master tasks
Completing homework for children who are having difficulty in completing assignments
Decreasing expectations to eliminate potential failures
Peer victimization is becoming a significant problem for school-age children and adolescents in the United States. Parents should be educated regarding signs that a child is being bullied. These might include (select all that apply):
The child spends an inordinate amount of time in the nurse's office.
Belongings frequently go missing or are damaged.
The child wants to be driven to school.
School performance improves.
The child freely talks about his or her day.
A nurse is planning care for a 7-year-old child hospitalized with osteomyelitis. Which activities should the nurse plan to bring from the playroom for the child (select all that apply)?
Paper and some paints
Board games
Jack-in-the-box
Stuffed animals
Computer games
According to Erikson, the psychosocial task of adolescence is developing:
Intimacy.
Identity.
Initiative.
Independence.
Which aspect of cognition develops during adolescence?
Capability to use a future time perspective
Ability to place things in a sensible and logical order
Ability to see things from the point of view of another
Progress from making judgments based on what they see to making judgments based on what they reason
The parents of a 14-year-old girl express concerns about the number of hours their daughter spends with her friends. The nurse explains that peer relationships become more important during adolescence because:
Adolescents dislike their parents.
Adolescents no longer need parental control.
They provide adolescents with a feeling of belonging.
They promote a sense of individuality in adolescents.
An adolescent boy tells the nurse that he has recently had homosexual feelings. The nurse’s response should be based on knowledge that:
This indicates that the adolescent is homosexual.
This indicates that the adolescent will become homosexual as an adult.
The adolescent should be referred for psychotherapy.
The adolescent should be encouraged to share his feelings and experiences.
A 16-year-old is hospitalized in a regular room. He will be an inpatient for 2 weeks while he receives IV antibiotics. Which action by the nurse will most enhance his psychosocial development?
Fax the teen’s teacher and have her send in his homework.
Encourage the teen’s friends to visit him in the hospital.
Encourage the teen’s grandparents to visit frequently.
Tell the teen he is free to use his phone to call or text friends.
The most common cause of death in the adolescent age-group involves:
Drownings
Firearms.
Drug overdoses.
Motor vehicles
A 14-year-old boy and his parents are concerned about bilateral breast enlargement. The nurse’s discussion of this should be based on knowing that:
This is usually benign and temporary
This is usually caused by Klinefelter's syndrome.
Administration of estrogen effectively reduces gynecomastia.
Administration of testosterone effectively reduces gynecomastia
The psychological effects of being obese during adolescence include:
Sexual promiscuity
Poor body image
Memory having no effect on eating behavior
Accurate body image but self-deprecating attitude
Which method is the most effective way to present an educational program on abstinence to adolescents?
Strong sense of control over eating behavior
Feelings of elation after the binge-purge cycle
Profound lack of awareness that the eating pattern is abnormal
Use peer led programs that emphasize the consequences of unprotected sexual contact.
Which behavior suggests appropriate psychosocial development in the adolescent?
The adolescent seeks validation for socially acceptable behavior from older adults.
The adolescent is self-absorbed and self-centered and may have sudden mood swings.
Adolescents move from peers and enjoy spending time with family members.
Conformity with the peer group decreases in late adolescence.
The parents of a 15-year-old girl are concerned that their adolescent spends too much time looking in the mirror. Which statement is the most appropriate for the nurse to make?
“Your teenager needs clearer and stricter limits about her behavior.”
“Your teenager needs more responsibility at home.”
“During adolescence this behavior is not unusual.”
“The behavior is abnormal and needs further investigation.”
Which statement is the most appropriate advice to give parents of a 16-year-old girl who is rebellious?
“You need to be stricter so that your teen stops trying to test the limits.”
“You need to set limits appropriate for your daughter’s behavior.”
“Increasing your teen's involvement with her peers will improve her self-esteem.”
“Allow your teenager to choose the type of discipline that is used in your home.”
To obtain an adolescent’s health information, the nurse should:
Interview the adolescent using direct questions
Interview the adolescent when the parents are present
Gather information during a casual conversation
Gather information from the parents only
When planning care for adolescents, the nurse should:
Teach parents first, and they, in turn, will teach the teenager.
Provide information for their long-term health needs because teenagers respond best to long-range planning.
Maintain the parents' role by providing explanations for treatment and procedures to the parents only.
Give information privately to adolescents about how they can manage the specific problems that they identify.
Which technique should the nurse suggest to the mother of an 8 year old who does not want to complete their chores?
Grounding
Reward system
Time out
Spanking
What information should the nurse include in a discussion on nutrition with a fourth grade class?
The number of calories that a fourth grade child should consume in a day.
A list of high calorie foods that all fourth graders should avoid.
How to read food labels so children know which foods are good for them.
A list of nutritious foods with basic information about how they affect their body and organ system.
Which screening tests should the school nurse perform for the adolescent (select all that apply)?
Glucose
Vision
Hearing
Cholesterol
Scoliosis
Injuries claim many lives during adolescence. Which factors contribute to early adolescents engaging in risk-taking behaviors (select all that apply)?
Peer pressure
A desire to master their environment
Engagement in the process of separation from their parents
A belief that they are invulnerable
Impulsivity
The Health Care Provider ordered Ampicillin 50 mg every 8 hours for a child who weighs 40 pounds. The recommended dosage is 6 to 7.5 mg/kg/day divided in three equal doses. The label reads Ampicillin 75 mg per 5 ml. Is the prescribed dose safe?
(a)
The Health Care Provider orders Augmentin 75 mg orally every 8 hours. A child weighs 33 pounds. The package insert states the recommended dose is 50 mg/kg/24 hours. The label reads Augmentin 150mg/5 ml. Is the prescribed dose safe?
(a)
The Health Care Provider orders Augmentin 75 mg orally every 8 hours. A child weighs 33 pounds. The package insert states the recommended dose is 50 mg/kg/24 hours. The label reads Augmentin 150mg/5 ml. How many milliliters would you administer?
(a)
The Health Care Provider orders Erythromycin 125 mg orally every four hours. The child weighs 14.5 kg. The usual dosage is 30-50 mg/kg/day in equally divided doses (twice a day). The label reads Erythromycin 200 mg/5ml. Is the ordered dose safe?
(a)
