Q1. A nurse is assessing a 6-month-old

Q1. A nurse is assessing a 6-month-old infant. Which of the following developmental milestones is an expected finding in a normal exam? A. Plays peek-a-boo B. Picks up cereal between the thumb and forefinger C. Rolls over in both directions D. Pulls to stand Q2. Which of the following decreases the risk of sleep-related deaths, including SIDS, in infants? A. Breastfeeding B. Age-appropriaate immunization C. Discouraging the use of bumper pads in cribs D. Placing infants on their backs to sleep E. All of these Q3. In psychoanalytic theory, which of the following refers to the concept or stage of growth and development that is primarily concerned with role identification? A. Latency stage B. Oedipal Complex C. Oral stage D. Genital exploration Q4. A nurse is caring for a 3-month old infant who is postoperative following surgical repair of a cleft lip. Which of the following interventions should the nurse take? A. Encourage the parents to rock the infant B. Offer the infant a pacifier for nonnutritive sucking C. Administer ibuprofen as needed for pain D. Position the infant on her abdomen when awake Q5. A nurse is providing instructions to the parent of a school-aged child who has otitis externa. Which of the following instructions should the nurse include to help prevent a reoccurrence of this infection A. Use a hairdryer set on medium heat to dry the ear canal after showering B. Place a solution of vinegar and alcohol in the ear canal three times a day C. Dry your child’s ear canals with cotton swabs after swimming D. Remind your child that gentle nose blowing will help prevent a reoccurrence Q6. A nurse in the emergency department is caring for a child in respiratory distress. Which of the following is the most important initial action by the nurse? A. Talk to the parents to complete a health history B. Complete a full physical assessment C. Complete a focused respiratory system assessment D. Delay any assessment or history until the child is stable Q7. A nurse is assisting with planning an in-service for a group of elementary school teachers about identifying risk factors for maltreatment of children. Which of the following findings place a child at risk for maltreatment (select all that apply) A. The child was born premature and has developmental delays B. The child’s grandparents frequently provide care while the parents work C. The child’s father, who is an educated executive, is often absent from family meals D. The child’s parents consistently provide clear direction and have high expectations E. The child lives in a single-parent home Q8. A nurse is caring for a 6-year old client with ADHD. What technique should the nurse use to communicate most effectively with the client when asking the client to complete a task? A. Obtain eye contact before speaking, use simple language, and have him repeat what was said, praise him if he completes the task B. Fully explain to the client the actions required of him, and offer verbal praise and a food reward for task completion C. Explain to the client what he is to do, the consequences of he does not comply, and follow through with praise or consequences as appropriate D. Demonstrate to the client what he is to do, have him imitate the nurse’s actions, and give a food reward if he completes the task Q9. A nurse is assessing a school-age child who has nephrotic syndrome. Which of the followings should the nurse report to the provider? A. Mild hypertension B. Cola-colored urine C. Photophobia D. Fatigue Q10. A neonate develops hyperbilirubinemia and phototherapy is initiated. What should the plan of care include for an infant receiving phototherapy? A. Taking vital signs every hour B. Keeping the eye shields on for 8 hours at a time C. Giving additional fluids every two hours D. Covering the neonate with a lightweight blanket

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