Questions And Answers 2023

Growth & Development NCLEX Questions And Answers 2023 A 4 year old has been toilet-trained becomes incontinent when hospitalized for surgery.What is the most appropriate nursing diagnosis based on this assessment finding?

• growth and development, altered r/t incontinence
• ineffective individual coping r/t hospitalization

c.urinary elimination, altered r/t incontinence d.Coping, defensive r/t stress of hospitalization - ANS-D

A 14 year old has been diagnosed with insulin-dependent diabetes. Which technique is most appropriate in order to facilitate coping with this diagnosis?

a.warn the teen of the consequences of noncompliance b.introduce the adolescent to another teenager who is successfully managing his diabetes c.give the adolescent specific instructions

• encourage increased dependence on the teen's parents for several weeks - ANS-B

Which intervention is most appropriate in order to facilitate the development of trust in an infant who is hospitalized?

a.place pictures of the child's family at the bedside b.play tapes of the mother's voice c.offer the infant a pacifier d.encourage the parents to room in and participate in care - ANS-D

Which nursing intervention is most developmentally appropriate for a hospitalized 10 year old?

• Encourage the child to play with safe medical equipment.
• Encourage dependency on the child's parents while the child is hospitalized.
• Allow the child to assist with dressing changes.
• Obtain a complete health history from the child. - ANS-C

Which nursing strategies are important when talking with teenagers about sexuality?

• Include sex education in school and give information about STIs.
• Tell the teens to watch television programs about meaningful relationships.
• Arrange for a group of teens to talk about their sexual experiences.
• Provide verbal explanations about sex. - ANS-A
• / 2

Nursing assessment of a 14-year-old reveals a BMI in the 90th percentile and a lifestyle that includes spending 4 hours a day playing video games and eating supper while watching television. What is the priority nursing diagnosis for this adolescent?

• Fatigue related to malnutrition
• Disturbed Body Image related to distorted perception of body size and shape
• Delayed Growth and Development related to inappropriate intake
• Imbalanced Nutrition: More than Body Requirements related to excessive intake and

sedentary lifestyle - ANS-D

Nutritional assessment of a 10-year-old indicates the following findings. Which does the nurse recognize as a risk alert? (Select all that apply.)

• A BMI in the 25th percentile
• Eating an apple and an orange every day for a snack
• Having been diagnosed with asthma
• Eating one vegetable a day, generally at suppertime
• Playing basketball 5-6 days a week - ANS-C,D

During the assessment of a 6-year-old, the mother tells the nurse that she uses fluoride supplements. What does the nurse understand about the child's dental habits based on this knowledge?

• The child has been allowed to eat too many sweets.
• The child does not eat enough dairy, which would supplement fluoride.
• The tap water is not fluoridated above 0.7 mg/L
• The child is drinking too many sodas, which decreases fluoride absorption. - ANS-C

A mother is complaining to the nurse that her 16-year-old son who plays varsity football has been "eating too much junk." Which comment by the nurse is appropriate?

• "Because your son is so active, he might need three thousand or more calories daily."
• "Two thousand calories are more than enough to support his needs."
• "Talk to him about the benefits of good nutrition and stopping all fast food intake."
• "Discuss the need for him to add fruits and vegetables to his diet." - ANS-A

When assessing the food choices of a 9-year-old boy, the nurse learns that the child eats his lunch from the school cafeteria. Which responses by the child would indicate a need for nutritional teaching? (Select all that apply.)

• "I eat all the food they give me."
• "I don't get the vegetables they have, but have carrots after school as a snack."
• "I like to get extra dessert most days because it is so good."
• "If I try to eat all the food they give me, I don't have much time at recess." - ANS-B
• / 2