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The nurse is working on parenting skills with a group of mothers. Which style of
parenting tends to produce adolescents who tend to be self-reliant and socially
competent?
1. Authoritarian
2. Permissive
3. Indifferent
4. Authoritative
When discussing injury prevention with the parents of a toddler, which statement
indicates teaching has been successful? "The leading cause of death in children is:
1. Unintentional injury."
2. Infectious disease."
3. Congenital anomalies."
4. Cancer."
A child has undergone a kidney transplant and is receiving cyclosporine. The parents
ask the nurse about the reason for the cyclosporine. The nurse should explain that the
drug is given to:
1. Suppress rejection.
2. Decrease pain.
3. Improve circulation.
4. Boost immunity.
A couple has been referred for genetic counseling. Prior to making the appointment, the
couple should understand that:
1. The cost of genetic counseling will be covered by their health insurance.
2. Genetic counseling and testing is voluntary. They have a right to decide not to seek
the information.
3. Once genetic counseling has been completed, the physician may require sterilization
of the man or woman.
4. Their extended family will benefit from the knowledge the couple gains.
The nurse is teaching a teenage client newly diagnosed with type 1diabetes about
complications of the disease. The nurse explains that clients with type 1 diabetes can
avoid lipoatrophy by:
1. Rotating injection sites.
2. Checking blood sugars at mealtime and bedtime.
3. Using a sliding scale for additional coverage.
4. Administration of insulin via insulin pump.
A five-year-old child is being discharged from the outpatient surgical center. Which
statement by the parent would indicate the need for further teaching?
1. "I will call the office tomorrow if the pain medicine is not relieving the pain."
2. "I can expect my child to have some pain for the next few days."
3. "Because my child just had surgery today, I can expect the pain level to be higher
tomorrow."
4. "I will plan to give my child pain medicine around the clock for the next day or so."
Hospitalization is a stressor for all children. Parents often have other responsibilities
that prevent them from staying with their child during hospitalization. Which age
groups can best tolerate separation from parents during hospitalization?
Standard Text: Select all that apply.
1. Infants birth to five months
2. Infants five months to one year
3. Toddlers and preschoolers
4. School-age children
5. Adolescents
A 17-year-old female presents at a nurse practitioner's office and requests a signature
for work papers. The nurse reviews her chart and notes that the last physical
examination was within the year. In addition to providing the signature for the work
papers, the nurse should use this visit as:
1. A time to discuss exercise and sports participation.
2. A health supervision opportunity.
3. An opportunity to discuss birth control measures.
4. A chance to discuss the importance of pursuing postsecondary education.
The child is recovering from a bone marrow transplant. Which is the priority nursing
concern in this early stage management?
1. Early recognition of symptoms of graft-versus-host disease.
2. Providing discharge instructions to the parents.
3. Avoiding latex products.
4. Monitoring the child for return of bone marrow function.
The child is admitted to the hospital unit for injuries. The mother's boyfriend is
suspected of child abuse. The nurse's primary role, in addition to reporting to the proper
authorities, is:
1. Gathering information about how the injuries occurred.
2. Collecting evidence against the suspected abuser.
3. Encouraging the child to talk about his experience.
4. Protecting the child from further injury.
The nurse working in a family-centered hospital sees families at all stages of the family
life cycle. Place each of the following families along the continuum of the family life
cycle, beginning with the earliest stage and proceeding to the last stage.
Standard Text: Click and drag the options below to move them up or down.
Choice 1. The husband who retired from his job four years ago. He has been widowed
six months.
Choice 2. Newlyweds
Choice 3. Family with three children, ages 17, 13, and 9
Choice 4. Family taking their first child home from the birth hospital
Choice 5. Family with grown children. Both parents hold full time jobs.
Choice 6. Family whose oldest child will start kindergarten next year and whose third
child will be born shortly
In the morning, a nurse receives a report on four pediatric clients, each of whom has
some form of fluid-volume excess. Which of the children should the nurse see first?
1. The child with tachypnea and pulmonary congestion
2. The child with hepatomegaly and normal respiratory rate
3. The child with dependent and sacral edema and regular pulse
4. The child with periorbital edema and normal respiratory rate
A child who has undergone a hematopoietic stem cell transplantation (HSCT) is ready
for discharge. Which concepts are important for the nurse to include in discharge
education?
Standard Text: Select all that apply.
1. Keeping the child on a high-calcium diet
2. Practicing good hand washing
3. Avoiding live plants and fresh vegetables
4. Avoiding influenza vaccinations
5. Returning the child to school within six weeks
An adolescent with a gunshot wound presents to the emergency department with his
distraught parents. He states that he saw a classmate shoot his teacher and several other
students. As a result of the shooting incident, the nurse expects this adolescent to be at
risk for which disorder?
1. Conduct disorder
2. Depression
3. Post-traumatic stress disorder
4. School phobia
A 12-year-old has been selected to be a cheerleader for her middle school. This child
has been recently diagnosed with type 1 diabetes. In teaching this child's mother about
care for her child, the nurse wants the mother to understand that with increased physical
activity, the child will need:
1. Decreased food intake.
2. Increased doses of insulin.
3. Increased food intake.
4. Decreased doses of insulin.
