A 4-year-old girl returns to the pediatrician's office for a postoperative visit following hospitalization for minor surgery. When observing the child in the waiting area, which behavior should the nurse consider normal for this age child?

Sits quietly in her mother's lap.

Draws picture of self with facial features.

Talks to an Imaginary friend.

Ignores other children in the play area.

Answer and Explanation

The Correct Answer is B

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Observe the child for blank, sunken eyes.Blank, sunken eyes are not associated with strabismus. These could be signs of other conditions, such as dehydration or severe malnutrition, but they are not relevant for assessing strabismus.

B. Inspect the child for the setting-sun sign.The setting-sun sign is more commonly associated with increased intracranial pressure in infants and is not a relevant observation for detecting strabismus in a 5-year-old child.

C. Have the child identify colored patterns on polychromatic cards.Identifying colored patterns on polychromatic cards is a test for color vision, not for strabismus. Strabismus involves misalignment of the eyes rather than a problem with color perception.

D. Direct the child through the six cardinal positions of gaze.The six cardinal positions of gaze test the alignment and movement of the eyes. The nurse asks the child to follow an object with their eyes as it is moved through these six positions. Any inability of the eyes to maintain proper alignment or any deviation from the expected movement can indicate strabismus. This is an effective and commonly used method to screen for strabismus in children.

A. Introduce non-pharmacologic strategies for pain reduction. B. Allow adequate privacy and time for the client's phone call. C. Document the concern of incongruent pain rating and behaviour. D. Administer pain medication per the healthcare provider's orders.

Correct Answer is C

Explanation

A.While non-pharmacologic strategies are important for pain management, they are typically introduced after initial assessment and understanding of the client's pain experience. In this case, the priority is to clarify the apparent discrepancy between the reported pain level and observed behavior.

B.Respecting the client's privacy and providing time for personal activities like phone calls is important but does not directly address the concern of incongruent pain assessment and behavior.

C.Incongruence between reported pain intensity (10/10) and observed behavior (laughing on the phone) suggests a potential discrepancy that needs to be documented and further investigated. This documentation is crucial for accurate assessment and communication among the healthcare team.

D.Administering pain medication immediately without further assessment may not be appropriate if there is uncertainty about the accuracy of the pain report. It's important to first clarify and validate the client's pain experience before proceeding with medication administration.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A 4-year-old girl returns to the pediatrician's office for a postoperative visit following hospitalization for minor surgery. When observing the child in the waiting area, which behavior should the nurse consider normal for this age child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When screening a 5-year-old for strabismus, which action should the nurse take?

Correct Answer is D

Explanation

An adolescent hospitalized with sickle cell anaemia reports to the nurse of experiencing a pain level of 10 on a 0 to 10 numerical scale. The nurse observes the adolescent on a phone call laughing. Which action should the nurse take?

Correct Answer is C

Explanation

A 4-year-old girl returns to the pediatrician's office for a postoperative visit following hospitalization for minor surgery. When observing the child in the waiting area, which behavior should the nurse consider normal for this age child?

The nurse is caring for a school-age child with cystic fibrosis and reviews the admission medication prescriptions. Which medication should the nurse obtain a prescription for to be administered with every meal?

Which toy is best for a 10-year-old child with acute rheumatic fever who is on strict bedrest?

The nurse is caring for a school-age child who has laboratory results that reveal the presence of anti-gliadin and anti-endomysial immunoglobulin G and immunoglobulin A antibodies. The nurse should identify with the parent and child which food to avoid after discharge to home?

The nurse is providing education to a group of adolescents about smoking prevention. Which approach should the nurse include to incorporate Piaget's cognitive development theory of formal operations?

The nurse knows that a shunt procedure is the therapy of choice in almost all cases of hydrocephalus. Which is the most common reason for revision of a child's ventriculoperitoneal shunt?

A school-age child is diagnosed with impetigo. During discharge teaching, which statement made by the caregiver should indicate to the nurse that additional education is needed?