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Exam 3 (Peds) - School Age Health

Total questions: 70

Worksheet time: 37mins

Name
Class
Date
1.

What are dental caries also known as?

a)

Gingivitis

b)

Cavities

c)

Malocclusion

d)

Periodontitis

2.

A BMI of 32 falls into which category?

a)

Overweight

b)

Obese

c)

Morbidly obese

d)

Underweight

3.

A BMI over 35 is classified as ________ obese.

a)

Morbidly

b)

Mildly

c)

Moderately

d)

Severely

4.

SATA: Which factors are at play in pediatric obesity?

a)

Social

b)

Hypothalamic

c)

Cultural

d)

Metabolic

e)

Hereditary

5.

SATA: Which of the below are findings the RN may notice during a physical exam of an obese pediatric patient?

a)

stretch marks and skin discoloration

b)

swollen and painful joints

c)

obstructed airway

d)

enlarged tonsils

e)

hypovolemia

6.

SATA: Which basic labs would the nurse draw for an obese pediatric patient?

a)

fasting lipid panel

b)

serum insulin level

c)

glucose hepatic enzymes

d)

liver panel

e)

creatinine clearance

7.

NAFLD is a complication of pediatric obesity. What does NAFLD stand for?

a)

Nonalcoholic fatty liver disease

b)

Nonalcoholic fatty lung disorder

c)

Nutritional anemia for liver disease

d)

Neuroactive fatty liver dysfunction

8.

Which of the following is a pulmonary complication of pediatric obesity?

a)

Sleep apnea

b)

Exercise intolerance

c)

Asthma

d)

All of the above

9.

What is enuresis?

a)

Urine disorder of continence

b)

Stool disorder of continence

c)

Pediatric urinary tract infection

d)

A form of constipation

10.

Nocturnal enuresis is more common in:

a)

Males

b)

Females

11.

By what age may 10% of children experience bedwetting?

a)

By age of 7

b)

By age of 3

c)

By age of 10

d)

By age of 15

12.

Primary nocturnal enuresis means the child has _______.

a)

NEVER had bladder control at night

b)

ALWAYS had bladder control at night

c)

OFTEN wakes up to urinate at night

d)

RARELY wets the bed during the day

13.

Secondary nocturnal enuresis means the child has achieved bladder control in the past, but then starts wetting the bed again.

a)

True

b)

False

14.

Nocturnal enuresis is considered a serious health problem.

a)

True

b)

False

15.

SATA: Select all of the drug treatments for enuresis.

a)

tricyclic antidepressants

b)

volume expanders

c)

anticholinergics

d)

antihistamines

e)

diuretics

16.

Encopresis is defined as _______.

a)

Incontinence of stool

b)

Incontinence of urine

c)

Difficulty swallowing

d)

Excessive sweating

17.

What is THE hallmark clinical manifestation of ADHD?

a)

Behavior change in 2 different settings, such as disruptive at school and respectful at home

b)

Distracting and rude behavior regardless of setting

c)

Hyper-fixation when doing something enjoyable

d)

Completely unable to function without amphetamines

18.

The typical age of onset for ADHD is before age ___.

a)

7

b)

4

c)

6

d)

2

19.

All children with ADHD will benefit from pharmacological interventions.

a)

True

b)

False

20.

SATA: Select the components of the ADHD behavior checklist which is scored by the primary provider.

a)

IQ and hand-eye coordination

b)

Visual and auditory perception

c)

Comprehension and memory

d)

Vanderbilt testing (behavior at home and at school)

e)

Irritability and depression

21.

Which of the following are stimulant medications used for ADHD?

a)

dextroamphetamine and methylphenidate

b)

ceftriaxone and methamphetamine

c)

lisinopril and labetalol

d)

diphenhydramine and ipratropium

22.

SATA: What are some side effects of stimulant medications for ADHD?

a)

Insomnia

b)

Bradycardia

c)

Anorexia

d)

Weight Loss

e)

Hypertension

23.

When used long term, ADHD medications may suppress growth.

a)

True

b)

False

24.

What are tics? Fill in the blank: Involuntary recurrent, random, rapid, highly ________ movement or vocalization.

a)

stereotyped

b)

voluntary

c)

deliberate

d)

predictable

25.

Which of the following is NOT a type of tic?

a)

A) Simple motor, simple vocal

b)

B) Complex motor, complex vocal

c)

C) Tourette’s Syndrome (TS)

d)

D) Autism Spectrum Disorder

26.

What does PANDAS stand for? Fill in the blank: Pediatric autoimmune neuropsychiatric disorders associated with ________ infections.

a)

streptococcal

b)

staphylococcal

c)

serosanguinous

d)

sublingual

27.

Children with Learning Disabilities (LD) typically have a normal IQ.

a)

True

b)

False

28.

What is the treatment for school phobia?

a)

depends on the cause

b)

SSRIs and SNRIs

c)

cognitive-behavioral therapy

d)

traditional talk therapy and tricyclic antidepressants

29.

One in _____ children in middle school report being bullied.

a)

15

b)

10

c)

5

d)

3

30.

Bullying can cause physical injury, depression, anxiety, sleep disturbances, poor academic performance, and poor school attendance.

a)

True

b)

False

31.

How many episodes of abdominal pain are required for the diagnosis of pediatric recurrent/functional abdominal pain?

a)

3+

b)

1+

c)

2+

d)

5+

e)

10+

32.

Recurrent/functional abdominal pain can arise from both actual physical pains, as well as psychologic aspects.

a)

True

b)

False

33.

Physical manifestations of stress can include ________, increased HR, muscle tension, GI issues, and headaches.

a)

rapid breathing

b)

blurred vision

c)

hearing loss

d)

rash

34.

Stress can also lead to changes in eating habits, sleep disturbances, nightmares, and ________ physical complaints.

a)

vague

b)

severe

c)

visible

d)

chronic

35.

School age is defined as:

a)

2-6 years old

b)

6-12 years old

c)

12-18 years old

d)

18-24 years old

36.

Physiologically, school age begins with the shedding of first deciduous teeth and ends at puberty with ________.

a)

acquisition of final permanent teeth

b)

loss of all baby teeth

c)

onset of adolescence

d)

completion of growth spurt

37.

During school age, height increases by ________ per year.

a)

2 inches

b)

1 inch

c)

4 inches

d)

6 inches

38.

During school age, weight increases by ________ per year.

a)

2-3 kg

b)

5-6 kg

c)

0.5-1 kg

d)

7-8 kg

39.

Genders differ greatly in size during school age.

a)

True

b)

False

40.

Which of the following increases during maturation of systems in school age children?

a)

A) Bladder capacity

b)

B) Heart size in relation to the body

c)

C) Relative immunodeficiency

d)

D) Brittleness of bone structures

41.

Prepubescence is defined as ________ years preceding puberty.

a)

2

b)

1

c)

3

d)

5

42.

At what age does puberty typically begin in girls?

a)

6-9 years

b)

8-13 years

c)

9-14 years

d)

12-16 years

43.

At what age does puberty typically begin in boys?

a)

6-9 years

b)

8-13 years

c)

9-14 years

d)

12-16 years

44.

Girls enter puberty about __ years earlier than boys.

a)

2

b)

1

c)

3

d)

4

45.

According to Erikson, what is the main psychosocial conflict for school-age children?

a)

Trust vs. Mistrust

b)

Autonomy vs. Shame

c)

Industry vs. Inferiority

d)

Identity vs. Role Confusion

46.

Peer approval is a strong motivator for school-age children.

a)

True

b)

False

47.

Which of the following tasks can 6-7 year olds typically complete?

a)

Change their sheets

b)

Sweep floors

c)

Wash the car

d)

Help with grocery shopping

48.

Concrete operations: What type of processes do children use to experience events and actions?

a)

Thought processes

b)

Physical processes

c)

Emotional responses

d)

Instinctive reactions

49.

Concrete operations: Children are able to make judgements based on ______, known as 'conceptual thinking'.

a)

reason

b)

imagination

c)

instinct

d)

emotion

50.

Concrete operations: True or False: Physical matter appears and disappears by magic according to children in this stage.

a)

True

b)

False

51.

According to Kohlberg, what develops in children during school age?

a)

Conscience and moral standards

b)

Physical strength and agility

c)

Mathematical ability and logic

d)

Language and communication skills

e)

Artistic talent and creativity

52.

At ages 6-7, what guides children's choices?

a)

Reward and punishment

b)

Peer pressure

c)

Logical reasoning

d)

Personal interests

53.

According to Kohlberg, in older school ages, children are able to judge an act by the ______ that prompted it.

a)

intentions

b)

outcomes

c)

punishments

d)

rewards

54.

Children may view illness or injury as punishment for a real or imagined misdeed.

a)

True

b)

False

55.

Social Development: Identification with peers is a strong influence in a child gaining ______ from their parents.

a)

independence

b)

discipline

c)

wealth

d)

obedience

56.

Social Development: Sex roles are strongly influenced by ______ relationships.

a)

peer

b)

parental

c)

romantic

d)

professional

57.

Which of the following CANNOT be given to children under age 6 for enuresis, due to risk of urinary retention and cardiac complications?

a)

desmopressin

b)

oxybutynin

c)

vasopressin

d)

imipramine

58.

SATA: Pediatric encopresis is typically mistaken for:

a)

constipation

b)

diarrhea

c)

vomiting

d)

bedwetting

59.

In pediatric encopresis, impacted solid stool in the colon and rectum causes chronic ______, and liquid stool seeps around the impaction, causing ______.

a)

diarrhea, infection

b)

constipation, fecal incontinence

c)

constipation, urinary incontinence

d)

diarrhea, fecal incontinence

60.

_____ children feel some degree of inferiority regarding skill(s) they cannot master.

a)

some

b)

no

c)

all

d)

older

61.

______ are the PRIMARY influence in shaping a school age child's personality, behavior, and value system.

a)

Peers

b)

Parents

c)

Older siblings

d)

Grandparents

62.

School-age children _____ to abandon parental control.

a)

are

b)

are not

63.

Generally, children like their physical selves _____ as they grow older.

a)

less

b)

more

64.

The ideal time for formal sex education is:

a)

toddlerhood

b)

middle childhood

c)

adolescence

d)

adulthood

65.

Which experience is considered second only to the family as a socializing agent?

a)

sports

b)

school

c)

clubs

d)

neighborhood

66.

SATA: What are some behaviors that would be noted in a child who is internalizing stress?

a)

withdrawal

b)

aggression

c)

delaying tactics

d)

delinquency

e)

daydreaming

67.

SATA: What are some behaviors that would be noted in a child who is externalizing stress?

a)

withdrawal

b)

aggression

c)

delinquency

d)

daydreaming

e)

delaying tactics

68.

How many hours of sleep does a school-age child sleep per night?

a)

8

b)

9

c)

9.5

d)

10

e)

10.5

69.

One of the primary goals of middle childhood is:

a)

financial independence

b)

ability to ambulate on their own

c)

increase independence from parental figures

d)

ability to perform abstract reasoning

70.

Bones increase in ______ as children become school-age.

a)

oscillation

b)

ossification

c)

osteospasticty

d)

osteomegaly

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