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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.
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When a safety reminder device (SRD) is used to protect a child, what is a responsibility of the nurse?
- A. Apply it loosely.
- B. Remove it every 2 hours.
- C. Place it over clothing.
- D. Apply only one type.
Correct Answer: B
Rationale: Any SRD should be removed every 2 hours.
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.
When using anticipatory guidance to prepare a 5-year-old for an IM injection, what statement by the nurse would be most appropriate?
- A. Ethan, I'm going to give you a shot.
- B. Ethan, the health care provider wants you to have some medicine, and it will hurt.
- C. Ethan, some medicine can only be given with a needle.
- D. Ethan, I am going to give you some medicine that will sting, but only for a little while.
Correct Answer: D
Rationale: Anticipatory guidance is the psychological preparation of a patient for a stressful event by explaining what will happen and the probable outcome.
What was founded by Lillian Wald?
- A. National Commission on Children
- B. Henry Street Settlement
- C. White House Conference
- D. US Children's Bureau
Correct Answer: B
Rationale: Lillian Wald, regarded as the founder of public health, founded Henry Street Settlement, which provided nursing services and social assistance.
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.