During an auditory screening of third graders, the school nurse identifies a hearing deficit for one of the students.
When the parents ask the nurse about the findings, how should the nurse respond?
1. “Hearing acuity is not fully developed in your child. Let’s recheck next year.”
2. “I’d like to recheck at the clinic. Then we may need to have your child be seen by an auditory specialist.”
3. “It was too noisy when we were testing, so I wouldn’t be concerned if I were you.”
4. “Your child will probably need a hearing aid.”
Question 16
Type: MCSA
A school nurse is working with teachers in helping them address the developmental needs of grade school
students, according to Erikson’s theory of industry versus inferiority. Which activities should the nurse suggest?
1. Providing time for running and playing sports, such as basketball, to increase gross motor skills
2. Allowing “pretend” time during their classes, such as for dress-up or role-playing activities
3. Presenting diversity in culture and practices as part of classroom study
4. Helping them develop skills needed in the adult world, such as allowance budgeting
Question 17
Type: SEQ
The parents of a school-age child are concerned about the child learning right from wrong. In which order should
the nurse instruct the parents of a school-age child that moral development will develop in their child?
Standard Text: Click and drag the options below to move them up or down.
Choice 1. Punishment and obedience
Choice 2. Law-and-order orientation
Choice 3. Instrumental-relativist orientation
Choice 4. “Good boy–nice girl” stage
Question 18
Type: MCSA
A school health nurse is working on education programs for high school students. As part of the plan, the nurse
wants to address health concern topics besides the dangers of unprotected sex or drug and alcohol abuse. Which
class topic should the nurse present to these students?
1. Warning signs of depression for peers to identify among their classmates
2. Injury prevention
3. Early signs of cancer and heart disease
4. Normal physiological changes of this age group
Question 19
Type: MCSA
While the nurse is teaching a group of parents and their teenage sons about puberty and sexual growth, a parent
asks if fertility coincides with ejaculation. What should the nurse respond to this question?
1. “Yes, if your son is ejaculating, he also possesses fertility.”
2. “Sexual maturity does not occur until age 18, so don’t worry about anything until then.”
3. “Fertility follows several months after the first ejaculation.”
4. “You’ll have to ask your physician about this because it is a sensitive subject.”
Question 20
TYPE: MCMA
The nurse suspects that an adolescent is working through the stages of spiritual development. What observations
did the nurse make to come to this conclusion?
Standard Text: Select all that apply.
1. Imitated behavior demonstrated by parents
2. Conceptualized angels and devils with the use of imagination
3. Compartmentalized differences between spiritual beliefs with friends
4. Determined differences between spiritual beliefs as being right or wrong
5. Met with the church priest to talk about the differences in spiritual beliefs
Question 21
Type: MCSA
A teenage girl spends most of her free time with friends. In sharing their concerns about this behavior with the
school nurse, the parents are worried about their child seeming to draw away from them. What should the nurse
respond to the parents?
1. “You should really keep better track of your child. It’s hard to tell what kinds of trouble she may be getting
into.”
2. “Independence is really important for this age group. Try to be extra attentive when your child does spend time
at home.”
3. “Use stricter guidelines for curfew and punishment if curfew is broken.”
4. “Is it possible that your child might be taking drugs?”
Question 22
Type: MCSA
An adolescent comes to the school nurse’s office seeking advice about his friends and feeling pressure to
participate in activities with which he isn’t comfortable, such as drinking parties and sexual explorations. What
should the nurse do?
1. Tell the adolescent to stay away from “friends like that.”
2. Be open to the concerns and provide accurate information about any questions.
3. Encourage the adolescent to accept psychosocial counseling.
4. Give the adolescent pamphlets on sexually transmitted diseases.
Question 23
Type: MCSA
A nurse is teaching a class to new parents on how to handle some of the behaviors that could be demonstrated by
toddlers. One of the parents asks what to do when her child throws a temper tantrum. How should the nurse
respond to this parent?
1. “Try to be more attentive to the behaviors that lead into a tantrum. Then you can avoid them.”
2. “Put the child in a room alone and ignore the tantrum.”
3. “Make sure the child is safe, then walk away.”
4. “Hold the child tightly until he stops crying.”
Question 24
Type: MCSA
A school nurse is implementing a program to promote psychosocial development among adolescent teens at a
high school. Which activity should the nurse include?
1. Career planning
2. Establishing peer groups
3. Playing musical instruments
4. Determining a value system
Question 25
Type: MCSA
A baby was born with flaccid muscle tone, regular respirations with crying, a heart rate of 85, and blue extremities.
What would the Apgar score be?
1. 6
2. 7
3. 5
4. 8
Question 26
Type: MCMA
The nurse is preparing a teaching session for pregnant clients that reviews the fetal growth and development that
occurs in the first 3 weeks post-conception. What should the nurse include in this teaching?
Standard Text: Select all that apply.
1. How the embryo has attached to the wall of the uterus
2. Development of the fetal membranes and the amniotic sac
3. How the embryo will be covered with a protective substance called vernix caseosa
4. How development of the fetal placenta has begun
5. How the embryo is covered with a soft, downy hair
Question 27
Type: MCMA
The nurse is confident that a client has met the developmental guidelines for a preschooler. What did the nurse
assess to make this clinical decision?
Standard Text: Select all that apply.
1. Can print her own name.
2. Proudly announces, “I put my own toys away.”
3. Shares that, “I know I shouldn’t hit, even when I’m mad.”
4. Effectively brushes her own teeth.
5. Washes her hands after toileting without prompting.
