School Health Nursing

Evaluation Exam
Direction: You are given 1 1/2 hours to answer the statements below.
Avoid erasures as necessary. Write your answer on a separate sheet of paper.
NO PERMIT, NO EXAM POLICY

Multiple Choices
Instruction: Read each question cautiously and their corresponding choices carefully.

1. Mrs. Baker was instructed by the nurse on foods to encourage her child’s diet concerning the
latter’s iron deficiency anemia; which of the following if stated by the mother would indicate the
need for further instruction?
A. Yellow vegetables
B. Fish
C. Whole-grain bread
D. Lean Meat

2. Nurse Olenna is performing community assessment; which of the following age-groups would
be inappropriate for her to monitor iron deficiency anemia?
A. Pregnant women
B. Toddlers
C. School-age children
D. Adolescents

3. Archie is a child with iron deficiency anemia. He is required to receive elemental iron therapy
at 6 mg/kg/day in three divided doses. He weighs 44 lbs. How many milligrams of iron should he
receive per dose?
A. 20 mg/dose
B. 40 mg/dose
C. 60 mg/dose
D. 120 mg/dose

4. The nurse is teaching a client who has iron deficiency anemia about foods she should include
in her diet. The nurse determines that the client understands the dietary instructions if she selects
which of the following from her menu?
A. Nuts and fish
B. Butter and margarine
C. Sugar and candy
D. Oranges and dark green leafy vegetables

5. Which of the following blood study results would the nurse expect as most likely when caring
for the child with iron deficiency anemia?
A. Normal total iron-binding capacity (TIBC)
B. Decreased mean corpuscular volume (MCV)
C. Normal hematocrit
D. Increased hemoglobin

6. Amikacin (Amikin) is given to a client with E-coli infection. The nurse advises the client to
report which of the following symptoms immediately?
A. Muscle pain
B. Constipation
C. Fatigue
D. Hearing loss
7. Ricky is suffering from persistent vomiting for two days now. He appears to be lethargic and
weak and has myalgia. He is noted to have dry mucus membranes and his capillary refill takes
>4 seconds. He is diagnosed as having gastroenteritis and dehydration. Measurement of arterial
blood gas shows pH 7.5, PaO2 85 mm Hg, PaCO2 40 mm Hg, and HCO3 34 mmol/L. What
acid-base disorder is shown?

A. Respiratory Alkalosis, Uncompensated

B. Respiratory Acidosis, Partially Compensated
C. Metabolic Alkalosis, Uncompensated
D. Metabolic Alkalosis, Partially Compensated

8. Baby Angela was rushed to the Emergency Room following her mother’s complaint that the
infant has been irritable, difficult to breastfeed and has had diarrhea for the past 3 days. The
infant’s respiratory rate is elevated and the fontanels are sunken. The Emergency Room
physician orders ABGs after assessing the ABCs. The results from the ABG results show pH
7.39, PaCO2 27 mmHg and HCO3 19 mEq/L. What does this mean?

A. Respiratory Alkalosis, Fully Compensated

B. Metabolic Acidosis, Uncompensated
C. Metabolic Acidosis, Fully Compensated
D. Respiratory Acidosis, Uncompensated

9. While preparing to discharge an 8-month-old infant who is recovering from gastroenteritis and
dehydration, the nurse teaches the parents about their infant’s dietary and fluid requirements. The
nurse should include which other topic in the teaching session?

A. Nursery schools
B. Toilet Training
C. Safety guidelines
D. Preparation for surgery

10. When caring for an 11-month-old infant with dehydration and metabolic acidosis, the nurse
expects to see which of the following?

A. A reduced white blood cell count

B. A decreased platelet count
C. Shallow respirations
D. Tachypnea

11. A child experiences profuse watery diarrhea and is admitted to the pediatric unit with a
diagnosis of gastroenteritis and dehydration. Which of these assessment findings would alert the
healthcare provider to the presence of compensated shock?

A. Hypotension
B. Metabolic acidosis
C. Narrow pulse pressure
D.Pulmonary crackles

12. A patient is experiencing diarrhea caused by Vibrio cholerae. Which type of diarrhea is
associated with this microorganism?

A. Functional
B. Secretory
C. Osmotic
D. Inflammatory
13. The healthcare provider is caring for a 3-month-old infant diagnosed with infectious
gastroenteritis. The infant is lethargic and the mucous membranes are dry. Which additional
finding would support a diagnosis of moderate dehydration?
A. Sunken fontanelle
B.Increased capillary refill
C. Anuria
D.Increased thirst

14. When assessing a patient diagnosed with severe gastroenteritis and diarrhea, the healthcare
provider notes muscle weakness and decreased deep tendon reflexes. Based on these findings,
which of the following is the appropriate action by the healthcare provider?

A. Insert a nasogastric tube and connect to low suction

B. Perform a fingerstick to check the patient’s glucose level
C. Administer the prescribed loop diuretic IV push
D.Obtain an electrocardiogram and analyze cardiac rhythm

15. A patient presents to the emergency department with a complaint of watery diarrhea for the
past three days. Assessment findings include blood pressure - 100/60, pulse - 98, and dry mucous
membranes. The healthcare provider would anticipate intravenous therapy administration with
which of the following fluids?
A. Colloid solution
B. Hypotonic crystalloid
C. Hypertonic crystalloid
D. Isotonic crystalloid

True or False

1. Mild illness is a reason to withhold vaccination.

2. If a mother is breastfeeding, she shouldn’t be given routinely recommended vaccines.
3. A child's temperature should be checked routinely before vaccinations are administered.
4. A pregnancy test should be performed routinely for adolescent females before giving them
MMR or varicella vaccines.
5. If there is an immunosuppressed child in the household, siblings should be given MMR and
varicella vaccines on schedule.
6. If the first dose of hepatitis B vaccine was given more than one year ago, and no subsequent
doses were given, you should repeat the first dose.
7. MMR and varicella vaccines can be given to a child whose mother is pregnant.
8. When a teen or adult has an injury and needs protection against tetanus, Tt (tetanus toxoid)
should be administered rather than Td or Tdap.
9. All healthcare workers who have contact with patients and who have no contraindications
should receive influenza vaccine every year.
10. 1. Immunization is the process by which vaccines are introduced into the body before
infection sets in.

Complete the Table

Vaccine DISEASE Prevented At 1½ 2½ 3½ 9 1

birth Mos. mos mos mos year
BCG
Pentavalent
OPV
Pneumococcal
Conjugate Vac
MMR
Answer

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.C
12.B
13. A
14. D
15. D
16. B

ToF
1. F
2.F
3.F
4.F
5.T
6.F
7.T
8.F
9.T
10.T