Development

A 12-year-old male patient has received the first dose of the human papillomavirus vaccine in May of this year. When will the nurse schedule an appointment for him to come back to receive his second and third doses?

The nurse assesses for which skill in the 6-month-old infant? 

A first-time mother brings in her one-year-old daughter for a check-up. Which assessment finding requires further investigation?

Which patient is at risk for failure to progress past the Industry vs. Inferiority stage of Erik Erikson’s developmental stages?

The nurse receives report on a 76-year-old patient who is recovering from surgery for creation of an ileal pouch-anal anastomosis. The nurse plans care to prevent which complication that is most specific to this patient?

The neonate born at 41 weeks gestation is diagnosed with persistent pulmonary hypertension of the newborn (PPHN). Which information does the nurse give the mother about this condition?

The nurse is counseling the parents of a 7-year-old child who are concerned because of a strong family history of type 2 diabetes mellitus. The nurse instructs the parents that the initial screening for type 2 diabetes mellitus will occur at which time? 

The nurse instructs parents on which type of diet to decrease the risk for lead poisoning in their children? 

A new mother is discussing alcohol consumption while breastfeeding her baby. Which statement indicates a need for further teaching? 

Which developmental milestone is expected of the six-month-old infant who presents for a routine check-up?

At a well-child visit, the mother of a 2-year-old child states, "My child is not keeping up with the other kids." Further evaluation reveals the patient can stack 6 cubes, walk backwards, and copy a line. The child exhibits separation anxiety and has a vocabulary of 10 words but cannot use symbols or use pronouns. Which assessment does the nurse make about the child's development?

The nurse instructs the mother at her child's 9-month well-child visit that patient will be screened for developmental delays and disabilities at which visits?

The older adult patient is brought to the emergency department with sudden onset confusion, agitation, and hallucinations. The patient's past medical history is significant for type 2 diabetes managed with glyburide, anxiety managed with lorazepam, and insomnia managed with zolpidem. Upon assessment, the patient's heart rate and rhythm are regular, lungs are clear to auscultation, and bowel sounds are present. Vital signs are normal, with exception of a slightly elevated heart rate. Which is the most likely cause of the patient's symptoms?

Which condition qualifies the patient to be an emancipated minor?

Which punishment does the nurse report as child abuse?

Which generation is known for being team-oriented, hardworking, efficient multi-taskers, and respectful of authority?

Which error in the use of a child's car seat occurs most frequently?

A 23-year-old pregnant woman presents to the clinic stating, “I am a teacher and have heard there is a measles outbreak in my community. I want to get the measles vaccine to protect my baby and myself. Which response by the nurse is most appropriate?

The 10-year-old patient presents to the emergency room following a fever as high as 105°F for 5 days. The patient’s mother reports the child has had red, watery eyes, poor appetite, and has felt ill during this time. The child was brought to the emergency room upon the appearance of a red rash that started on the child’s face and spread to the neck and chest. Which question will be most helpful in order to determine the cause of this patient’s symptoms?

An infant has been admitted to the hospital for gastroenteritis. Friends of the family stayed in the room while the patient’s father talks to other family members in the lobby. The nurse prepares to remove an infiltrated IV line and place a new one. The visitor stops the nurse and insists that the nurse obtains consent from the parents. Which is the most appropriate response?

The nurse is caring for the 3.7 kg neonate who was born at 38 weeks gestation after an uncomplicated pregnancy and delivery in the newborn nursery. Which immunization does the nurse administer to the patient prior to discharge from the hospital?

The nurse receives report on the 6-month-old child with a congenital abnormality of the hip who is in Bryant's traction. Which observation upon entering the patient's room indicates the patient is positioned appropriately? 

The public health nurse encourages which individuals to receive the hepatitis A vaccine? Select all that apply.

The nurse is supervising the student nurse preparing for the return of a neonate from surgery to repair a myelomeningocele. Which item, if brought into the room by the student nurse, does the nurse remove immediately?

The nurse is completing discharge education with the parents of a child with congenital heart disease. Which statement by the mother indicates a need for further teaching?

The mother of a 1-month-old child tells the nurse, “I’m concerned because my child does not hold his head up during tummy time.” Which response by the nurse is appropriate?

The nurse is preparing for the well-baby visit for a 4-month-old baby and expects which behaviors from the patient? Select all that apply.

Which information is true regarding developmental coordination disorder (DCD)?

The nurse is using the Finnegan scoring system to assess a neonate for opioid withdrawal. The first score is 9 and the second score is 14. Which statement is accurate?

Which sport does the nurse recommend to the child with osteogenesis imperfecta who is interested in physical fitness?

A high school wide receiver suffered substantial head trauma during a tackle. The school nurse is concerned about concussion. The nurse provides which information to the adolescent and parents? Select all that apply.

A six-year-old child presents to a primary care appointment with curved tibias and fibulas, protruding forehead, pigeon chest, and protruding abdomen. Which vitamin deficiency does the nurse immediately suspect?

The mother of a six-year-old child brings the child to the pediatrician requesting treatment for nocturnal enuresis. The nurse prepares information for the mother about which treatment?

The nurse is developing a care plan with a nine-year-old girl to end her nocturnal enuresis. The nurse is focused on which goal when communicating with the child?

The parent of the 5-year-old child reports that the child, who was potty trained at 3-years-old, has been stooling in places other than the toilet a couple times per month for 4 months. The nurse uses which term to document this symptom?

The nurse is collecting data from the parents of a seven-year-old boy who often has liquid stool in his underwear. The parents report he developed urinary and stool incontinence at four years of age and this problem started about six months ago. Their son excretes small pellets of stool every night before bed, and the parents wonder if he is soiling his clothing on purpose. Which additional testing does the nurse anticipate at this point?

A ten-year-old patient presents to the emergency department (ED) complaining of abdominal pain. He states, “I poop every day. It sometimes hurts to go and the poop is small, hard pieces. Which response does the nurse anticipate when the child is asked, “How much water do you drink in a day?”

The American Academy of Pediatrics recommends children remain in rear-facing car seats away from airbags until which age?

A baby is born precipitously to a mother who did not have prenatal care. The neonate requires only the initial steps of resuscitation but is found to have a bilateral cleft lip and palate. Review the patient’s assessment here: Position at rest: Complete flexion Square window: 0° Arm recoil: 75° Popliteal angle: 80° Scarf sign: Elbow does not cross midline Heel to ear: Foot does not reach the umbilicus Skin: No veins visible, cracking of skin at joints, dry Lanugo: Mostly bald skin Plantar surface: Creases over entire sole Breast: 4 mm bud with raised areola Ear: Formed pinna with instant recoil Genitals: Descended testes bilaterally, rugae over entire scrotum For which referrals does the nurse advocate for the baby prior to discharge? Select all that apply.

The nurse is helping to recruit patients for a study about the effectiveness of a new delivery system for somatropin. The nurse filters the records for patients with which conditions? Select all that apply.

The patient with short stature associated with Noonan syndrome is being considered for somatropin injections. The nurse ensures which test is performed before therapy is started? 

The nurse is supervising a nursing student in the emergency department. Which actions by the nursing student indicate effective learning? Select all that apply.  

The nurse is caring for the 16-year-old patient undergoing treatment for Ewing sarcoma. Which intervention is most helpful for the patient?  

The 3-week-old neonate of the mother who desires to formula feed is noted to have musty urine and excessive vomiting. Which initial intervention is most appropriate?