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Chapter 10: Health Assessment of Children
Verified and Updated Questions and
Answers (100% Correct Answers)
1. The nurse is conducting a health history for a 9-year-old child with stomach pains.
What is a recommended guideline when approaching the child for information?
A) Wear a white examination coat when conducting the interview.
B) Allow the child to control the pace and order of the health history.
C) Use quick deliberate gestures to get your point across. D) Do not make physical
contact with the child during the interview.
Answer: Ans: B
Feedback: The nurse should elicit the child's cooperation by allowing him or her
control over the pace and order of the health history, or anything else that the child
can control while still allowing the nurse to obtain the information needed. A white
examination coat or all-white uniform may be frightening to children, who may
associate the uniform with painful experiences or find it too unfamiliar. The nurse
should use slow deliberate gestures rather than very quick or grand ones, which may
be frightening to shy children. The nurse should make physical contact with the
child in a nonthreatening way at first by briefly cuddling newborns before returning
them to caregivers, laying a hand on the head or arm of toddlers and preschoolers,
and warmly shaking the hand of older children and teens to convey a gentle
demeanor.
2. For which children would the nurse conduct an immediate comprehensive health
history?
A) A child who is brought to the emergency room with labored breathing
B) A child who is a new client in a pediatric office
C) A child who is a routine client and presents with signs of a sinus infection
D) A child whose condition is improving
Answer: Ans: B
Feedback: The purpose of the examination will determine how comprehensive the
history must be. A comprehensive history would be performed for a new child in a
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pediatric office or a child who is admitted to the hospital. Also, if the physician or
nurse practitioner rarely sees the child or if the child is critically ill, a complete and
detailed history is in order, no matter what the setting. The child who has received
routine health care and presents with a mild illness may need only a problem-
focused history. In critical situations, some of the history taking must be delayed
until after the child's condition is stabilized.
3. The nurse is performing a health history on a 6-year-old boy who is having trouble
adjusting to school. Which question would be most likely to elicit valuable
information?
A) 'Do you like your new school?'
B) 'Are you happy with your teacher?'
C) 'Do you enjoy reading a book?'
D) 'What are your new classmates like?'
Answer: Ans: D
Feedback: A careful conversation and interview with the child and/or the caregiver
will provide important information about the child's health. Depending on the intent
of the health assessment, many of the questions will be direct, and many will require
the caregiver or child to answer simply "yes" or "no." In other than emergency
situations, though, asking open-ended questions such as 'What are your classmates
like?' offers an excellent opportunity to learn more about the child's life
4. The nurse performing a health history on a child asks the parents if their child has
experienced increased appetite or thirst. What body system is the nurse assessing
with this question?
A) Endocrine
B) Genitourinary
C) Hematologic
D) Neurologic
Answer: Ans: A
Feedback: Indicators of problems with the endocrine system include increased thirst,
excessive appetite, delayed or early pubertal changes, and problems with growth. For
the genitourinary system the nurse would assess urinary patterns and genitals. For
Chapter 10: Health Assessment of Children
Verified and Updated Questions and
Answers (100% Correct Answers)
1. The nurse is conducting a health history for a 9-year-old child with stomach pains.
What is a recommended guideline when approaching the child for information?
A) Wear a white examination coat when conducting the interview.
B) Allow the child to control the pace and order of the health history.
C) Use quick deliberate gestures to get your point across. D) Do not make physical
contact with the child during the interview.
Answer: Ans: B
Feedback: The nurse should elicit the child's cooperation by allowing him or her
control over the pace and order of the health history, or anything else that the child
can control while still allowing the nurse to obtain the information needed. A white
examination coat or all-white uniform may be frightening to children, who may
associate the uniform with painful experiences or find it too unfamiliar. The nurse
should use slow deliberate gestures rather than very quick or grand ones, which may
be frightening to shy children. The nurse should make physical contact with the
child in a nonthreatening way at first by briefly cuddling newborns before returning
them to caregivers, laying a hand on the head or arm of toddlers and preschoolers,
and warmly shaking the hand of older children and teens to convey a gentle
demeanor.
2. For which children would the nurse conduct an immediate comprehensive health
history?
A) A child who is brought to the emergency room with labored breathing
B) A child who is a new client in a pediatric office
C) A child who is a routine client and presents with signs of a sinus infection
D) A child whose condition is improving
Answer: Ans: B
Feedback: The purpose of the examination will determine how comprehensive the
history must be. A comprehensive history would be performed for a new child in a
, Inquire through: | Professional | Confidential Support
pediatric office or a child who is admitted to the hospital. Also, if the physician or
nurse practitioner rarely sees the child or if the child is critically ill, a complete and
detailed history is in order, no matter what the setting. The child who has received
routine health care and presents with a mild illness may need only a problem-
focused history. In critical situations, some of the history taking must be delayed
until after the child's condition is stabilized.
3. The nurse is performing a health history on a 6-year-old boy who is having trouble
adjusting to school. Which question would be most likely to elicit valuable
information?
A) 'Do you like your new school?'
B) 'Are you happy with your teacher?'
C) 'Do you enjoy reading a book?'
D) 'What are your new classmates like?'
Answer: Ans: D
Feedback: A careful conversation and interview with the child and/or the caregiver
will provide important information about the child's health. Depending on the intent
of the health assessment, many of the questions will be direct, and many will require
the caregiver or child to answer simply "yes" or "no." In other than emergency
situations, though, asking open-ended questions such as 'What are your classmates
like?' offers an excellent opportunity to learn more about the child's life
4. The nurse performing a health history on a child asks the parents if their child has
experienced increased appetite or thirst. What body system is the nurse assessing
with this question?
A) Endocrine
B) Genitourinary
C) Hematologic
D) Neurologic
Answer: Ans: A
Feedback: Indicators of problems with the endocrine system include increased thirst,
excessive appetite, delayed or early pubertal changes, and problems with growth. For
the genitourinary system the nurse would assess urinary patterns and genitals. For
