QUESTIONS FROM EVOLVE EXAM 1
MATERNAL CHILD CORRECT
ANSWERS
During a well-child visit, the father of a 4-year-old boy tells the nurse that he is not
sure whether his son is ready for kindergarten. The child's birthday is close to the
cutoff date and child has not attended preschool. Which is the nurse's best
recommendation? - ANSWER-Have the child get a developmental screening.
The nurse is conducting a water-safety program for parents of young children at the
pediatrician's office. What water safety information should be included? (Select all
that apply.) - ANSWER-A tub of water used to bathe the dog can be a water hazard.;
Secure the pool drain with a protective cover.; Constant supervision of the child is
the best safety mechanism for water safety.; Supervise the toddler in the tub
regardless of how much water is in the bathtub.
Parents of a 10-year-old child are concerned that their child has been recently
showing signs of low self-esteem. Which developmental information should the
nurse consider when discussing this issue with the parents? - ANSWER-Transitory
periods of lowered self-esteem are expected developmentally.
Which is an important consideration related to childhood stress? - ANSWER-Some
children are more vulnerable to stress than others.
The parents of an 8-year-old girl tell the nurse that their daughter wants to join a
soccer team. What guidance would be appropriate for the nurse to share with the
parents? - ANSWER-Sports participation is encouraged if the sport is appropriate to
the child's abilities.
What nursing intervention to promote health during middle childhood would be
appropriate? - ANSWER-Reinforce the need for good dental hygiene because these
are the years in which permanent teeth erupt.
Which is an important consideration in preventing injuries during middle childhood? -
ANSWER-Most injuries are unintentional in this age group.
Which is descriptive of the social development of school-age children? - ANSWER-
Children frequently have "best friends."
The school nurse is discussing dental health with children in first grade. Which
information should the nurse include in the presentation? - ANSWER-Emphasize the
importance of brushing before bedtime.
How does the onset of the pubertal growth spurt compare in girls and boys? -
ANSWER-In girls, it occurs about 1 year before it appears in boys.
Average age of onset is 9.5 years for girls and 10.5 years for boys.
, A 12-year-old child being seen in the clinic has not received the vaccine for the
hepatitis B virus (HBV). What recommendation should the nurse make? - ANSWER-
The three-dose series of HBV vaccine should be started.
Factors that can lead to malocclusion, a condition in which the teeth are crowded,
crooked, or out of alignment include all of the following except - ANSWER-pacifier
use or thumb sucking.
The nurse is reviewing with a group of parents about what to expect regarding their
school-age children. What information should the nurse include? (Select all that
apply.) - ANSWER-Children this age like to collect groups of things like coins.;he
average increase in height is 2 in. per year.;Children this age are able to understand
sports and social rules.
While caring for hospitalized adolescents, the nurse observes that sometimes they
are skeptical of their parents' religious beliefs/practices. How should the nurse
interpret this behavior? - ANSWER-It is normal in spiritual development.
A parent tells the nurse, "I am worried about my 13-year-old son. He hasn't started
puberty, and my daughter did when she was 11 years of age." How can the nurse
explain the difference to the parent? - ANSWER-This is normal because the onset of
pubescence is usually earlier in girls than it is in boys.
The school nurse overhears a group of adolescent girls talking about gaining weight
and getting fat deposits during puberty. What anticipatory advice would be
appropriate for the nurse to give to the girls? - ANSWER-Provide reassurance that
these changes are normal.
What change in boys indicates the onset of puberty? - ANSWER-Testicular
enlargement
The nurse observes that a 13-year-old male has gynecomastia (breast enlargement).
How should the nurse explain this to this adolescent? - ANSWER-It is a normal
occurrence during puberty.
A 16-year-old girl tells the school nurse that she has not started to menstruate yet.
The onset of secondary sexual characteristics occurred in this girl about 3 years ago.
The appropriate action by the nurse is to - ANSWER-refer the adolescent for an
evaluation.
A sexually active adolescent asks the school nurse about prevention of sexually
transmitted diseases (STDs). What is the most appropriate recommendation by the
nurse? - ANSWER-Use condoms.
A very depressed adolescent tells the school nurse: "I just don't know how I'm going
to cope with everything I'm going through—maybe it would be better if I wasn't
around anymore." What approach is most important for the nurse to use when
working with this student? - ANSWER-Recognize he is exhibiting warning signs of
suicide.
MATERNAL CHILD CORRECT
ANSWERS
During a well-child visit, the father of a 4-year-old boy tells the nurse that he is not
sure whether his son is ready for kindergarten. The child's birthday is close to the
cutoff date and child has not attended preschool. Which is the nurse's best
recommendation? - ANSWER-Have the child get a developmental screening.
The nurse is conducting a water-safety program for parents of young children at the
pediatrician's office. What water safety information should be included? (Select all
that apply.) - ANSWER-A tub of water used to bathe the dog can be a water hazard.;
Secure the pool drain with a protective cover.; Constant supervision of the child is
the best safety mechanism for water safety.; Supervise the toddler in the tub
regardless of how much water is in the bathtub.
Parents of a 10-year-old child are concerned that their child has been recently
showing signs of low self-esteem. Which developmental information should the
nurse consider when discussing this issue with the parents? - ANSWER-Transitory
periods of lowered self-esteem are expected developmentally.
Which is an important consideration related to childhood stress? - ANSWER-Some
children are more vulnerable to stress than others.
The parents of an 8-year-old girl tell the nurse that their daughter wants to join a
soccer team. What guidance would be appropriate for the nurse to share with the
parents? - ANSWER-Sports participation is encouraged if the sport is appropriate to
the child's abilities.
What nursing intervention to promote health during middle childhood would be
appropriate? - ANSWER-Reinforce the need for good dental hygiene because these
are the years in which permanent teeth erupt.
Which is an important consideration in preventing injuries during middle childhood? -
ANSWER-Most injuries are unintentional in this age group.
Which is descriptive of the social development of school-age children? - ANSWER-
Children frequently have "best friends."
The school nurse is discussing dental health with children in first grade. Which
information should the nurse include in the presentation? - ANSWER-Emphasize the
importance of brushing before bedtime.
How does the onset of the pubertal growth spurt compare in girls and boys? -
ANSWER-In girls, it occurs about 1 year before it appears in boys.
Average age of onset is 9.5 years for girls and 10.5 years for boys.
, A 12-year-old child being seen in the clinic has not received the vaccine for the
hepatitis B virus (HBV). What recommendation should the nurse make? - ANSWER-
The three-dose series of HBV vaccine should be started.
Factors that can lead to malocclusion, a condition in which the teeth are crowded,
crooked, or out of alignment include all of the following except - ANSWER-pacifier
use or thumb sucking.
The nurse is reviewing with a group of parents about what to expect regarding their
school-age children. What information should the nurse include? (Select all that
apply.) - ANSWER-Children this age like to collect groups of things like coins.;he
average increase in height is 2 in. per year.;Children this age are able to understand
sports and social rules.
While caring for hospitalized adolescents, the nurse observes that sometimes they
are skeptical of their parents' religious beliefs/practices. How should the nurse
interpret this behavior? - ANSWER-It is normal in spiritual development.
A parent tells the nurse, "I am worried about my 13-year-old son. He hasn't started
puberty, and my daughter did when she was 11 years of age." How can the nurse
explain the difference to the parent? - ANSWER-This is normal because the onset of
pubescence is usually earlier in girls than it is in boys.
The school nurse overhears a group of adolescent girls talking about gaining weight
and getting fat deposits during puberty. What anticipatory advice would be
appropriate for the nurse to give to the girls? - ANSWER-Provide reassurance that
these changes are normal.
What change in boys indicates the onset of puberty? - ANSWER-Testicular
enlargement
The nurse observes that a 13-year-old male has gynecomastia (breast enlargement).
How should the nurse explain this to this adolescent? - ANSWER-It is a normal
occurrence during puberty.
A 16-year-old girl tells the school nurse that she has not started to menstruate yet.
The onset of secondary sexual characteristics occurred in this girl about 3 years ago.
The appropriate action by the nurse is to - ANSWER-refer the adolescent for an
evaluation.
A sexually active adolescent asks the school nurse about prevention of sexually
transmitted diseases (STDs). What is the most appropriate recommendation by the
nurse? - ANSWER-Use condoms.
A very depressed adolescent tells the school nurse: "I just don't know how I'm going
to cope with everything I'm going through—maybe it would be better if I wasn't
around anymore." What approach is most important for the nurse to use when
working with this student? - ANSWER-Recognize he is exhibiting warning signs of
suicide.
