Show:
Communication Strategies with Parents
Communication Techniques with Children of Different Age Groups
Comprehensive Health History and Physical Assessment of the Child
Expected Normal Findings for Children at Various Ages
Proper Documentation of the Physical Examination
100

If a parent continues to describe each child in detail during an interview, which guiding statement would be most appropriate for the nurse to use to redirect the focus?

  • A. "Can you tell me more about your concerns?"
  • B. "Let’s talk about the other children later. You were beginning to tell me about Rachel’s activities at school."
  • C. "Why do you think this information is important?"
  • D. "Is there anything else you wish to share?"

B. "Let’s talk about the other children later. You were beginning to tell me about Rachel’s activities at school."

100

What is an effective communication strategy when working with a toddler who is fearful of medical equipment?

  • A. Forcing the toddler to comply immediately
  • B. Allowing the toddler to touch and play with the equipment
  • C. Ignoring the toddler’s fears
  • D. Speaking in a loud, firm voice

Allowing the toddler to touch and play with the equipment

100

Which site is appropriate for measuring blood pressure in a school-aged child?

  • A. Carotid artery
  • B. Popliteal artery
  • C. Brachial artery
  • D. Jugular vein

C. Brachial artery

100

At what age is it typical for a child to start losing their baby teeth?

  • A. 2 years
  • B. 4 years
  • C. 6 years
  • D. 10 years


 

C. 6 years

100

With the National Center for Health Statistics criteria, which body mass index (BMI)-for-age percentiles should indicate the patient is at risk for being overweight?

a. 10th percentile

b. 75th percentile

c. 85th percentile 

d. 95th percentile


c. 85th percentile

Children who have BMI-for-age greater than or equal to the 85th percentile and less than the 95th percentile are at risk for being overweight. Children who are greater than or equal to the 95th percentile are considered overweight. Children whose BMI is be-tween the 10th and 75th percentiles are within normal limits

200

How should a nurse address a parent's casual mention of a child's bedwetting to ensure the concern is properly addressed?

  • A. Ignore the comment unless the parent repeats it
  • B. Make a note of it and address it in a future visit
  • C. Casually mention it later in the conversation
  • D. Ask follow-up questions to understand the extent and impact of the bedwetting

D. Ask follow-up questions to understand the extent and impact of the bedwetting

200

Which technique is most appropriate for communicating with a young child who is initially shy?

  • A. Speak directly to the child in a loud, clear voice
  • B. Communicate through transition objects like dolls or puppets
  • C. Ignore the child until they initiate conversation
  • D. Use complex medical terminology to gain trust

B. Communicate through transition objects like dolls or puppets  

200

During a physical assessment, which factor is crucial to observe in children?

  • A. Their preference for certain toys
  • B. The frequency of their meals
  • C. Their developmental milestones
  • D. Their taste in music

C. Their developmental milestones

200

What is an expected normal finding for a 2-year-old child?

  • A. Ability to write their name
  • B. Speaking in simple sentences
  • C. Full bladder control
  • D. Reading simple words

 

B. Speaking in simple sentences

200

When documenting the findings of a child's physical examination, which detail is most critical to include?

  • A. The child’s favorite toy
  • B. Specific abnormal findings and their location
  • C. The parent’s occupation
  • D. The nurse’s personal observations about the parent’s behavior

B. Specific abnormal findings and their location

300

What is the most effective type of question to use when gathering information from parents about their child’s health and developmental status?

  • A. Leading questions
  • B. Closed-ended questions
  • C. Open-ended questions
  • D. Rhetorical questions

C. Open-ended questions

300

When interviewing older children, what is a key strategy for effective communication?

  • A. Only speak to the parents
  • B. Use medical jargon to explain conditions
  • C. Include older children as active participants
  • D. Avoid discussing their concerns directly


C. Include older children as active participants

300

Which statement best describes the nurse's role when using an interpreter during a health history interview?

  • A. The nurse should use family members as interpreters
  • B. The nurse should speak directly to the interpreter
  • C. The nurse should follow the same interviewing guidelines as without an interpreter
  • D. The nurse should rely solely on written communication

C. The nurse should follow the same interviewing guidelines as without an interpreter

300

Which developmental milestone is typical for an 8-year-old child?

  • A. Beginning to walk
  • B. Understanding cause-and-effect relationships
  • C. Developing fine motor skills for detailed tasks
  • D. Starting to speak in sentences


B. Understanding cause-and-effect relationships

300

What should a nurse do if a child is too sick to participate in play during an assessment?

  • A. Force the child to play to gauge their reaction
  • B. Recognize the child’s condition and avoid play until they start to get better
  • C. Ignore the child’s refusal and proceed with play activities
  • D. Only document the child’s refusal to play

B. Recognize the child’s condition and avoid play until they start to get better

400

How should a nurse react if they start to feel overwhelmed or overreact during an interaction with a child or parent?

  • A. Continue the interaction without showing any emotion
  • B. Take a break if needed to regain composure
  • C. Express frustration to the parent
  • D. Ignore the feeling and proceed with the assessment

B. Take a break if needed to regain composure

400

Which phrase should be avoided to prevent frightening a child during a medical procedure?

  • A. "This will feel like a little stick in the arm."
  • B. "We need to put a tube in your nose."
  • C. "You will feel a small pinch."
  • D. "We will take good care of you."

B. "We need to put a tube in your nose."

400

DAILY DOUBLE

What are the four major components of the history of the present illness?

  • A. Duration, severity, location, and family history
  • B. Details of onset, complete interval history, present status, and reason for seeking help now
  • C. Symptoms, medication use, allergies, and past surgeries
  • D. Current medications, diet, physical activity, and social history

B. Details of onset, complete interval history, present status, and reason for seeking help now

400

At what age should a child typically begin to walk independently?

  • A. 6 months
  • B. 1 year
  • C. 18 months
  • D. 2 years

B. 1 year

400

How should a nurse document a child’s chief complaint?

  • A. Using the parent’s exact words
  • B. Paraphrasing the complaint to make it concise
  • C. Using medical jargon for clarity
  • D. Ignoring the complaint if it seems trivial

A. Using the parent’s exact words

500

What would you tell  parent is the most appropriate way to measure the temperature of a 3-year-old child?

  • A. Rectal
  • B. Axillary
  • C. Oral
  • D. Skin

B. Axillary

500

How should a nurse address the use of scary words like “cut” or “tubes” with children?

  • A. Use these words to prepare them for the worst
  • B. Replace them with less frightening terms and analogies
  • C. Avoid discussing the procedure entirely
  • D. Use these words to show honesty

B. Replace them with less frightening terms and analogies

500

What is the significance of measuring skinfold thickness and arm circumference in children?

  • A. To assess hydration levels
  • B. To evaluate the body composition of muscle and adipose tissue
  • C. To check for skin infections
  • D. To measure bone density

B. To evaluate the body composition of muscle and adipose tissue

500

At what age is it typical for a child to develop the ability to hop on one foot?

  • A. 1 year
  • B. 2 years
  • C. 4 years
  • D. 6 years

C. 4 years

500

22. The nurse is assessing breath sounds on a child. Which are expected auscultated breath sounds? (Select all that apply.)

a. Wheezes 

b. Crackles 

c. Vesicular 

d. Bronchial 

e. Bronchovesicular

c. Vesicular 

d. Bronchial 

e. Bronchovesicular

Normal breath sounds are classified as vesicular, bronchovesicular, or bronchial. Wheezes or crackles are abnormal or adventitious sounds.