NURS 4331 Exam with 100% Correct
Answers
A 12-year-old child tells the school nurse, "I do not understand why my parents
will not allow me to go to concerts without chaperones like some of my friends'
parents. I feel like a baby compared to my friends." How will the nurse respond? -
✅✅ Have you given any thought to why they don't let you go without a
chaperone? Let's talk about some of the reasons they feel this way."
The parents of a 10-year-old boy report they are having problems with their son.
The child's mother reports her son is not a talented athlete but her husband
continues to encourage him to play and try to excel. The child's father reports
sports will help his son build character. What response by the nurse is most
appropriate? -✅✅ Perhaps another pursuit would be better suited for your son.
The nurse has just completed an assessment on a child who voices an interest in
how things are made and who needs support when they are not successful. The
child further reports he is involved in clubs and sports outside the home. The nurse
is aware that this child is in which of Erikson's states of development? -
✅✅Industry versus inferiority
A group of 10-year-old girls have formed a "girls only" club. It is only open to
girls who still like to play with dolls. How should this behavior be interpreted? -
✅✅appropriate social development
An otherwise healthy 18-month-old child with a history of febrile seizures is in the
well-child clinic. Which statement by the father would indicate to the nurse that
additional teaching should be done? -✅✅ I always keep phenobarbital with me
in case of a fever.
,A 6-month-old infant is admitted with a diagnosis of bacterial meningitis. The
nurse would place the infant in which room? -✅✅A private room near the
nurses' station
The parents of a child with a history of seizures who has been taking phenytoin
(Dilantin) ask the nurse why it's difficult to maintain therapeutic plasma levels of
this medication. Which statement by the nurse would be most accurate? -✅✅
Small increments in dosage lead to sharp increases in plasma drug levels.
A panicked mother calls the health care provider's office and reports that her 5-
year-old has a high fever and just had a seizure. The mother asks the nurse what
she should do. Which is the nurse's best response? -✅✅Report to the emergency
room for medical evaluation
The nurse is assessing a 7-year-old with a hearing aid. His mother says he is losing
his hearing again. Which finding would the nurse identify as contributing to this
current complaint? -✅✅Overproduction of cerumen
The nurse is taking a health history for a 9-year-old with conjunctivitis. Which
statement by the parents leads the nurse to suspect that the child is experiencing
allergic conjunctivitis? -✅✅ He recently helped clean the basement.
The mother of a 12-year-old with Reye syndrome approaches the nurse wanting to
know how this happened to her child, saying, "I never give my kids aspirin".
Which response by the nurse would be most appropriate? -✅✅ Sometimes it is
hard to tell if a product contains aspirin.
The nurse is caring for a 3-year-old girl who has just undergone a ventriculostomy.
What would the nurse include in this child's plan of care to manage increased
, intracranial pressure (ICP)? -✅✅Use pillows to support the child when lying on
her side
A nurse is caring for a 3-year-old girl with microcephaly. Which of the following
actions is appropriate for the nurse to take? -✅✅Playfully ask the child to touch
her nose
An 18-month-old child is admitted with signs of increased intracranial pressure.
What should the nurse observe when assessing this patient? -✅✅Increased
temperature and decreased respiratory rate
An 8-year-old child is being treated for tonic-clonic seizures. What should the
nurse emphasize when teaching the parents about this disorder? -✅✅The child
should maintain an active lifestyle.
The nurse instructs a hearing-impaired school-age child on to how self-inject a
prescribed medication. Which observation indicates to the nurse that additional
teaching is required? -✅✅The child places the filled syringe and uncapped
needle on the bed to open the alcohol wipe.
The nurse is providing education to the parents of a female with hydrocephalus
who has just had a shunt inserted. When discussing the child's condition with the
parents, which of the following would be most appropriate? -✅✅ Tell me your
concerns about your child's shunt.
The nurse is educating parents of a male infant with Chiari type II malformation
about the condition. Which of the following would be most important for the nurse
to include? -✅✅Taking time to feed the infant
Answers
A 12-year-old child tells the school nurse, "I do not understand why my parents
will not allow me to go to concerts without chaperones like some of my friends'
parents. I feel like a baby compared to my friends." How will the nurse respond? -
✅✅ Have you given any thought to why they don't let you go without a
chaperone? Let's talk about some of the reasons they feel this way."
The parents of a 10-year-old boy report they are having problems with their son.
The child's mother reports her son is not a talented athlete but her husband
continues to encourage him to play and try to excel. The child's father reports
sports will help his son build character. What response by the nurse is most
appropriate? -✅✅ Perhaps another pursuit would be better suited for your son.
The nurse has just completed an assessment on a child who voices an interest in
how things are made and who needs support when they are not successful. The
child further reports he is involved in clubs and sports outside the home. The nurse
is aware that this child is in which of Erikson's states of development? -
✅✅Industry versus inferiority
A group of 10-year-old girls have formed a "girls only" club. It is only open to
girls who still like to play with dolls. How should this behavior be interpreted? -
✅✅appropriate social development
An otherwise healthy 18-month-old child with a history of febrile seizures is in the
well-child clinic. Which statement by the father would indicate to the nurse that
additional teaching should be done? -✅✅ I always keep phenobarbital with me
in case of a fever.
,A 6-month-old infant is admitted with a diagnosis of bacterial meningitis. The
nurse would place the infant in which room? -✅✅A private room near the
nurses' station
The parents of a child with a history of seizures who has been taking phenytoin
(Dilantin) ask the nurse why it's difficult to maintain therapeutic plasma levels of
this medication. Which statement by the nurse would be most accurate? -✅✅
Small increments in dosage lead to sharp increases in plasma drug levels.
A panicked mother calls the health care provider's office and reports that her 5-
year-old has a high fever and just had a seizure. The mother asks the nurse what
she should do. Which is the nurse's best response? -✅✅Report to the emergency
room for medical evaluation
The nurse is assessing a 7-year-old with a hearing aid. His mother says he is losing
his hearing again. Which finding would the nurse identify as contributing to this
current complaint? -✅✅Overproduction of cerumen
The nurse is taking a health history for a 9-year-old with conjunctivitis. Which
statement by the parents leads the nurse to suspect that the child is experiencing
allergic conjunctivitis? -✅✅ He recently helped clean the basement.
The mother of a 12-year-old with Reye syndrome approaches the nurse wanting to
know how this happened to her child, saying, "I never give my kids aspirin".
Which response by the nurse would be most appropriate? -✅✅ Sometimes it is
hard to tell if a product contains aspirin.
The nurse is caring for a 3-year-old girl who has just undergone a ventriculostomy.
What would the nurse include in this child's plan of care to manage increased
, intracranial pressure (ICP)? -✅✅Use pillows to support the child when lying on
her side
A nurse is caring for a 3-year-old girl with microcephaly. Which of the following
actions is appropriate for the nurse to take? -✅✅Playfully ask the child to touch
her nose
An 18-month-old child is admitted with signs of increased intracranial pressure.
What should the nurse observe when assessing this patient? -✅✅Increased
temperature and decreased respiratory rate
An 8-year-old child is being treated for tonic-clonic seizures. What should the
nurse emphasize when teaching the parents about this disorder? -✅✅The child
should maintain an active lifestyle.
The nurse instructs a hearing-impaired school-age child on to how self-inject a
prescribed medication. Which observation indicates to the nurse that additional
teaching is required? -✅✅The child places the filled syringe and uncapped
needle on the bed to open the alcohol wipe.
The nurse is providing education to the parents of a female with hydrocephalus
who has just had a shunt inserted. When discussing the child's condition with the
parents, which of the following would be most appropriate? -✅✅ Tell me your
concerns about your child's shunt.
The nurse is educating parents of a male infant with Chiari type II malformation
about the condition. Which of the following would be most important for the nurse
to include? -✅✅Taking time to feed the infant
