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Toddler
Preschooler
School-age
Adolescent
Miscellaneous
Middle Adult
Older Adult
Altered Drug Responses in Older adult
Questions
Questions
100
Age expected to be able to kick a ball
What is 24 months
100
Age expected to be able to ride a tricycle
What is three years old
100
Erikson's stage of development
What is Industry versus Inferiority
100
Teaching priorities should center around which concept
What is safety
100
Give two contraindications to live virus immunization
What is immunocompromised; or household with immunocompromised individual
100

Stage of Erikson's

Generativity versus Stagnation

100

Describe three musculoskeletal changes in the older adult

-decreases in subcutaneous tissue

-muscle mass and strength decrease

-Joints tend to stiffen; ROM decreases

-Height may decrease 1 to 3 inches

100

Describe age-related absorption changes in the older adult and give an example of an applicable medication

-Reduced gastric acid; increased pH (less acid)

-Reduced GI motility (prolonged GI emptying)

-vitamins

100

1. When examining school-age and adolescent clients, the nurse routinely screens for scoliosis. Which statement accurately summarizes how to perform this screening?

  • Have the client stand firmly on both feet and bend forward at the hips, with the trunk exposed.
  • Listen for a clicking sound as the client abducts the hips.
  • Have the client run the heel of one foot down the shin of the other leg while standing.
  • Have the client shrug the shoulders as the nurse applies mild pressure to the shoulders.
A
100

A group of nursing students are completing a clinical day at a preschool. Which behaviors would they identify as common in this preschool group? Select all that apply.

  1. Regression
  2. Telling of tall tales
  3. Imaginary friends
  4. Sibling rivalry
  5. Difficulty with sharing
  6. Completing multi-step tasks

A,B,C,D,E

200
Three to four word sentences are spoken by what age
What is 3 years
200
Type of thinking, according to Piaget...
What is egocentric; concrete thinking
200
Toys for the school-age child while hospitalized
What is board games, card games, hobbies, etc
200
two major concerns of the adolescent while in hospital
What is --contact with peers; body image disturbance
200
Give three ways a parent can be instructed to baby-proof a house
What is lock cabinets, outlets, store hazardous materials in safe place
200

Give one example of a middle adult in erikson's generativity stage; give one example of a middle adult in erikson's stagnation stage

--generativity--volunteering with extra time

--stagnation--self-centered "all about me"

200
Describe three neurological changes in the older adult

-rate of reflex response decreases

-temperature regulation and pain/pressure perception less efficient

-difficulty with balance, spatial orientation

-sleep at night shortens

200

Describe age-related changes related to distribution of medication in the older adult

Decreased circulating plasma proteins and total body water--(affects drug binding)

-(highly protein binding meds) warfarin, Lasix, DIlantin

Reduced cardiac output; impaired peripheral blood flow; 

--(fat-souluble meds)--valium, ethanol, morphine, antipsychotics



200

A community health nurse working with a group of 5th grade girls is planning a primary prevention to help the girls avoid developing eating disorders during their teen years. The nurse should focus on which factor?

  • working with the school nurse to closely monitor the girls' weight during middle school
  • limiting the girls access to media images of very thin models and celebrities
  • telling the girls' parents to monitor their daughter's weight and media access
  • helping the girls accept and appreciate their bodies and feel good about themselves

D

200

Which clients at the clinic should be encouraged to receive the pneumococcal vaccine to minimize the risk of developing pneumococcal pneumonia? Select all that apply.

  1. A 65-year-old diagnosed with chronic asthma.
  2. A resident of a long-term care facility with a smoking history
  3. A young adult with human immunodeficiency virus (HIV) positive results
  4. A school-age adolescent who is a liver transplant recipient
  5. A teenager with a history of kidney disease resulting in mild renal failure

A,B,C,D,E

300
Age at which child can feed self with spoon and cup
What is 2 years
300
Age child uses scissors
What is 4 years old
300

Egocentric thinking is replaced by what kind of thinking

What is social awareness of others

300
Age at which adult-like thinking usually occurs
What is 15 years
300
Following immunization, what should be taught to the parents (at least two things)
What is -warm washcloth on injection site and bicycling the legs with each diaper change ; Tylenol is administered orally every 4-6 hours; call if seizures, high fever, high-pitched crying
300

Name three physiological changes in the middle adult

Fatty tissue redistribution; skin is drier; wrinkle lines appear on face; grey hair; balding; cardiac output begins to decrease; muscle mass decreases, loss of calcium from bones; visual acuity diminishes; hearing acuity diminishes; hormone production decreases

300
Describe three cardiopulmonary changes in the older adult-

-blood vessels become less elastic

-venous return less efficient

-cilia decreases

-possible orthostatic hypotension

300

Describe age-related metabolism changes affecting medication administration in older adults

decreased cardiac output--decreased size of liver, diminished intestinal and portal vein blood flow

(could affect breakdown of meds, prolonged duration of action, drug toxicity)

300

The nurse is assessing a 2-year-old toddler. Which observations would alert the nurse that the child may be developmentally delayed? Select all that apply.

  1. The child's vocabulary consists of the words "ball", "dadda", "mum", "drink", and "up."
  2. The child claps hands in response the nurse clapping hands.
  3. The child pushes and pulls the play vacuum cleaner in the toy room.
  4. The child will not pick up a toy or touch the nose when directed by the nurse.
  5. The child is unable to stack one block on top of another.

A,D

300

The nurse is preparing an educational program for parents of preschool-age children to promote personal safety. Which information should the nurse include in this program? Select all that apply.

  1. Reducing the intake of fast-food items
  2. Limiting exposure to household chores
  3. Chewing food thoroughly before swallowing
  4. Explaining who police are and what they look like
  5. Teaching to never talk with or accept a ride from a stranger
  6. Never enter into a street without an adult

D,E,F

400
Appropriate toys for hospitalized toddler
What is push-pull toys, storybooks, stuffed animals, toy telephone, etc
400
Greatest fear while in the hospital
What is fear of mutilation by procedures
400
Approximate age when molars erupt
What is 6 years
400
Age of onset of puberty for girls and for boys
What is as early as 9.5 years for girls and around 14 for boys
400
Give three changes that occur in geriatric population
What is ....
400

Name three physiologic changes in the middle adult

Fatty tissue redistribution; skin is drier; wrinkle lines appear on face; grey hair; balding; cardiac output begins to decrease; muscle mass decreases, loss of calcium from bones; visual acuity diminishes; hearing acuity diminishes; hormone production decreases

400

Describe three GI changes in the older adult

Digestive juices diminish; nutrient absorption decreases

Decreased peristalsis (constipation, indigestion)

Diminished saliva (dry mouth)

400

Describe age-related changes in excretion related to medication administration

Decreased renal blood flow; loss of functioning nephrons, decreased renal efficiency (decreased rates of elimination and increased duration of action, drug toxicity)

400

You are caring for Lou, an 82-year-old patient who is struggling to adapt to hearing loss as he ages. You perform which of the following interventions to assist Lou in adapting to this sensory deficit? Choose all that apply.

  1. Make sure he wears his hearing aid
  2. Speak in a lower tone of voice
  3. Speak so he can observe your lip movement
  4. Keep his environment clear of clutter
  5. Orient to person, place, and time frequently

A,B,C

400

The nurse is observing a group of 5 year olds playing in the playroom. Which developmental milestones does the nurse identify as newly acquired skills since turning 5 years old? Select all that apply.

  1. Drawing a cross
  2. Standing on one foot
  3. Jumping
  4. Drawing a 6-part man
  5. Lacing one's shoes

D,E

500

Give three nursing implications for a child that is in the hospital as a toddler

What is -security objects, simple explanations, time with parents, stick with routine, if able to; support autonomy

500
Appropriate toys for the preschooler while in the hospital
What is coloring books, puzzles, cutting and pasting, dolls, building blocks, clay
500
Name two nursing implications in this age group while hospitalized
What is maintaining contact with peers and school activities; explain all procedures; privacy and modesty
500
At least 2 nursing implications while adolescent is hospitalized
What is --maintain privacy, contact with peers, maintain identity, some questions may be asked without parents presence; focus on "how will this affect me today"
500
Eriksons stages of development in order
500

Describe 

1.  colorectal screening recommendations for adults

2.  breast cancer screening recommendations for adults

3.  testicular cancer screening recommendations for adults

500

Describe three genitourinary changes in the elderly

Blood flow diminishes to kidneys (decreased cardiac output)

Functioning nephrons decrease

Bladder capacity decreases by 50%


500

Describe recommendations for at least three immunizations in adults 65 and older (when and how often)

(Td) or Tdap--1 dose booster every 10 years

Influenza--1 dose yearly

Pneumococcal polysaccharide vaccine (PPV)--1 dose every year up to age 64 for those with medical conditions--1 dose for those unvaccinated by age 65; 

zoster vaccine, live (Zostavax)--recommended for adults 60 years and older to prevent herpes zoster (shingles)

500

A nurse is assessing a 3 year old at a well-child visit. Which developmental milestones would the nurse expect to assess? Select all that apply.

  1. Completes simple buttons
  2. Laces sneakers independently
  3. Undresses self without difficulty
  4. Stacks a tower of blocks
  5. Throws a ball overhand

C,D

500

Which age related risk factors will the nurse consider when assessing surgical clients following surgery? Select all that apply.

  1. Infants are at a greater risk from surgery than are middle-age adults.
  2. Infants experience a slower metabolism of drugs that require renal biotransformation.
  3. Muscle relaxants and narcotics have a shorter duration of action in infants.
  4. Older adults have decreased renal blood flow and a reduced bladder capacity
  5. Older adults have an increased gastric pH
  6. Older adults have an increased hepatic blood flow, liver mass, and enzyme function that prolongs the duration of medication effects.

A,B, D, E