Nokea
Which of the following would the nurse need to keep in mind as a predisposing factor when formulating a teaching plan for child with a urinary tract infection?
- A. A shorter urethra in females
- B. Frequent emptying of the bladder
- C. Increased fluid intake
- D. Ingestion of acidic juices
Correct Answer: A
Rationale: In females, the urethra is shorter than in males. This decreases the distance for organisms to travel, thereby increasing the chance of the child developing a urinary tract infection.
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The nurse plans to administer the Denver Developmental Screening Test (DDST) to a five month old infant. The nurse should explain to the mother that the test measures the infants...
- A. Intelligence quotient.
- B. Emotional development.
- C. Social and physical activities.
- D. Pre-disposition to genetic and allergic illnesses.
Correct Answer: C
Rationale: The DDST measures social and physical activities to assess developmental milestones.
Which of the following toys should the nurse recommend for a 5-month-old?
- A. A big red balloon
- B. A teddy bear with button eyes
- C. A push-pull wooden truck
- D. A colorful busy box
Correct Answer: D
Rationale: A busy box facilitates the fine motor development that occurs between 4 and 6 months. Balloons are contraindicated because small children may aspirate balloons. Because the button eyes of a teddy bear may detach and be aspirated, this toy is unsafe for children younger than 3 years. A 5-month-old is too young to use a push-pull toy.
You are assessing 7-year-old Mary's lymph nodes. Using the distal portion of your fingers, you press gently but firmly in a circular motion along the occipital and post auricular node areas. You record the findings as 'tender, enlarged, and warm lymph nodes.' Which of the following is TRUE?
- A. Your findings are within normal limits for Mary's age.
- B. Your assessment technique was incorrect and should be repeated.
- C. Your findings suggest infection or inflammation in the scalp area or external ear canal.
- D. Your recording of the information is complete because it includes temperature and tenderness.
Correct Answer: C
Rationale: Tender, enlarged, warm lymph nodes suggest infection/inflammation, likely in the scalp or ear canal, not normal for a healthy child.
The nurse is developing a plan of care for a child who is 7-years-old. Which developmental period does the child fall under?
- A. Trust vs. mistrust
- B. Autonomy vs. shame/doubt
- C. Initiative vs. guilt
- D. Industry vs. inferiority
Correct Answer: D
Rationale: Per Erikson, 7-year-olds are in the industry vs. inferiority stage (school age, 6-12 years), focusing on competence and achievement.
A hospitalized schoolager states: 'I'm not afraid of this place, I'm not afraid of anything.' This statement is most likely an example of which of the following?
- A. Regression
- B. Repression
- C. Reaction formation
- D. Rationalization
Correct Answer: C
Rationale: Reaction formation is the schoolager's typical defensive response when hospitalized. In reaction formation, expression of unacceptable thoughts or behaviors is prevented (or overridden) by the exaggerated expression of opposite thoughts or types of behaviors.