The clinic nurse is reviewing statistics on infant mortality for the US vs other countries.
Compared with other countries that have a pop of at least 25 million, the nurse makes which
determination?
A. The United States is ranked similar to 20 other developed countries.
B. The United States is ranked in the middle of 20 other developed countries.
C. The United States is ranked highest among 27 other industrialized countries.
D. The United States is ranked last among 27 countries - ANS D.
What is the major cause of death for children older than 1 year in the United States?
A. congenital anomalies
B. heart disease
c. unintentional injuries
d. unintentional cancers - ANS c
In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 yrs?
A. suicide and homicide
B. suicide and cancer
C. drowning and cancer
D. homicide and heart disease - ANS A
The nurse is planning a teaching session to adolescents about deaths by unintentional injuries.
Which should the nurse include in the session with regard to deaths caused by injuries?
A. more deaths occur in males
B. more deaths occur in females
C. the pattern of deaths does not vary according to age and sex
D. the pattern of deaths does not vary widely among different ethnic groups - ANS A
What doe mortality stats describe describe?
A. the # of individuals who have died over a specific period
B.disease occurring regularly within a geographic location
C. the prevalence of specific illness in the pop at a particular time
D. disease occurring in more than the number of expected cases in a community - ANS A
,The nurse should assess which age group for suicide ideation since suicide in which age group
is the third leading cause of death?
A. preschoolers
B. young school age
C. middle school age
D. late school age and adolescents - ANS D.
Parents of hospitalized toddler ask the nurse, "what is meant by family-centered care (FCC)?"
The nurse should respond with which statement?
A. FCC recognizes the effect of cultural diversity on the family
B. FCC encourages family dependence on the health care system
C. FCC recognizes that the family is the constant in a childs life
D. FCC avoids expecting families to be part of the decision-making process - ANS C
The nurse is describing clinical reasoning to a group of nursing students. Which is most
descriptive of clinical reasoning?
A. purposeful and goal directed
B. a simple developmental process
C. based on deliberate and irrational thought
D. assists individuals in guessing what is most appropriate - ANS A.
Evidence-based practice (EBP), a decision-making model, is best described as which?
A. using info in textbooks to guide care
B. combining knowledge with clinical experience and intuition
C. using a professional code of ethics as a means for decision making
D. gathering all evidence that applies to the child's health and family situation - ANS B
Which best describes signs and symptoms as part of a nursing diagnosis?
A. description of potential risk factors
B. identification of actual health problems
C. human response to state of illness or health
D. cues and clusters derived from pt assessment - ANS D
The nurse is talking to a group of parents of school-age children at an after-school program
about childhood health problems. Which statement should the nurse include in the teaching?
A. childhood obesity is the most common nutritional problem among children
B. immunization rates are the same among children of different races and ethnicity
C. dental caries is not a problem commonly seen in children since the introduction of fluoridated
water
, D. mental health problems are typically not seen in school-age children but may be diagnosed in
adolescents - ANS A
The nurse is planning care for a hospitalized preschool-aged children. Which should the nurse
plan to ensure atraumatic care?
A. allow the child to choose the type of juice to drink with the administration of oral medication
B. limit explanation of procedures b/c the child is preschool aged
C. ask that all the family members leave the room when performing procedures
D. explain that EMLA cream cannot be used for the morning lab draw b/c there is not time for it
to be effective - ANS A
Which statement denotes a nontherapeutic nurse pt family relationship?
A. the nurse is planning to read a favorite fairy tale to a pt
B. during shift report, the nurse is criticizing parents for not visiting their child
C. The nurse is discussing with a fellow nurse the emotional draw to a certain pt
D. the nurse is working with a family to find ways to decrease the familys dependence on health
care providers - ANS B
The nurse is aware that which age group is at risk for childhood injury because of the cognitive
characterstic of magical and egocentric thinking?
A. preschool
B. young school age
C. middle school age
D. adolescent - ANS A
The school nurse is assessing children for risk factors related to childhood injuries. Which child
has the most risk factors related to childhood injury?
A. female, multiple siblings, stable home life
B. male, high activity level, stressful home life
C. male, even tempered, history of previous injuries
D. female, reacts negatively to new situations, no serious previous injuries - ANS B
The school nurse is evaluating the number of school-age children classified as obese. The
nurse recognizes that the percentile of body mass index that classifies a child as obese is
greater than which?
A. 50th percentile
B. 75th percentile
C. 80th percentile
D. 95th percentile - ANS D
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