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1.During the health history of an 8-month-old patient, the nurse asks the mother to list the

immunizations that the patient has received. This information is important for which part

of the history?! "irth history

"! #amily history

$! %ealth maintenanceD! %ealth patterns

&.The nurse is conducting a health history with an adolescent patient. 'hat should the

nurse e(plain to the patient a)out confidentiality?

! *+verything that is discussed will )e kept confidential.

"! *ince you are a minor, your health history is to )e shared with your parents.$! *The only thing that can share with your parents is if you are se(ually active.

D! *The only thing that must share is information that concerns your safety.

/.fter completing a developmental assessment, the nurse determines that a /-year-old

 patient is following normal developmental patterns. 'hat did the nurse assess in this patient?

! Talks using complete sentences

"! Talks with two to three words$! Talks using two to three word phrases

D! Defines words

0.The nurse is preparing to conduct a physical e(amination of an 18-year-old patient. To

support this patients developmental level, how should the nurse approach thisassessment?! 'ith reassurance

"! 2se a positive attitude

$! 'ith non3udgmental acceptanceD! s an adult

4. 5-month-old infant is resting 6uietly in the mothers arms while waiting for a wellness physical e(amination. 'hat can the nurse do to make the e(amination process

comforta)le for the patient? 7elect all that apply.!

! pproach the infant with a toy."! erform much of the e(amination in the mothers lap.

$! 9ingle keys to assess for hearing.

D! :eave the room while the patient gets undressed.+! ;ake sure the )a)y is fed )efore the e(amination .

5.'hat strategies can the nurse use when e(amining the ears of a 0-year-old patient?7elect all that apply.!

! ull the auricle up and )ack.

age 1

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"! ull the auricle down and )ack.

$! nsert the speculum < to = inch into the canal.

D! pply minimal pressure.+! ;ove and pull on the pinna )efore the e(amination.

>.The nurse determines the heart rate of 1 )eats per minute for a 4-year-old patient as

 )eing@

! inus )radycardia"! +vidence of a valve disorder  

$! upraventricular tachycardia

D! 'ithin normal limits

8.The nurse is preparing topics to discuss healthy ha)its and )ehaviors with a school-aged

 patient and parents. 'hat will the nurse include in this teaching? 7elect all that apply.!

! %ealthy meals and snacks"! 2se of a car seat

$! voiding to)acco e(posureD! Aoutine dental e(aminations

+! voiding sun e(posure

B.During a routine health supervision visit, the nurse is planning to focus teaching on

 )ehaviors and ha)its with an adolescent patient. 'hat topics will the nurse discuss with

the patient? 7elect all that apply.!! u)erty

"! elf-concept

$! CutritionD! +(ercise

+! $omputer screen time

1.During the assessment of a &-month-old infants refle(es, the nurse placed a finger in the

 )a)ys hand and pressed against the palm. The )a)y fle(ed all fingers to grasp the nurses

finger. %ow would the nurse document this finding?! lantar grasp refle( intact

"! ;oro refle( intact

$! upport refle( intactD! almar grasp refle( intact

age &

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Answer Key

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0.D4., ", +

5., $, D, +

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