Carman Essentials of Pediatric Nursing 3rd Ed - Ch. 6 Growth and Development of the School-Aged
Child Exam Questions and Answers Graded A+
The nurse is about to see a 9-year-old girl for a well-child check-up. Knowing that the child is in Piaget's
period of concrete operational thought, which characteristic should the child display?
a. Consider an action and its consequences
b. View the world in terms of her own experience
c. Make generalized assumptions about groups of things
d. Know lying is bad because she gets sent to her room for it - Answers Answer: a
The child will be able to consider an action and its consequences in Piaget's period of concrete
operational thought. However, she is now able to empathize with others. She is more adept at
classifying and dividing things into sets. Defining lying as bad because she gets punished for it is a
Kohlberg characteristic.
The nurse is educating the parents of a 6-year-old boy how to manage the child's introduction into
elementary school. The child has an easy temperament. Which should the nurse suggest?
a. Comforting the child when he is frustrated
b. Helping the child deal with minor stresses
c. Scheduling several visits to the school before classes start
d. Being firm with episodes of moodiness and irritability - Answers Answer: b
The child with an easy temperament will adapt to school with only minor stresses. The slow-to-warm
child will experience frustration. The difficult child will be moody and irritable and may benefit from a
preschool visit.
The mother of a 7-year-old girl is asking the nurse's advice about getting her daughter a two-wheel bike.
Which response by the nurse is most important?
a. "Teach her where she'll land on the grass if she falls."
b. "Be sure to get the proper size bike."
c. "She won't need a helmet if she has training wheels."
d. "Learning to ride the bike will improve her coordination." - Answers Answer: b
It is very important to get a bike of the proper size for the child. Getting a bike that the child can "grow
into" is dangerous. Training wheels and grass to fall on are not acceptable substitutes for the proper
, protective gear. The child should already demonstrate good coordination in other playing skills before
attempting to ride a bike.
The school nurse is assessing the nutritional status of an overweight 12-year-old girl. Which question is
appropriate for the nurse to ask?
a. Does your family have rules about foods and how they are prepared?
b. What does your family do for exercise?
c. How often does everyone in your family eat together?
d. Have you gained weight recently? - Answers Answer: c
Asking how often the family eats together is an appropriate question for the girl. All the others should
be directed to the parents.
The nurse has taken a health history and performed a physical examination for a 12-year-old boy. Which
finding is the most likely?
a. The child's body fat has decreased since last year.
b. The child has different diet preferences than his parents.
c. The child has a leaner body mass than a girl at this age.
d. The child described a somewhat reduced appetite. - Answers Answer: c
The nurse would have found that the child still has a leaner body mass than girls at this age. Both boys
and girls increase body fat at this age. Food preferences will be highly influenced by those of her
parents. Although caloric intake may diminish, appetite will increase.
The nurse is teaching parents of an 11-year-old girl how to deal with the issues relating to peer pressure
to use tobacco and alcohol. Which suggestion provides the best course of action for the parents?
a. Avoid smoking in the house or in front of the child.
b. Hide alcohol out of the child's reach.
c. Forbid the child to have friends that smoke or drink.
d. Discuss tobacco and alcohol use with the child. - Answers Answer: d
Parents are major influences on school-aged children and should discuss the dangers of tobacco and
alcohol use with the child. Not smoking in the house and hiding alcohol send mixed messages to the
child. Open and honest discussion is the best approach rather than forbidding the child to make friends
with kids that use tobacco or alcohol.
Child Exam Questions and Answers Graded A+
The nurse is about to see a 9-year-old girl for a well-child check-up. Knowing that the child is in Piaget's
period of concrete operational thought, which characteristic should the child display?
a. Consider an action and its consequences
b. View the world in terms of her own experience
c. Make generalized assumptions about groups of things
d. Know lying is bad because she gets sent to her room for it - Answers Answer: a
The child will be able to consider an action and its consequences in Piaget's period of concrete
operational thought. However, she is now able to empathize with others. She is more adept at
classifying and dividing things into sets. Defining lying as bad because she gets punished for it is a
Kohlberg characteristic.
The nurse is educating the parents of a 6-year-old boy how to manage the child's introduction into
elementary school. The child has an easy temperament. Which should the nurse suggest?
a. Comforting the child when he is frustrated
b. Helping the child deal with minor stresses
c. Scheduling several visits to the school before classes start
d. Being firm with episodes of moodiness and irritability - Answers Answer: b
The child with an easy temperament will adapt to school with only minor stresses. The slow-to-warm
child will experience frustration. The difficult child will be moody and irritable and may benefit from a
preschool visit.
The mother of a 7-year-old girl is asking the nurse's advice about getting her daughter a two-wheel bike.
Which response by the nurse is most important?
a. "Teach her where she'll land on the grass if she falls."
b. "Be sure to get the proper size bike."
c. "She won't need a helmet if she has training wheels."
d. "Learning to ride the bike will improve her coordination." - Answers Answer: b
It is very important to get a bike of the proper size for the child. Getting a bike that the child can "grow
into" is dangerous. Training wheels and grass to fall on are not acceptable substitutes for the proper
, protective gear. The child should already demonstrate good coordination in other playing skills before
attempting to ride a bike.
The school nurse is assessing the nutritional status of an overweight 12-year-old girl. Which question is
appropriate for the nurse to ask?
a. Does your family have rules about foods and how they are prepared?
b. What does your family do for exercise?
c. How often does everyone in your family eat together?
d. Have you gained weight recently? - Answers Answer: c
Asking how often the family eats together is an appropriate question for the girl. All the others should
be directed to the parents.
The nurse has taken a health history and performed a physical examination for a 12-year-old boy. Which
finding is the most likely?
a. The child's body fat has decreased since last year.
b. The child has different diet preferences than his parents.
c. The child has a leaner body mass than a girl at this age.
d. The child described a somewhat reduced appetite. - Answers Answer: c
The nurse would have found that the child still has a leaner body mass than girls at this age. Both boys
and girls increase body fat at this age. Food preferences will be highly influenced by those of her
parents. Although caloric intake may diminish, appetite will increase.
The nurse is teaching parents of an 11-year-old girl how to deal with the issues relating to peer pressure
to use tobacco and alcohol. Which suggestion provides the best course of action for the parents?
a. Avoid smoking in the house or in front of the child.
b. Hide alcohol out of the child's reach.
c. Forbid the child to have friends that smoke or drink.
d. Discuss tobacco and alcohol use with the child. - Answers Answer: d
Parents are major influences on school-aged children and should discuss the dangers of tobacco and
alcohol use with the child. Not smoking in the house and hiding alcohol send mixed messages to the
child. Open and honest discussion is the best approach rather than forbidding the child to make friends
with kids that use tobacco or alcohol.
