NURS 4331 Exam 3 Review
A young parent brings the school-aged child
to the office for a sports physical
examination. During the appointment, the
parent informs the nurse about being worried
because the child does not like school and
does not seem to be reading, writing, or
spelling as well as others in the class. The
parent adds that the child struggles to get
organized and to manage time. What
condition does the nurse suspect?
a. Asperger syndrome
b. learning disorder
c. autism spectrum disorder
d. Down syndrome
b. learning disorder
An advance practice mental health nurse is
preparing for an individual therapy session
with a 7-year-old girl who has been the victim
of sexual abuse. The girl has limited
proficiency in the dominant language. Which
approach will likely engage the girl?
a. art therapy with the nurse
b. talk therapy with the nurse
c. activity therapy with the nurse
,d. game therapy with the nurse
a. art therapy with the nurse
A young girl arrives at the emergency room
after being bitten by a neighbor's dog. The
mother is concerned her daughter will get
rabies. The nurse carefully examines and
treats the bite and questions the mother and
daughter about the details surrounding the
dog biting her. What information would most
strongly indicate a risk for rabies infection in
this client?
a. The dog was unprovoked when he bit the
girl
b. There have been no other reported
instances in the area
c. The dog was properly immunized for rabies
d. The dog belonged to a neighbor
a. The dog was unprovoked when he bit the
girl
A nurse is teaching an adolescent about
Tanner stages. Which statement best
describes Tanner staging?
a. Predictable stages of puberty that are based on
chronological age
,b. Staging of puberty based on the initiation of
menarche and nocturnal emissions
c. Predictable stages of puberty that are based on
primary and secondary sexual characteristics
d. Staging of puberty based on the initiation of
primary sexual characteristics
c. Predictable stages of puberty that are based on
primary and secondary sexual characteristics
A nurse is reviewing blood work for a child
with a cyanotic heart defect. What result
would most likely be seen in a client
experiencing polycythemia?
a. Decreased RBC
b. Increased RBC
c. Increased WBC
d. Decreased WBC
b. Increased RBC
A client’s newborn is diagnosed with
Tetralogy of Fallot. When explaining this
condition to the client, which of the following
defects would the nurse’s description
include?
a. stenosis of the aorta
b. atrial septal defect
, c. left ventricular hypertrophy
d. overriding of the aorta
d. overriding of the aorta
A school-aged child is recovering from
varicella. The parent calls the school nurse
and states, "my child is feeling much better"
and asks when the child can return to school.
What information does the nurse provide the
parent?
a. "Your child may return to school when free
of any lesions."
b. "Your child may return to school when all
of the lesions have crusted over."
c. "Your child may return to school when
there has been no fever for 48 hours."
d. "Your child may return to school when a
health care provider has given written
permission."
b. "Your child may return to school when all
of the lesions have crusted over."
A 7-year-old child with an earache comes to
the clinic. The child's parent reports that 1
day ago the child had a fever and headache
and did not want to play. When the nurse
A young parent brings the school-aged child
to the office for a sports physical
examination. During the appointment, the
parent informs the nurse about being worried
because the child does not like school and
does not seem to be reading, writing, or
spelling as well as others in the class. The
parent adds that the child struggles to get
organized and to manage time. What
condition does the nurse suspect?
a. Asperger syndrome
b. learning disorder
c. autism spectrum disorder
d. Down syndrome
b. learning disorder
An advance practice mental health nurse is
preparing for an individual therapy session
with a 7-year-old girl who has been the victim
of sexual abuse. The girl has limited
proficiency in the dominant language. Which
approach will likely engage the girl?
a. art therapy with the nurse
b. talk therapy with the nurse
c. activity therapy with the nurse
,d. game therapy with the nurse
a. art therapy with the nurse
A young girl arrives at the emergency room
after being bitten by a neighbor's dog. The
mother is concerned her daughter will get
rabies. The nurse carefully examines and
treats the bite and questions the mother and
daughter about the details surrounding the
dog biting her. What information would most
strongly indicate a risk for rabies infection in
this client?
a. The dog was unprovoked when he bit the
girl
b. There have been no other reported
instances in the area
c. The dog was properly immunized for rabies
d. The dog belonged to a neighbor
a. The dog was unprovoked when he bit the
girl
A nurse is teaching an adolescent about
Tanner stages. Which statement best
describes Tanner staging?
a. Predictable stages of puberty that are based on
chronological age
,b. Staging of puberty based on the initiation of
menarche and nocturnal emissions
c. Predictable stages of puberty that are based on
primary and secondary sexual characteristics
d. Staging of puberty based on the initiation of
primary sexual characteristics
c. Predictable stages of puberty that are based on
primary and secondary sexual characteristics
A nurse is reviewing blood work for a child
with a cyanotic heart defect. What result
would most likely be seen in a client
experiencing polycythemia?
a. Decreased RBC
b. Increased RBC
c. Increased WBC
d. Decreased WBC
b. Increased RBC
A client’s newborn is diagnosed with
Tetralogy of Fallot. When explaining this
condition to the client, which of the following
defects would the nurse’s description
include?
a. stenosis of the aorta
b. atrial septal defect
, c. left ventricular hypertrophy
d. overriding of the aorta
d. overriding of the aorta
A school-aged child is recovering from
varicella. The parent calls the school nurse
and states, "my child is feeling much better"
and asks when the child can return to school.
What information does the nurse provide the
parent?
a. "Your child may return to school when free
of any lesions."
b. "Your child may return to school when all
of the lesions have crusted over."
c. "Your child may return to school when
there has been no fever for 48 hours."
d. "Your child may return to school when a
health care provider has given written
permission."
b. "Your child may return to school when all
of the lesions have crusted over."
A 7-year-old child with an earache comes to
the clinic. The child's parent reports that 1
day ago the child had a fever and headache
and did not want to play. When the nurse
