The pediatric nurse, along with the primary caregiver(s), has a special duty to the child and the family.
Correct Answer: teach
Rationale: The pediatric nurse is in a position to assess, instruct, and support children and their families about developmental progress, nutrition, and possible undiagnosed anomalies.
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The nurse is aware that visual acuity evaluation in a child is best assessed after the age of years.
Correct Answer: 6 or six
Rationale: A child's refraction does not reach 20/20 until about the age of 6.
What activity by an infant would cause a false elevation of the tympanic temperature?
- A. Having a bowel movement
- B. Crying vigorously
- C. Having just eaten
- D. Having been in a cold room
Correct Answer: B
Rationale: Crying increases the temperature; eating and bowel movements do not. A cold room would lower the temperature.
What is the correct way to assess for the presence of jaundice in an African-American child?
- A. Examine the sclera.
- B. Press the edge of the pinna.
- C. Apply pressure to the gum.
- D. Compare the color on the soles of the feet.
Correct Answer: C
Rationale: The gums in individuals with dark complexions can be used to assess jaundice by pressing the gums about the teeth.
A disfiguring facial wound would have the most significant developmental impact on which child?
- A. 4-year-old
- B. 6-year-old
- C. 10-year-old
- D. 14-year-old
Correct Answer: D
Rationale: The adolescent fears a change in body image associated with surgery.
An 8-year-old child asks how a blood pressure is taken. What would be the most appropriate response?
- A. This small machine will measure your systolic and diastolic pressure.
- B. The armband will hug your arm and tell me how well your blood is going through your arm.
- C. The armband will cut off your circulation for a while and then we can hear when it comes back.
- D. When you are ill we need to know if your blood is still moving in your body.
Correct Answer: B
Rationale: Because children are upset by unfamiliar procedures, it is best to explain each step in simple terms. It is best not to mention anything that may increase anxiety.
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