What is an important consideration for the nurse w

Question 1 of 5

What is an important consideration for the nurse who is communicating with a very young child?

A. Speak loudly, clearly, and directly. B. Use transition objects, such as a doll. C. Disguise own feelings, attitudes, and anxiety. D. Initiate contact with child when parent is not present.

Correct Answer: B

Rationale: When communicating with a very young child, using transition objects, such as a doll, can help create a sense of familiarity, comfort, and security. These objects can serve as a bridge for the child to express themselves and can also provide a point of reference for the nurse to better understand the child's perspective. Additionally, transition objects can help the child feel more at ease during interactions with healthcare providers, making the communication process smoother and more effective.

Question 2 of 5

A young couple of a 2-month-old baby girl with excessive crying seeks medical advice. The LEAST important advice is to

A. master the situation in a relaxed manner B. adhere to precry cues C. change milk formula D. avoid sensory overstimulation

Correct Answer: C

Rationale: Changing the milk formula is less critical unless there is evidence of intolerance or allergy.

Question 3 of 5

You are evaluating a 6-mo-old girl with a firm right suprarenal mass. Histologically, there is no bony involvement, 10% bone marrow involvement, subcutaneous nodules involvement, and massive abdominal mass. The N-myc oncogene is not amplified. According to the international neuroblastoma staging system, the infant is stratified as

A. stage I B. stage II A C. stage III D. stage IV S

Correct Answer: D

Rationale: Stage IV S refers to infants <1 year with localized primary tumor, distant metastases limited to liver, skin, or bone marrow (with <10% involvement), and no amplification of N-myc.

Question 4 of 5

a woman who is pregnant is undergoing an amniocentesis. during the test, elevated levels of AFP are found. this indicate to which of the following conditions :

A. CP B. spina bifida C. down syndrome D. hydrocephalus

Correct Answer: B

Rationale: Elevated levels of AFP (alpha-fetoprotein) in the amniotic fluid during an amniocentesis often indicate neural tube defects, such as spina bifida. Spina bifida is a condition where the spinal cord does not develop properly, leading to a range of possible issues depending on the severity of the defect. In this case, the elevated AFP levels point towards a higher likelihood of spina bifida rather than other conditions like CP (cerebral palsy), Down syndrome, or hydrocephalus.

Question 5 of 5

Which of the following terms indicates that the patient has a hearing loss caused by aging?

A. Otoplasty B. Presbycusis C. Otalgia D. Tinnitus

Correct Answer: B

Rationale: Presbycusis is the term that indicates that the patient has a hearing loss caused by aging. It is a type of sensorineural hearing loss that occurs gradually as a result of aging and affects the ability to hear high-pitched sounds. Otoplasty is a surgical procedure to correct the shape or position of the ears. Otalgia refers to ear pain. Tinnitus is the perception of ringing or buzzing sounds in the ears.