Pediatric Physical ExamP a g e | 1
Pediatric Physical Pediatric Physical
Examination 4 & Health Assessment 1st Edition
by Sawyer Test Banknation & Health
Assessment 1st Edition by Sawyer Test
Bankination & Health Assessment 1st Edition
by Sawyer Test Bank
An adolescent reports the following: "I get up at 6 a.m., I attend early-morning band classes three
times each week, I play sports for 2 hours each day after school, and homework takes me 3 hours each
night. I always feel tired." Which question by the nurse is most appropriate based on this information?
1. "How many hours of sleep do you get each night?"
2. "Do you consume foods high in iron?"
3. "Do you think you are doing too much?"
4. "Have you considered talking with your teachers about decreasing your homework, since you have
so many extracurricular activities?" –
P a g e 1 | 96
, Pediatric Physical ExamP a g e | 2
Correct Answer1. "How many hours of sleep do you get each night?"
The nurse working in the clinic includes an adolescent history in every client intake interview. Which
issue should the nurse address when the parents are not present?
1. Possible domestic violence
2. Teen job responsibilities
3. Activities that are done as a family
4. The adolescent's role in the family –
Correct Answer1. Possible domestic violence
The nurse is reviewing the immunization record of an adolescent who will be seen later in the day.
Which item in the client's history makes hepatitis B status a priority?
1. Chronic acne
2. Overuse injuries from playing varsity sports
3. Chronic asthma
4. Plans to get a tattoo –
Correct Answer4. Plans to get a tattoo
An obese adolescent who adamantly denies sexual activity has a positive pregnancy test, which was
performed in the adolescent clinic. Which statement by the nurse is the most appropriate in this
situation?
1. "Tell me how you feel about your body image."
2. "When was your last menstrual period (LMP)?"
3. "Let's discuss some activities that you have done within the past few months that could possibly
lead to pregnancy."
4. "Were you involved in a date rape and are you hesitant to speak about it?" –
P a g e 2 | 96
, Pediatric Physical ExamP a g e | 3
Correct Answer3. "Let's discuss some activities that you have done within the past few months that
could possibly lead to pregnancy."
A mother reports that her adolescent is always late. The mother states, "She was born late and has
been late every day of her life." Which response should the nurse make to this mother?
1. "You need to establish specific time frames for your adolescent and be certain she adheres to
them."
2. "You should not expect your adolescent to be an 'on-time' individual unless you set specific alarms
and then reinforce the value of being 'on-time.'"
3. "You should not expect your adolescent to be on time. Teenagers are always late."
4. "You have a major problem. There must be a lot of screaming in your home." –
Correct Answer2. "You should not expect your adolescent to be an 'on-time' individual unless you set
specific alarms and then reinforce the value of being 'on-time.'"
When examining a 7-year-old, which action by the nurse would be most appropriate?
1. Allow the child to participate in the exam.
2. Ask the parent what kind of food the child likes to eat.
3. Ask the child whether he plays outside for at least 30 minutes a day.
4. Allow the child to decide whether he is ready for his next immunization. –
Correct Answer1. Allow the child to participate in the exam.
The school health nurse recognizes that children who display certain characteristics are at risk for poor
school performance. The nurse will, therefore, observe each school-age child for which characteristics?
Select all that apply.
P a g e 3 | 96
, Pediatric Physical ExamP a g e | 4
1. Decreased ability to perform visual tracking.
2. Decreased auditory stimulation.
3. Decreased muscle tone.
4. Multiple dental caries.
5. Chronic tonsillitis. –
Correct Answer1. Decreased ability to perform visual tracking.
2. Decreased auditory stimulation.
3. Decreased muscle tone.
A nurse obtains a nutritional health history from a 10-year-old child. Which of these food selections, if
consumed on a regular basis, should lead the nurse to become concerned about the need for
improving oral hygiene?
1. Peanuts and crackers
2. Sorbet and yogurt
3. Gummy bears and licorice
4. Fluoridated water –
Correct Answer3. Gummy bears and licorice
The school health nurse is evaluating the home environment of several children as it relates to child
safety. The nurse visits the home of each child and gathers the following data. Which activity places a
child at greatest risk for bodily harm?
1. The parents are in a methadone program.
2. The parents consume alcohol on a daily basis.
3. The child is permitted to target practice with a revolver, unsupervised.
4. The child is a latchkey child. - Correct Answer3. The child is permitted to target practice with a
revolver, unsupervised.
P a g e 4 | 96
Pediatric Physical Pediatric Physical
Examination 4 & Health Assessment 1st Edition
by Sawyer Test Banknation & Health
Assessment 1st Edition by Sawyer Test
Bankination & Health Assessment 1st Edition
by Sawyer Test Bank
An adolescent reports the following: "I get up at 6 a.m., I attend early-morning band classes three
times each week, I play sports for 2 hours each day after school, and homework takes me 3 hours each
night. I always feel tired." Which question by the nurse is most appropriate based on this information?
1. "How many hours of sleep do you get each night?"
2. "Do you consume foods high in iron?"
3. "Do you think you are doing too much?"
4. "Have you considered talking with your teachers about decreasing your homework, since you have
so many extracurricular activities?" –
P a g e 1 | 96
, Pediatric Physical ExamP a g e | 2
Correct Answer1. "How many hours of sleep do you get each night?"
The nurse working in the clinic includes an adolescent history in every client intake interview. Which
issue should the nurse address when the parents are not present?
1. Possible domestic violence
2. Teen job responsibilities
3. Activities that are done as a family
4. The adolescent's role in the family –
Correct Answer1. Possible domestic violence
The nurse is reviewing the immunization record of an adolescent who will be seen later in the day.
Which item in the client's history makes hepatitis B status a priority?
1. Chronic acne
2. Overuse injuries from playing varsity sports
3. Chronic asthma
4. Plans to get a tattoo –
Correct Answer4. Plans to get a tattoo
An obese adolescent who adamantly denies sexual activity has a positive pregnancy test, which was
performed in the adolescent clinic. Which statement by the nurse is the most appropriate in this
situation?
1. "Tell me how you feel about your body image."
2. "When was your last menstrual period (LMP)?"
3. "Let's discuss some activities that you have done within the past few months that could possibly
lead to pregnancy."
4. "Were you involved in a date rape and are you hesitant to speak about it?" –
P a g e 2 | 96
, Pediatric Physical ExamP a g e | 3
Correct Answer3. "Let's discuss some activities that you have done within the past few months that
could possibly lead to pregnancy."
A mother reports that her adolescent is always late. The mother states, "She was born late and has
been late every day of her life." Which response should the nurse make to this mother?
1. "You need to establish specific time frames for your adolescent and be certain she adheres to
them."
2. "You should not expect your adolescent to be an 'on-time' individual unless you set specific alarms
and then reinforce the value of being 'on-time.'"
3. "You should not expect your adolescent to be on time. Teenagers are always late."
4. "You have a major problem. There must be a lot of screaming in your home." –
Correct Answer2. "You should not expect your adolescent to be an 'on-time' individual unless you set
specific alarms and then reinforce the value of being 'on-time.'"
When examining a 7-year-old, which action by the nurse would be most appropriate?
1. Allow the child to participate in the exam.
2. Ask the parent what kind of food the child likes to eat.
3. Ask the child whether he plays outside for at least 30 minutes a day.
4. Allow the child to decide whether he is ready for his next immunization. –
Correct Answer1. Allow the child to participate in the exam.
The school health nurse recognizes that children who display certain characteristics are at risk for poor
school performance. The nurse will, therefore, observe each school-age child for which characteristics?
Select all that apply.
P a g e 3 | 96
, Pediatric Physical ExamP a g e | 4
1. Decreased ability to perform visual tracking.
2. Decreased auditory stimulation.
3. Decreased muscle tone.
4. Multiple dental caries.
5. Chronic tonsillitis. –
Correct Answer1. Decreased ability to perform visual tracking.
2. Decreased auditory stimulation.
3. Decreased muscle tone.
A nurse obtains a nutritional health history from a 10-year-old child. Which of these food selections, if
consumed on a regular basis, should lead the nurse to become concerned about the need for
improving oral hygiene?
1. Peanuts and crackers
2. Sorbet and yogurt
3. Gummy bears and licorice
4. Fluoridated water –
Correct Answer3. Gummy bears and licorice
The school health nurse is evaluating the home environment of several children as it relates to child
safety. The nurse visits the home of each child and gathers the following data. Which activity places a
child at greatest risk for bodily harm?
1. The parents are in a methadone program.
2. The parents consume alcohol on a daily basis.
3. The child is permitted to target practice with a revolver, unsupervised.
4. The child is a latchkey child. - Correct Answer3. The child is permitted to target practice with a
revolver, unsupervised.
P a g e 4 | 96
