Roth 10e NCLEX

Chapter 13

MULTIPLE CHOICE
1. The parents of a young child ask the nurse if they should be concerned that their child who just turned
3 years old gained just 5 pounds in the last year. Which of the following responses would be
appropriate for the nurse to make?
a. The child gained an appropriate amount of c. The child should have gained just 2.5
weight in this period. pounds in this period.
b. The child should have gained at least 8 d. The child sould have gained twice that
pounds in this period. amount in this period.
ANS: A
The approximate weight gain of a child during the second year of life is 5 pounds.
PTS: 1 REF: Children Ages 1 to 12
2. A concerned parent asks the nurse how much fiber a 4 year old child should have each day. Of the
following responses, which best answers the parents question?
a. As much as the child will eat. c. Fourteen grams per day.
b. Between 9 and 14 grams per day. d. Nine grams per day.
ANS: B
After age 3, a child’s fiber needs are “age + 5 grams” and no more than “age + 10 grams.” So a 4 year
old child should consume 9 grams but not more than 14 grams of fiber each day. A child who eats
more fiber than that might be too full to eat enough other foods to provide all the calories needed for
growth and development.
PTS: 1 REF: Calorie and Nutrient Needs
3. During a well child visit, the nurse plots a child’s BMI for age and sex on the CDC growth chart. The
child is just over the 95th percentile. How will the nurse classify this child’s BMI for age?
a. normal c. obese
b. Overweight d. no interpretation is made
ANS: B
A child is considered overweight when the BMI for age and sex is above the 95th percentile. Children
a re considered to be obese when their body fat exceeds lean muscle mass.
PTS: 1 REF: Childhood Obesity
4. An adolescent client is preparing to run a half-marathon. The nurse is teaching the client how to eat
foe competition. Which of the following will the nurse say is an appropriate meal for the day before
competition?
a. Bacon and eggs with coffee c. Protein shake with double protein powder
and yogurt
b. Pancakes with fresh blueberries, apple d. Steak and a green salad
juice, orange slices, and whole wheat toast
ANS: B
The day before competition, the athlete should eat a high-carbohydrate diet and rest. The meal in
answer “b” is high in carbohydrates and lower in protein and fat than the other meals, which are high
in protein and fat and low in carbohydrate. Both the coffee and the excess protein in the protein shake
could lead to dehydration and would not enhance athletic performance.
PTS: 1 REF: Nutrition for the Athlete.

MULTIPLE RESPONSE
1. During a well child visit, the nurse is evaluating a child who just turned 2 year old. The nurse knows
to expect vast changes in a child between the ages of 1 and 3. For which of the following changes
would the nurse be looking? Select all that apply.
a. Their legs grow longer. d. They learn to feed themselves.
b. Their muscles develop. e. They begin to walk.
c. They learn to assert themselves. f. They begin to talk.
ANS: A, B, C, D, E, F
Children between the ages of 1 and 3 undergo vast changes. Their legs grow longer; they develop
muscles;
PTS: 1 REF: Children Ages 1 to 12
2. The nurse is teaching a group of parents about the importance of a child maintaining a healthy weight.
Which of the following statements would be appropriate for the nurse to make? Select all that apply.
a. As long as the child eats nutritious meals, d. Genetics are to blame for childhood
activity is not necessary. obesity.
b. Calories in must be balanced with calories e. Obese children should not be put on a
out. “diet.”
c. Children drinking sugared beverages f. Watching TV contributes to obesity in
contributes to the problem. children.

ANS: B, C, E, F
Childhood obesity is the result of an imbalance between the calories a chld consumes as food and
beverages and the calories a child expends for normal growth and development, metabolism, and
physical activity. Genetics is not solely to blame for childhood obesity. An energy imbalance can
result from a number of factors including genetic, behavioral, and environmental. Drinking sugary
drinks, watching TV, and drinking sugared beverages are some of the behavioral factors that
contribute to childhood obesity. Physical activity is important for all children to help burn excess
calories.
PTS: 1 REF: Childhood Obesity
3. The nurse suggests to the parents of an overweight child that engaging in activities as a family will
help prevent the overweight child from becoming obese. The parents ask the nurse to suggest some
appropriate activities. Which of the following activities would the nurse say are appropriate? Select all
that apply.
a. Going to the video game arcade at the d. Playing soccer in the backyard.
mall.
b. Having a family board game night each e. Riding bicycles together.
week.
c. Playing basketball at the local park. f. Taking a walk after dinner.
ANS: C, D, E, F PTS: 1 REF: Childhood Obesity
4. The parent of a child with type 2 diabetes asks the nurse at the pediatrician’s office what the child
should be eating. Of the following responses, which would be appropriate for the nurse to say? Select
all that apply.
a. Cut out the child’s after school snack. d. I will give you a list of special foods the
child will need to eat.
b. Feed the child a healthy diet according to e. I will give you a referral to a Certified
the MyPyramid guidelines. Diabetes Educator.
c. If you cut out the sugary soft drinks, the f. I will make a meal plan for the child to
type 2 diabetes will resolve. follow.
ANS: E
 Children with type 2 diabetes should see a Certified Diabetes Educator to learn what to eat to control
their diabetes. The diabetes educator will also prescribe daily exercise and fiber intake, both of which
help control blood glucose. It is not appropriate for someone without this specialized training to
counsel the child on managing the disease.
PTS: 1 REF: Childhood Type 2 Diabetes
5. At a well child visit, the parents of two teenagers express concern about their teenage daughter’s
weight. The children are home schooled and eat all of their meals at home. The parents say they
control the portion sizes of the food they serve and the boy and girl eat exactly the same thing. If the
children are eating exactly the same thing, why might the nurse say the daughter’s weight is
increasing? Select all that apply.
a. Boys’ calorie requirements tend to be d. Perhaps the girl is physically smaller than
greater than girls’. the boy, so she needs fewer calories.
b. Generally, teenage boys have more muscle e. Obviously, the daughter is sneaking food.
mass than girls.
c. Perhaps the girl is not as physically active f. The daughter must have a slow
as the boy, so she needs fewer calories. metabolism.

ANS: A, B, C, D PTS: 1 REF: Adolescents

NUMERIC RESPONSE
1. The nurse is teaching a group of parents about child nutrition. The nurse says that children between the
ages of 1-4 should have 3 servings of vegetables each day. Stated in tablespoons, what is the serving
size of vegetables for a 3 year old child?
ANS: 3
PTS: 1 REF: Children Ages 1 to 12

For children between the ages of 1 and 4, a serving of vegetables is the number of tablespoons equal to
their age. So a serving of vegetables for a 3 year old child would be 3 tablespoons.