Question 1

If a school-age child develops chronic headaches, stomachaches, or anorexia, these could be psychosomatic manifestations of the stress induced by which of the following?&#10;A) Depression&#10;B) Bullying&#10;C) Child abuse&#10;D) Malnutrition

Accepted Answer

Bullying can cause stress in school-age children, which can manifest as psychosomatic symptoms such as headaches, stomachaches, or anorexia.

Question 2

Which action should you take if you encounter a school-age child with suspected precocious puberty?&#10;A) Inform the parents that this condition is serious and should be dealt with immediately&#10;B) Explain to the parents that the child should be seen by an endocrinologist to determine the cause of this condition&#10;C) Immediately draw blood work to identify the cause of this condition&#10;D) Explain to the child that this is a normal occurrence and not to worry

Accepted Answer

Precocious puberty is a condition where puberty starts significantly earlier than usual, and it's important to identify the underlying cause. An endocrinologist specializes in hormones and is the appropriate specialist to evaluate and manage this condition. Immediate blood work or alarming the child or parents without a proper assessment may not be the best initial steps.

Question 3

Which of the following represents the true essence of childhood discipline?&#10;A) To teach what is right and what is wrong&#10;B) To foster success&#10;C) To be independent&#10;D) To be trustworthy

Accepted Answer

Discipline in childhood is fundamentally about teaching children the difference between right and wrong, guiding them to understand and internalize appropriate behaviors and values.

Question 4

The pediatric nurse must be aware that recent epidemics of infectious disease such as measles and pertussis are related to increased rates of which of the following?&#10;A) Poverty&#10;B) Malnutrition&#10;C) Vaccination refusal&#10;D) Microbial resistance

Accepted Answer

Recent epidemics of infectious diseases like measles and pertussis are primarily related to increased rates of vaccination refusal, as communities with lower vaccination rates are more susceptible to outbreaks of these preventable diseases.

Question 5

How would you advise a parent on the best method of treatment of an obese school-age child?&#10;A) Have the obese child go on a diet&#10;B) Explain to the child that his or her health is at risk&#10;C) Explain to the child his or her self-esteem would improve with weight loss&#10;D) Encourage healthy eating and increased activities

Accepted Answer

Encouraging healthy eating and increased physical activities is the most effective and recommended approach for managing obesity in children. It promotes a healthy lifestyle that can be maintained long-term, unlike diets which can be restrictive and not suitable for growing children. Educating the child about health risks and self-esteem issues related to obesity is important, but it should be done sensitively and as part of a broader approach that focuses on positive lifestyle changes.

Question 6

If you encounter a school-age child with an allergic reaction to peanuts, what action should you perform even after an epinephrine injection has been given?&#10;A) Get another epinephrine injection ready if symptoms do not diminish&#10;B) Place an IV in the child's arm in case more medication is required&#10;C) Call for emergency assistance due to the risk of a biphasic reaction&#10;D) Place a child on a heart monitor to ensure resolution of symptoms

Accepted Answer

Calling for emergency assistance is crucial even after administering epinephrine to a child with a severe allergic reaction, due to the risk of a biphasic reaction, where symptoms can recur and potentially worsen without further medical intervention.

Question 7

Because of their level of information processing, logical reasoning, and beginning abstract thinking, how should children be handled when conversations regarding their condition and treatment plan are taking place?

A) Children under the age of 18 years should never be present during these conversations.
B) School-age children should be allowed to be present during discussion of their treatment or during rounds if appropriate.
C) Information from these discussions should be given to the parents whose responsibility it is to inform the child.
D) A Child Life specialist should report this information and provide support and appropriate information to the child.

Accepted Answer

School-age children are capable of understanding basic information about their condition and treatment, and involving them in discussions can help them feel more in control and less anxious.

Question 8

What emotional reaction can occur in school-age children if they fail to master projects, academics, and actions that make them feel as though they are industrious, successful, and accomplished?&#10;A) They can develop depression.&#10;B) They can develop anxiety.&#10;C) They can develop an inferiority complex.&#10;D) They can develop a personality disorder.

Accepted Answer

According to Erik Erikson's stages of psychosocial development, school-age children are in the stage of "Industry vs. Inferiority." If they fail to feel industrious and successful, they may develop feelings of inferiority. This stage does not directly associate failure with depression, anxiety, or personality disorders in its theoretical framework.

Question 9

For which reason do school-age children have a higher potential for sports-related injuries than adolescents?&#10;A) Less-mature muscle mass and strength&#10;B) Weaker ligaments and tendons&#10;C) Less-developed skeletal system&#10;D) Greater nutritional requirements

Accepted Answer

School-age children have less-mature muscle mass and strength compared to adolescents, making them more susceptible to sports-related injuries.

Question 10

As a pediatric nurse, what anticipatory guidance can you give to a school-age child who is uncomfortable being shorter and smaller than his peers?&#10;A) Tell the child they will eventually go through a growth spurt and catch up to his or her peers&#10;B) Tell the child that variations exist and that it is normal to be taller or shorter than his or her peers&#10;C) Tell the child that with proper nutrition and exercise he or she can get bigger and stronger&#10;D) Tell the child that he or she simply has a genetic disposition to be shorter and smaller

Accepted Answer

It is important to reassure the child that variations in growth are normal and that everyone grows at their own pace.

Deck 9: Caring for School-Age Children