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 weight in this period. c. The child should have gained just 2.5 pounds in this period. b. The child should have gained at least 8 pounds in this period.
ANS: A d. The child sould have gained twice that amount in this period.
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. d. Nine grams per day. b. Between 9 and 14 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 b. Overweight c. obese 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 juice, orange slices, and whole wheat toast
ANS: B d. Steak and a green salad

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. e. They begin to walk. f. They begin to talk. b. Their muscles develop. c. They learn to assert themselves.
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, activity is not necessary. b. Calories in must be balanced with calories out. c. Children drinking sugared beverages contributes to the problem. d. Genetics are to blame for childhood obesity. e. Obese children should not be put on a
“diet.” f. Watching TV contributes to obesity in 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 mall. d. Playing soccer in the backyard. b. Having a family board game night each week. c. Playing basketball at the local park.
ANS: C, D, E, F PTS: 1 e. Riding bicycles together. f. Taking a walk after dinner.
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. b. Feed the child a healthy diet according to the MyPyramid guidelines. c. If you cut out the sugary soft drinks, the type 2 diabetes will resolve. d. I will give you a list of special foods the child will need to eat. e. I will give you a referral to a Certified
Diabetes Educator. f. I will make a meal plan for the child to 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 greater than girls’. d. Perhaps the girl is physically smaller than the boy, so she needs fewer calories. b. Generally, teenage boys have more muscle mass than girls. e. Obviously, the daughter is sneaking food. c. Perhaps the girl is not as physically active as the boy, so she needs fewer calories. f. The daughter must have a slow 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.