Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. A parent states, “My 7-year-old really wants a dog. His 10-year-old brother has allergies
to animal dander. I don’t know what to do.” What type of pet should the nurse suggest as
the best choice?
a. A small breed of dog because the large dogs produce more allergens.
b. An older unneutered dog that produces fewer allergens than a younger one.
c. A cat because it requires less care and is less allergenic.
d. A poodle, which does not shed, making it a good choice for people with allergies
ANS: D
The poodle does not have a shed cycle and so it may be the least offensive pet for the
allergic child.
DIF: Cognitive Level: Analysis REF: 414 | 415 OBJ: 8
TOP: Pet Ownership KEY: Nursing Process Step: Implementation
2. When asked about her activities, a 10-year-old girl responded, “I like school. I play the
flute in the school band, and I take tennis lessons.” What does a nurse know these
activities will help this child develop?
a. Initiative
b. Industry
c. Identity
d. Intimacy
ANS: B
The school-age period is referred to by Erikson as the stage of industry. Successful
participation in activities facilitates the child’s sense of industry.
DIF: Cognitive Level: Application REF: 402 OBJ: 3
TOP: Psychosocial Development KEY: Nursing Process Step: Data
, Collection
3. A mother reports that she has a new job and her 11-year-old child is home alone for a
time after school. Which statement made by the parent alerts a nurse to a potentially
unsafe situation for this child?
a. “I told him that he could invite a few friends after school.”
b. “I put a list of emergency numbers next to the telephone.”
c. “Last week we made a first aid kit together.”
d. “There is a neighbour available in case of an emergency.”
ANS: A
Latchkey children are subject to a higher rate of accidents. Permitting school-age
children and their friends to be home alone in an unsupervised environment is an
unsafe situation.
DIF: Cognitive Level: Application REF: 407 OBJ: 6
TOP: Latchkey Children KEY: Nursing Process Step: Evaluation
4. A mother is concerned because her 9-year-old boy has developed the habit of twitching
his eyes and flipping his hair while communicating with anyone. What is the best nursing
response to this parent?
a. “This may indicate that he needs eyeglasses.”
b. “Children sometimes do these things for attention.”
c. “This behaviour suggests low self-esteem.”
d. “Tics appear when a child is under stress.”
ANS: D
The child cannot help such actions and should not be scolded for them because they
are mainly a result of tension.
DIF: Cognitive Level: Application REF: 409 OBJ: 3
TOP: Nine-Year-Old KEY: Nursing Process Step: Implementation
5. A seventh-grade girl tells a nurse that her art teacher, a woman, is her hero. What is the
most appropriate interpretation of the girl’s comment?
a. The student may be exploring her career options.
MULTIPLE CHOICE
1. A parent states, “My 7-year-old really wants a dog. His 10-year-old brother has allergies
to animal dander. I don’t know what to do.” What type of pet should the nurse suggest as
the best choice?
a. A small breed of dog because the large dogs produce more allergens.
b. An older unneutered dog that produces fewer allergens than a younger one.
c. A cat because it requires less care and is less allergenic.
d. A poodle, which does not shed, making it a good choice for people with allergies
ANS: D
The poodle does not have a shed cycle and so it may be the least offensive pet for the
allergic child.
DIF: Cognitive Level: Analysis REF: 414 | 415 OBJ: 8
TOP: Pet Ownership KEY: Nursing Process Step: Implementation
2. When asked about her activities, a 10-year-old girl responded, “I like school. I play the
flute in the school band, and I take tennis lessons.” What does a nurse know these
activities will help this child develop?
a. Initiative
b. Industry
c. Identity
d. Intimacy
ANS: B
The school-age period is referred to by Erikson as the stage of industry. Successful
participation in activities facilitates the child’s sense of industry.
DIF: Cognitive Level: Application REF: 402 OBJ: 3
TOP: Psychosocial Development KEY: Nursing Process Step: Data
, Collection
3. A mother reports that she has a new job and her 11-year-old child is home alone for a
time after school. Which statement made by the parent alerts a nurse to a potentially
unsafe situation for this child?
a. “I told him that he could invite a few friends after school.”
b. “I put a list of emergency numbers next to the telephone.”
c. “Last week we made a first aid kit together.”
d. “There is a neighbour available in case of an emergency.”
ANS: A
Latchkey children are subject to a higher rate of accidents. Permitting school-age
children and their friends to be home alone in an unsupervised environment is an
unsafe situation.
DIF: Cognitive Level: Application REF: 407 OBJ: 6
TOP: Latchkey Children KEY: Nursing Process Step: Evaluation
4. A mother is concerned because her 9-year-old boy has developed the habit of twitching
his eyes and flipping his hair while communicating with anyone. What is the best nursing
response to this parent?
a. “This may indicate that he needs eyeglasses.”
b. “Children sometimes do these things for attention.”
c. “This behaviour suggests low self-esteem.”
d. “Tics appear when a child is under stress.”
ANS: D
The child cannot help such actions and should not be scolded for them because they
are mainly a result of tension.
DIF: Cognitive Level: Application REF: 409 OBJ: 3
TOP: Nine-Year-Old KEY: Nursing Process Step: Implementation
5. A seventh-grade girl tells a nurse that her art teacher, a woman, is her hero. What is the
most appropriate interpretation of the girl’s comment?
a. The student may be exploring her career options.
