Question: Kant equates the will with which of the following in the second section of the Grounding?
Answer Options:
Practical reason
Knowledge
Love
Prudence
Answer: Practical reason
Question: Kant thinks that morally worthy choices can be made on the basis of interest and inclination.
Answer Options:
True
False
Answer: False
Question: What is the correct answer choice only
Answer Options:
“You will get to hold your newborn soon enough. You need to be patient and trust the process. We are taking the best care of your baby right now.”
“I know you are frustrated. I will let you hold your baby for a brief moment and then they must go back in the isolette because the provider’s orders say that the baby must be in the isolette at all times.”
“I understand you might be frustrated that you are not be able to hold your baby right now, but let me show you how to open this isolette so you can hold your baby’s hand.”
“I understand you are frustrated. This will only be for a short time. What other concerns do you have?”
Answer: “I understand you are frustrated. This will only be for a short time. What other concerns do you have?”
Question: Several factors come into play that help initiate breathing in the newborn just after birth. Those factors include (Select All That Apply)
Answer Options:
Environmental
Chemical
Thermal
Mechanical
Emotional
Answer: Chemical, Thermal, Mechanical
Question: When examining a newborn, the pediatrician suspects FAS. The new nurse agrees with the provider as the following facial abnormalities are observed that fit the diagnosis of fetal alcohol syndrome (Select All That Apply).
Answer Options:
Setting-sun eyes
Short palpebral fissures
Flat nasal bridge
Smooth philtrum
Downturned nose
Answer: Short palpebral fissures, Flat nasal bridge, Smooth philtrum, Downturned nose
Question: What signs and symptoms might be observed in a newborn that has NAS? (Select all that apply)
Answer Options:
High-pitched cry
Excessive Yawning or Sneezing
Disturbed tremors
Undisturbed tremors
Lethargy
Answer: High-pitched cry, Excessive yawning or sneezing, Disturbed tremors, Lethargy
Question: A young child wearing only a diaper wrapped in a blanket arrives with his father to the emergency room. His father reports that the child might have a broken arm. What is the first thing you would assess on your newly admitted patient?
Answer Options:
Assess the patient affected area for pain, swelling, and ability to ambulate.
Ask to provide a history of the incident, how, when, and where this occurred.
Ask the parents if the patient has any prior injuries to the affected area.
Consult with the Charge Nurse about whether or not to file a report with Child Protective Services for abuse.
Answer: Ask to provide a history of the incident, how, when, and where this occurred.
Question: The similarities between a model and a theory include:
Answer Options:
• Both require data for validation
• Neither require data for validation
• Both require a supporting physical law
• Both can be explained in a simple equation.
Answer: Both require data for validation
Question: The circumference of a circle is 9.00 cm, its area is:
Answer Options:
• a. 9.00 cm²
• b. 6.446 cm²
• c. 6.45 cm₴
• d. 4.50 cm≥
Answer: b. 6.446 cm²
Question: On Earth’s moon, the acceleration due to gravity is 1.60 m/s². How far would a rock fall from rest in 9.50 seconds if the only force acting on it was the gravitational force due to the Moon? Take the downward direction as negative. Ignore any drag.
Answer Options:
• a. 7.37 m
• b. 8.81 m
• c. 1.45 m
• d. 3.65 m
Answer: a. 7.37 m
Which of these is both an Arrhenius base and a Bronsted base?
Select one:
• a. ammonia
• b. calcium chloride
c. potassium hydroxide
• d. sodium hydroxide
Correct Answer: c. potassium hydroxide
Question: In 2013, the Committee of Sponsoring Organizations of the Treadway Commission (COSO) updated its framework for the assessment of internal control. That framework includes all of the following interrelated components except:
Answer Options:
separation of duties.
risk assessment.
monitoring.
the control environment.
Answer: separation of duties.
Question: A new nurse is taking a child’s blood pressure. What action would cause an experienced nurse to intervene?
Answer Options:
a. Allows the child to get familiar with equipment
b. Places the cuff over a sweater sleeve covering the child’s arm
c. Has a parent stay with the child to calm them
d. Obtains a manual blood pressure when the heart rate is abnormal
Answer: b. Places the cuff over a sweater sleeve covering the child’s arm
Question: A nurse is reviewing discharge instructions for a pediatric patient diagnosed with Addison’s disease. Which information should the nurse include when educating the family?
Answer Options:
a. Discuss weight reduction strategies
b. Provide instructions on IM injection technique
c. Discuss strategies for reducing and avoiding stress
d. Recommend the child wear a medical alert bracelet or tag
e. Recommend limiting consumption of water and salt
Answer: b. Provide instructions on IM injection technique, c. Discuss strategies for reducing and avoiding stress, d. Recommend the child wear a medical alert bracelet or tag
Question: A nurse is discussing a 14-month-old child’s sleeping habits with the child’s parents. Which of the following statements made by the parents should warrant intervention and education from the nurse?
Answer Options:
a. “We raised the level of the crib mattress to prevent straining our backs.”
b. “We leave a night-light on in our child’s bedroom.”
c. “We don’t let our child have any screen time before bedtime.”
d. “We read our child’s favorite short stories every night just before bedtime.”
Answer: a. “We raised the level of the crib mattress to prevent straining our backs.”
Question: A mother brings her 7-year-old daughter to the endocrine clinic for evaluation because she is worried about signs of precocious puberty. Which guideline is most appropriate for the nurse to use when assessing the child for precocious puberty?
Answer Options:
a. The Tanner Staging of Development
b. Freud’s Stages of Psychosexual Development
c. The Denver Developmental Screening Tool
d. The Rotterdam Criteria
Answer: a. The Tanner Staging of Development
Question: A child can design things to the spatial intelligence. What is the most appropriate activity for the nurse to recommend for the child who has spatial intelligence and loves designing and building things?
Answer Options:
a. Recommend regular quiet time each day for the child to read books
b. Recommend the child join the school’s theatrical production
c. Recommend interactive, puzzle-solving board and computer games
d. Recommend the child join a local recreational soccer league
Answer: c. Recommend interactive, puzzle-solving board and computer games
Question: Four children are in the pediatric emergency room waiting to be seen. Which patient should the nurse see first?
Answer Options:
a. The child wheezing with substernal retractions
b. The child pulling on their ear and crying loudly
c. The child with a 101°F temperature playing with toys
d. The afebrile child with a barking cough
Answer: a. The child wheezing with substernal retractions
Question: In preparing a pediatric patient/family for discharge who has been recently diagnosed with celiac disease, which statement provided by the patient’s family indicates that teaching has been effective?
Answer Options:
a. “The damage to the intestine cannot be reversed, but it can be slowed.”
b. “We will need to read food labels from now on to avoid hidden sources of gluten.”
c. “Our child will have to stick to a gluten-free diet most of the time but is allowed one ‘cheat’ day per week.”
d. “All grains must be eliminated from the diet to prevent further symptoms.”
Answer: b. “We will need to read food labels from now on to avoid hidden sources of gluten.”
Question: A pediatric nurse examines a 7-year-old at a well-child visit. Based on developmental milestones, what observation should the nurse anticipate should be present?
Answer Options:
a. Ability to follow a complicated series of instructions
b. Eager to participate in the conversation
c. Increase in height of 4 inches since last year’s check-up
d. Asks “why” questions repeatedly through the conversation
Answer: b. Eager to participate in the conversation
Question: A nurse is educating a family of a child diagnosed with cystic fibrosis. Which instruction by the nurse is most appropriate?
Answer Options:
a. Suction the nasopharynx once per week to reduce secretions
b. Perform chest physiotherapy prior to mealtimes in case of vomiting
c. Follow a low-calorie, low-protein diet to prevent development of thick mucous
d. Assist the child to a standing position to perform chest physiotherapy
Answer: b. Perform chest physiotherapy prior to mealtimes in case of vomiting
Question: A nurse is reviewing health promotion materials for toddlers to be included in a teaching pamphlet. Which information should be included?
Answer Options:
a. Allow the child to self-feed and use a cup at mealtimes.
b. Allow the child to choose their own bedtime each day
c. Ensure all outlets are covered with protective devices.
d. Limit any television time to 1-2 hours per day.
e. Discourage the use of time-out as a disciplinary action.
Answer: a. Allow the child to self-feed and use a cup at mealtimes, c. Ensure all outlets are covered with protective devices, d. Limit any television time to 1-2 hours per day.
Question: A parent calls the pediatric clinic to make an appointment for their four-year-old child who complains of periumbilical pain that has progressed to right lower quadrant pain. Later, the parent calls to cancel the appointment, stating that the pain went away spontaneously. What action by the nurse is most appropriate?
Answer Options:
a. Inform the parent the child could have a food sensitivity and ask about any recent diarrhea
b. Encourage taking the weekend to monitor the child, then come in on Monday if needed
c. Inform the parent that it sounds like attention-seeking behavior, which is to be expected at their child’s age
d. Instruct the parent to take the child to the emergency department immediately
Answer: d. Instruct the parent to take the child to the emergency department immediately
Question: A parent with his 7-year-old son at the pediatric clinic expresses concern that the child is too short. The nurse measures the child and finds him to be 100 cm (39.3 inches) tall. Which action by the nurse is most appropriate?
Answer Options:
a. Assess the child for other possible signs of growth hormone deficiency
b. Ask the parent to provide the heights of their other children for comparison
c. Explain that the child will reach average height once they experience puberty
d Reassure the parent the child is only slightly below the expected height for their age
Answer: a. Assess the child for other possible signs of growth hormone deficiency
Question: An infant is being discharged from the hospital after treatment for respiratory syncytial virus (RSV). The infant still has some mild respiratory distress at times. Which discharge instruction is the priority for this infant?
Answer Options:
a. “Cool-mist humidification is recommended to help relieve symptoms.”
b. “Some extra snuggles and kisses from her siblings will help provide comfort.”
c. “Do not use a bulb suction, as this could cause laryngospasm.”
d. “Take extra caution in the summer months when RSV is most common.”
Answer: a. “Cool-mist humidification is recommended to help relieve symptoms.”
Question: A nurse is assessing several children during a shift at the well-child clinic. Which child demonstrates the most successful resolution of the Erikson stage of autonomy versus shame and doubt?
Answer Options:
a. A 15-month-old playing blocks on the floor with her sibling
b. An 18-month-old being consoled after an injection
c. A 20-month-old receiving a diaper change from her mother
d. A 24-month-old feeding themself with a spoon
Answer: d. A 24-month-old feeding themself with a spoon
Question: A father is frustrated that his child has been “acting up” and seeks disciplinary advice from the nurse. The father describes a situation where his child broke a well-established rule and attempted to justify their actions afterwards. Based on Kohlberg’s States of Moral Development, what information is most appropriate for the nurse to provide?
Answer Options:
a. The child has no understanding of “right” and “wrong”
b. The child’s sense of morality is problematic, and their behavior should be punished
c. The child feels motivated to be a “good” person only when their peers are around
d. The child has developed a deeper, more mature sense of morality than before
Answer: d. The child has developed a deeper, more mature sense of morality than before