Question 1

A seventh-grade girl tells the school nurse that her art teacher,a woman,is her hero.What is the most appropriate interpretation of the girl's comment?

Accepted Answer

A)  The student may be exploring her career options. 
B)  The comment is cause for concern about sexual abuse. 
C)  The child may have difficulty interacting with her peers. 
D)  Hero worship is a normal phenomenon. 
A)  The student may be exploring her career options. 
B)  The comment is cause for concern about sexual abuse. 
C)  The child may have difficulty interacting with her peers. 
D)  Hero worship is a normal phenomenon.

Question 2

The nurse is advising parents of a 10-year-old boy about the most developmentally supportive experiences for their son.What is the best experience for this child according to Erikson's theory?

Accepted Answer

A)  Constant variety of activities 
B)  Successful performance in Little League 
C)  Feeling healthy and strong 
D)  Having a girlfriend 
A)  Constant variety of activities 
B)  Successful performance in Little League 
C)  Feeling healthy and strong 
D)  Having a girlfriend

Question 3

A 9-year-old boy is often cranky and irritable,and his school performance has declined.What is the most probable factor causing this behavior?

Accepted Answer

A)  He sleeps only 6 to 7 hours a night. 
B)  He eats eggs every day. 
C)  He has a new dog. 
D)  He plays about 1 to 3 hours each evening. 
A)  He sleeps only 6 to 7 hours a night. 
B)  He eats eggs every day. 
C)  He has a new dog. 
D)  He plays about 1 to 3 hours each evening.

Question 4

A parent asked the nurse,"At what age are children capable of assuming more responsibility for personal belongings?" What is the nurse's best response based on knowledge of growth and development?

Accepted Answer

A)  6 years 
B)  7 years 
C)  9 years 
D)  12 years 
A)  6 years 
B)  7 years 
C)  9 years 
D)  12 years

Question 5

The parents of an 8-year-old tell the nurse the child wakes the household crying out during his frequent nightmares.What is the nurse's most helpful response to explain nightmares?

Accepted Answer

A)  They are a normal extension of the child's fear of mutilation. 
B)  They are an abnormal response to repressed feelings. 
C)  They are a common result of latent sexuality. 
D)  They are a side effect of overactivity and stimulation. 
A)  They are a normal extension of the child's fear of mutilation. 
B)  They are an abnormal response to repressed feelings. 
C)  They are a common result of latent sexuality. 
D)  They are a side effect of overactivity and stimulation.

Question 6

What statement by an 11-year-old leads the nurse to determine he has moved from the mind set of egocentrism?

Accepted Answer

A)  "I am a member of the best Cub Scout group in the world." 
B)  "I must do my homework before I can play." 
C)  "My dad can do anything!" 
D)  "I'm sorry. I bet that hurt your feelings." 
A)  "I am a member of the best Cub Scout group in the world." 
B)  "I must do my homework before I can play." 
C)  "My dad can do anything!" 
D)  "I'm sorry. I bet that hurt your feelings."

Question 7

What is best for the nurse to suggest to the parents of an overweight 9-year-old to help prevent obesity?

Accepted Answer

A)  Use whole milk as a between-meal snack because it is more filling than skim milk. 
B)  Feed the child before family meal times to monitor intake more closely. 
C)  Encourage the child to engage in physical activity for at least an hour a day. 
D)  Remove all sweets and junk food from the house. 
A)  Use whole milk as a between-meal snack because it is more filling than skim milk. 
B)  Feed the child before family meal times to monitor intake more closely. 
C)  Encourage the child to engage in physical activity for at least an hour a day. 
D)  Remove all sweets and junk food from the house.

Question 8

The school nurse is preserving a tooth that was knocked out on the school playground.What will the nurse be especially careful to do?

Accepted Answer

A)  Wrap the tooth loosely in a clean cloth. 
B)  Rinse the tooth with alcohol. 
C)  Handle the tooth only by the crown. 
D)  Place the tooth in a warm environment. 
A)  Wrap the tooth loosely in a clean cloth. 
B)  Rinse the tooth with alcohol. 
C)  Handle the tooth only by the crown. 
D)  Place the tooth in a warm environment.

Question 9

The pediatric nurse is presenting school-age children with information on safety issues to follow when going home alone.What guidelines should they be educated to follow?

Accepted Answer

A)  Ask for identification before letting someone in the house. 
B)  Never accept rides with strangers. 
C)  Keep doors locked. 
D)  Do not enter house if door is ajar. 
E)  Walk to and from school with friends. 
A)  Ask for identification before letting someone in the house. 
B)  Never accept rides with strangers. 
C)  Keep doors locked. 
D)  Do not enter house if door is ajar. 
E)  Walk to and from school with friends.

Question 10

A school-age child becomes frustrated with a school assignment and says,"I can't do this!" What is the most developmentally supportive response from the parent?

Accepted Answer

A)  Ask, "What is it that is so difficult?" 
B)  Allow the child to quit the effort. 
C)  Call in older siblings to help. 
D)  Finish the project for them. 
A)  Ask, "What is it that is so difficult?" 
B)  Allow the child to quit the effort. 
C)  Call in older siblings to help. 
D)  Finish the project for them.

Question 11

A mother is concerned because her 9-year-old boy has developed the habit of twitching his eyes and flipping his hair while communicating with anyone.What is the best nursing response to this parent?

Accepted Answer

A)  "This may indicate that he needs eyeglasses." 
B)  "Children sometimes do these things for attention." 
C)  "This behavior suggests low self-esteem." 
D)  "Tics appear when a child is under stress." 
A)  "This may indicate that he needs eyeglasses." 
B)  "Children sometimes do these things for attention." 
C)  "This behavior suggests low self-esteem." 
D)  "Tics appear when a child is under stress."

Question 12

The nurse advises the parents of a 6-year-old to try and ensure at least ______ hours of sleep daily for the child.

Accepted Answer

11
The 6-year-old sc

Question 13

A parent states,"My 7-year-old really wants a dog.His 10-year-old brother has allergies to animal dander.I don't know what to do." What type of pet should the nurse suggest as the best choice?

Accepted Answer

A)  A small breed of dog because the large dogs produce more allergens 
B)  An older unneutered dog that produces fewer allergens than a younger one 
C)  A cat because it requires less care and is less allergenic 
D)  A poodle, which does not shed, making it a good choice for people with allergies 
A)  A small breed of dog because the large dogs produce more allergens 
B)  An older unneutered dog that produces fewer allergens than a younger one 
C)  A cat because it requires less care and is less allergenic 
D)  A poodle, which does not shed, making it a good choice for people with allergies

Exam 19: The School-Age Child

A seventh-grade girl tells the school nurse that her art teacher,a woman,is her hero.What is the most appropriate interpretation of the girl's comment?

The nurse is advising parents of a 10-year-old boy about the most developmentally supportive experiences for their son.What is the best experience for this child according to Erikson's theory?

A 9-year-old boy is often cranky and irritable,and his school performance has declined.What is the most probable factor causing this behavior?

A parent asked the nurse,"At what age are children capable of assuming more responsibility for personal belongings?" What is the nurse's best response based on knowledge of growth and development?

The parents of an 8-year-old tell the nurse the child wakes the household crying out during his frequent nightmares.What is the nurse's most helpful response to explain nightmares?

What statement by an 11-year-old leads the nurse to determine he has moved from the mind set of egocentrism?

What is best for the nurse to suggest to the parents of an overweight 9-year-old to help prevent obesity?

The school nurse is preserving a tooth that was knocked out on the school playground.What will the nurse be especially careful to do?

The pediatric nurse is presenting school-age children with information on safety issues to follow when going home alone.What guidelines should they be educated to follow?

A school-age child becomes frustrated with a school assignment and says,"I can't do this!" What is the most developmentally supportive response from the parent?

A mother is concerned because her 9-year-old boy has developed the habit of twitching his eyes and flipping his hair while communicating with anyone.What is the best nursing response to this parent?

The nurse advises the parents of a 6-year-old to try and ensure at least ______ hours of sleep daily for the child.

A parent states,"My 7-year-old really wants a dog.His 10-year-old brother has allergies to animal dander.I don't know what to do." What type of pet should the nurse suggest as the best choice?

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women with Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women with Complications During Labor and Birth

The Family After Birth

Nursing Care of Women with Complications After Birth

The Nurse’s Role in Women’s Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn with a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

The Preschool Child

The Adolescent

The Child’s Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child with a Sensory or Neurological Condition

The Child with a Musculoskeletal Condition

The Child with a Respiratory Disorder

The Child with a Cardiovascular Disorder

The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic System

The Child with a Gastrointestinal Condition

The Child with a Genitourinary Condition

The Child with a Skin Condition

The Child with a Metabolic Condition

Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child Patient

The Child with an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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