NUR166 ECPI CHAPTER 32 PRACTICE
SOLUTION 2026 QUESTIONS WITH ANSWERS
GRADED A+
◉ When 12-year-old Chelsie comes in for her annual check-up, the
nurse must take a health history and do a physical exam. What is the
most appropriate manner for the nurse to obtain a health history?
Answer: Ask Chelsie if she minds if her mother is in the room with
her.
◉ A parent has brought the child into the clinic for a routine health
assessment. The parent asks when routine screening for back
symmetry will begin. Which response by the nurse is most accurate?
Answer: School age
Screening for curvatures of the spine begin at school age when the
child is most likely to develop this kind of deformity.
◉ A 5-year-old child is being seen at the ambulatory care clinic for a
well-child visit. The child is hiding behind his mother. What initial
action by the nurse is indicated? Answer: Allow the child to remain
"hidden" during the initial part of the interview.
Children may be shy when at the physician's office. To allow the
child the opportunity to initially be "invisible" may be beneficial to
help the child become acclimated to the surroundings. Telling the
child to act like a big boy is not indicated and may "shame" the child
,and hinder the development of rapport between the nurse and the
child. Eventually the child's mother may need to place him on the
examination table but this should not be the initial action by the
nurse. Promise of a small token may not work and should not be
used at this time.
◉ The nurse is caring for a 10-year-old girl and is trying to obtain
clues about the child's state of physical, emotional, and moral
development. Which question is most likely to elicit the desired
information? Answer: "Tell me about your favorite activity at
school?"
A good health history includes open-ended questions that allow the
child to narrate their experience. The other questions would most
likely elicit a yes or no response.
◉ The nurse is conducting a physical examination of a healthy 6-
year-old. Which action should the nurse do first? Answer: Observe
the skin for its overall color and characteristics.
The physical examination of children, just as for adults, always
begins with a systematic inspection, followed by palpation or
percussion, then by auscultation.
◉ A 14-year-old female has been brought to the pediatric
ambulatory care clinic for a "sports physical" by her mother. The
teen tells the nurse she does not want to have her mother present
during the examination. What action by the nurse is most
, appropriate? Answer: Ask the teen's mother to wait in a separate
area nearby until the physical examination has been completed.
Teens may be modest and uncomfortable having a physical
examination in front of their parents. When possible, requests by
teens for privacy should be granted.
◉ While at school, the client is called to the school nurse's office. The
school nurse is performing secondary prevention interventions.
Which would the nurse most likely be performing? Answer:
assessing vision
Hearing and vision screenings are examples of secondary prevention
in health assessments. These are usually state-or federally-
mandated screenings to prevent risk factors of specific diseases.
◉ The nurse is examining a child and asks the child to show all of
the teeth. For which cranial nerve would the nurse be testing?
Answer: cranial nerve VII
The nurse would be testing to see if cranial nerve VII was intact. This
is the facial nerve and can be tested by asking to see a child's teeth,
or having the child smile or lift an eyebrow. In infants facial
symmetry would be assessed.
◉ . Cranial nerve V is Answer: tested to determine the muscles of
mastication and sensation of light touch on the face
SOLUTION 2026 QUESTIONS WITH ANSWERS
GRADED A+
◉ When 12-year-old Chelsie comes in for her annual check-up, the
nurse must take a health history and do a physical exam. What is the
most appropriate manner for the nurse to obtain a health history?
Answer: Ask Chelsie if she minds if her mother is in the room with
her.
◉ A parent has brought the child into the clinic for a routine health
assessment. The parent asks when routine screening for back
symmetry will begin. Which response by the nurse is most accurate?
Answer: School age
Screening for curvatures of the spine begin at school age when the
child is most likely to develop this kind of deformity.
◉ A 5-year-old child is being seen at the ambulatory care clinic for a
well-child visit. The child is hiding behind his mother. What initial
action by the nurse is indicated? Answer: Allow the child to remain
"hidden" during the initial part of the interview.
Children may be shy when at the physician's office. To allow the
child the opportunity to initially be "invisible" may be beneficial to
help the child become acclimated to the surroundings. Telling the
child to act like a big boy is not indicated and may "shame" the child
,and hinder the development of rapport between the nurse and the
child. Eventually the child's mother may need to place him on the
examination table but this should not be the initial action by the
nurse. Promise of a small token may not work and should not be
used at this time.
◉ The nurse is caring for a 10-year-old girl and is trying to obtain
clues about the child's state of physical, emotional, and moral
development. Which question is most likely to elicit the desired
information? Answer: "Tell me about your favorite activity at
school?"
A good health history includes open-ended questions that allow the
child to narrate their experience. The other questions would most
likely elicit a yes or no response.
◉ The nurse is conducting a physical examination of a healthy 6-
year-old. Which action should the nurse do first? Answer: Observe
the skin for its overall color and characteristics.
The physical examination of children, just as for adults, always
begins with a systematic inspection, followed by palpation or
percussion, then by auscultation.
◉ A 14-year-old female has been brought to the pediatric
ambulatory care clinic for a "sports physical" by her mother. The
teen tells the nurse she does not want to have her mother present
during the examination. What action by the nurse is most
, appropriate? Answer: Ask the teen's mother to wait in a separate
area nearby until the physical examination has been completed.
Teens may be modest and uncomfortable having a physical
examination in front of their parents. When possible, requests by
teens for privacy should be granted.
◉ While at school, the client is called to the school nurse's office. The
school nurse is performing secondary prevention interventions.
Which would the nurse most likely be performing? Answer:
assessing vision
Hearing and vision screenings are examples of secondary prevention
in health assessments. These are usually state-or federally-
mandated screenings to prevent risk factors of specific diseases.
◉ The nurse is examining a child and asks the child to show all of
the teeth. For which cranial nerve would the nurse be testing?
Answer: cranial nerve VII
The nurse would be testing to see if cranial nerve VII was intact. This
is the facial nerve and can be tested by asking to see a child's teeth,
or having the child smile or lift an eyebrow. In infants facial
symmetry would be assessed.
◉ . Cranial nerve V is Answer: tested to determine the muscles of
mastication and sensation of light touch on the face
