NUR 255
NUR 255 Exam 2 Questions and Answers
Graded A+ 2025-2026
Which nursing diagnosis is universally applicable for children diagnosed with autism
spectrum disorders?
a. Impaired social interaction related to difficulty maintaining relationships
b. Chronic low self-esteem related to excessive negative feedback
c. Deficient fluid volume related to abnormal eating habits
d. Anxiety related to nightmares and repetitive activities -Correct Answer ✔Impaired
social interaction related to difficulty maintaining relationships
Which behavior indicates that the treatment plan for a child diagnosed with an autism
spectrum disorder was effective? The child
a. plays with one toy for 30 minutes.
b. repeats words spoken by a parent.
c. holds the parent's hand while walking.
d. spins around and claps hands while walking. -Correct Answer ✔holds the parent's
hand while walking.
A kindergartener is disruptive in class. This child is unable to sit for expected lengths
of time, inattentive to the teacher, screams while the teacher is talking, and is
aggressive toward
other children. The nurse plans interventions designed to
a. promote integration of self-concept.
b. provide inpatient treatment for the child.
c. reduce loneliness and increase self-esteem.
d. improve language and communication skills. -Correct Answer ✔reduce loneliness
and increase self-esteem.
A nurse will prepare teaching materials for the parents of a child newly diagnosed
with ADHD. Information will focus on which medication likely to be prescribed?
a. Paroxetine
b. Imipramine
c. Methylphenidate
d. Carbamazepine -Correct Answer ✔Methylphenidate
What is the nurse's priority focused assessment for side effects in a child taking
methylphenidate for ADHD?
a. Dystonia, akinesia, and extrapyramidal symptoms
b. Bradycardia and hypotensive episodes
c. Sleep disturbances and weight loss
d. Neuroleptic malignant syndrome -Correct Answer ✔Sleep disturbances and weight
loss
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A desired outcome for a 12-year-old diagnosed with ADHD is to improve
relationships with other children. Which treatment modality should the nurse suggest for
the plan
of care?
a. Reality therapy
b. Simple restitution
c. Social skills group
d. Insight-oriented group therapy -Correct Answer ✔social skills group
The parent of a 6-year-old says, "My child is in constant motion and talks all the time.
My child isn't interested in toys but is out of bed every morning before me." The child's
behavior
is most consistent with diagnostic criteria for
a. communication disorder.
b. stereotypic movement disorder.
c. intellectual development disorder.
d. ADHD. -Correct Answer ✔ADHD
A child diagnosed with ADHD had this nursing diagnosis: impaired social interaction
related to excessive neuronal activity as evidenced by aggression and demanding
behavior with
others. Which finding indicates the plan of care was effective? The child
a. has an improved ability to identify anxiety and use self-control strategies.
b. has increased expressiveness in communication with others.
c. shows increased responsiveness to authority figures.
d. engages in cooperative play with other children. -Correct Answer ✔engages in
cooperative play with other children
When a 5-year-old diagnosed with ADHD bounces out of a chair and runs over and
slaps another child, what is the nurse's best action?
a. Instruct the parents to take the aggressive child home.
b. Direct the aggressive child to stop immediately.
c. Call for emergency assistance from other staff.
d. Take the aggressive child to another room. -Correct Answer ✔Take the aggressive
child to another room.
A child diagnosed with ADHD will begin medication therapy. The nurse should
prepare a plan to teach the family about which classification of medications?
a. CNS stimulants c. Antipsychotics
b. Tricyclic antidepressants d. Anxiolytics -Correct Answer ✔CNS stimulants
Soon after parents announced they were divorcing, a child stopped participating in
sports, sat alone at lunch, and avoided former friends. The child told the school nurse,
"If my
parents loved me, they would work out their problems." Which nursing diagnosis has the
highest
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priority?
a. Social isolation
b. Decisional conflict
c. Chronic low self-esteem
d. Disturbed personal identity -Correct Answer ✔social isolation
Why is establishing a therapeutic alliance with this child a priority?
a. Therapeutic relationships provide an outlet for tension.
b. Focusing on the strengths increases a person's self-esteem.
c. Acceptance and trust convey feelings of security to the child.
d. The child should express feelings rather than internalize them. -Correct Answer
✔Acceptance and trust convey feelings of security to the child.
A nurse assesses a 3-year-old diagnosed with an autism spectrum disorder. Which
finding is most associated with the child's disorder? The child
a. has occasional toileting accidents.
b. interrupts or intrudes on others.
c. cries when separated from a parent.
d. continuously rocks in place for 30 minutes. -Correct Answer ✔continuously rocks in
place for 30 minutes.
A 4-year-old cries for 5 minutes when the parents leave the child at preschool. The
parents ask the nurse, "What should we do?" Select the nurse's best response.
a. "Ask the teacher to let the child call you at play time."
b. "Withdraw the child from preschool until maturity increases."
c. "Remain with your child for the first hour of preschool time."
d. "Give your child a kiss before you leave the preschool program." -Correct Answer
✔"Give your child a kiss before you leave the preschool program."
Which assessment finding would cause the nurse to consider a child to be most at
risk for the development of mental illness?
a. The child has been raised by a parent with recurring major depressive disorder.
b. The child's best friend was absent from the child's birthday party.
c. The child was not promoted to the next grade one year.
d. The child moved to three new homes over a 2-year period. -Correct Answer ✔The
child has been raised by a parent with recurring major depressive disorder.
The child prescribed an antipsychotic medication to manage violent behavior is one
most likely diagnosed with
a. ADHD.
b. posttraumatic stress disorder (PTSD).
c. communication disorder.
d. an anxiety disorder. -Correct Answer ✔ADHD
A child reports to the school nurse of being verbally bullied by an aggressive
classmate. What is the nurse's best first action?
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a. Give notice to the chief administrator at the school regarding the events.
b. Encourage the victimized child to share feelings about the experience.
c. Encourage the victimized child to ignore the bullying behavior.
d. Discuss the events with the aggressive classmate. -Correct Answer ✔Encourage the
victimized child to share feelings about the experience
Assessment data for a 7-year-old reveals an inability to take turns, blurting out
answers to questions before a question is complete, and frequently interrupting others'
conversations. How should the nurse document these behaviors?
a. Disobedience
b. Hyperactivity
c. Impulsivity
d. Anxiety -Correct Answer ✔Impulsivity
A child diagnosed with ADHD shows hyperactivity, aggression, and impaired play.
The health care provider prescribed amphetamine salts (Adderall). The nurse should
monitor for
which desired behavior?
a. Increased expressiveness in communication with others
b. Abilities to identify anxiety and implement self-control strategies
c. Improved abilities to participate in cooperative play with other children
d. Tolerates social interactions for short periods without disruption or frustration -Correct
Answer ✔Improved abilities to participate in cooperative play with other children
When group therapy is prescribed as a treatment modality, the nurse would suggest
placement of a 9-year-old in a group that uses
a. guided imagery.
b. talk focused on a specific issue.
c. play and talk about a play activity.
d. group discussion about selected topics. -Correct Answer ✔play and talk about a play
activity
Which child demonstrates behaviors indicative of a neurodevelopmental disorder?
a. A 4-year-old who stuttered for 3 weeks after the birth of a sibling
b. A 9-month-old who does not eat vegetables and likes to be rocked
c. A 3-month-old who cries after feeding until burped and sucks a thumb
d. A 3-year-old who is mute, passive toward adults, and twirls while walking -Correct
Answer ✔A 3-year-old who is mute, passive toward adults, and twirls while walking
The parent of a child diagnosed with Tourette's disorder says to the nurse, "I think
my child is faking the tics because they come and go." Which response by the nurse is
accurate?
a. "Perhaps your child was misdiagnosed."
b. "Your observation indicates the medication is effective."
c. "Tics often change frequency or severity. That doesn't mean they aren't real."
d. "This finding is unexpected. How have you been administering your child's
NUR 255
NUR 255 Exam 2 Questions and Answers
Graded A+ 2025-2026
Which nursing diagnosis is universally applicable for children diagnosed with autism
spectrum disorders?
a. Impaired social interaction related to difficulty maintaining relationships
b. Chronic low self-esteem related to excessive negative feedback
c. Deficient fluid volume related to abnormal eating habits
d. Anxiety related to nightmares and repetitive activities -Correct Answer ✔Impaired
social interaction related to difficulty maintaining relationships
Which behavior indicates that the treatment plan for a child diagnosed with an autism
spectrum disorder was effective? The child
a. plays with one toy for 30 minutes.
b. repeats words spoken by a parent.
c. holds the parent's hand while walking.
d. spins around and claps hands while walking. -Correct Answer ✔holds the parent's
hand while walking.
A kindergartener is disruptive in class. This child is unable to sit for expected lengths
of time, inattentive to the teacher, screams while the teacher is talking, and is
aggressive toward
other children. The nurse plans interventions designed to
a. promote integration of self-concept.
b. provide inpatient treatment for the child.
c. reduce loneliness and increase self-esteem.
d. improve language and communication skills. -Correct Answer ✔reduce loneliness
and increase self-esteem.
A nurse will prepare teaching materials for the parents of a child newly diagnosed
with ADHD. Information will focus on which medication likely to be prescribed?
a. Paroxetine
b. Imipramine
c. Methylphenidate
d. Carbamazepine -Correct Answer ✔Methylphenidate
What is the nurse's priority focused assessment for side effects in a child taking
methylphenidate for ADHD?
a. Dystonia, akinesia, and extrapyramidal symptoms
b. Bradycardia and hypotensive episodes
c. Sleep disturbances and weight loss
d. Neuroleptic malignant syndrome -Correct Answer ✔Sleep disturbances and weight
loss
NUR 255
,NUR 255
A desired outcome for a 12-year-old diagnosed with ADHD is to improve
relationships with other children. Which treatment modality should the nurse suggest for
the plan
of care?
a. Reality therapy
b. Simple restitution
c. Social skills group
d. Insight-oriented group therapy -Correct Answer ✔social skills group
The parent of a 6-year-old says, "My child is in constant motion and talks all the time.
My child isn't interested in toys but is out of bed every morning before me." The child's
behavior
is most consistent with diagnostic criteria for
a. communication disorder.
b. stereotypic movement disorder.
c. intellectual development disorder.
d. ADHD. -Correct Answer ✔ADHD
A child diagnosed with ADHD had this nursing diagnosis: impaired social interaction
related to excessive neuronal activity as evidenced by aggression and demanding
behavior with
others. Which finding indicates the plan of care was effective? The child
a. has an improved ability to identify anxiety and use self-control strategies.
b. has increased expressiveness in communication with others.
c. shows increased responsiveness to authority figures.
d. engages in cooperative play with other children. -Correct Answer ✔engages in
cooperative play with other children
When a 5-year-old diagnosed with ADHD bounces out of a chair and runs over and
slaps another child, what is the nurse's best action?
a. Instruct the parents to take the aggressive child home.
b. Direct the aggressive child to stop immediately.
c. Call for emergency assistance from other staff.
d. Take the aggressive child to another room. -Correct Answer ✔Take the aggressive
child to another room.
A child diagnosed with ADHD will begin medication therapy. The nurse should
prepare a plan to teach the family about which classification of medications?
a. CNS stimulants c. Antipsychotics
b. Tricyclic antidepressants d. Anxiolytics -Correct Answer ✔CNS stimulants
Soon after parents announced they were divorcing, a child stopped participating in
sports, sat alone at lunch, and avoided former friends. The child told the school nurse,
"If my
parents loved me, they would work out their problems." Which nursing diagnosis has the
highest
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,NUR 255
priority?
a. Social isolation
b. Decisional conflict
c. Chronic low self-esteem
d. Disturbed personal identity -Correct Answer ✔social isolation
Why is establishing a therapeutic alliance with this child a priority?
a. Therapeutic relationships provide an outlet for tension.
b. Focusing on the strengths increases a person's self-esteem.
c. Acceptance and trust convey feelings of security to the child.
d. The child should express feelings rather than internalize them. -Correct Answer
✔Acceptance and trust convey feelings of security to the child.
A nurse assesses a 3-year-old diagnosed with an autism spectrum disorder. Which
finding is most associated with the child's disorder? The child
a. has occasional toileting accidents.
b. interrupts or intrudes on others.
c. cries when separated from a parent.
d. continuously rocks in place for 30 minutes. -Correct Answer ✔continuously rocks in
place for 30 minutes.
A 4-year-old cries for 5 minutes when the parents leave the child at preschool. The
parents ask the nurse, "What should we do?" Select the nurse's best response.
a. "Ask the teacher to let the child call you at play time."
b. "Withdraw the child from preschool until maturity increases."
c. "Remain with your child for the first hour of preschool time."
d. "Give your child a kiss before you leave the preschool program." -Correct Answer
✔"Give your child a kiss before you leave the preschool program."
Which assessment finding would cause the nurse to consider a child to be most at
risk for the development of mental illness?
a. The child has been raised by a parent with recurring major depressive disorder.
b. The child's best friend was absent from the child's birthday party.
c. The child was not promoted to the next grade one year.
d. The child moved to three new homes over a 2-year period. -Correct Answer ✔The
child has been raised by a parent with recurring major depressive disorder.
The child prescribed an antipsychotic medication to manage violent behavior is one
most likely diagnosed with
a. ADHD.
b. posttraumatic stress disorder (PTSD).
c. communication disorder.
d. an anxiety disorder. -Correct Answer ✔ADHD
A child reports to the school nurse of being verbally bullied by an aggressive
classmate. What is the nurse's best first action?
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, NUR 255
a. Give notice to the chief administrator at the school regarding the events.
b. Encourage the victimized child to share feelings about the experience.
c. Encourage the victimized child to ignore the bullying behavior.
d. Discuss the events with the aggressive classmate. -Correct Answer ✔Encourage the
victimized child to share feelings about the experience
Assessment data for a 7-year-old reveals an inability to take turns, blurting out
answers to questions before a question is complete, and frequently interrupting others'
conversations. How should the nurse document these behaviors?
a. Disobedience
b. Hyperactivity
c. Impulsivity
d. Anxiety -Correct Answer ✔Impulsivity
A child diagnosed with ADHD shows hyperactivity, aggression, and impaired play.
The health care provider prescribed amphetamine salts (Adderall). The nurse should
monitor for
which desired behavior?
a. Increased expressiveness in communication with others
b. Abilities to identify anxiety and implement self-control strategies
c. Improved abilities to participate in cooperative play with other children
d. Tolerates social interactions for short periods without disruption or frustration -Correct
Answer ✔Improved abilities to participate in cooperative play with other children
When group therapy is prescribed as a treatment modality, the nurse would suggest
placement of a 9-year-old in a group that uses
a. guided imagery.
b. talk focused on a specific issue.
c. play and talk about a play activity.
d. group discussion about selected topics. -Correct Answer ✔play and talk about a play
activity
Which child demonstrates behaviors indicative of a neurodevelopmental disorder?
a. A 4-year-old who stuttered for 3 weeks after the birth of a sibling
b. A 9-month-old who does not eat vegetables and likes to be rocked
c. A 3-month-old who cries after feeding until burped and sucks a thumb
d. A 3-year-old who is mute, passive toward adults, and twirls while walking -Correct
Answer ✔A 3-year-old who is mute, passive toward adults, and twirls while walking
The parent of a child diagnosed with Tourette's disorder says to the nurse, "I think
my child is faking the tics because they come and go." Which response by the nurse is
accurate?
a. "Perhaps your child was misdiagnosed."
b. "Your observation indicates the medication is effective."
c. "Tics often change frequency or severity. That doesn't mean they aren't real."
d. "This finding is unexpected. How have you been administering your child's
NUR 255
