NURS 3524 PEDS EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
One of the concerns of the preschool period is adequate
nutrition. What can the nurse say to give anticipatory guidance
to parents?
A. Preschoolers are growing during this period and need to
increase their caloric intake to 110 kcal/kg, for an average daily
intake of 2200 calories.
B. There is some evidence that children self-regulate their
caloric intake. If they eat less at one meal, they compensate at
another meal or snack.
C. To monitor fat intake, dairy and meat should be limited to
twice a day.
D. For children who do not like milk, consumption of fruit
juices is a healthy alternative.
B
At an appointment at the pediatrician's office, a patient's mother
states, "My son gets rough with some of the neighborhood kids.
I am worried that he is becoming a bully." Which statements by
the mother need more teaching? Select all that apply.
A. When my son becomes aggressive, I feel he needs to be
punished.
B. I think it is good for him to bond with his dad, so they often
watch TV together.
C. I am trying to get him to learn to say what he is upset about in
words.
,D. Boys will be boys, so I think this can be considered a normal
stage in development.
E. I am thinking that a time-out would be a better strategy than
spanking when my son shows this behavior.
C, E
A hallmark of cognitive development in the school-age child is
in what Piaget describes as concrete operations. In this stage the
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 others' interpretations of a
given event differ
D. Makes judgments based on what he or she sees
A
In terms of social development, the school-age child does which
of the following? Select all that apply.
A. Begins to explore the environment beyond the family
B. Has an increased interest in persons of the opposite sex
(gender)
C. May actively participate in same-sex groups or clubs
D. Strives to be different from those in the peer group
E. Begins to form strong relationships with persons of the same
sex (gender)
A, C, E
Characteristics of bullying include:
A. Unintentional harm inflicted on another person that is part of
,the socialization process in childhood
B. The infliction of repetitive physical, verbal, or emotional
abuse on another person with intent to harm
C. An attempt to gain acceptance and be liked by same-sex peers
D. An early sign of a severely disturbed personality disorder that
escalates in adulthood
B
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.
A. Consider separating the boys and girls into same-sex groups
with a leader of the same sex.
B. Answer questions matter-of-factly and honestly and
appropriate to the children's level of understanding.
C. Use vernacular or slang terms to describe human physiologic
functions.
D. Avoid discussing sexually transmitted diseases in this age-
group.
E. Discuss common myths and misconceptions associated with
sex and the reproductive process.
F. Avoid controversial topics such as birth control.
A, B, E
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
A
A 15-year-old female diagnosed previously with anorexia
nervosa is admitted to the emergency department. Her mother
states that her daughter has not voided in 24 hours and has been
lethargic for the last 12 hours. The patient appears cachectic and
pale, and her weight is recorded as 78 lb. She is minimally
responsive to painful stimulation. A number of diagnostic tests
are obtained. Which one of these represents the most immediate
threat to her life requiring intervention?
A. Serum sodium of 149 mEq
B. Serum potassium of 2.6 mEq
C. Hemoglobin of 6.8 mg
D. Arterial pH of 7.30
B
Which of the following scenarios are concerning to health care
workers? Select all that apply.
A. An adolescent using marijuana once to fit in with peers at a
party
B. An adolescent binging on alcohol every weekend
C. An adolescent using prescription drugs along with alcohol
D. An adolescent reports feeling jittery until she drinks some
alcohol
B, C, D
COMPLETE SOLUTIONS
One of the concerns of the preschool period is adequate
nutrition. What can the nurse say to give anticipatory guidance
to parents?
A. Preschoolers are growing during this period and need to
increase their caloric intake to 110 kcal/kg, for an average daily
intake of 2200 calories.
B. There is some evidence that children self-regulate their
caloric intake. If they eat less at one meal, they compensate at
another meal or snack.
C. To monitor fat intake, dairy and meat should be limited to
twice a day.
D. For children who do not like milk, consumption of fruit
juices is a healthy alternative.
B
At an appointment at the pediatrician's office, a patient's mother
states, "My son gets rough with some of the neighborhood kids.
I am worried that he is becoming a bully." Which statements by
the mother need more teaching? Select all that apply.
A. When my son becomes aggressive, I feel he needs to be
punished.
B. I think it is good for him to bond with his dad, so they often
watch TV together.
C. I am trying to get him to learn to say what he is upset about in
words.
,D. Boys will be boys, so I think this can be considered a normal
stage in development.
E. I am thinking that a time-out would be a better strategy than
spanking when my son shows this behavior.
C, E
A hallmark of cognitive development in the school-age child is
in what Piaget describes as concrete operations. In this stage the
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 others' interpretations of a
given event differ
D. Makes judgments based on what he or she sees
A
In terms of social development, the school-age child does which
of the following? Select all that apply.
A. Begins to explore the environment beyond the family
B. Has an increased interest in persons of the opposite sex
(gender)
C. May actively participate in same-sex groups or clubs
D. Strives to be different from those in the peer group
E. Begins to form strong relationships with persons of the same
sex (gender)
A, C, E
Characteristics of bullying include:
A. Unintentional harm inflicted on another person that is part of
,the socialization process in childhood
B. The infliction of repetitive physical, verbal, or emotional
abuse on another person with intent to harm
C. An attempt to gain acceptance and be liked by same-sex peers
D. An early sign of a severely disturbed personality disorder that
escalates in adulthood
B
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.
A. Consider separating the boys and girls into same-sex groups
with a leader of the same sex.
B. Answer questions matter-of-factly and honestly and
appropriate to the children's level of understanding.
C. Use vernacular or slang terms to describe human physiologic
functions.
D. Avoid discussing sexually transmitted diseases in this age-
group.
E. Discuss common myths and misconceptions associated with
sex and the reproductive process.
F. Avoid controversial topics such as birth control.
A, B, E
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
A
A 15-year-old female diagnosed previously with anorexia
nervosa is admitted to the emergency department. Her mother
states that her daughter has not voided in 24 hours and has been
lethargic for the last 12 hours. The patient appears cachectic and
pale, and her weight is recorded as 78 lb. She is minimally
responsive to painful stimulation. A number of diagnostic tests
are obtained. Which one of these represents the most immediate
threat to her life requiring intervention?
A. Serum sodium of 149 mEq
B. Serum potassium of 2.6 mEq
C. Hemoglobin of 6.8 mg
D. Arterial pH of 7.30
B
Which of the following scenarios are concerning to health care
workers? Select all that apply.
A. An adolescent using marijuana once to fit in with peers at a
party
B. An adolescent binging on alcohol every weekend
C. An adolescent using prescription drugs along with alcohol
D. An adolescent reports feeling jittery until she drinks some
alcohol
B, C, D
