Question 1

A school nurse suspects that a 7-year-old child at the school is being physically abused. The nurse should:

Accepted Answer

A)  interview the child about possible abuse. 
B)  notify the principal. 
C)  call the parent about her concern. 
D)  report the suspected abuse to the authorities. 
A)  interview the child about possible abuse. 
B)  notify the principal. 
C)  call the parent about her concern. 
D)  report the suspected abuse to the authorities.

Question 2

The nurse instructs the caregiver of a newborn that newborns should double their birth weight by:

Accepted Answer

A)  2 to 3 months. 
B)  3 to 4 months. 
C)  4 to 5 months. 
D)  5 to 6 months. 
A)  2 to 3 months. 
B)  3 to 4 months. 
C)  4 to 5 months. 
D)  5 to 6 months.

Question 3

The school nurse suspects a 14-year-old of having anorexia nervosa because the nurse has observed that the adolescent:

Accepted Answer

A)  is binging on rich foods. 
B)  has early onset of sexual development. 
C)  uses frequent enemas and laxatives. 
D)  is doing excessive rigorous exercises. 
A)  is binging on rich foods. 
B)  has early onset of sexual development. 
C)  uses frequent enemas and laxatives. 
D)  is doing excessive rigorous exercises.

Question 4

The nurse is aware that according to Piaget's theory, the child's cognitive development is:

Accepted Answer

A)  present at birth as a genetic imprint that will begin to unfold in the first year, independent of the child's environment. 
B)  a series of psychosocial tasks to be accomplished at various stages throughout life, such as developing a sense of identity in adolescence. 
C)  the physical increase in size that occurs in the brain of the child, with most of the growth completed by the age of adolescence. 
D)  occurring in stages, which allows a child to organize knowledge and adapt to the environment in increasingly complex ways. 
A)  present at birth as a genetic imprint that will begin to unfold in the first year, independent of the child's environment. 
B)  a series of psychosocial tasks to be accomplished at various stages throughout life, such as developing a sense of identity in adolescence. 
C)  the physical increase in size that occurs in the brain of the child, with most of the growth completed by the age of adolescence. 
D)  occurring in stages, which allows a child to organize knowledge and adapt to the environment in increasingly complex ways.

Question 5

A school nurse is planning an education course for high school students on the effects of early sexual activity. Which of the following topical points, from the CDC would she include?

Accepted Answer

A)  35% of US high school students had experienced intercourse. 
B)  89% of US high school students, who had experienced intercourse, used a condom. 
C)  Adolescent students may have difficulty with the emotional aspects of sexual activity. 
D)  Poor risk of sexually transmitted infections. 
A)  35% of US high school students had experienced intercourse. 
B)  89% of US high school students, who had experienced intercourse, used a condom. 
C)  Adolescent students may have difficulty with the emotional aspects of sexual activity. 
D)  Poor risk of sexually transmitted infections.

Question 6

The nurse points out that an infant who pulls at a drawer handle to open a drawer that holds a toy that is out of view is exhibiting:

Accepted Answer

A)  industry. 
B)  initiative. 
C)  concrete operations. 
D)  object permanence. 
A)  industry. 
B)  initiative. 
C)  concrete operations. 
D)  object permanence.

Question 7

The mother of a 13-year-old girl tells the school nurse that her daughter will appear one day neatly dressed and groomed and the next will have on tattered jeans and a T-shirt and untidy hair. The nurse realizes that these are "trials" to find:

Accepted Answer

A)  initiative. 
B)  industry. 
C)  identity. 
D)  social approval. 
A)  initiative. 
B)  industry. 
C)  identity. 
D)  social approval.

Question 8

Based on the theory of Erikson, the nurse advises that the best discipline for an adolescent would be to:

Accepted Answer

A)  make him get a job. 
B)  increase his household chores. 
C)  implement a long period of "time-out." 
D)  "ground" him and deprive him of contact with friends. 
A)  make him get a job. 
B)  increase his household chores. 
C)  implement a long period of "time-out." 
D)  "ground" him and deprive him of contact with friends.

Question 9

The nurse instructs the mother of an infant about infant safety factors. The nurse would assess the need for further instruction if the caregiver states:

Accepted Answer

A)  "I will place my infant on her back for sleep." 
B)  "I will place my infant in a car seat when driving." 
C)  "I will not leave my infant alone in a house or a car." 
D)  "I will place my infant on her stomach for sleep." 
A)  "I will place my infant on her back for sleep." 
B)  "I will place my infant in a car seat when driving." 
C)  "I will not leave my infant alone in a house or a car." 
D)  "I will place my infant on her stomach for sleep."

Question 10

A new parent with her first child tells the nurse that her mother has advised her to feed the baby on a schedule and let the baby cry between feedings so that he does not get spoiled. Based on Erikson's growth and development theory, the nurse's most informative response would be:

Accepted Answer

A)  a sense of trust is developed in infancy when a child's needs are met by warm, loving people. 
B)  an infant who learns to adapt to uncomfortable situations and to comfort himself will develop autonomy and independence. 
C)  the infant learns cause and effect at this stage and will learn he can't cry and get his own way. 
D)  in the first year, crying and learning to wait have positive outcomes for both the mother and the baby. 
A)  a sense of trust is developed in infancy when a child's needs are met by warm, loving people. 
B)  an infant who learns to adapt to uncomfortable situations and to comfort himself will develop autonomy and independence. 
C)  the infant learns cause and effect at this stage and will learn he can't cry and get his own way. 
D)  in the first year, crying and learning to wait have positive outcomes for both the mother and the baby.

Question 11

A nurse teaches a woman who is considering pregnancy that her intake of folic acid to help prevent congenital abnormalities should be:

Accepted Answer

A)  100 mcg/day. 
B)  200 mcg/day. 
C)  300 mcg/day. 
D)  400 mcg/day. 
A)  100 mcg/day. 
B)  200 mcg/day. 
C)  300 mcg/day. 
D)  400 mcg/day.

Question 12

The nurse tells a parent of adolescents that teenage pregnancies, although on the decline, often result in the baby having:

Accepted Answer

A)  learning difficulties at a later age. 
B)  a low birth weight. 
C)  a congenital deformity. 
D)  retarded development. 
A)  learning difficulties at a later age. 
B)  a low birth weight. 
C)  a congenital deformity. 
D)  retarded development.

Question 13

A woman who has just given birth expresses concern about the cheesy, waxy substance that is covering her neonate. The nurse accurately responds:

Accepted Answer

A)  "This material develops in the absence of adequate subcutaneous fat." 
B)  "This material is often seen on infants who have experienced intrauterine stress." 
C)  "This substance will be absorbed and used as a nutrient by your infant." 
D)  "This is a normal finding and is called vernix caseosa." 
A)  "This material develops in the absence of adequate subcutaneous fat." 
B)  "This material is often seen on infants who have experienced intrauterine stress." 
C)  "This substance will be absorbed and used as a nutrient by your infant." 
D)  "This is a normal finding and is called vernix caseosa."

Question 14

The school nurse recognizes that the adolescent most at risk for a problem relative to body image would be the 15-year-old:

Accepted Answer

A)  girl with severe acne. 
B)  boy with a broken leg from a motorcycle accident. 
C)  boy with thinning hair. 
D)  girl who is 2 inches taller than classmates. 
A)  girl with severe acne. 
B)  boy with a broken leg from a motorcycle accident. 
C)  boy with thinning hair. 
D)  girl who is 2 inches taller than classmates.

Question 15

The nurse confirms that in the embryonic stage of prenatal development (third to eighth week), the embryo's:

Accepted Answer

A)  growth slows. 
B)  organs begin to function. 
C)  limbs move. 
D)  heart begins to beat. 
A)  growth slows. 
B)  organs begin to function. 
C)  limbs move. 
D)  heart begins to beat.

Question 16

A nurse assessing a 13-year-old female is aware that the presence of axillary and pubic hair indicates the presence of:

Accepted Answer

A)  progesterone. 
B)  insulin. 
C)  estradiol. 
D)  cortisol. 
A)  progesterone. 
B)  insulin. 
C)  estradiol. 
D)  cortisol.

Question 17

Parents of a 5-month-old ask the nurse what they can feed their infant besides breast milk. The nurse would appropriately suggest: (Select all that apply.)

Accepted Answer

A)  baby cereals. 
B)  strained fruits. 
C)  any food eaten by the parents. 
D)  small pieces of sausage. 
E)  grapes.
F) strained vegetables. 
A)  baby cereals. 
B)  strained fruits. 
C)  any food eaten by the parents. 
D)  small pieces of sausage. 
E)  grapes.
F) strained vegetables.

Question 18

The pediatric nurse identifies egocentrism in:

Accepted Answer

A)  a 2-year-old who hits playmates and takes all the toys. 
B)  a 5-year-old who prefers to read or be read to instead of playing kickball. 
C)  a 12-year-old who is failing school and in frequent fights with his peers. 
D)  a 15-year-old who is a volunteer at the local hospital. 
A)  a 2-year-old who hits playmates and takes all the toys. 
B)  a 5-year-old who prefers to read or be read to instead of playing kickball. 
C)  a 12-year-old who is failing school and in frequent fights with his peers. 
D)  a 15-year-old who is a volunteer at the local hospital.

Question 19

The nurse advises the young mother that most pediatricians recommend feeding newborns using _____.

Accepted Answer

breast milk
Breast milk is des

Question 20

The nurse instructs the parents that emotional intelligence can be supported in a child by the parents:

Accepted Answer

A)  insisting on IQ testing. 
B)  talking to the child about his or her feelings. 
C)  allowing the child to bring friends into their home. 
D)  encouraging the child to read. 
A)  insisting on IQ testing. 
B)  talking to the child about his or her feelings. 
C)  allowing the child to bring friends into their home. 
D)  encouraging the child to read.

Exam 11: Growth and Development: Infancy Through Adolescence

A school nurse suspects that a 7-year-old child at the school is being physically abused. The nurse should:

The nurse instructs the caregiver of a newborn that newborns should double their birth weight by:

The school nurse suspects a 14-year-old of having anorexia nervosa because the nurse has observed that the adolescent:

The nurse is aware that according to Piaget's theory, the child's cognitive development is:

A school nurse is planning an education course for high school students on the effects of early sexual activity. Which of the following topical points, from the CDC would she include?

The nurse points out that an infant who pulls at a drawer handle to open a drawer that holds a toy that is out of view is exhibiting:

The mother of a 13-year-old girl tells the school nurse that her daughter will appear one day neatly dressed and groomed and the next will have on tattered jeans and a T-shirt and untidy hair. The nurse realizes that these are "trials" to find:

Based on the theory of Erikson, the nurse advises that the best discipline for an adolescent would be to:

The nurse instructs the mother of an infant about infant safety factors. The nurse would assess the need for further instruction if the caregiver states:

A new parent with her first child tells the nurse that her mother has advised her to feed the baby on a schedule and let the baby cry between feedings so that he does not get spoiled. Based on Erikson's growth and development theory, the nurse's most informative response would be:

A nurse teaches a woman who is considering pregnancy that her intake of folic acid to help prevent congenital abnormalities should be:

The nurse tells a parent of adolescents that teenage pregnancies, although on the decline, often result in the baby having:

A woman who has just given birth expresses concern about the cheesy, waxy substance that is covering her neonate. The nurse accurately responds:

The school nurse recognizes that the adolescent most at risk for a problem relative to body image would be the 15-year-old:

The nurse confirms that in the embryonic stage of prenatal development (third to eighth week), the embryo's:

A nurse assessing a 13-year-old female is aware that the presence of axillary and pubic hair indicates the presence of:

Parents of a 5-month-old ask the nurse what they can feed their infant besides breast milk. The nurse would appropriately suggest: (Select all that apply.)

The pediatric nurse identifies egocentrism in:

The nurse advises the young mother that most pediatricians recommend feeding newborns using _____.

The nurse instructs the parents that emotional intelligence can be supported in a child by the parents:

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

The Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse Patient Relationship

Patient Education and Health Promotion

Delegation, Leadership, and Management

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, and End-of-Life Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Safe Lifting, Moving, and Positioning of Patients

Assisting with Hygiene Personal Care Skin Care and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting Transferring and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid-Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Nutritional Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain Comfort and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Older Adult

Common Psychosocial Care Problems of Older Adults

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