Quiz no.

Name: ___________________________Section/Group: _____________ Date: ____________________

Instruction: Write your answer before the number. CAPITAL LETTERS ONLY. STRICTLY NO ERESURES.
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Good luck!!!

1. The parents of a 2-year-old tell the nurse that they are concerned because the toddler has
started to use "baby talk" since the arrival of their new baby. The nurse should recommend
that the parents:
a. Ignore the "baby talk."
b. Explain to the toddler that "baby talk" is for babies.
c. Tell the toddler frequently, "You are a big kid now."
d. Encourage the toddler to practice more advanced patterns of speech.
2. Generally the earliest age at which puberty begins is:
a. 13 years in girls, 13 years in boys
b. 11 years in girls, 11 years in boys
c. 10 years in girls; 12 years in boys
d. 12 years in girls, 10 years in boys
3. What would the nurse expect of a healthy 3-year-old child?
a. Jump rope
b. Ride a two-wheel bicycle
c. Skip on alternate feet
d. Balance on one foot for a few seconds
4. The nurse is planning care for an 18 month-old child. Which of the following should be
included the in the child’s care?
a. Hold and cuddle the child often
b. Encourage the child to feed himself finger food
c. Allow the child to walk independently on the nursing unit
d. Engage the child in games with other children
5. Which statement accurately describes physical development during the school-age years?
a. The child's weight almost triples.
b. A child grows an average of 2 inches per year.
c. Few physical differences are apparent among children at the end of middle childhood.
d. Fat gradually increases, which contributes to the child's heavier appearance.
6. What is descriptive of the play of school-age children?
a. Individuality in play is better tolerated than at earlier ages.
b. Knowing the rules of a game gives an important sense of belonging.
c. They like to invent games, making up the rules as they go.
d. Team play helps children learn the universal importance of competition and winning.
7. The most common cause of death in the adolescent age-group involves:
a. Drownings.
b. Firearms.
 c. Drug overdoses.
d. Motor vehicles.
8. An adolescent girl tells the nurse that she is very suicidal. The nurse asks her if she has a
specific plan. Asking this should be considered:
a. An appropriate part of the assessment.
b. Not a critical part of the assessment.
c. Suggesting that the adolescent needs a plan.
d. Encouraging the adolescent to devise a plan.
9. Which of the actions suggested to the RN by the PN during a planning conference for a 10
month-old infant admitted 2 hours ago with bacterial meningitis would be acceptable to add
to the plan of care?
a. Measure head circumference
b. Place in airborne isolation
c. Provide passive range of motion
d. Provide an over-the-crib protective top
10. A nurse is caring for an infant that has recently been diagnosed with a congenital heart defect.
Which of the following clinical signs would most likely be present?
a. Slow pulse rate
b. Weight gain
c. Decreased systolic pressure
d. Irregular WBC lab values
11. A hallmark of cognitive development in the school-age child is in what Piaget Describes as
concrete operations. In this stage of child?
a. Uses thought processes to experience events and actions
b. Is unable to see things from another’s point of view
c. Has a limited perspective of how other’s interpretations of a given event differ
d. Makes judgement based on what he or she sees
12. In terms of social development, the school-age child does which of the following?
a. The infant's bilateral foot casts should be elevated on pillows as much as possible
b. Remove the Pavlik harness while the infant is awake to allow "tummy time"
c. Begins to explore the environment beyond the family
a. Begins to form strong relationships with persons of the same sex (gender
13. Characteristics of bullying include:
a. Unintentional harm inflicted upon another person that is part of the socialization
process in childhood
b. The infliction of repetitive physical, verbal, or emotional abuse upon another person
with intent to harm
c. An attempt to gain acceptance and be liked
 d. by same-sex peers
e. An early sign of a severely disturbed personality disorder that escalates in adulthood
14. A school nurse in middle school (grades 6, 7, and 8) is preparing an outline for a sex education
class. Which of these statements represent important concepts to be covered in discussing
this topic with this age group? Select all that apply.
I. Consider separating the boys and girls into same-sex groups with a leader of the same
sex.
II. Answer questions matter-of-factly and honestly and appropriate to the children's level
of understanding.
III. Use vernacular or slang terms to describe human physiologic functions.
IV. Avoid discussing sexually transmitted diseases in this age group.
V. Discuss common myths and misconceptions associated with sex and the reproductive
process.
a. I, III & V c. I, II & V
b. II only d. I, II & III
15. School-age children are prone to accidental injury primarily because of:
a. Peer pressure and risk-taking behaviors
b. Physical awkwardness and clumsiness
c. Parents' lack of supervision
d. Attempts to impress members of the opposite sex
16. When working with a child with a disability, one of the most important tasks is to promote
normal development. The nurse has a role in promotion of meeting these developmental
milestones. Which tasks related to development are most important to be aware of in
hospitalization or illness of the child with a disability? Select all that apply.
I. Nurses should work with the parents of a newborn to promote attachment
inspite of the disability.
II. It is important that school-age children understand that this disruption of their
daily activities and hospitalization should not be considered a type of
punishment.
III. One of the more crucial effects of chronic illness or disability on preschoolers is
the feeling of guilt that they "caused" the illness through an imagined or real
misdeed.
IV. Nurses should respond to the school-age child's questions in a simple, direct
manner.
V. Nurses can facilitate the adolescent's striving for autonomy by allowing and
encouraging the adolescent's participation in medical decisions.
a. I, II, III & IV
b. II & III only
c. I & V only
d. I, III, IV & V
17. When caring for a 4-year-old with a disability, the nurse notes that while encouraging the
child to take part in his care, the mother constantly gives in to the child, allowing him to have
his own way. What anticipatory guidance can the nurse give to promote normalization in this
relationship?
 a. "Giving in" is not a detriment to the child when he or she has a disability and limitations.
b. Explain that when parents establish reasonable limits, children are likely to develop
independence that is appropriate for their age and achievement equal to their
limitations.
c. Advise the parent to wait to explain any procedure to the child until they are at the
health care setting or just before the procedure to avoid unduly upsetting the child.
d. Have the parent realize that it would be unfair to the siblings to expect similar rules to
apply to all of the children in the family.
18. Children with disabilities or chronic illness and their families may have different methods of
coping than those of healthy children. Often, they have a resilience that is to be admired.
Which of these statements reflect ways that they foster this resilience? Select all that apply.
I. Protect the child from having to learn about his or her disability or illness on a
repeated basis.
II. Develop relationships with other children and their families with similar
circumstances to build support.
III. The parents set long-term goals to create a sense of hope.
IV. Focus on the child's strengths and encourage independence.
V. Accept that chronic illness is part of living.
a. II, IV & V
b. II & III only
c. I & V only
d. II, III & V
19. Caring for a child with a developmental disability or chronic illness is best accomplished using
a team approach. What are some ways the nurse can facilitate this teamwork?
a. Understanding as parents become knowledgeable about their child's special health
needs, they frequently become experts in providing care.
b. In the absence of the child's family during hospitalization, the nurse should take this
opportunity to establish new routines to enhance the child's care.
c. Although the families of the child with a disability are well versed in the care of their
child at home, it is unrealistic to ask parents to take part in the hospitalized care.
d. The best predictors of the well-being of children with special health needs include how
well the child can function in the presence of the health care team.
20. As the nurse caring for a culturally diverse population, it is important to understand cultural
health beliefs of families. This can best be accomplished by:
a. Asking the parents how their extended families feel about their child's illness
b. Exploring the use of alternative medicines and therapies
c. Understanding the parents' perception of the seriousness or severity of the illness or
disability, as well as concerns and worries they have about the condition
d. Acknowledging that language constraints may make it necessary for the health care
team to make some decisions