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MULTIPLE CHOICE
1. Which statement is true about smoking in adolescence?
a. Smoking is related to other high-risk behaviors.
b. Smoking will not continue unless peer pressure continues.
c. Smoking is less common when the adolescents parent(s) smokes.
d. Smoking among adolescents is becoming more prevalent.
ANS: A
Cigarettes are considered a gateway drug. Teenagers who smoke are 11.4 times more likely to
use an illicit drug. Teenagers begin smoking for a variety of reasons, such as imitation of adult
behavior, peer pressure, imitation of behaviors portrayed in movies and advertisements, and a
desire to control weight. The absence of peer pressure alone will not stop smoking. Teenagers
who do not smoke usually have parents and friends who do not smoke or who oppose
smoking. The percentage of young people who report current cigarette use and frequent
cigarette use has declined significantly.
PTS: 1
DIF: Cognitive Level: Understand
REF: 527
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
2. Smokeless tobacco is:
a. not addicting.
b. proven to be carcinogenic.
c. easy to stop using.
d. a safe alternative to cigarette smoking.
ANS: B
Smokeless tobacco is a popular substitute for cigarettes and poses serious health hazards to
children and adolescents. Smokeless tobacco is associated with cancer of the mouth and jaw.
The nicotine in the smokeless tobacco is addicting, and therefore it is very difficult to quit.
Because the product is addicting and can cause cancer, it is not a safe alternative to cigarette
smoking.
PTS: 1
DIF: Cognitive Level: Remember
REF: 528
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Physiologic Integrity: Reduction of Risk Potential
3. A child has been diagnosed with enuresis. TCA imipramine (Tofranil) has been prescribed for
the child. The nurse understands that this medication is in which category?
a. Antidepressant
b. Antidiuretic
c. Antispasmodic
d. Analgesic
ANS: C
Drug therapy is increasingly being prescribed to treat enuresis. Three types of drugs are used:
tricyclic antidepressants (TCAs), antidiuretics, and antispasmodics. The selection depends on
the interpretation of the cause. The drug used most frequently is the TCA imipramine
(Tofranil), which exerts an anticholinergic action in the bladder to inhibit urination. Tofranil is
in the antispasmodic category. Analgesics are not used to treat enuresis.
PTS: 1
DIF: Cognitive Level: Remember
REF: 499
TOP: Integrated Process: Nursing Process: Evaluation
MSC: Area of Client Needs: Physiologic Integrity: Pharmacologic and Parenteral Therapies
4. A 12-year-old male has short stature because of a constitutional growth delay. The nurse
a.
b.
c.
d.
ANS: C
Most cases of constitutional growth delay are caused by simple constitutional delay of
puberty, and the child can be assured that normal development will eventually take place.
Listening to distressed adolescents and conveying interest and concern are important
interventions for these children and adolescents. They should be encouraged to focus on the
positives aspects of their bodies and personalities. Thyroid hormones and human growth
hormones would not be beneficial in a constitutional growth delay. A constitutional growth
delay is not caused by a chronic illness.
PTS: 1
DIF: Cognitive Level: Understand
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Psychosocial Integrity
REF: 507
Turner syndrome is caused by an absence of one of the X chromosomes. Most girls who have
this disorder have one X chromosome missing from all cells. No Y chromosome is present in
individuals with Turner syndrome. This young woman has 45 rather than 46 chromosomes.
PTS: 1
DIF: Cognitive Level: Understand
REF: 507
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Physiologic Integrity: Physiologic Adaptation
7. An adolescent asks the nurse what causes primary dysmenorrhea. The nurses response should
a.
b.
c.
d.
ANS: D
First-line therapy for adolescents with dysmenorrhea is NSAIDs. This group of drugs blocks
the formation of prostaglandins. NSAIDs, not aspirin, are the drugs of choice in
dysmenorrhea. NSAIDs are potent anti-inflammatory agents that inhibit prostaglandin.
Although NSAIDs have analgesic effects, the mechanism of action in dysmenorrhea is most
likely the antiprostaglandin effect.
PTS: 1
DIF: Cognitive Level: Apply
REF: 508
TOP: Integrated Process: Teaching/Learning
MSC: Area of Client Needs: Physiologic Integrity: Pharmacologic and Parenteral Therapies
9. The school nurse is discussing testicular self-examination with adolescent boys. Why is this
important?
a. Epididymitis is common during adolescence.
b. Asymptomatic sexually transmitted diseases may be present.
Tumors of the testes are not common, but when manifested in adolescence, they are generally
malignant and demand immediate evaluation. Epididymitis is not common in adolescence.
Asymptomatic sexually transmitted disease would not be evident during testicular selfexamination. The focus of this examination is on testicular cancer. Testicular tumors are most
commonly malignant.
PTS: 1
DIF: Cognitive Level: Apply
REF: 510
TOP: Integrated Process: Teaching/Learning
MSC: Area of Client Needs: Physiologic Integrity: Reduction of Risk Potential
10. Which is the usual presenting symptom for testicular cancer?
a. Hard, painful mass
b. Hard, painless mass
c. Epididymis easily palpated
d. Scrotal swelling and pain
ANS: B
The usual presenting symptom for testicular cancer is a heavy, hard, painless mass that is
either smooth or nodular and palpated on the testes. A hard, painful mass, an epididymis easily
palpated, and scrotal swelling and pain are not the clinical presentations of testicular cancer.
PTS: 1
DIF: Cognitive Level: Understand
REF: 509
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Physiologic Integrity: Physiologic Adaptation
11. A 14-year-old boy and his parents are concerned about bilateral breast enlargement. The
a.
b.
c.
d.
ANS: A
The male breast responds to hormonal changes. Some degree of bilateral or unilateral breast
enlargement occurs frequently in boys during puberty. Although individuals with Klinefelter
syndrome can have gynecomastia, it is not a common cause for male breast enlargement.
Estrogen is not a therapy for gynecomastia. Administration of testosterone has no benefit for
gynecomastia and may aggravate the condition.
PTS: 1
DIF: Cognitive Level: Understand
REF: 510
TOP: Integrated Process: Teaching/Learning
MSC: Area of Client Needs: Physiologic Integrity: Physiologic Adaptation
12. An adolescent tells the school nurse that she is pregnant. Her last menstrual period was 4
months ago. She has not received any medical care. She smokes but denies any other
substance use. The priority nursing action is to:
a. notify her parents.
b. refer for prenatal care.
Teenage girls and their unborn children are at greater risk for complications during pregnancy
and delivery. With improved therapies, the mortality for teenage pregnancy is decreasing, but
the morbidity is high. A pregnant teenager needs careful assessment by the nurse to determine
the level of social support available to her and possibly her partner. Guidance from the adults
in her life would be invaluable, but confidentiality should be maintained. Although it is
important to explain the importance of not smoking and to discuss dietary needs for adequate
fetal growth, because of her potential for having a high-risk pregnancy, she will need a
comprehensive prenatal program to minimize maternal-fetal complications.
PTS: 1
DIF: Cognitive Level: Apply
REF: 510-511
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Physiologic Integrity: Reduction of Risk Potential
13. An adolescent girl calls the nurse at the clinic because she had unprotected sex the night
before and does not want to be pregnant. The nurse should explain that:
it is too late to prevent an unwanted pregnancy.
an abortion may be the best option if she is pregnant.
Norplant can be administered to prevent pregnancy for up to 5 years.
postcoital contraception is available to prevent implantation.
a.
b.
c.
d.
ANS: D
a.
b.
c.
d.
ANS: D
The treatment plan should include finding and treating all sexual partners. Gonorrhea is
caused by Neisseria gonorrhoeae. Syphilis is caused by T. pallidum. Primary treatment is with
different antibiotics because of N. gonorrhoeae resistance to penicillin. Systemic therapy is
necessary to treat this disease.
PTS: 1
DIF: Cognitive Level: Understand
REF: 515
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Physiologic Integrity: Reduction of Risk Potential
16. Which statement regarding chlamydia infection is correct?
a. Treatment of choice is oral penicillin.
b. Treatment of choice is nystatin or miconazole.
c. Clinical manifestations include dysuria and urethral itching in males.
d. Clinical manifestations include small, painful vesicles on genital areas.
ANS: C
Why should the nurse emphasize the importance of preventing pelvic inflammatory disease
(PID)?
a. PID can be sexually transmitted.
b. PID cannot be treated.
c. PID can have devastating effects on the reproductive tract.
d. PID can cause serious defects in future children of affected adolescents.
ANS: C
PID is a major concern because of its devastating effects on the reproductive tract. Short-term
complications include abscess formation in the fallopian tubes, whereas long-term
complications include ectopic pregnancy, infertility, and dyspareunia. PID is an infection of
the upper female genital tract, most commonly caused by sexually transmitted infections but it
is not sexually transmitted to another person. PID can be treated by treating the underlying
cause. There is a possibility of ectopic pregnancy but not birth defects in children.
PTS: 1
DIF: Cognitive Level: Apply
REF: 514
TOP: Integrated Process: Teaching/Learning
MSC: Area of Client Needs: Physiologic Integrity: Reduction of Risk Potential
Heredity is an important fact that contributes to obesity. Identical twins reared apart tend to
resemble their biologic parents to a greater extent than their adoptive parents. It is difficult to
distinguish between hereditary and environmental factors. The number of overweight children
is increasing in the United States. Inactivity is related to childhood obesity, but it is not the
only component. Underlying diseases such as hypothyroidism and hyperinsulinism account
for only a small number of cases of childhood obesity.
PTS: 1
DIF: Cognitive Level: Understand
REF: 518
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Physiologic Integrity: Reduction of Risk Potential
19. The psychological effects of being obese during adolescence include:
a. sexual promiscuity.
b. poor body image.
c. feelings of contempt for thin peers.
d. accurate body image but self-deprecating attitude.
ANS: B
Common emotional consequences of obesity include poor body image, low self-esteem, social
isolation, and feelings of depression and isolation. Sexual promiscuity, feelings of contempt
for thin peers, and accurate body image but self-deprecating attitude are not usually associated
with obesity.
PTS: 1
DIF: Cognitive Level: Understand
REF: 519
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Psychosocial Integrity: Coping and Adaptation
20. Anorexia nervosa may best be described as:
a. occurring most frequently in adolescent males.
b. occurring most frequently in adolescents from lower socioeconomic groups.
c. resulting from a posterior pituitary disorder.
d. resulting in severe weight loss in the absence of obvious physical causes.
ANS: D
The etiology of anorexia remains unclear, but a distinct psychological component is present.
The diagnosis is based primarily on psychological and behavioral criteria. Females account
for 90% to 95% of the cases. No relation has been identified between socioeconomic groups
and anorexia. Posterior pituitary disorders are not associated with anorexia nervosa.
PTS: 1
DIF: Cognitive Level: Remember
REF: 522
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Physiologic Integrity: Physiologic Adaptation
21. Young people with anorexia nervosa are often described as being:
a. independent.
b. disruptive.
c. conforming.
d. low achieving.
ANS: C
Individuals with anorexia nervosa are described as perfectionist, academically high achievers,
conforming, and conscientious. Independent, disruptive, and low achieving are not part
of the behavioral characteristics of anorexia nervosa.
PTS: 1
DIF: Cognitive Level: Understand
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Psychosocial Integrity
REF: 522
Weight loss may be triggered by a typical adolescent crisis such as the onset of menstruation
or a traumatic interpersonal incident; situations of severe family stress, such as parental
separation or divorce; or circumstances in which the young person lacks personal control,
such as being teased, changing schools, or entering college. Sexual abuse, school failure,
and independence from family are not part of the behavioral characteristics of anorexia
nervosa.
PTS: 1
DIF: Cognitive Level: Understand
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Psychosocial Integrity
REF: 523
23. Which symptoms should the nurse expect to observe during the physical assessment of an
adolescent girl with severe weight loss and disrupted metabolism associated with anorexia
nervosa?
a. Dysmenorrhea and oliguria
b. Tachycardia and tachypnea
c. Heat intolerance and increased blood pressure
d. Lowered body temperature and brittle nails
ANS: D
Symptoms of anorexia nervosa include lower body temperature, severe weight loss, decreased
blood pressure, dry skin, brittle nails, altered metabolic activity, and presence of lanugo hair.
Amenorrhea, rather than dysmenorrhea, and cold intolerance are manifestations of anorexia
nervosa. Bradycardia, rather than tachycardia, may be present.
PTS: 1
DIF: Cognitive Level: Understand
REF: 523
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Physiologic Integrity: Physiologic Adaptation
24. Which is descriptive of bulimia during adolescence?
a. Strong sense of control over eating behavior
b. Feelings of elation after the binge-purge cycle
Individuals with bulimia are of normal or more commonly slightly above normal weight.
Those who also restrict their intake can become severely underweight. The adolescent has a
lack of control over eating during the episode. Patients with bulimia commonly have selfdeprecating thoughts and a depressed mood after binge-purge cycles; they are also aware that
the eating pattern is abnormal but are unable to stop.
PTS: 1
DIF: Cognitive Level: Understand
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Psychosocial Integrity
REF: 522
25. An adolescent teen has bulimia. Which assessment finding should the nurse expect to assess?
a. Diarrhea
b. Amenorrhea
c. Cold intolerance
d. Erosion of tooth enamel
ANS: D
Some of the signs of bulimia include erosion of tooth enamel, increased dental caries from
vomited gastric acid, throat complaints, fluid and electrolyte disturbances, and abdominal
complaints from laxative abuse. Diarrhea is not a result of the vomiting. It may occur in
patients with bulimia who also abuse laxatives. Amenorrhea and cold intolerance are
characteristics of anorexia nervosa, which some bulimics have. These symptoms are related to
the extreme low weight.
PTS: 1
DIF: Cognitive Level: Apply
REF: 522
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Physiologic Integrity: Physiologic Adaptation
26. Which is descriptive of attention deficit hyperactivity disorder (ADHD)?
a. Manifestations exhibited are so bizarre that the diagnosis is fairly easy.
b. Manifestations affect every aspect of the childs life but are most obvious in the
classroom.
c. Learning disabilities associated with ADHD eventually disappear when adulthood
is reached.
d. Diagnosis of ADHD requires that all manifestations of the disorder be present.
ANS: B
ADHD affects every aspect of the childs life, but the disruption is most obvious in the
classroom. The behaviors exhibited by the child with ADHD are not unusual aspects of
behavior. The difference lies in the quality of motor activity and developmentally
inappropriate inattention, impulsivity, and hyperactivity that the child displays. Some children
experience decreased symptoms during late adolescence and adulthood, but a significant
number carry their symptoms into adulthood. Any given child will not have every symptom of
the condition. The manifestations may be numerous or few, mild or severe, and will vary with
the childs developmental level.
PTS: 1
DIF: Cognitive Level: Understand
TOP: Integrated Process: Nursing Process: Assessment
REF: 501
prescribed methylphenidate (Ritalin). Which should the nurse include in teaching about the
side effects of methylphenidate?
a. Your child may experience a sense of nervousness.
b. You may see an increase in your childs appetite.
c. Your child may experience daytime sleepiness.
d. You may see a decrease in your childs blood pressure.
ANS: A
Nervousness is one of the common side effects of Ritalin. Decreased appetite with subsequent
weight loss, insomnia, and increased blood pressure are other common side effects.
PTS: 1
DIF: Cognitive Level: Apply
REF: 502
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Physiologic Integrity: Pharmacologic and Parenteral Therapies
28. Which is an important consideration when the nurse is discussing enuresis with the parents of
a young child?
Enuresis is more common in girls than in boys.
Enuresis is neither inherited nor has a familial tendency.
Organic causes that may be related to enuresis should be considered first.
Psychogenic factors that cause enuresis persist into adulthood.
a.
b.
c.
d.
ANS: C
Organic causes that may be related to enuresis should be ruled out before psychogenic factors
are considered. Enuresis is more common in boys than in girls and has a strong familial
tendency. Psychogenic factors may influence enuresis, but it is doubtful that they are
causative.
PTS: 1
DIF: Cognitive Level: Apply
REF: 499
TOP: Integrated Process: Teaching/Learning
MSC: Area of Client Needs: Physiologic Integrity: Physiologic Adaptation
29. The nurse is assisting the family of a child with a history of encopresis. Which should be
a.
b.
c.
d.
ANS: D
Children may be unaware of a prior sensation and unable to control the urge once it begins.
They may be so accustomed to bowel accidents that they are unable to smell or feel it. Family
counseling is directed toward reassurance that most problems resolve successfully, although
relapses during periods of stress are possible. Sitting the child on the toilet is not
recommended because it may intensify the parent-child conflict. Enemas may be needed for
impactions, but long-term use prevents the child from assuming responsibility for defecation.
Stimulant cathartics may cause cramping that can frighten child.
PTS: 1
DIF: Cognitive Level: Apply
REF: 501
TOP: Integrated Process: Teaching/Learning
MSC: Area of Client Needs: Physiologic Integrity: Physiologic Adaptation
30. A mother calls the school nurse saying that her daughter has developed a school phobia. She
has been out of school 3 days. The nurses recommendations should include which
intervention?
a. Immediately return child to school.
b. Explain to child that this is the last day she can stay home.
c. Determine cause of phobia before returning child to school.
d. Seek professional counseling before forcing child to return to school.
ANS: A
The primary goal is to return the child to school. Parents must be convinced gently, but firmly,
that immediate return is essential and that it is their responsibility to insist on school
attendance. The longer the child is permitted to stay out of school, the more difficult it will be
for the child to reenter. Trying to find the cause of phobia will only delay the return to school
and inhibit the childs ability to cope. Professional counseling is recommended if the problem
persists, but the childs return to school should not wait for the counseling.
PTS: 1
DIF: Cognitive Level: Apply
TOP: Integrated Process: Teaching/Learning
MSC: Area of Client Needs: Psychosocial Integrity
REF: 505
31. Parents have a concern that their child is depressed. The nurse relates that which characteristic
a.
b.
c.
d.
ANS: C
REF: 506
32. A teen asks a nurse, What is physical dependence in substance abuse? Which is the correct
a.
b.
c.
d.
ANS: B
REF: 527
Central nervous system stimulants such as amphetamines and cocaine produce a strong
psychological dependence. This class of drugs does not produce strong physical dependence
and can be withdrawn without much danger. Acute intoxication leads to violent, aggressive
behavior or psychotic episodes characterized by paranoia, uncontrollable agitation, and
restlessness.
PTS: 1
DIF: Cognitive Level: Understand
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Psychosocial Integrity
REF: 529
34. The nurse is caring for an adolescent brought to the hospital with acute drug toxicity. Cocaine
is believed to be the drug involved. Data collection should include what information?
a. Mode of administration
b. Drugs actual content
c. Function the drug plays in the adolescents life
d. Adolescents level of interest in rehabilitation
ANS: A
When the drug is questionable or unknown, every effort must be made to determine the type,
amount of drug taken, the mode and time of administration, and factors relating to the onset of
presenting symptoms. The actual content of most street drugs is highly questionable.
Pharmacologic agents should be administered with caution, except for the narcotic antagonists
in case of suspected opioid use. The function the drug plays in the adolescents life and the
adolescents level of interest in rehabilitation are important considerations in the long-term
management during the nonacute stage.
PTS: 1
DIF: Cognitive Level: Apply
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Psychosocial Integrity
35. A school nurse is conducting a class with adolescents on suicide. Which true statement about
A significant number of teenage suicides occur among homosexual youths. Gay and lesbian
adolescents who live in families or communities that do not accept homosexuality are likely to
suffer low self-esteem, self-loathing, depression, and hopelessness as a result of a lack of
acceptance from their family or community. At-risk teenagers include those who are
depressed, have poor problem-solving skills, or use drugs and alcohol. History of previous
suicide attempt is a serious indicator for possible suicide completion in the future.
PTS: 1
DIF: Cognitive Level: Apply
TOP: Integrated Process: Teaching/Learning
MSC: Area of Client Needs: Psychosocial Integrity
REF: 531
Firearms are the most commonly used instruments in completed suicides among both males
and females. For adolescent boys, firearms are followed by hanging and overdose. For
adolescent females, overdose and strangulation are the next most common means of
completed suicide. The most common method of suicide attempt is overdose or ingestion of
potentially toxic substances such as drugs. The second most common method of suicide
attempt is self-inflicted laceration. Carbon monoxide poisoning is not one of the more
frequent forms of suicide completion.
PTS: 1
DIF: Cognitive Level: Remember
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Psychosocial Integrity
REF: 531
37. Which is the most significant factor in distinguishing those who commit suicide from those
a.
b.
c.
d.
ANS: A
Social isolation is a significant factor in distinguishing adolescents who will kill themselves
from those who will not. It is also more characteristic of those who complete suicide than of
those who make attempts or threats. Level of stress, degree of depression, and desire to punish
others are contributing factors in suicide, but they are not the most significant factor in
distinguishing those who complete suicide from those who attempt suicide.
PTS: 1
DIF: Cognitive Level: Understand
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Psychosocial Integrity
REF: 532
38. An adolescent girl tells the nurse that she is very suicidal. The nurse asks her whether she has
a.
b.
c.
d.
ANS: A
Routine health assessments of adolescents should include questions that assess the presence of
suicidal ideation or intent. Questions such as, Have you ever developed a plan to hurt
yourself or kill yourself? should be part of that assessment. Adolescents who express suicidal
feelings and have a specific plan are at particular risk and require further assessment and
constant monitoring. The information about having a plan is an essential part of the
assessment and greatly affects the treatment plan.
PTS: 1
DIF: Cognitive Level: Understand
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Psychosocial Integrity
REF: 531
39. An adolescent has been diagnosed with lactose maldigestion intolerance. The nurse teaches
the adolescent about lactose maldigestion intolerance and notes the teen needs further teaching
if which statement is made?
a. I will limit my milk consumption to one to two glasses a day.
b. I should drink the milk alone and not with other foods.
c. Hard cheese, cottage cheese, or yogurt can be substituted for milk.
d. I will take a calcium supplement daily.
ANS: B
Most people are able to tolerate small amounts of lactose ( 1 cup of milk per day) even in the
presence of deficient lactase activity. It is recommended that individuals with lactose
maldigestion who do not experience lactose intolerance symptoms continue to consume small
amounts of dairy products with meals to prevent reduced bone mass density and subsequent
osteoporosis. Hard cheese, cottage cheese, and yogurt are sources of lactose that may be better
tolerated. A calcium supplement should be taken daily. Milk taken at meals may be better
tolerated than when taken alone.
PTS: 1
DIF: Cognitive Level: Apply
REF: 526
TOP: Integrated Process: Teaching/Learning
MSC: Area of Client Needs: Physiologic Integrity: Physiologic Adaptation
40. An adolescent has been diagnosed with Chlamydia infection. Which medication should the
PTS: 1
DIF: Cognitive Level: Understand
REF: 514-515
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Physiologic Integrity: Pharmacologic and Parenteral Therapies
MULTIPLE RESPONSE
1. A nurse is recommending strategies to a group of school-age children for prevention of
obesity. Which should the nurse include? (Select all that apply.)
Eat breakfast daily.
Limit fruits and vegetables.
Have frequent family meals with parents present.
Eat frequently at restaurants.
Limit television viewing to 2 hours a day.
a.
b.
c.
d.
e.
ANS: A, C, E
The nurse should counsel school-age children to eat breakfast daily, have mealtimes with
family, and limit television viewing to 2 hours a day to prevent obesity. Fruits and vegetables
should be consumed in the recommended quantities, and eating at restaurants should be
limited.
PTS: 1
DIF: Cognitive Level: Analyze
REF: 520
TOP: Integrated Process: Teaching/Learning
MSC: Area of Client Needs: Health Promotion and Maintenance
2. Which strategies should the school nurse recommend implementing in the classroom for a
child with attention deficit hyperactive disorder (ADHD)? (Select all that apply.)
Schedule heavier subjects to be taught in the afternoon.
Accompany verbal instructions by written format.
Limit number of breaks taken during instructional periods.
Allow more time for testing.
Reduce homework and classroom assignments.
a.
b.
c.
d.
e.
ANS: B, D, E
Children with ADHD need an orderly, predictable, and consistent classroom environment with
clear and consistent rules. Homework and classroom assignments may need to be reduced,
and more time may need to be allotted for tests to allow the child to complete the task. Verbal
instructions should be accompanied by visual references such as written instructions on the
blackboard. Schedules may need to be arranged so that academic subjects are taught in the
morning when the child is experiencing the effects of the morning dose of medication.
Regular and frequent breaks in activity are helpful because sitting in one place for an extended
time may be difficult.
PTS: 1
DIF: Cognitive Level: Apply
REF: 503
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Physiologic Integrity: Physiologic Adaptation
3. Which side effects should the nurse monitor when a child is taking an antipsychotic
c. Bradycardia
d. Dizziness
e. Seizures
ANS: A, D, E