Deck 9: School-Age Children

Question 1

A new nurse on a pediatric unit is learning to use EMLA cream in preparation for painful procedures. A school-age patient is scheduled to receive IM medication. Which behavior by the nurse indicates an understanding about the use of EMLA?

A)Medication is applied 2 hours before the IM.
B)The cream is covered with a section of gauze.
C)A thin layer of medication is applied to the area.
D)Cream remaining on the skin is gently rubbed in.

Answer 1

Medication is applied 2 hours before the IM.

Question 2

The nurse is invited to present a program on child safety to parents of school-age children in the fourth and fifth grades. Considering the age, which information does the nurse include in the teaching plan?

A)Immunization schedule
B)Head injury prevention
C)Age-appropriate toys
D)Symptoms of illnesses

Answer 2

Head injury prevention

Question 3

The school nurse is attending a meeting with the teachers, school counselors, and parents of a student who has recently refused to attend school. The parents share that the student is either pretending to be ill or being untruthful about going to classes. Which initial intervention by the nurse is best?

A)Inquire about the student's feelings regarding school.
B)Ask the parents if they have noticed physical injuries.
C)Explain the impact of missing school to the student.
D)Suggest homeschooling until the problem is resolved.

Answer 3

Inquire about the student's feelings regarding school.

Question 4

The nurses in a local health department are scheduled to perform screenings at a public elementary school. Which printed information will the nurses most likely send home with the students after the screening?

A)Importance of keeping immunizations up to date
B)Procedure for handwashing to prevent illnesses
C)Methods of treating and avoiding lice infestation
D)Proper way to cover up when coughing or sneezing

Question 5

Identify one or more choices that best complete the statement or answer the question.
The nurses at a community pediatric clinic are preparing a presentation about nutrition for the school-age child. Which information is important for the nurses to include? Select all that apply.

A)Over 35% of school-age children are considered to be obese or overweight.
B)Overweight children have an increased likelihood of being overweight adults.
C)Children with high BMIs have increased levels of lipids, insulin, and blood pressure.
D)Notably higher health risks exist for adults who were obese during childhood.
E)School-age children need comparatively more calories than infants or adolescents.

Question 6

The nurse is gathering assessment data on a child who is 8 years of age and newly diagnosed with type 1 diabetes mellitus. The caregiver shares a reluctance to allow the child to return to school because the child's glucose levels need to be checked several times daily. Which information is most important for the nurse to share?

A)The caregiver may consider personally attending school with the child.
B)The child's medical condition is manageable in school and other places.
C)The school nurse can care for the special needs of children in school.
D)The caregiver is interrupting psychosocial development in the child.

Question 7

Identify one or more choices that best complete the statement or answer the question.
The nurse is performing a routine physical assessment on a 7-year-old child. Which specific approaches does the nurse use for this child? Select all that apply.

A)Listen to information shared by the child.
B)Start the exam with obtaining vital signs.
C)Expect the child to be undressed and in a gown.
D)Visually inspect the child's general appearance.
E)Share which immunizations will be given today.

Question 8

Identify one or more choices that best complete the statement or answer the question.
The nurse is making a home visit for a child who is 9 years of age and currently unable to attend school because of an illness causing immunosuppression. The child seems depressed and tells the nurse, "I miss my friends and all the fun we had." Which interventions will the nurse add to the plan of care to meet the child's psychosocial needs? Select all that apply.

A)Have the parents take videos of friends for the child to view.
B)Allow friends to visit from the doorway of the child's room.
C)Provide instructions on how to visit friends on a computer.
D)Suggest that the child and friends send letters to each other.
E)Ask parents to arrange daily time for telephone visiting with friends.

Question 9

The school nurse is presenting information on the importance of exercise to children in the fifth and sixth grades of school. Which reason does the nurse cite as being the best reason for being physically active?

A)Sports provide an opportunity to bond with peers.
B)Normal childhood activities make exercise fun.
C)Physical activity needs to replace technology hours.
D)Early exercise will carry over as good habits for adults.

Question 10

Identify one or more choices that best complete the statement or answer the question.
The school nurse is discussing a student's reasons for leaving school to be home schooled. The student has a chronic condition that causes mobility and strength deficits. The student states, "I want to stay in school, but I am always late for class. I can't manage getting around fast enough with all my books." Which suggestion by the nurse will best meet the needs of the student? Select all that apply.

A)Place the designated textbook in each class the student attends.
B)Plan for the student to leave class early to get to the next class.
C)Arrange for a set of textbooks to be left in the student's home.
D)Set up closed-circuit TV so the student "attends" from a set location.
E)Inquire if the parents are able to purchase a motorized wheelchair.

Question 11

Identify one or more choices that best complete the statement or answer the question.
A 13-year-old student has cerebral palsy but is able to communicate well with others. The parents support their child being mainstreamed into a school setting even though self-care is limited. The school nurse likely needs to arrange for which type of care for this student? Select all that apply.

A)Tracheostomy suctioning
B)Straight catheterizations
C)Colostomy management
D)Oral or enteral feedings
E)Medication administration

Question 12

Identify one or more choices that best complete the statement or answer the question.
The nurse in a pediatric clinic is preparing to assess an adolescent who is 12 years of age. Which behavior by the adolescent prompts the nurse to ask if the parent should leave the room? Select all that apply.

A)Acknowledges that the parent is aware of adolescent's sexual activity
B)Refers some of the nurse's questions about health history to the parent
C)Makes attempts to keep their body covered during physical assessment
D)Looks tense and anxious when asked about body functions and changes
E)Does not respond to questions relating to thoughts, feelings, and opinions

Question 13

The nurse in a pediatric office is preparing to remove stitches from an 8-year-old child's arm. Which approach by the nurse before the procedure is most effective?

A)Provide information in advance of how the procedure is performed.
B)Tell the patient, "I will be back in fifteen minutes to take out your stitches."
C)Have a coworker in the room to assist if the patient becomes uncooperative.
D)Bring the instruments to the room and announce, "Let's get those stitches out."

Question 14

A school-aged child is being treated for an overdose of cough medicine administered by the parent. The child is 12 years of age and weighs 98 pounds. The label on the bottle states not to give the medication to children younger than 6 years, and provides a dosing chart that indicates an adult dose for children over 50 kg. For which reason does the nurse suspect the overdose occurred?

A)The cough continued after being medicated.
B)The parent misunderstood weight parameters.
C)The parent measured with a household spoon.
D)The parent attempted to induce sleep in the child.

Question 15

The nurse is visiting the home of a family who is providing care for a school-age child with profound disabilities. The nurse notes that the primary caregiver looks tired and thin. The caregiver admits to feeling overwhelmed and then guilty about negative feelings. Which intervention by the nurse is most helpful?

A)Arrange for a counselor to meet with the family and assess for well-being.
B)Suggest a means of child management so the parents can plan a short getaway.
C)Provide literature about extended-care facilities where the child can be cared for.
D)Recommend the caregiver to a support group where feelings can be shared.

Question 16

The nurse is preparing to administer medications to school-aged patients. The nurse is aware the pediatric patient doses are different than medication doses for adults. Which factor does the nurse apply to administering pediatric medications?

A)Children's bodies are smaller and need half of the adult dose.
B)The metabolic rate of a child is slower and can cause overdosing.
C)Doses of medications are ordered according to the child's weight.
D)The first dosage consideration is based on the age of the child.

Question 17

The nurse in a pediatric clinic is gathering physical assessment information during a yearly visit on a 6-year-old child. Which finding does the nurse expect during the assessment?

A)A weight gain of 6-1/2 pounds
B)A height increase of 5 inches
C)A blood pressure of 108/72 mm Hg
D)A pulse rate of 85 beats per minute

Question 18

Identify one or more choices that best complete the statement or answer the question.
The school nurse attends a workshop focusing on the identification and prevention of bullying among school-age children. The nurse will be better able to identify both bullies and victims due to knowledge of which factors? Select all that apply.

A)Poor academic achievement
B)Jealousy over sexual attention
C)Lower education level of caregivers
D)Leader or follower personality types
E)Poor health status or increased health needs

Question 19

Identify one or more choices that best complete the statement or answer the question.
The emergency department nurse manager receives a call that a school-age patient will be arriving shortly. The nurse is instructed to have a chaplain and social worker available for the family. The nurse manager is likely to anticipate which possible conditions of the arriving patient? Select all that apply.

A)Pneumonia
B)Terminal cancer
C)Car accident
D)Child abuse
E)Sports injury

Question 20

The nurse is examining a 10-year-old child brought to the clinic because of episodes of shortness of breath, headaches, and stomach upset. The nurse notices bruises in various stages of resolution on the upper arms and upper legs. Which additional information is most important for the nurse to obtain?

A)Ask about the duration of the presenting symptoms.
B)Ascertain if there is a change in school performance.
C)Notify the physician of physical or sexual abuse.
D)Seek information about the cause of the bruises.