NURS 4331 Exam 2 Latest Test
Questions and Actual Answers Graded
A+ 2025-2026 Updated.
What would be most effective in helping promote initiative and nutritional health for a
preschooler? - Answer Allowing the child to spread soft cheese on crackers
A young client arrives at the clinic with a rash on the trunk and flexor surfaces of the
extremities. The parent informs the nurse that the rash started a day before on the exterior
surfaces of the extremities; 2 days before, the child had a really bad rash on the face. The health
care provider diagnoses the child with erythema infectious. The nurse tells the parent that this
is also known as: - Answer fifth disease
A parent brings the 4-year-old child for a check-up. Which finding would concern the nurse? -
Answer Resting pulse rate of 120
A father and his 4-year-old son are waiting in an exam room when the nurse enters and greets
them. Which activity that the nurse observes the boy doing would best demonstrate the
primary developmental task of the preschool-age child, according to Erikson? - Answer
Opening drawers in the room, pulling out supplies, and examining them
When assessing a child and his parents during a well-child visit, the nurse determines that the
child is experiencing night terrors. Which of the following would the nurse be most likely to
suggest to assist the parents in dealing with this issue.? - Answer Allowing the episode to take
its course
The parents of a preschool-aged child are investigating child care centers to enroll the child.
What would the nurse review with the parents prior to them making a decision? Select all that
apply. - Answer Repetition and reinforcement
Repetition and reinforcement - Answer Introduce new food gradually and include variety
The nurse is assessing a 4-year-old child. Which assessment finding would the nurse identify as
being of the highest concern? - Answer Stands on one foot for about 3 seconds.
,During a well-child checkup, the mother of a 5-year-old girl reports her daughter seems much
smaller than her 2 older children did at this same age. A review of the medical record reveals
that the child is 44 inches tall and weighs 42 pounds. What information should be included in
the response by the nurse? - Answer "Your daughter is slightly taller than other children her
age but her weight is normal."
The nurse is assessing a 3-year-old child. Which assessment finding would the nurse identify as
abnormal? - Answer Falls when bending over to touch toes.
The nurse is assessing a 5-year-old child. Which assessment finding would be documented as
abnormal? - Answer Inability to state address
Which type of play would the nurse use to prepare a preschooler for upcoming surgery to
reduce the stress of the event? - Answer Dramatic play
The parent of a 5-year-old child calls the doctor's office to seek advice about proper nutrition
for her child. Which statement by the mother indicates that further teaching is needed? -
Answer "Since she doesn't like vegetables, we no longer serve them to her."
A nurse is caring for a 4-year-old child that will be undergoing a procedure to remove a mass
from the abdomen. In order to help the child remain calm in preparation for getting an IV
catheter placed, what intervention might the nurse implement? - Answer Allow the child to
play with a procedure doll
The parent of a four year-old child has expressed concern that the child is wetting her bed
several times each week. What should the nurse teach the parent? - Answer Bed wetting is
not an unexpected behavior at this age
The nurse is caring for a 5-year-old child. The child's parent reports that the parent and child are
constantly fighting about the child's choice of clothing. The child insists on selecting ones own
clothes. The parent is tired of the power struggle and is embarrassed by the child's mismatched
apparel. The parent asks for guidance. How should the nurse respond? - Answer "Offer two or
three coordinated outfits and let the child choose."
A 12-year-old girl has recently begun menstruating and is well into puberty. She is visiting the
doctor today for a routine physical examination. Which of the following findings should cause
concern in the nurse? - Answer Vulvar irritation
, An anxious 12-year-old girl receives an injection from the nurse and sighs with relief when it is
done. After a moment of reflection, the girl asks the nurse, "Is it hard to give someone an
injection?" This girl's question is evidence that she has developed which cognitive skill? -
Answer Decentering
The nurse is caring for a 5-year-old girl. During a routine wellness examination, the mother tells
the nurse that the girl's father has enrolled her in a mini pom-pom cheering squad. The girl
dislikes it immensely, but her father doesn't want the girl to be a "quitter." The mother asks for
some guidance. How should the nurse respond? - Answer "Bad experiences can cause her to
avoid other similar activities"
A nurse is working with the local community on promoting physical fitness for children. The
nurse encourages the community to develop programs that meet the needs of the school-aged
child for physical activity, based on the understanding that this age group requires how much
physical activity daily? - Answer 60 minutes
When describing play by the school-aged child to a group of nursing students, the instructor
would emphasize the need for which of the following? - Answer Rules
A 12-year-old child tells the school nurse, "I do not understand why my parents will not allow
me to go to concerts without chaperones like some of my friends' parents. I feel like a baby
compared to my friends." How will the nurse respond? - Answer "Have you given any thought
to why they don't let you go without a chaperone? Let's talk about some of the reasons they
feel this way."
The parents of a 10-year-old boy report they are having problems with their son. The child's
mother reports her son is not a talented athlete but her husband continues to encourage him to
play and try to excel. The child's father reports sports will help his son build character. What
response by the nurse is most appropriate? - Answer "Perhaps another pursuit would be
better suited for your son."
The nurse has just completed an assessment on a child who voices an interest in how things are
made and who needs support when they are not successful. The child further reports he is
involved in clubs and sports outside the home. The nurse is aware that this child is in which of
Erikson's states of development? - Answer Industry versus inferiority
A group of 10-year-old girls have formed a "girls only" club. It is only open to girls who still like
to play with dolls. How should this behavior be interpreted? - Answer appropriate social
development
Questions and Actual Answers Graded
A+ 2025-2026 Updated.
What would be most effective in helping promote initiative and nutritional health for a
preschooler? - Answer Allowing the child to spread soft cheese on crackers
A young client arrives at the clinic with a rash on the trunk and flexor surfaces of the
extremities. The parent informs the nurse that the rash started a day before on the exterior
surfaces of the extremities; 2 days before, the child had a really bad rash on the face. The health
care provider diagnoses the child with erythema infectious. The nurse tells the parent that this
is also known as: - Answer fifth disease
A parent brings the 4-year-old child for a check-up. Which finding would concern the nurse? -
Answer Resting pulse rate of 120
A father and his 4-year-old son are waiting in an exam room when the nurse enters and greets
them. Which activity that the nurse observes the boy doing would best demonstrate the
primary developmental task of the preschool-age child, according to Erikson? - Answer
Opening drawers in the room, pulling out supplies, and examining them
When assessing a child and his parents during a well-child visit, the nurse determines that the
child is experiencing night terrors. Which of the following would the nurse be most likely to
suggest to assist the parents in dealing with this issue.? - Answer Allowing the episode to take
its course
The parents of a preschool-aged child are investigating child care centers to enroll the child.
What would the nurse review with the parents prior to them making a decision? Select all that
apply. - Answer Repetition and reinforcement
Repetition and reinforcement - Answer Introduce new food gradually and include variety
The nurse is assessing a 4-year-old child. Which assessment finding would the nurse identify as
being of the highest concern? - Answer Stands on one foot for about 3 seconds.
,During a well-child checkup, the mother of a 5-year-old girl reports her daughter seems much
smaller than her 2 older children did at this same age. A review of the medical record reveals
that the child is 44 inches tall and weighs 42 pounds. What information should be included in
the response by the nurse? - Answer "Your daughter is slightly taller than other children her
age but her weight is normal."
The nurse is assessing a 3-year-old child. Which assessment finding would the nurse identify as
abnormal? - Answer Falls when bending over to touch toes.
The nurse is assessing a 5-year-old child. Which assessment finding would be documented as
abnormal? - Answer Inability to state address
Which type of play would the nurse use to prepare a preschooler for upcoming surgery to
reduce the stress of the event? - Answer Dramatic play
The parent of a 5-year-old child calls the doctor's office to seek advice about proper nutrition
for her child. Which statement by the mother indicates that further teaching is needed? -
Answer "Since she doesn't like vegetables, we no longer serve them to her."
A nurse is caring for a 4-year-old child that will be undergoing a procedure to remove a mass
from the abdomen. In order to help the child remain calm in preparation for getting an IV
catheter placed, what intervention might the nurse implement? - Answer Allow the child to
play with a procedure doll
The parent of a four year-old child has expressed concern that the child is wetting her bed
several times each week. What should the nurse teach the parent? - Answer Bed wetting is
not an unexpected behavior at this age
The nurse is caring for a 5-year-old child. The child's parent reports that the parent and child are
constantly fighting about the child's choice of clothing. The child insists on selecting ones own
clothes. The parent is tired of the power struggle and is embarrassed by the child's mismatched
apparel. The parent asks for guidance. How should the nurse respond? - Answer "Offer two or
three coordinated outfits and let the child choose."
A 12-year-old girl has recently begun menstruating and is well into puberty. She is visiting the
doctor today for a routine physical examination. Which of the following findings should cause
concern in the nurse? - Answer Vulvar irritation
, An anxious 12-year-old girl receives an injection from the nurse and sighs with relief when it is
done. After a moment of reflection, the girl asks the nurse, "Is it hard to give someone an
injection?" This girl's question is evidence that she has developed which cognitive skill? -
Answer Decentering
The nurse is caring for a 5-year-old girl. During a routine wellness examination, the mother tells
the nurse that the girl's father has enrolled her in a mini pom-pom cheering squad. The girl
dislikes it immensely, but her father doesn't want the girl to be a "quitter." The mother asks for
some guidance. How should the nurse respond? - Answer "Bad experiences can cause her to
avoid other similar activities"
A nurse is working with the local community on promoting physical fitness for children. The
nurse encourages the community to develop programs that meet the needs of the school-aged
child for physical activity, based on the understanding that this age group requires how much
physical activity daily? - Answer 60 minutes
When describing play by the school-aged child to a group of nursing students, the instructor
would emphasize the need for which of the following? - Answer Rules
A 12-year-old child tells the school nurse, "I do not understand why my parents will not allow
me to go to concerts without chaperones like some of my friends' parents. I feel like a baby
compared to my friends." How will the nurse respond? - Answer "Have you given any thought
to why they don't let you go without a chaperone? Let's talk about some of the reasons they
feel this way."
The parents of a 10-year-old boy report they are having problems with their son. The child's
mother reports her son is not a talented athlete but her husband continues to encourage him to
play and try to excel. The child's father reports sports will help his son build character. What
response by the nurse is most appropriate? - Answer "Perhaps another pursuit would be
better suited for your son."
The nurse has just completed an assessment on a child who voices an interest in how things are
made and who needs support when they are not successful. The child further reports he is
involved in clubs and sports outside the home. The nurse is aware that this child is in which of
Erikson's states of development? - Answer Industry versus inferiority
A group of 10-year-old girls have formed a "girls only" club. It is only open to girls who still like
to play with dolls. How should this behavior be interpreted? - Answer appropriate social
development
