The nurse percussing over an empty stomach expects to hear which sound? Show
ANS: A Feedback You are the nurse admitting a toddler to the pediatric infectious disease unit. What is the single most important component of the child's physical examination? ANS: D Feedback . In which section of the health history should the nurse record that the parent brought the infant to the clinic today because of frequent diarrhea? Feedback Which choice includes the components of
a complete pediatric history? ANS: A Feedback The nurse is performing a comprehensive physical examination on a young child in the hospital. At what age can the nurse expect a child's
head and chest circumferences to be almost equal? ANS: C Feedback An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most appropriate nursing action is to ANS: C Feedback Which chart should the nurse use to assess the visual acuity of an 8-year-old child? ANS: B Feedback Which action is appropriate when the nurse is assessing breath sounds of an 18-month-old crying child? ANS: C Feedback The nurse is obtaining vital signs on a 1-year-old child. What is the most appropriate site for assessing the pulse rate? ANS: A Feedback A nurse is reviewing pediatric physical assessment techniques. Which statement about performing a pediatric physical assessment is
correct? ANS: A Feedback What term should be used in the nurse's documentation to describe auscultation of breath sounds that are short, popping, and discontinuous on inspiration? ANS: C Feedback Which strategy is the best approach when initiating the physical examination of a 9-month-old male infant? ANS: B Feedback Which strategy is not always appropriate for pediatric physical examination? ANS: B Feedback Which assessment should the nurse perform last when examining a 5-year-old child? ANS: D A The nurse may
proceed from head to toe with preschool-age children. More invasive procedures should be saved until the end of the examination. Assessment of the heart is considered noninvasive. When is the most appropriate time to inspect the genital area during a well-child examination of a 14-year-old girl? ANS: C Feedback Which measurement is not indicated for a 4-year-old well-child examination? ANS: D Feedback The nurse inspecting the skin of a dark-skinned child notices an area that is a dusky red or violet color. This skin coloration is associated with what? ANS: B Feedback The nurse palpated the anterior fontanel of a 14-month-old infant and found that it was closed. What does this finding indicate? ANS: A Feedback The
nurse is assessing a 4-year-old child's visual acuity. He is planning to attend preschool next week. The results indicate a visual acuity of 20/40 in both eyes. The child's father asks the nurse about his son's results. Which response, if made by the nurse, is correct? ANS: B Feedback When interviewing the mother of a 3-year-old child, the nurse asks about developmental milestones such as the age of walking without assistance. This should be considered ANS: C Feedback Which cranial nerve is assessed when the child is asked to imitate the examiner's wrinkled frown, wrinkled forehead, smile, and raised eyebrow? ANS: D Feedback Which assessment finding is considered a neurologic soft sign in a 7-year-old child? ANS: B Feedback Which parameter correlates best with measurements of the
body's total muscle-mass to fat ratio? ANS: D Feedback Which tool measures body fat most accurately? ANS: B Feedback When palpating the child's cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm. What is the best explanation for this? ANS: D Feedback Examination of the abdomen
is performed correctly by the nurse in which order? ANS: D Feedback What heart sound is produced by vibrations within the heart chambers or in the major arteries from the back-and-forth flow of blood? ANS: C Feedback The nurse has a 2-year-old boy sit in "tailor" position during palpation for the testes. What is the rationale for this position? ANS: A
Feedback During examination of a toddler's extremities,
the nurse notes that the child is bowlegged. The nurse should recognize that this finding is ANS: D Feedback Kimberly is having a checkup before starting kindergarten. The nurse asks her to do the "finger-to-nose" test. The nurse is testing for ANS: B Feedback Which statement about performing a pediatric physical assessment is correct for a school-age child? Select all that apply. Feedback What should the nurse recognize as a possible indicator of child abuse in a 4-year-old child being treated for ear pain at the emergency department on a chilly Christmas Day in New York State? Select all that apply. ANS: B, D, E Feedback A nurse is performing an assessment on a newborn. Which vital signs indicate a normal finding for this age group? Select all that apply. ANS: B, C, E Feedback A school nurse is screening children for scoliosis. Which assessment findings should the nurse expect to observe for scoliosis? Select all that apply. ANS: B, C, E Feedback
The parents of a preschool child ask the nurse why their child needs to have her "eyes tested." The nurse explains that although evaluating the visual acuity in a young child can be difficult, the American Academy of Pediatric recommends that visual acuity testing be assessed on all children beginning no later than age _________ years. three The CDC recommends that all health care providers use the World Health Organization (WHO) growth standards to monitor growth for infants and children aged 0-2 years. For children ages 2 and older the CDC growth chart should be used. These charts are standardized and appropriate for all children. Is this statement true or false? ANS: F An important part of the physical exam is the otoscopic examination of the ear. The ear canal should be straightened prior to visualization. If the child is younger than 3, this is accomplished when the nurse pulls the pinna of the ear down and back. Is this the correct procedure? ANS: T Which cranial nerve is assessed when the child is asked to imitate the examiner's wrinkled frown wrinkled forehead smile and raised eyebrow?Which cranial nerve is assessed when the child is asked to imitate the examiners wrinkled frown, wrinkled forehead, smile, and raised eyebrow? Rationale: The facial nerve is assessed as described in the question.
What technique is used when performing an physical exam on a child?When performing the physical assessment, the nurse uses the four basic techniques of inspection, palpation, percussion, and auscultation, generally in that order. During the abdominal examination, the sequence is altered; inspection is performed first, and then auscultation, percussion, and palpation.
Which chart should the nurse use to assess the visual acuity of an 8 year old child?The Snellen chart may be used to assess the visual acuity of an older child where there are vision concerns or difficulties in the classroom; however, it is also recommended that the child be referred to a medical practitioner or optometrist for further evaluation.
At what age would you think of performing a child's physical exam when they are in their parent's lap?At 4 or 5 years old, a child usually feels comfortable on the examination table. Older infants and young children aged 6 months to 2 or 3 years should be positioned in the parents lap.
|