Chapter 19: The School-Age Child Test Bank
MULTIPLE CHOICE
1. The nurse is aware that, in general, the school-age child will: a. grow 3 to 6 inches per year.
b. gain 5 to 7 pounds per year.
c. increase head circumference by 1 inch per year. d. reach a visual acuity of 20/20 by 9 years of age.
ANS: B
During the school-age period, the average weight gain per year is generally 5.5 to 7 pounds. DIF: Cognitive Level: Knowledge REF: p. 436 OBJ: 2
TOP: Physical Growth KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. The nurse, planning to teach a class on nutrition to fourth-grade students, would keep in mind that school-age children:
a. can concentrate on only one aspect of a situation. b. can think abstractly.
c. are egocentric in their thinking. d. think logically and concretely.
ANS: D
Piaget refers to the thought process of this period as concrete operations, which involves logical thinking and an understanding of cause and effect.
DIF: Cognitive Level: Analysis REF: p. 436, Table 19-3 OBJ: 2 TOP: Cognitive Development
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. The nurse explains that the preferred social interaction for the school-age child is based on relationships that are:
a. heterosexual interest groups. b. association with one “best friend.”
c. rigidly organized groups with complex rules. d. same-sex peer groups.
ANS: D
TOP: Social Development—Play KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
4. The nurse advises the parents of a 10-year-old boy that, according to Erikson’s theory, the most developmentally supportive experience for him would be:
a. constant variety of activities.
b. successful performance in Little League. c. feeling healthy and strong.
d. having a girlfriend. ANS: B
The child who is successful in activities will feel positively about himself or herself. DIF: Cognitive Level: Analysis REF: p. 440 OBJ: 2
TOP: Psychosocial Development KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
5. The parents of an 8-year-old tell the nurse the child wakes the household crying out during his frequent nightmares. The nurse’s most helpful response is to explain that nightmares are a(n):
a. normal extension of the child’s fear of mutilation. b. abnormal response to repressed feelings.
c. common result of latent sexuality.
d. side effect of overactivity and stimulation. ANS: A
The nightmares experienced by an 8-year-old are an extension of their characteristic fear of mutilation.
DIF: Cognitive Level: Comprehension REF: p. 445, Table 19-3 OBJ: 2 TOP: Eight-Year-Old
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
6. The nurse suggests an appropriate toy for a hospitalized 6-year-old boy would be a(n): a. handheld video game.
b. MP3 player. c. adventure book. d. jigsaw puzzle.
ANS: A
The 6-year-old child can perform numerous feats that require muscle coordination. At this age, the handheld video game will offer nonaggressive competition.
DIF: Cognitive Level: Analysis REF: p. 441 OBJ: 2 TOP: Six-Year-Old KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
7. The nurse discusses preparation for school with the parents of a 6-year-old girl who will soon be starting first grade. The nurse determines that the parents understood the
information when the girl’s father states: a. “We should put a stop to her thumb-sucking.” b. “We’ll have a talk about what school is like.” c. “We will let her walk to the bus stop by herself.”
d. “We’ll have her meet some children who will be in her class.” ANS: D
To prepare a child for school, parents can arrange for the child to meet other children who will be entering school with her.
DIF: Cognitive Level: Application REF: p. 441, Box 19-2, Parent Teaching box OBJ: 3 TOP: Parental Guidance for Starting School
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
8. A 9-year-old boy is often cranky and irritable and his school performance has declined. All the options are true about the child. The possible factor causing this behavior is that he:
a. sleeps only 6 to 7 hours a night. b. eats eggs every day.
c. has a new dog.
d. plays about 1 to 3 hours each evening. ANS: A
The 9-year-old child requires about 10 hours of sleep per night.
DIF: Cognitive Level: Analysis REF: p. 442 OBJ: 2
TOP: Nine-Year-Old KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 9. A parent asked the nurse, “At what age are children capable of assuming more
responsibility for personal belongings?” Based on knowledge of growth and development, the nurse would responds with _____ years.
a. 6 b. 7 c. 9 d. 12
ANS: C
The 9-year-old is dependable and assumes more responsibility for personal belongings. DIF: Cognitive Level: Comprehension REF: p. 442 OBJ: 2
TOP: Nine-Year-Old KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
10. The school nurse who is preserving a tooth that was knocked out on the school yard will be especially careful to:
a. wrap the tooth loosely in a clean cloth. b. rinse the tooth with alcohol.
c. handle the tooth only by the crown. d. place the tooth in a warm environment.
ANS: C
When a permanent tooth is avulsed, the tooth should be picked up by the crown to prevent any further damage to the root and placed in milk until the child can be examined by a dentist.
DIF: Cognitive Level: Application REF: p. 440, Nursing Tip
OBJ: 6 TOP: Safety KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Reduction of Risk
11. A parent states, “My 7-year-old really wants a dog. His 10-year-old brother has allergies to animal dander. I don’t know what to do.” The nurse could advise this parent to choose a(n):
a. small breed of dog because the large dogs produce more allergens. b. older unneutered dog that produces fewer allergens than a younger one. c. cat since it requires less care and is less allergenic.
d. poodle, which does not shed, making it a good choice for people with allergies. ANS: D
The poodle does not have a shed cycle and so it may be the least offensive pet for the allergic child.
DIF: Cognitive Level: Analysis REF: p. 448 OBJ: 7
TOP: Pet Ownership KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
12. When asked about her activities, a 10-year-old girl responded, “I like school. I play the flute in the school band, and I take tennis lessons.” The nurse knows these activities will help this child develop a sense of:
a. initiative. b. industry. c. identity. d. intimacy.
The school-age period is referred to by Erikson as the stage of industry. Successful participation in activities facilitates the child’s sense of industry.
DIF: Cognitive Level: Analysis REF: p. 438, Table 19-3 OBJ: 2 TOP: Psychosocial Development
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
13. A mother reports that she has a new job and her 12-year-old child is home alone for a time after school. The statement made by the parent, indicating a potentially unsafe situation for this child, is:
a. “I told him that he could invite a few friends after school.” b. “I put a list of emergency numbers next to the telephone.” c. “Last week we made a first aid kit together.”
d. “There is a neighbor available in case of an emergency.” ANS: A
Latchkey children are subject to a higher rate of accidents. Permitting school-age children and their friends to be home alone in an unsupervised environment is an unsafe situation. DIF: Cognitive Level: Analysis REF: p. 440 OBJ: 3
TOP: Latchkey Children KEY: Nursing Process Step: Evaluation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
14. A mother is concerned because her 9-year-old has developed the habit of twitching his eyes and flipping his hair while communicating with anyone. The best nursing response to this parent is:
a. “This may indicate that he needs eyeglasses.” b. “Children sometimes do these things for attention.” c. “This behavior suggests low self-esteem.”
d. “Tics appear when a child is under stress.” ANS: D
The child cannot help such actions and should not be scolded for them because they are mainly a result of tension.
DIF: Cognitive Level: Analysis REF: p. 442 OBJ: 2
TOP: Nine-Year-Old KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
15. A seventh-grade girl tells the school nurse that her art teacher, a woman, is her hero. The most appropriate interpretation of the girl’s comment is:
a. the student may be exploring her career options. b. the comment is cause for concern about sexual abuse. c. the child may have difficulty interacting with her peers.
d. hero worship is a normal phenomenon. ANS: D
School-age children tend to admire their teachers and adult companions. For the 11- to 12-year-old, hero worship is a normal phenomenon.
DIF: Cognitive Level: Analysis REF: p. 442 OBJ: 2
TOP: Social Development KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
16. According to Piaget, a 9-year-old child is in which stage of cognitive development? a. Formal operations
b. Preoperational c. Concrete operations d. Sensorimotor
ANS: C
School-age children are in the concrete operations stage of cognitive development. DIF: Cognitive Level: Knowledge REF: p. 445, Table 19-3
OBJ: 2 TOP: Cognitive Development KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
17. The nurse assesses that the 11-year-old has moved from the mind set of egocentrism when he says:
a. “I am a member of the best Cub Scout group in the world.” b. “I must do my homework before I can play.”
c. “My dad can do anything!”
d. “I’m sorry. I bet that hurt your feelings.” ANS: D
The ability to see another’s point of view indicates moving away from egocentrism into a more altruistic mind-set.
DIF: Cognitive Level: Analysis REF: p. 436, Table 19-3 OBJ: 5 TOP: Increasing Understanding
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
18. When the school-age child becomes frustrated with a school assignment and says, “I can’t do this!” the most developmentally supportive response from the parent would be to:
a. ask, “What is it that is so difficult?” b. allow the child to quit the effort. c. call in older siblings to help. d. finish the project for him.
ANS: A
Helping the child focus on the problem that is keeping him from mastery can limit frustration. Quitting or having someone else finish is detrimental to the development of industry.
DIF: Cognitive Level: Analysis REF: p. 444 OBJ: 2 TOP: Industry KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 19. The nurse suggests to the parents of an overweight 9-year-old that to help prevent
obesity, they should:
a. use whole milk as a between-meal snack because it is more filling than skim milk. b. feed the child before family meal times in order to monitor intake more closely. c. encourage the child to engage in physical activity for at least an hour a day. d. remove all sweets and junk food from the house.
ANS: C
Regular physical activity reduces weight.
DIF: Cognitive Level: Comprehension REF: p. 447, Nursing Tip OBJ: 7 TOP: Prevention of Obesity
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
20. A parent confides in the school nurse that her 8-year-old twins argue and bicker constantly. The nurse’s best response would be to:
a. express alarm at the constant aggression.
b. voice concern and investigate referral for counseling.
c. inquire about what punitive action the parents have taken to stop it. d. offer reassurance that such behavior is normal for 8-year-olds.
ANS: D
Argumentative and competitive behavior is normal in 8-year-olds.
DIF: Cognitive Level: Application REF: p. 440 OBJ: 2
TOP: Argumentative Behavior KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
21. The school nurse planning sex education classes for school-age children should: a. use simple terms.
b. avoid slang or “street” words and concepts.
c. keep topics on biological aspects of sexual development. d. limit questions in order to keep content clear.
Using simple terms is essential but slang and street terms need to be clarified. Apply age-specific information across broad aspects of biological, social, and current attitudes. DIF: Cognitive Level: Application REF: p. 437 OBJ: 7
TOP: Sex Education KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
MULTIPLE RESPONSE
22. The nurse, in attempting to help a 7-year-old girl express her feelings about being in a new school, would prompt the child with what basic “feeling” words? Select all that apply. a. Mad b. Glad c. Sad d. Scared e. Jealous ANS: A, B, C, D
The words “mad,” “glad,” “sad,” and “scared” are basic feeling words that can prompt a young child to better express his or her feelings.
DIF: Cognitive Level: Application REF: p. 447, Nursing Tip OBJ: 2 TOP: Expression of Feelings
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
COMPLETION
23. The nurse advises the parents of a 6-year-old to try and ensure at least ______ hours of sleep daily for the child.
ANS: 11
The 6-year-old school-age child needs at least 11 hours of sleep.
DIF: Cognitive Level: Comprehension REF: p. 441 OBJ: 2 TOP: Sleep Needs KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
24. The nurse reminds the parents who are trying to select a dog for their allergic child that the best selection would be a female dog that is ______________ and _______________. ANS:
young, spayed spayed, young
DIF: Cognitive Level: Comprehension REF: p. 448 OBJ: 7
TOP: Pet Selection for Allergic Child KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
25. When the fifth-grade class collected geckos in a special aquarium in the classroom, the school nurse cautioned the teacher to be alert for symptoms of ____________________ that can be carried by the reptiles.
ANS: Salmonella
Geckos can infect humans with Salmonella.
DIF: Cognitive Level: Comprehension REF: p. 448, Table 19-4
OBJ: 7 TOP: Salmonella KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
26. The pediatric nurse assesses the 9-year-old child who has been diagnosed with diabetes to ensure that he does not come to believe that his disease is a form of _________________. ANS:
punishment
School-age children may come to believe their illness is a form of punishment for bad behavior or bad thoughts.
DIF: Cognitive Level: Comprehension REF: p. 446, Table 19-3 OBJ: 2 TOP: Disease as Punishment
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
27. The nurse explains that the term _______________ refers to a sex role that incorporates both male and female traits.
ANS:
androgynous
Sex roles that involve male and female qualities lead to better human functioning DIF: Cognitive Level: Knowledge REF: p. 437 OBJ: 7
TOP: Sex Education KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
28. The nurse is aware that by the age of _____, the first permanent teeth erupt. ANS:
6
At the age of 6, the first permanent teeth erupt, the 6-year molars.
DIF: Cognitive Level: Comprehension REF: p. 436 OBJ: 2
TOP: Eruption of Permanent Teeth KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Growth and Development