1. The nurse is performing a physical assessment of a 10-year-old boy. The nurse
notes that during last year's check-up, the child weighed 80 lb. According to average
growth for this age group, what would be his expected current weight?
A) 81 lb
B) 85 lb
C) 87 lb
D) 89 lb Correct Ans: C
Feedback:
From 6 to 12 years of age, an increase of 7 lb (3 to 3.5 kg) per year in weight is
expected.
2. The nurse is performing an annual check-up for an 8-year-old child. Compared to
the previous assessment of this child, which characteristic would most likely be
observed?
A) Breathing is diaphragmatic.
B) Pulse rate is increased.
C) Secondary sex characteristics are present.
D) Blood pressure has reached adult level. Correct Ans: A
Feedback:
The child's respiratory system is maturing, so abdominal breathing has been
replaced by diaphragmatic breathing. Pulse rate will decrease, rather than increase,
during this time. Secondary sex characteristics will not appear until the late
school-age years. Blood pressure will not reach the adult level until adolescence.
3. The pediatric nurse is aware of the maturation of organ systems in the school-age
child. What accurately describes these changes? Select all that apply.
A) The brain grows very slowly during the school-age years and growth is
complete by the time the child is 12 years of age.
B) Respiratory rates decrease, abdominal breathing disappears, and
respirations become diaphragmatic in nature.
C) The school-age child's blood pressure increases and the pulse rate
decreases, and the heart grows more slowly during the middle years.
D) The school-age child experiences more gastrointestinal upsets compared
with earlier years since the stomach capacity increases.
E) Bladder capacity increases, but varies among individual children, and girls
generally have a greater bladder capacity than boys.
F) Prepubescence typically occurs in the 2 years before the beginning of
puberty and is characterized by the development of secondary sex Correct Ans: B, C, E, F
Feedback:
Respiratory rates decrease, abdominal breathing disappears, and respirations
become diaphragmatic in nature. The school-age child's blood pressure increases and
the pulse rate decreases. The heart grows more slowly during the middle years and is
smaller in size in relation to the rest of the body than at any other development stage.
Bladder capacity increases, but varies among individual children. Girls generally have
, a greater bladder capacity than boys. Prepubescence typically occurs in the 2 years
before the beginning of puberty and is characterized by the development of
secondary sexual characteristics. The brain and skull grow very slowly during the
school-age years. Brain growth is complete by the time the child is 10 years of age.
The school-age child experiences fewer gastrointestinal upsets compared with earlier
years. Stomach capacity increases, which permits retention of food for longer periods
of time.
4. The nurse is using the formula for bladder capacity to measure the bladder capacity of a 9-
year-old girl. What number would the nurse document for this
measurement?
A) 9 ounces
B) 10 ounces
C) 11 ounces
D) 12 ounces Correct Ans: C
Feedback:
The formula for bladder capacity is age in years plus 2 ounces. Therefore, the bladder capacity of
the 9-year-old would be 11 ounces.
5. The nurse knows that the school-age child is in Erikson's stage of industry versus
inferiority. Which best exemplifies a school-ager working toward accomplishing this
developmental task?
A) The child signs up for after-school activities.
B) The child performs his bedtime preparations autonomously.
C) The child becomes aware of the opposite sex.
D) The child is developing a conscience. Correct Ans: A
Feedback:
Erikson (1963) describes the task of the school-age years to be a sense of industry
versus inferiority. During this time, the child is developing his or her sense of
self-worth by becoming involved in multiple activities at home, at school, and in the
community, which develop his or her cognitive and social skills. Achieving
independence is a task of the preschooler who also is developing a conscience at that
age. Awareness of the opposite sex occurs in, but is not the focus of, the school-age
child.
6. The school nurse providing school health screenings knows that the 7- to
11-year-old is in Piaget's stage of concrete operational thoughts. What should this
age group accomplish when developing operations? Select all that apply.
A) Ability to assimilate and coordinate information about the world from
different dimensions
B) Ability to see things from another person's point of view and think through
an action
C) Ability to use stored memories of past experiences to evaluate and interpret
present situations
D) Ability to think about a problem from all points of view, ranking the possible
solutions while solving the problem