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The clinic nurse is reviewing statistics on infant mortality for the United States versus other countries. Compared with other countries that have a population of at least 25 million, the nurse makes which determination?
The United States is ranked last among 27 countries.
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Which is the leading cause of death in infants younger than 1 year in the United States?
Congenital anomalies
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What is the major cause of death for children older than 1 year in the United States?
Unintentional injuries
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In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?
Suicide and homicide
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The nurse is planning a teaching session for adolescents about deaths by unintentional injuries. Which should the nurse include in the session with regard to deaths caused by injuries?
More deaths occur in males
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What do mortality statistics describe?
The number of individuals who have died over a specific period
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The nurse should assess which age group for suicide ideation since suicide in which age group is the third leading cause of death?
Late school age and adolescents
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Parents of a hospitalized toddler ask the nurse, “What is meant by family-centered care?” The nurse should respond with which statement?
Family-centered care recognizes that the family is the constant in a child’s life.
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The nurse is describing clinical reasoning to a group of nursing students. Which is most descriptive of clinical reasoning?
Purposeful and goal directed
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Evidence-based practice (EBP), a decision-making model, is best described as which?
Combining knowledge with clinical experience and intuition
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Which best describes signs and symptoms as part of a nursing diagnosis?
Cues and clusters derived from patient assessment
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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?
Childhood obesity is the most common nutritional problem among children.
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The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse plan to ensure atraumatic care?
Allow the child to choose the type of juice to drink with the administration of oral medications.
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Which situation denotes a nontherapeutic nurse–patient-family relationship?
During shift report, the nurse is criticizing parents for not visiting their child.
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The nurse is aware that which age group is at risk for childhood injury because of the cognitive characteristic of magical and egocentric thinking?
Preschool
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The school nurse is assessing children for risk factors related to childhood injuries. Which child has the most risk factors related to childhood injury?
Male, high activity level, stressful home life
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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?
95th percentile
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The nurse is teaching parents about the types of behaviors children exhibit when living with chronic violence. Which statement made by the parents indicates further teaching is needed?
“We know that our child will show caring behaviors.”
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The nurse is evaluating research studies according to the GRADE criteria and has determined the quality of evidence on the subject is moderate. Which type of evidence does this determination indicate?
Evidence from randomized clinical trials showed inconsistent results
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An adolescent patient wants to make decisions about treatment options, along with his parents. Which moral value is the nurse displaying when supporting the adolescent to make decisions?
Autonomy
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The nurse manager is compiling a report for a hospital committee on the quality of nursing-sensitive indicators for a nursing unit. Which does the nurse manager include in the report?
The education and certification of the nurses on the unit
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Which responsibilities are included in the pediatric nurse’s promotion of the health and well-being of children? (Select all that apply.)
- Promoting disease prevention
- Providing support and counseling
- Establishing a therapeutic relationship
- Participating in ethical decision making
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The nurse is conducting a teaching session for parents on nutrition. Which characteristics of families should the nurse consider that can cause families to struggle in providing adequate nutrition? (Select all that apply.)
- Homelessness
- Lower income
- Migrant status
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The nurse is preparing to complete documentation on a patient’s chart. Which should be included in documentation of nursing care? (Select all that apply.)
- Reassessments
- Initial assessments
- Nursing care provided
- Patient’s response of care provided
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Which actions by the nurse demonstrate overinvolvement with patients and their families? (Select all that apply.)
- Buying clothes for the patients
- Showing favoritism toward a patient
- Spending off-duty time with patients and families
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Which are included in the evaluation step of the nursing process? (Select all that apply.)
- Determination if the outcome has been met
- Ascertaining if the plan requires modification
- Selecting alternative interventions if the outcome has not been met
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Which should the nurse teach to parents regarding oral health of children? (Select all that apply.)
- Fluoridated water should be used
- Early childhood caries is a preventable disease
- Dental hygiene should begin with the first tooth eruption.
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The school nurse is explaining to older school children that obesity increases the risk for which disorders? (Select all that apply.)
- Hypertension
- Dyslipidemia
- Altered glucose metabolism
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The nurse is reviewing the Healthy People 2020 leading health indicators for a child health promotion program. Which are included in the leading health indicators? (Select all that apply.)
- Decrease tobacco use.
- Improve immunization rates.
- Increase access to health care.
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Which actions by the nurse demonstrate clinical reasoning? (Select all that apply)
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