Nokea
The school nurse is preserving a tooth that was knocked out on the school playground. What will the nurse be especially careful to do?
- A. Wrap the tooth loosely in a clean cloth.
- B. Rinse the tooth with alcohol.
- C. Handle the tooth only by the crown.
- D. Place the tooth in a warm environment.
Correct Answer: C
Rationale: When a permanent tooth is avulsed, the tooth should be picked up by the crown to prevent any further damage to the root and placed in milk until the child can be examined by a dentist.
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What should the nurse keep in mind when planning to teach a class on nutrition to fourth-grade students?
- A. School-age children can concentrate on only one aspect of a situation.
- B. School-age children can think abstractly.
- C. School-age children are egocentric in their thinking.
- D. School-age children think logically and concretely.
Correct Answer: D
Rationale: Piaget refers to the thought process of this period as concrete operations, which involves logical thinking and an understanding of cause and effect.
What is the best suggestion by the nurse for an appropriate toy for a hospitalized 6-year-old boy?
- A. Handheld video game
- B. MP3 player
- C. Adventure book
- D. Jigsaw puzzle
Correct Answer: A
Rationale: The 6-year-old child can perform numerous feats that require muscle coordination. At this age, the handheld video game will offer competition without overexertion.
Parents ask the pediatric nurse how school life might influence their growing child. What area of development will the nurse indicate that school affects the least?
- A. Moral development
- B. Social development
- C. Physical development
- D. Cognitive development
Correct Answer: C
Rationale: Physical development is the least affected by school life. Moral development occurs as they have experience with, and understand, rules and fairness in the school setting.
What statement by an 11-year-old child leads the nurse to determine he has moved from the mind-set of egocentrism?
- A. I am a member of the best Cub Scout group in the world.'
- B. I must do my homework before I can play.'
- C. My dad can do anything!'
- D. I'm sorry. I bet that hurt your feelings.'
Correct Answer: D
Rationale: The ability to see another's point of view indicates moving away from egocentrism into a more altruistic mind-set.
The parents of an 8-year-old child tell the nurse the child wakes the household crying out during his frequent nightmares. What is the nurse's most helpful response to explain nightmares?
- A. They are a normal extension of the child's fear of mutilation.
- B. They are an abnormal response to repressed feelings.
- C. They are a common result of latent sexuality.
- D. They are a side effect of overactivity and stimulation.
Correct Answer: A
Rationale: The nightmares experienced by an 8-year-old child are an extension of their characteristic fear of mutilation.