Final Exam Review

Which technique should the nurse suggest to the mother of an 8-year-old who does not want to complete her chores?

• Grounding.

• Time-out.

• Reward system.

• Spanking.

What information should a school nurse include in a discussion on nutrition with a fourth-grade class?

• The number of calories that a fourth-grade child should consume in a day.

• A list of high-calorie foods that all fourth-graders should avoid.

• How to read food labels so that children know which foods are good for them.

• A list of nutritious foods with basic scientific information about how they affect the body organs and systems.

The mother of a 15-year-old is frustrated because he spends much of his weekend time sleeping. Which is the nurse’s best response to the mother’s frustration?

• “Your son may be trying to catch up on the sleep missed during the week.”

• “Developmental theorists believe that teens require more sleep as they begin to integrate new roles into their lives.”

• “Teens require more sleep because of the rapid physical growth that is occurring.” 

• “Teens require more sleep because of the increase in their social obligations.”

The mother of a 13-year-old girl tells the nurse that she is concerned because her daughter has gained 10 lb since she began puberty. The child’s mother asks the nurse for advice about what to do about her daughter’s weight gain. Which should the nurse do?

• Provide the child’s mother with some pamphlets on nutrition and healthy eating.

• Provide the child’s mother with information about a new exercise program for teens.

• Inform the child’s mother that it is common for teen girls to gain weight during puberty. 

• Inform the child’s mother that her daughter will likely gain another 5 to 10 lb in the next year.

A 17-year-old with a rash and itching in the groin area is concerned that he has contracted a sexually transmitted infection and does not want his parents to find out. The nurse’s best response is:

• “We will need to contact your parents to let them know.” 

• “We will not contact your parents regarding this visit.”

• “Who would you like us to contact about your visit here today?”

• “We cannot promise that the hospital will not contact your parents.”

A 13-year-old boy is hospitalized for a femur fracture. He was hit by a car while he and his friends were racing bikes near a major intersection. The child’s parents are concerned about his judgment. The nurse should tell the parents that the behavior is:

• Typical of young teens.

• Related to hormonal surges during adolescence.

• An isolated incident and will not likely happen again.

• Related to teen rebellion.

A 13-year-old just returned from surgery for scoliosis. Which nursing intervention is appropriate in the first 24 hours? Select all that apply.

• Assess for pain.

• Logroll to change positions.

• Get the teen to the bathroom within 12 hours.

• Check neurological status.

Which statement accurately describes how the nurse should approach an 11-year-old to do a physical assessment?

• Ask the child’s parents to remain in the room during the physical exam.

• Auscultate the heart, lungs, and abdomen first.

• Explain that the physical exam will not hurt.

• Explain what the nurse will be doing in basic understandable terms.

A nurse is assessing a client with suspected heat stroke. Which clinical manifestations should he expect? (select all that apply)

• Red, hot, dry skin

• Tachycardia

• Moist, clammy skin

• Nausea/vomiting

• Diaphoresis

Which activity can the nurse provide for a 9-year-old to encourage a sense of industry? 

• Allow the child to choose what time to take his medication. 

• Provide the child with the homework his teacher has sent.

• Allow the child to assist with his bath.

• Allow the child to help with his dressing change.