Review | Graded A+
1. Why might cutting be considered a maladaptive coping mechanism for
adolescents?
It is a sign of rebellion against authority figures.
It indicates a desire to fit in with peer groups.
It reflects an inability to manage emotional pain in healthier ways.
It is a common phase of adolescent development.
2. If a mother reports that her 6-week-old breastfed infant has not had a bowel
movement in four days, what should the nurse practitioner advise her?
Increase the baby's solid food intake.
You should switch to formula immediately.
Consult a pediatric gastroenterologist.
This may be normal for breastfed babies.
3. In performing a work up for a school aged child who reports frequent
abdominal pain symptoms, what information would be critical to collect in
order to make an accurate clinical diagnosis?
Take and document vital signs to establish a clinical baseline.
Find out the duration, onset and quality characteristics of the
symptoms.
Find out if the child has any food allergies or food intolerances.
Ask the child's parents for detailed information.
,4. Why is it important to schedule a weight check for a 7-day-old infant who has
lost weight, despite nursing well?
To assess the effectiveness of formula supplementation.
To monitor the infant's growth and ensure they are gaining weight
appropriately.
To determine if the infant needs to be weaned off breastfeeding.
To evaluate the infant's developmental milestones.
5. If a 12-year-old girl has not yet experienced thelarche, what might this
suggest about her potential timeline for menarche?
Menarche is likely to occur within the next few months.
Menarche is not related to thelarche at all.
Menarche may be delayed until after thelarche occurs.
Menarche will happen regardless of thelarche.
6. If a nurse practitioner observes that a 12-year-old girl is spending time with
older peers, what advice should they provide to the parents regarding
potential behavioral changes?
Assume she will not be influenced by older peers.
Monitor her social interactions and discuss healthy relationships.
Focus solely on her academic performance.
Encourage her to avoid older peers completely.
7. At what stage does language and literacy development begin according to
pediatric nursing practice?
After speech development
, During toddler years
At preschool age
At birth
8. What activity does the nurse practitioner suggest to enhance a 9-month-old
infant's speech and language skills?
Sing to the child and play lullabies in the baby's room.
Provide educational videos that focus on language.
Turn the television to Sesame Street during the day.
Read simple board books to the infant at bedtime.
9. The school nurse is visited by the parents of a girl age 9 years who express
concern about the child's preference for same-sex friendships. The parents
reveal that they are worried this may be an early manifestation of
homosexuality. The best response by the nurse is which of the following?
ask if menarche has occurred yet
ask if the child is masturbating
same-sex friendships are normal for this age
this is cause for concern
10. Why is it important for parents to understand that language and literacy skills
begin at birth?
It implies that intellectual growth is solely dependent on formal
education.
It emphasizes the need for early communication and interaction
with the infant.
It indicates that cognitive learning starts only after speech develops.
, It suggests that learning is not important until preschool.
11. You are examining a 12-month-old infant who was six weeks premature. You
observe that the infant uses a raking motion to pick up small objects. The
Parents' Evaluation of Developmental Status (PEDS) questionnaire completed
by the parent did not indicate significant developmental delays. What should
you do first?
Perform an in-depth developmental assessment.
Reassure the parent that this is normal for a premature infant.
Suggest activities to improve fine motor skills.
Refer the infant to a developmental specialist.
12. The nurse is interviewing the mother of Adam, 9 years old. As the nurse
begins to assess Adam's school performance, what is the most appropriate
question to ask?
"Did Adam go to preschool?"
"Does Adam have problems at school?"
"How is Adam doing in school?"
"How well does Adam seem to be doing in school?"
13. If a 5-year-old child exhibits anxiety due to parental concerns about
bullying, what intervention might a pediatric nurse suggest to support the
child's school readiness?
Suggest that the parents change schools to alleviate concerns.
Encourage the child to avoid school until parental concerns are
resolved.
Advise the child to ignore any potential bullying situations.