Pregled izpita AZCN NUR336 1
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Danielle LeachTa predstavitev zajema pediatrično oskrbo s poudarkom na razvojnih mejnikih, varnih praksah, psihosocialnih teorijah, promociji zdravja, obvladovanju bolečine in podpori ranljivim otrokom.
Kategorije
Diapozitivi (98)
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Which of the following reflexes are typically present in a newborn? (SATA)
1. Babinski
2. Smiling reflex
3. Fencing reflex
4. Laughing reflex
5. Sucking
6. Palmar Grasp
7. Rooting reflex
8. Kicking reflex
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Match how the fontanel assessment finding with its related cause:
1. Zaprto
- Over 18 months old
2. Mehko
- Normalno
3. Bulging
- Increased Intracranial Pressure
4. Sunken
- Dehydration
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What is the primary purpose of a well-child visit for an infant?
1. To monitor physical development and growth milestones
2. To perform invasive tests routinely
3. To discuss the family's financial situation
4. To schedule a follow-up for illness
5. To immediately administer all vaccines
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Which assessment findings in a 24 hour old newborn would require immediate attention? (SATA)
1. Acrocyanosis
2. Heart murmur
3. Bluish discoloration around the lips
4. Sternal retractions
5. Presence of a Mongolian spot
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Which assessment finding in a 9-month-old indicates a need for further evaluation?
1. The infant responds to their name being called
2. The infant can sit without support
3. The infant is babbling consonant sounds
4. The infant exhibits a lack of attachment to primary caregivers
5. The infant shows curiosity by exploring the environment
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Which signs, according to the FLACC scale, indicates pain in a nonverbal toddler? (SATA)
1. The child's legs are drawn up to their abdomen.
2. The child remarkably increases activity level.
3. The child is playing quietly with toys.
4. There is a constant frown and a quivering chin.
5. The child is smiling and laughing.
6. The child is has their jaw clenched.
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Which of the following findings in a 4-month-old infant indicates a need for further evaluation?
1. The infant babbles and coos while interacting
2. The infant can roll from back to side
3. The infant is unable to hold head up when in a sitting position
4. The infant shows social smile and responds to caregiver's voice
5. The infant has gained approximately double their birth weight
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Which of the following are common milestones for a 10-month-old infant? (SATA)
1. Throwing a ball overhand
2. Sitting without support
3. Walking independently
4. Climbing stairs unaided
5. Saying 'mama' or 'dada'
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What are signs that a pediatric client may be a human trafficking victim? (SATA)
1. Frequent STIs & UTIs
2. Suicide attempts
3. Multiple pregnancies
4. Unexplained injuries
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Which of the following statements about newborn screening are true? (SATA)
1. All newborns are automatically screened unless parents refuse.
2. Parents must pay extra for newborn screening tests.
3. Newborn screening includes only vision and hearing tests.
4. Screening can identify genetic conditions that require immediate intervention.
5. Newborn screening is only done if the infant shows symptoms.
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Categorize the following infant sleep descriptions as safe or not safe:
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Which of the following statements about newborn assessment is correct?
1. The heart rate should be between 120 to 160 bpm in a newborn.
2. Newborns should not be assessed for primitive reflexes until they are 6 months old.
3. A temperature 36.3°C is normal for a newborn.
4. The normal respiratory rate is 20 to 40 breaths per minute.
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Which of the following behaviors should a nurse encourage to promote healthy habits in adolescents? (SATA)
1. Prioritizing sleep over extracurricular activities
2. Focusing solely on academic success without social activities
3. Engaging in regular physical activity
4. Choosing fast food options for convenience
5. Minimizing screen time before bed
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The RN must obtain data for a routine assessment of a healthy 8 month old. Which of the following are part of that assessment? (SATA)
1. Assess for presence of palmar grasp
2. Immunization Record
3. Head circumference
4. Utež
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What is the main tenet of family centered care?
1. Parental authority
2. Patient empowerment
3. Family involvement
4. Staff autonomy
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A child's death is imminent. The RN should:
1. Allow the parents to stay with the child as long as they need
2. Explain that the body will need to be taken to the morgue immediately
3. Allow the monitor to continue to sound so parents know the child has passed
4. Inform the parents that religious ceremonies will disturb other patients
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The RN is preparing to perform an exam on a client who is 13. Which action by the RN will decrease the client's anxiety?
1. Explain the exam and rationale.
2. Rush the process
3. Verbalizing findings of physical abnormalities
4. Use medical jargon
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What would be most concerning after conducting a family assessment?
1. Lack of insurance
2. Sibling rivalry
3. Poor time management
4. The family is homeless
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Match each stage of Freud's Theory of Psychosexual Development to its correct age group:
1. Phallic
- 3-6 leta
2. Ustno
- 0-1 year
3. Analno
- 1-3 leta
4. Latency
- 6-12 leta
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How can a nurse help to minimize pain in a toddler? (SATA)
1. Medicate per orders
2. Restrict movement
3. Ignoriraj bolečino
4. Use distraction
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What care should the RN provide after a circumcision?
1. Apply antibiotic ointment
2. Monitor for bleeding
3. Apply warm compresses
4. Medicate with morphine
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Match the developmental milestones to either toddler or preschool age kids:
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An infant is admitted and the mother is worried about the child's sleep and feeding schedules. The RN should:
1. Inform the mother of the times you plan on being in the room
2. Attempt to plan care around the family's schedule as much as possible
3. Inform the mother that such a highly rigorous schedule is not healthy
4. Tell the mother you are sorry but you have a job to do that is important
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A child who is not speaking or imitating sound by 12 months old should first be referred to:
1. Psychologist
2. Feeding clinic
3. Speech Therapist
4. Audiology
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Leaderboard
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When should this reflex disappear?
5 mesecev
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When should this reflex disappear?
6 mesecev
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A minor's health information may be discussed with any member of his/her family.
1. Only guardians
2. Only parents
3. Prav
4. False
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When conducting a spiritual family assessment, the RN should: (SATA)
1. Provide advice on spiritual guidance
2. Acknowledge that every client and family is different
3. Ask a coworker who is the same religion what they believe
4. Ask what role religion plays in the family's life
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How can we attempt to gain cooperation from a toddler or preschooler? (SATA)
1. Punish them
2. Give praise and rewards
3. Offer choices when appropriate
4Uporabite negativno okrepitev
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The RN is assessing an infant who is 7 months old for developmental milestones. Which findings are of greatest concern? (SATA)
1. Cannot pull self to standing
2. No babbling
3. Cannot roll from tummy to back
4. No cruising
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On a 12 hr old newborn assessment, which of the following would be alarming?
1.
2.
3.
4.
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Which are appropriate pain scales for a toddler? (SATA)
1. FLACC
2. NIPS
3. Wong-Baker Faces
4. Numeric
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As a pediatric patient nears death (anticipated), we should expect to see: (SATA)
1. Increased apnea
2. Rapid weight gain
3. Improved appetite
4. Decreased urine output
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A 14 month old who drinks 1 gallon of cow's milk daily is at risk of:
Anemija pomanjkanja železa
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A mother of a 9-month-old infant asks the RN about what toys are age appropriate. Which toy does the RN recommend?
1. Play-doh
2. Marbles
3. Rattle
4. Building blocks
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How is EMLA cream applied prior to a procedure?
1. Apply to diaper area
2. Glob it on the site
3. Rub into skin over site
4. Orally
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Match the characteristics to each disorder:
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What is a Mongolian spot?
1. Bruise
2. Infection
3. Tattoo
4. Birthmark
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What is not a part of hospice care?
1. Cure
2. Pain management
3. Emotional support
4. Doma
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When does the anterior fontanel close?
1. 18-24 months
2. 12-18 months
3. 6-9 months
4. 9-12 months
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A client is 28 kg and voided 550 mL of urine in your 12 hr shift. What is the urine output in mL/kg/hr? Round to tenths place.
1.6
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Which of the following cognitive developmental milestones should the nurse include as expected of a preschooler?
1. Knows their address
2. Abstract thinking
3. Requests privacy
4. Role-playing
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You are reviewing a growth chart for a 2 year old. Their weight percentile has dropped from 25% to 10% over the last year. What should you do next?
1. The child is only 2 so it is not important at this time
2. Wait for next checkup and re-evaluate
3. Change diet to high fat immediately
4. Conduct a thorough assessment
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Select which items would be related or not related to hyperbilirubinemia?
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Match the stages of Erikson's Theory of Psychosocial Development with the correct age range:
1. Trust vs Mistrust
- 0-1 year
2. Identity vs Role Confusion
- 12-18 leta
3. Industry vs Inferiority
- 6-12 leta
4. Autonomy vs Shame
- 1-3 leta
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In which situations should you collaborate with a child life specialist? (SATA)
1. For a younger sibling of a hospitalized patient
2. During IV insertion
3. During a pediatric code
4. To double check an insulin dosage
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What are signs of puberty in a female? (SATA)
1. Hair Loss
2. Breast Development
3. Decreased adipose tissue
4. Axillary Hair
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What health promotion and education information should we provide to adolescents?
1. Substance abuse prevention
2. Vse našteto
3. Mental health resources
4. Nutrition and exercise
5. Sexual health information
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Zavrtite kolo!
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