A nurse is providing education to a group of young mothers. The nurse would explain
that as children grow, they develop immunity through:
1. Immunization or exposure to the natural disease.
2. Acquiring diseases from family members who had the disease.
3. Acquiring diseases from other children.
4. Being born with diseases already in their systems.
A school health nurse is screening for scoliosis. For what assessment findings would the
nurse look?
Standard Text: Select all that apply.
1. Lordosis
2. Prominent scapula
3. Pain
4. A one-sided rib hump
5. Uneven shoulders and hips
In working with parents of children with chronic diseases, the nurse is concerned with
helping the parents to protect themselves from compassion fatigue. The nurse would
encourage which activities?
Standard Text: Select all that apply.
1. Fostering social relationships
2. Exercising
3. Developing a hobby
4. Moving away
5. Sleeping more than 9 hours per 24-hour period
The nurse is planning care for a child with acquired immune deficiency syndrome
(AIDS). Which vaccines should be avoided in the child with AIDS?
1. Inactivated polio vaccine (a killed virus vaccine)
2. Tetanus toxoid vaccination
3. Varicella vaccine (an attenuated virus vaccine)
4. Acellular pertussis vaccine
The nurse working on a pediatric unit is speaking to a child who is terminally ill. The
child is describing her illness in terms of mutilation to her body. The nurse understands
this to be representative of the development of which age group?
1. Adolescents
2. Preschoolers
3. School-age children
4. Infants
The school nurse completes an assessment of a six-year-old child to determine the
services this child will need in the classroom. The child needs respiratory support with
oxygen. The child requires enteral tube feedings and intravenous medications during the
school day. With these needs, the school nurse evaluates the child to be:
1. Medically fragile.
2. Developmentally delayed.
3. Mentally retarded.
4. Socially withdrawn.
While completing the health history of a 15-year-old girl, the nurse learns that the girl is
sexually active. Based on this finding, the nurse will screen for which conditions?
Standard Text: Select all that apply.
1. Herpes simplex virus
2. Gonorrhea
3. Chlamydia
4. Impetigo
5. Mononucleosis
The school nurse is trying to prevent the spread of a flu virus through the school.
Infection-control strategies that could be employed include:
1. Sanitizing toys, telephones, and doorknobs to kill pathogens.
2. Teaching parents safe food preparation and storage.
3. Withholding immunizations for children with compromised immune systems.
4. Not separating children with infections from well children.
A premature infant is at greater risk for infection than a full-term infant because of a
reduced number of which immunoglobulin?
1. IgE
2. IgG
3. IgA
4. IgM
A two-year-old child is placed in balanced Bryant’s traction for a fractured right femur.
Which finding by the nurse should be reported to the surgeon?
1. The child keeps trying to turn and lay on his belly.
2. The ropes are unequal in length.
3. The child’s buttocks are resting on the bed.
4. The ace bandage wrapping the legs is wrinkled.
Which parent statement shows understanding of the cause of the child’s genetic
condition in such a way that the nurse can document that no further teaching about the
cause is needed?
1. “I was angry on the day he was conceived; that is why he got this sickness.”
2. “My nephews had chickenpox in my seventh month of pregnancy with my son, so
that is how he got this way.”
3. “My child has this disease because the code in the genes just changed, and it is no
one’s fault.”
4. “Our child is like this because I sunbathed too much during the pregnancy when I
carried him.”
The nurse has taught a group of parents how to care for their children who have just had
tympanostomy tubes inserted. The nurse will know the parents understand how to care
for their child’s tympanostomy tubes if they:
Standard Text: Select all that apply.
1. Limit their diets to soft, bland foods.
2. Restrict the children to quiet activities after surgery.
3. Administer a decongestant for one to two weeks following surgery.
4. Encourage the children to drink generous amounts of fluids.
5. Avoid getting water in their ears during bath time.
A nurse is assessing a child after an open reduction of a fractured femur. Which signs
indicate that compartment syndrome could be occurring?
Standard Text: Select all that apply.
1. Pink, warm extremity
2. Dorsalis pedis pulse present
3. Prolonged capillary refill time
4. Pain not relieved by pain medication
5. Paresthesia of the leg
A mother brings her 11-year-old son to the pediatric clinic for investigation of stomach
complaints. The mother says that for the last two months, the child has complained of
abdominal pain three to four mornings per week. The mother states the child usually
complains on school days and always seems to be better by afternoon. The child was
able to attend a weekend Boy Scout camp without difficulty but has missed several days
of school due to complaints. The nurse would suspect which mental health disorder?
1. Separation anxiety
2. Depression
3. School phobia
4. Bipolar disorder
After her child receives a vaccination, the mother calls the clinic to report the child’s
reaction to the immunization. The nurse will recommend the mother call 911 when the
mother reports:
1. A few hives are noted around the injection site.
2. The child is running a slight temperature.
3. The child has swelling of the face.
4. Fever and joint pains occurring within hours of the vaccination.
Which of the following parental demonstrations indicates that the parents understand
the nurse’s teaching with regard to prevention of iron-deficiency anemia?
1. The parents feed their infant with a formula that is not iron-fortified.
2. The child’s vitamin C consumption is limited after one year of age.
3. The parents start iron-fortified infant cereal at four to six months of age.
4. Cow’s milk is introduced into the child’s diet at six months of age.