11) A mother reports that her adolescent is always late. The mother states, "She was
born late and has been late every day of her life." Which response should the nurse
make to this mother?
1. "You need to establish specific time frames for your adolescent and be certain she
adheres to them."
2. "You should not expect your adolescent to be an 'on-time' individual unless you set
specific alarms and then reinforce the value of being 'on-time.'"
3. "You should not expect your adolescent to be on time. Teenagers are always late."
4. "You have a major problem. There must be a lot of screaming in your home."
Give this one a try later!
, Answer: 2
2. "You should not expect your adolescent to be an 'on-time' individual
unless you set specific alarms and then reinforce the value of being 'on-
time.'"
14) Which statement by the nurse is most appropriate prior to giving an intramuscular
injection to a 2-1/2-year-old child?
1. "We will give you your shot when your mommy comes back."
2. "This is medicine that will make you better. First we will hold your leg, then I will
wipe it off with this magic cloth that kills the germs on your leg right here, then I will
hold the needle like this and say 'one, two, three . . . go' and give you your shot. Are
you ready?"
3. "It is all right to cry, I know that this hurts. After we are done you can go to the box
and pick out your favorite sticker."
4. "This is a magic sword that will give you your medicine and make you all better."
Give this one a try later!
Answer: 3
3. "It is all right to cry, I know that this hurts. After we are done you can go
to the box and pick out your favorite sticker."
13) The school health nurse recognizes that children who display certain
characteristics are at risk for poor school performance. The nurse will, therefore,
observe each school-age child for which characteristics? Select all that apply.
1. Decreased ability to perform visual tracking.
2. Decreased auditory stimulation.
3. Decreased muscle tone.
4. Multiple dental caries.
5. Chronic tonsillitis.
Give this one a try later!
, Answer: 1, 2, 3
1. Decreased ability to perform visual tracking.
2. Decreased auditory stimulation.
3. Decreased muscle tone.
5) A school-age client who recently moved to a new school in a different town
presents to an ambulatory care center and describes the following: "I have no friends
in my new school and I no longer want to play soccer. I know I will be lonely there,
too." Which of these takes priority when speaking with the school-age client?
1. Helping the school-age client realize the value of soccer
2. Promoting healthy mental-health outcomes
3. Acknowledging the fact that it takes several months to make new friends at a new
school
4. Stressing the importance of remaining in a close parent-child relationship during
these stressful times
Give this one a try later!
Answer: 2
2. Promoting healthy mental-health outcomes
6) An adolescent reports participating in an exercise program at school each
Wednesday throughout the school year. Further history reveals that the adolescent
does not participate in any other physical activities. Which outcome is most
appropriate for this adolescent?
1. The adolescent is reporting information consistent with what 60 percent of
adolescents report as participation in physical activities.
2. The adolescent is not meeting the recommendations of the Healthy People 2020
initiative.
3. The adolescent should be encouraged to continue this program of exercise, since
something is better than nothing.
4. The adolescent should be encouraged to vigorously exercise for at least 5 minutes
each day.
born late and has been late every day of her life." Which response should the nurse
make to this mother?
1. "You need to establish specific time frames for your adolescent and be certain she
adheres to them."
2. "You should not expect your adolescent to be an 'on-time' individual unless you set
specific alarms and then reinforce the value of being 'on-time.'"
3. "You should not expect your adolescent to be on time. Teenagers are always late."
4. "You have a major problem. There must be a lot of screaming in your home."
Give this one a try later!
, Answer: 2
2. "You should not expect your adolescent to be an 'on-time' individual
unless you set specific alarms and then reinforce the value of being 'on-
time.'"
14) Which statement by the nurse is most appropriate prior to giving an intramuscular
injection to a 2-1/2-year-old child?
1. "We will give you your shot when your mommy comes back."
2. "This is medicine that will make you better. First we will hold your leg, then I will
wipe it off with this magic cloth that kills the germs on your leg right here, then I will
hold the needle like this and say 'one, two, three . . . go' and give you your shot. Are
you ready?"
3. "It is all right to cry, I know that this hurts. After we are done you can go to the box
and pick out your favorite sticker."
4. "This is a magic sword that will give you your medicine and make you all better."
Give this one a try later!
Answer: 3
3. "It is all right to cry, I know that this hurts. After we are done you can go
to the box and pick out your favorite sticker."
13) The school health nurse recognizes that children who display certain
characteristics are at risk for poor school performance. The nurse will, therefore,
observe each school-age child for which characteristics? Select all that apply.
1. Decreased ability to perform visual tracking.
2. Decreased auditory stimulation.
3. Decreased muscle tone.
4. Multiple dental caries.
5. Chronic tonsillitis.
Give this one a try later!
, Answer: 1, 2, 3
1. Decreased ability to perform visual tracking.
2. Decreased auditory stimulation.
3. Decreased muscle tone.
5) A school-age client who recently moved to a new school in a different town
presents to an ambulatory care center and describes the following: "I have no friends
in my new school and I no longer want to play soccer. I know I will be lonely there,
too." Which of these takes priority when speaking with the school-age client?
1. Helping the school-age client realize the value of soccer
2. Promoting healthy mental-health outcomes
3. Acknowledging the fact that it takes several months to make new friends at a new
school
4. Stressing the importance of remaining in a close parent-child relationship during
these stressful times
Give this one a try later!
Answer: 2
2. Promoting healthy mental-health outcomes
6) An adolescent reports participating in an exercise program at school each
Wednesday throughout the school year. Further history reveals that the adolescent
does not participate in any other physical activities. Which outcome is most
appropriate for this adolescent?
1. The adolescent is reporting information consistent with what 60 percent of
adolescents report as participation in physical activities.
2. The adolescent is not meeting the recommendations of the Healthy People 2020
initiative.
3. The adolescent should be encouraged to continue this program of exercise, since
something is better than nothing.
4. The adolescent should be encouraged to vigorously exercise for at least 5 minutes
each day.
