21. When doing a nutritional assessment on a Hispanic family, the nurse learns that their diet consists mainly of vegetables, legumes, and starches. The nurse should recognize that this diet:

a.indicates they live in poverty.

b.is lacking in protein.

c.may provide sufficient amino acids.

d.should be enriched with meat and milk.

22. Which following parameters correlate best with measurements of the body’s total protein stores?

a.Height

b.Weight

c.Skin-fold thickness

d.Upper arm circumference

23. A nurse is preparing to perform a physical assessment on a toddler. Which approach should the nurse use for this child?

a.Always proceed in a head-to-toe direction.

b.Perform traumatic procedures first.

c.Use minimal physical contact initially.

d.Demonstrate use of equipment.

24. The nurse is preparing to perform a physical assessment on a 10-year-old girl. The nurse gives her the option of her mother either staying in the room or leaving. This action should be considered:

a.appropriate because of child’s age.

b.appropriate because mother would be uncomfortable making decisions for child.

c.inappropriate because of child’s age.

d.inappropriate because child is same sex as mother.

25. A nurse is counseling parents of a child beginning to show signs of being overweight. The nurse accurately relates which body mass index (BMI)-for-age percentile indicates a risk for being overweight?

a.10th percentile

b.9th percentile

c.85th percentile

d.95th percentile

26. The nurse is using the NCHS growth chart for an African-American child. Which statement should the nurse consider?

a.This growth chart should not be used.

b.Growth patterns of African-American children are the same as for all other ethnic groups.

c.A correction factor is necessary when the NCHS growth chart is used for non-Caucasian ethnic groups.

d.The NCHS charts are accurate for U.S. African-American children.

27. Which tool measures body fat most accurately?

a.Stadiometer

b.Calipers

c.Cloth tape measure

d.Paper or metal tape measure

28. The nurse is using calipers to measure skin-fold thickness over the triceps muscle in a school-age child. What is the purpose of doing this?

a.To measure body fat

b.To measure muscle mass

c.To determine arm circumference

d.To determine accuracy of weight measurement

29. A nurse notes that a 10-month-old infant has a larger head circumference than chest. The nurse interprets this as a normal finding because the head and chest circumference become equal at which age?

a.1 month

b.6 to 9 months

c.1 to 2 years

d.2 1/2 to 3 years

30. Which would be best for the nurse to use when determining the temperature of a preterm infant under a radiant heater?

a.Axillary sensor

b.Tympanic membrane sensor

c.Rectal mercury glass thermometer

d.Rectal electronic thermometer