Review Comprehensive Questions

Health Supervision In Children > Child Health

Exam Review

Comprehensive Questions

Share This Link

Share on social media

Facebook

Messager

WhatsApp

Share URL
Copy

We are excited to announce the release of a NEW VERSION OF THE SYSTEM! To benefit from the latest features, improvements, and component updates, please switch to the new system as soon as possible.

Visit Latest Version

Total Questions : 7

Showing 7 questions, Sign in for more

Question 1:

During the health interview, the mother of a 4-month-old says, “I’m not sure my baby is doing what he should be.” What is the nurse’s best response?

A. “I’ll be able to tell you more after I do his physical.” B. “Fill out this developmental screening questionnaire and then I can let you know.” C. “Tell me more about your concerns.” D. “All mothers worry about their babies. I’m sure he’s doing well.”

Answer and Explanation

Choice A:

“I’ll be able to tell you more after I do his physical.” This delays addressing her concern and shuts down immediate dialogue. It also misses the opportunity to gather parental insight.

Choice B:

“Fill out this developmental screening questionnaire and then I can let you know.” While screening tools are important, jumping to paperwork before discussion can feel impersonal and may overlook key details.

Choice C:

“Tell me more about your concerns.” This is an open-ended, supportive, and nonjudgmental response that invites the mother to elaborate on her observations. It validates her feelings and gives the nurse important context to guide further assessment and screening.

Choice D:

“All mothers worry about their babies. I’m sure he’s doing well.” This dismisses the mother’s concern, risks invalidating her feelings, and could prevent disclosure of important developmental issues.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 2:

An infant boy is at your facility for his initial health supervision visit. He is 2 weeks old and responds to a bell during his examination. You review all his birth records and find no documentation that a newborn hearing screening was performed. What is the best action by the nurse?

A. Do nothing; responding to the bell proves the infant does not have a hearing deficit. B. Schedule the infant immediately for newborn hearing screening. C. Ask the mother to observe for signs that the infant is not hearing well. D. Screen again with the bell at the infant’s 2-month health supervision visit.

Answer and Explanation

Choice A:

Do nothing; responding to the bell proves the infant does not have a hearing deficit: This is incorrect because informal sound-response checks can miss partial or frequency-specific hearing loss.

Choice B:

Schedule the infant immediately for newborn hearing screening: The absence of documented screening means the infant’s hearing status is unknown. Formal screening (e.g., otoacoustic emissions [OAE] or auditory brainstem response [ABR]) is necessary, as informal bedside tests with bells or voices are not accurate diagnostic tools.Rationale for incorrect answers:

Choice C:

Ask the mother to observe for signs that the infant is not hearing well: Observation alone is unreliable for early detection; delays in diagnosis can harm speech and language development.

Choice D:

Screen again with the bell at the infant’s 2-month visit: Waiting risks missing the early intervention window and using an inaccurate method.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 3:

A 15-month-old girl is having her first health supervision visit at your facility. Her mother has not brought a copy of the child’s immunization record but believes she is fully immunized: “She had immunizations 3 months ago at the local health department.” Which would be the best action by the nurse?

A. Ask the mother to bring the records to the 18-month health supervision visit. B. Start the “catch-up” schedule because there are no immunization records. C. Keep the child at the facility while the mother returns home for the records. D. Call the local health department and verify the child’s immunization status.

Answer and Explanation

Choice A:

Asking the mother to bring the records to the 18-month health supervision visit delays verification and could result in a missed opportunity to update needed immunizations promptly.

Choice B:

Starting the “catch-up” schedule because there are no immunization records could lead to unnecessary repeat vaccinations, discomfort, and expense if the child is actually up to date.

Choice C:

Keeping the child at the facility while the mother returns home for the records is inconvenient for the family and unnecessary when verification can be done quickly through a phone call to the local health department.

Choice D:

Calling the local health department and verifying the child’s immunization status allows the nurse to confirm exactly which vaccines were given and when, ensuring the child’s immunization schedule remains accurate and avoiding unnecessary repeats or missed doses. This is the safest and most efficient action.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 4:

A 4-year-old child is having a vision screening performed. Which screening chart would be best for determining the child’s visual acuity?

A. Snellen B. Ishihara C. Allen figures D. CVTME

Answer and Explanation

Choice A:

Snellen uses letters and requires literacy or letter recognition; generally more suitable for children ≥6 years old.

Choice B:

Ishihara is used to assess color vision, not visual acuity; inappropriate for standard acuity screening.

Choice C:

Allen figures uses familiar pictures (e.g., animals, objects) and is also suitable for young children, but CVTME is considered more accurate and developmentally appropriate for a 4-year-old’s formal acuity testing.

Choice D:

The Cardiff Visual Acuity Test for Matching or Estimation (CVTME) is specifically designed for young children, this chart uses simple, recognizable images arranged to measure acuity reliably in preschoolers. It’s ideal for children around 3–5 years old who may not know their letters but can identify or match pictures.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 5:

When should the child’s first examination by a dentist occur?

A. By the first birthday B. By the second birthday C. By entry into kindergarten D. By entry into first grade

Answer and Explanation

Choice A:

By the first birthday: This allows early detection of oral health problems, parent education on brushing, fluoride use, and diet, and establishes a dental home for the child. Early visits also help the child become comfortable with dental care.

Choice B:

By the second birthday: This delays preventive education and may allow dental decay to progress before intervention.

Choice C:

By entry into kindergarten: Far too late for prevention; caries and other oral health issues can already be advanced by this age.

Choice D:

By entry into first grade: This is well beyond the ideal window for establishing preventive oral health practices and may lead to missed opportunities for early intervention.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 6:

An experienced nurse is orienting a new nurse to the care of children in a clinic. Which immunizations
should the experienced nurse inform the new nurse to plan to administer to normally healthy children between ages 1 and 5 years? Select all that apply

A. Inactivated poliovirus B. Diphtheria, tetanus, pertussis (DTaP) C. Measles, mumps, rubella (MMR) D. Hepatitis B (HepB) E. Meningococcal F. Meningococcal

Answer and Explanation

Choice A:

Inactivated poliovirus (IPV) booster doses are given between ages 4–6 years after the primary series in infancy.

Choice B:

The 5th dose of Diphtheria, tetanus, pertussis (DTaP) is given at 4–6 years to maintain protection.

Choice C:

The second dose of Measles, mumps, rubella (MMR) is given between 4–6 years for long-term immunity.Rationale for incorrect answers:

Choice D:

The Hepatitis B (HepB) series is typically completed by 6–18 months of age, so it is not routinely given to healthy children aged 1–5 unless they are catching up.

Choice E:

The first routine dose of meningococcal vaccine is recommended at 11–12 years for healthy children, unless earlier vaccination is indicated for high-risk groups.

Choice F:

Vaccinations in children are a cornerstone of preventive health care, protecting them from serious and potentially life-threatening diseases. They work by stimulating the immune system to recognize and fight specific pathogens before a child is exposed to them naturally. Between the ages of 1 and 5 years, children receive routine booster doses of key vaccines to maintain immunity against serious diseases.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 7:

A school nurse is teaching adolescents about oral care. Which point should the nurse address with the

A. students? B. The adolescent should floss daily, brush teeth twice a day, and see the dentist two times per year. C. The adolescent should brush once a day and see the dentist twice per year. D. The adolescent should see the dentist once a year and brush teeth twice a day. E. The adolescent should floss daily, brush teeth twice a day, and see the dentist once a year.

Answer and Explanation

Choice A:

Floss daily, brush teeth twice a day, and see the dentist two times per year: This follows the American Dental Association (ADA) recommendations for maintaining optimal oral health. Brushing removes plaque from tooth surfaces, flossing cleans between teeth where a brush can’t reach, and regular dental visits provide professional cleaning and monitoring.

Choice B:

Brushing only once daily is insufficient to remove plaque and food debris effectively.

Choice C:

Annual dental visits may delay diagnosis and treatment of problems; twice-yearly visits are preferred.

Choice D:

Flossing and brushing habits are good here, but annual visits alone may not provide the best preventive care.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Sign Up or Login to view all the 7 Questions on this Exam

Join over 100,000+ nursing students using Naxlex’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.

Exam Review

Comprehensive Questions Share this Share This Link Share on social media Facebook Messager WhatsApp Share URL Copy Close

Total Questions : 7

Sign Up or Login to view all the 7 Questions on this Exam

Comprehensive Questions

Share This Link

Share on social media

Facebook

Messager

WhatsApp

Share URL
Copy