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When the pediatric nurse is attempting to establish a trusting relationship with a child, what is the most important and lasting thing to do?
- A. Convey respect.
- B. Talk with the child.
- C. Be honest.
- D. Talk with family.
Correct Answer: C
Rationale: To establish a trusting relationship, the most important thing is to be honest.
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What observation in an emergency department should lead a nurse to suspect child abuse in a child with a fractured arm?
- A. Lack of parental concern for the severity of the injury
- B. The child not answering questions concerning the injury
- C. Parents not asking about the child's condition
- D. Inconsistency between the injury and the parents' explanation of it
Correct Answer: D
Rationale: Special attention must be paid to injuries that are inconsistent with the parents' explanation.
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.
Following a lumbar puncture of a 2-year-old, what should the nurse do?
- A. Keep the child flat for several hours.
- B. Allow the child to play quietly at will.
- C. Hold the child in a flexed position for 5 minutes.
- D. Stand the child upright immediately.
Correct Answer: B
Rationale: Children younger than 3 years of age are usually not affected by postlumbar headache. These children are allowed to play at will following a lumbar puncture.
When discussing growth and development with the parents of a child, the nurse explains that nutrition is the single most important influence on:
- A. cognitive development.
- B. secondary sexual characteristics.
- C. the production of blood cells.
- D. the growth of bones and muscle.
Correct Answer: D
Rationale: Nutrition is probably the single most important influence on growth.
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.