NUR335 EXAM 2: STUDY GUIDE
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100%
CORRECT!!!!
Question 1
A community health nurse is leading a panel discussion with guardians regarding
the physical and physiological transitions of prepubescence and preadolescence
in school-age children. Which of the following pieces of information is most
accurate to include in this educational session?
A. Initial physiological adaptations and milestones typically manifest during
early childhood.
B. Variations in height and weight progress at a very slow, uniform rate
during this timeframe.
C. Clear growth and structural differences between boys and girls become
highly evident.
D. Secondary sexual characteristics and visible maturation become
profoundly prominent in boys first.
✔✔ C. Clear growth and structural differences between boys and girls
become highly evident.
Clinical Rationale: Preadolescence/prepubescence (typically occurring between
ages 9 and 12) is marked by a rapid acceleration in growth (a "growth spurt").
Because biological females generally begin this growth spurt and experience
hormonal changes about 1.5 to 2 years earlier than biological males, distinct
physical and height differences between the sexes become highly noticeable in a
classroom setting.
Question 2
A nurse is conducting a routine health maintenance visit for an 11-year-old child.
According to the current CDC Advisory Committee on Immunization Practices
(ACIP) routine guidelines, which of the following immunizations should the nurse
prepare to administer? (Select all that apply.)
, A. Annual inactivated influenza vaccine
B. Pneumococcal conjugate vaccine (PCV)
C. Quadrivalent Meningococcal conjugate vaccine (MCV4)
D. Tetanus, diphtheria, and acellular pertussis vaccine (Tdap)
E. Rotavirus live vaccine (RV)
✔✔ A, C, D
Clinical Rationale: The standard vaccine bundle routinely recommended for all
healthy adolescents at the 11- to 12-year-old visit includes a single booster dose of
Tdap (Option D) to protect against whooping cough, the first dose of the
Meningococcal conjugate vaccine (MCV4) (Option C), and the annual
influenza vaccine (Option A). Note: The Human Papillomavirus (HPV) vaccine
series is also routinely initiated at this visit.
Why Options B & E are incorrect: The Rotavirus (RV) series must be
completed entirely during infancy and cannot be started or given past 8
months of age. The Pneumococcal vaccine (PCV) is part of the standard
infant series and is not routinely given to adolescents unless they have
specific high-risk medical conditions (such as functional asplenia or sickle
cell disease).
Question 3
A clinic nurse is providing anticipatory guidance to the parents of a 6-year-old
child regarding age-appropriate, health-promoting physical activities. Which of the
following recommendations best matches the gross motor capabilities of this age
group?
A. Jumping rope independently
B. Engaging in complex card games requiring strategy
C. Completing intricate 500-piece jigsaw puzzles
D. Enrolling the child in highly competitive, structured sports leagues
✔✔ A. Jumping rope independently
, Clinical Rationale: At 6 years old, children are refining their gross motor
coordination, balance, and agility. Jumping rope is an excellent developmental
activity that challenges and expands these motor skills.
Why the other choices are incorrect: Complex card strategy games
(Option B) and intricate puzzles (Option C) demand advanced cognitive
processing and fine-motor skills better suited for older school-aged children.
Highly competitive sports leagues (Option D) are developmentally
inappropriate for a 6-year-old, as their focus should be on peer socialization,
cooperative play, and mastering basic physical movements rather than
intense competition.
A nurse is teaching a course about safety during the school-age. Which of the
following information should the nurse include in the course? (SATA)
a. Gaiting stairs at the top and bottom
b. Wearing helmets when riding bicycles or skateboarding
c. Riding safely in bed of pickup trucks
d. Implementing firearm safety
e. Wearing seat belts -ANSWER......b. Wearing helmets when riding bicycles or
skateboarding
d. Implementing firearm safety
e. Wearing seat belts
A nurse is providing teaching about expected changes during puberty to a group of
guardians of early adolescent girls. Which of the following statements by one of
the guardians indicates an understanding of the teaching?
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100%
CORRECT!!!!
Question 1
A community health nurse is leading a panel discussion with guardians regarding
the physical and physiological transitions of prepubescence and preadolescence
in school-age children. Which of the following pieces of information is most
accurate to include in this educational session?
A. Initial physiological adaptations and milestones typically manifest during
early childhood.
B. Variations in height and weight progress at a very slow, uniform rate
during this timeframe.
C. Clear growth and structural differences between boys and girls become
highly evident.
D. Secondary sexual characteristics and visible maturation become
profoundly prominent in boys first.
✔✔ C. Clear growth and structural differences between boys and girls
become highly evident.
Clinical Rationale: Preadolescence/prepubescence (typically occurring between
ages 9 and 12) is marked by a rapid acceleration in growth (a "growth spurt").
Because biological females generally begin this growth spurt and experience
hormonal changes about 1.5 to 2 years earlier than biological males, distinct
physical and height differences between the sexes become highly noticeable in a
classroom setting.
Question 2
A nurse is conducting a routine health maintenance visit for an 11-year-old child.
According to the current CDC Advisory Committee on Immunization Practices
(ACIP) routine guidelines, which of the following immunizations should the nurse
prepare to administer? (Select all that apply.)
, A. Annual inactivated influenza vaccine
B. Pneumococcal conjugate vaccine (PCV)
C. Quadrivalent Meningococcal conjugate vaccine (MCV4)
D. Tetanus, diphtheria, and acellular pertussis vaccine (Tdap)
E. Rotavirus live vaccine (RV)
✔✔ A, C, D
Clinical Rationale: The standard vaccine bundle routinely recommended for all
healthy adolescents at the 11- to 12-year-old visit includes a single booster dose of
Tdap (Option D) to protect against whooping cough, the first dose of the
Meningococcal conjugate vaccine (MCV4) (Option C), and the annual
influenza vaccine (Option A). Note: The Human Papillomavirus (HPV) vaccine
series is also routinely initiated at this visit.
Why Options B & E are incorrect: The Rotavirus (RV) series must be
completed entirely during infancy and cannot be started or given past 8
months of age. The Pneumococcal vaccine (PCV) is part of the standard
infant series and is not routinely given to adolescents unless they have
specific high-risk medical conditions (such as functional asplenia or sickle
cell disease).
Question 3
A clinic nurse is providing anticipatory guidance to the parents of a 6-year-old
child regarding age-appropriate, health-promoting physical activities. Which of the
following recommendations best matches the gross motor capabilities of this age
group?
A. Jumping rope independently
B. Engaging in complex card games requiring strategy
C. Completing intricate 500-piece jigsaw puzzles
D. Enrolling the child in highly competitive, structured sports leagues
✔✔ A. Jumping rope independently
, Clinical Rationale: At 6 years old, children are refining their gross motor
coordination, balance, and agility. Jumping rope is an excellent developmental
activity that challenges and expands these motor skills.
Why the other choices are incorrect: Complex card strategy games
(Option B) and intricate puzzles (Option C) demand advanced cognitive
processing and fine-motor skills better suited for older school-aged children.
Highly competitive sports leagues (Option D) are developmentally
inappropriate for a 6-year-old, as their focus should be on peer socialization,
cooperative play, and mastering basic physical movements rather than
intense competition.
A nurse is teaching a course about safety during the school-age. Which of the
following information should the nurse include in the course? (SATA)
a. Gaiting stairs at the top and bottom
b. Wearing helmets when riding bicycles or skateboarding
c. Riding safely in bed of pickup trucks
d. Implementing firearm safety
e. Wearing seat belts -ANSWER......b. Wearing helmets when riding bicycles or
skateboarding
d. Implementing firearm safety
e. Wearing seat belts
A nurse is providing teaching about expected changes during puberty to a group of
guardians of early adolescent girls. Which of the following statements by one of
the guardians indicates an understanding of the teaching?
