NCLEX-RN Passpoint Toddler
When a client with croup is admitted to the facility, a physician orders treatment with a mist tent. As the caregiver attempts to put the client in the crib, the client cries and clings to the caregiver. What should the nurse do to gain the client's cooperation with the treatment? Turn off the mist so the noise doesn't frighten the client. Put the side rail down so the client can get into and out of the crib unaided. Encourage the caregiver to stand next to the crib and stay with the client. Let the client sit on the caregiver's lap next to the mist tent.
Encourage the caregiver to stand next to the crib and stay with the client.
Which toy should the nurse give to a toddler to use in the hospital playroom? wheelbarrow blocks truck with four wheels. tricycle
blocks
A parent brings a child to the clinic with symptoms of weight loss, paleness, fatigue, and not growing. What question about the child's environment should the nurse ask the parent based on these symptoms? "Are you a single parent?" "Do you have pets in your home?" "How old is the house that you live in?" "Do you live near a hydroelectric facility?"
"How old is the house that you live in?"
The nurse is conducting a comprehensive assessment on a school-age child. Which parent statement would suggest to the nurse that a child may have celiac disease? "His stools are large and smelly." "He is so short." "His belly is so small." "His urine is so dark in color."
"His stools are large and smelly."
The nurse is providing health teaching to the mother of a toddler who requires oral medication administration after discharge. Which of the following statements indicate to the nurse that the mother understands the instructions? Select all that apply. "I will have the poison control center number close to the phone." "I will store the medications out of the reach of our children." "I will mix the medication with fruit puree to make it taste better." "I will get my child to take the medication by saying it's candy." "I will carefully read the medication insert from the pharmacy."
"I will have the poison control center number close to the phone." "I will store the medications out of the reach of our children." "I will mix the medication with fruit puree to make it taste better." "I will carefully read the medication insert from the pharmacy."
A young client develops a fever and rash and is diagnosed with rubella. The client's mother has just given birth to another child. Which statement by the mother best indicates that she understands the implications of rubella? "I don't have to worry because I've had the measles." "I'll ask the physician about giving the baby an immunization shot." "I'll call my neighbor who's 2 months pregnant and tell her not to have contact with my children." "I told my partner to give the client aspirin for the fever."
"I'll call my neighbor who's 2 months pregnant and tell her not to have contact with my children."
The parents of a toddler do not want their child to have a varicella immunization, stating, "My child will have better immunity if he or she gets the disease now." Which is the nurse's best response? "The antibodies in the vaccine are good for other communicable diseases as well." "You are correct and chicken pox is not fatal." "Chicken pox is not very contagious, so it is unlikely your child will contract it naturally." "If the child contracts the disease, it could be very serious, even life threatening."
"If the child contracts the disease, it could be very serious, even life threatening."
Two toddlers are arguing over a toy in the playroom. What should the nurse should say to the children? "Let one of you play with it for a while, and then give it to the other." "If you can't play together, I'll have to put you back in your rooms." "Let me see if I can get both of you a similar toy." "Give the toy to me. Now neither of you will have it."
"Let me see if I can get both of you a similar toy."
During a well-baby visit, a toddler's parent states that the parent keeps all medications out of the toddler's reach in the kitchen cabinet. Which is an appropriate response by the nurse? "Keeping medications out of reach is a good idea." "Medications should be kept in the bathroom medicine cabinet." "Medications should be kept out of the toddler's sight." "Medications should be kept in a locked location."
"Medications should be kept in a locked location."
The parent of a toddler hospitalized for episodes of diarrhea reports that when the toddler cannot have things the way she wants, she throws her legs and arms around, screams, and cries. The mother says, "I don't know what to do!" After the nurse teaches the parent about ways to manage this behavior, which statement by the parent indicates that the nurse's teaching was successful? "Next time she screams and throws her legs, I'll ignore the behavior." "I'll explain why she cannot have what she wants." "I'll allow her to have what she wants once in a while." "When she behaves like this, I'll tell her that she is being a bad girl."
"Next time she screams and throws her legs, I'll ignore the behavior."
A boy, age 2, is diagnosed with hemophilia. The nurse explains to the father how the gene for hemophilia is transmitted. Which statement by the father indicates an understanding of gene transmission? "All of our offspring will carry the trait for hemophilia." "If we have more sons, all of them will have hemophilia." "Our daughter will develop hemophilia when she gets older." "Our newborn daughter may be a carrier of the trait."
"Our newborn daughter may be a carrier of the trait."
While interviewing a preschool-age girl who has been sexually abused about the event, which approach would be most effective? "Play out" the event using anatomically correct dolls. Describe what happened during the abusive act. Draw a picture and explain what it means. Name the perpetrator.
"Play out" the event using anatomically correct dolls.
The parents of a child with rheumatic fever express concern that their other children will develop the disease. Which response from the nurse is best? "Medicine is available to prevent this, so check with your primary care provider." "Your other children are as likely to develop this disease." "This disease is not contagious." "Your other children are girls, so they are less likely to get it."
"This disease is not contagious."
A parent of a 2-year-old child states the child cries when being dropped off at daycare but seems happy when being picked up later in the day. What is the best advice the nurse can give the parent related to this behavior? "This is a normal stage of development that toddlers go through." "Your child is likely afraid of something at the daycare." "Send your child's favorite toy to daycare as a comfort object." "It would help if you make a game of going to daycare."
"This is a normal stage of development that toddlers go through."
When teaching caregiver of a client with congenital heart disease, the nurse should explain all medical treatments and emphasize which instruction? "Try to maintain your child's usual lifestyle to promote normal development." "Make sure your child avoids contact with small children to reduce overstimulation." "Relax discipline and limit-setting to prevent crying." "Reduce your child's caloric intake to decrease cardiac demand."
"Try to maintain your child's usual lifestyle to promote normal development."
A parent asks the nurse about using a car seat for a toddler who is in a hip spica cast. What should the nurse should tell the parent? "You'll need to get a special release from the police so that a car seat will not be needed." "You can use a seat belt because of the spica cast." "You can still use the car seat you already have." "You will need a specially designed car seat for your toddler."
"You will need a specially designed car seat for your toddler."
A nurse is providing health teaching about pediatric immunizations to the parents of a child. Which of the following is the most appropriate information for the nurse to give the parents about immunizations? "The fear of needles is usually overcome after the first shot." "Children rarely experience pain at the injection site." "Your child may need medication for a low-grade fever." "Refusal of vaccinations is very common among children."
"Your child may need medication for a low-grade fever."
A physician orders meperidine, 1.1 mg/kg I.M., for a 16-month-old child who has just had abdominal surgery. When administering this drug, the nurse should use a needle of which size? 20G 27G 23G 18G
23G
A 3-year-old child is to receive 500 ml of dextrose 5% in normal saline (D5NSS) solution over 8 hours. At what rate (in milliliters/hour) would the nurse set the infusion pump/ Record your answer using one decimal place.
62.5
A 15-month-old child with an IV line in place is prescribed to receive a total of 200 mL over the next 3 hours. The infusion set delivers 1 mL per 60 drops. at what rate (in drops/min) should the nurse run the infusion? Record your answer using a whole number.
67
A child weighing 44 lb (20kg) is to receive 45 mg/kg/day of penicillin V potassium oral suspension in 4 divided doses of revery 6 hours. The suspension that is available is penicillin V potassium 125 mg/5 mL. How many milliliters would the nurse administer of reach dose? Record your answer using a whole number.
9
A nurse is providing health teaching to the parents of a 2-year-old child who has been diagnosed with benign febrile seizures. What is the most important information for the nurse to give the parents about this disorder? The seizures will continue throughout the child's life. A respiratory or ear infection is usually present. This diagnosis often progresses to one of epilepsy. Benign febrile seizures will result in a developmental delay for the child.
A respiratory or ear infection is usually present.
What should the nurse do first when admitting a toddler with croup? Place a tracheostomy set at the bedside. Assess respiratory status. Ensure adequate fluid intake. Monitor vital signs.
Assess respiratory status.
When teaching a caregiver of a 17-month-old about toilet training, which instruction would initially be most appropriate? Offer a reward every time the toddler has a bowel movement in the potty chair. Place the toddler on the potty chair every 2 hours for 10 minutes. Be sure the toddler is ready before starting to toilet train. Remove the diaper and use training pants to begin the process.
Be sure the toddler is ready before starting to toilet train.
Which suggestion would be most helpful to the parents of a 2-year-old child when managing separation anxiety during hospitalization? Bring the child's favorite toys from home. Leave while the child is sleeping. Tell the child the time they are leaving and returning. Keep the visit time short.
Bring the child's favorite toys from home.
A 29-month-old child who is dehydrated as a result of vomiting requires oral rehydration. Which concept regarding oral rehydration therapy should the nurse consider? Sugar is a good source of nutrition when rehydrating a child. Give 1 to 3 teaspoons (5-15 mL) of fluid every 10 to 15 minutes. If symptoms persist for more than 72 hours, contact the physician. A child who has three wet diapers each day isn't considered dehydrated.
Give 1 to 3 teaspoons (5-15 mL) of fluid every 10 to 15 minutes.
A client is diagnosed with iron deficiency anemia. When teaching the caregivers about using supplemental iron elixir, the nurse should provide which instruction?
Give the elixir with water or juice.
Which nursing intervention would be most effective in helping a 2-year-old child stay quiet after a bronchoscopy? Have the parents stay at the bedside. Allow the child to go to the playroom. Have the child play with another child in the room. Turn on the television so the child can watch cartoons.
Have the parents stay at the bedside.
The nurse is caring for a toddler who is visually impaired. What is the most important action for the nurse to take to ensure the safety of the child? Avoid startling the child by limiting excess noise. Request that the parent stay with the child. Use visual aids to facilitate communication. Maintain a tidy environment around the child.
Maintain a tidy environment around the child.
The mother of a toddler asks the nurse what she should do with her toddler when he has a temper tantrum. Which suggestion would be most appropriate? Punish the toddler for having a temper tantrum. Try to talk the toddler out of the tantrum. Leave the toddler alone during the tantrum as long as he is safe. Move the toddler to a time-out chair.
Leave the toddler alone during the tantrum as long as he is safe.
A nurse is preparing to give an I.M. injection in the left leg of a 2-year-old child. Identify the area where the nurse should give the injection.
Mid-left thigh
A toddler with croup is given a racemic epinephrine treatment because of increasing respiratory distress. Which finding indicates that the treatment has been effective? Retractions are less severe. Color is normal. Pulse oximeter reads 90. Heart rate is 100 bpm.
Retractions are less severe.
A toddler is hospitalized with multiple injuries. Although the parent states that the child fell down the stairs, the child's history and physical findings suggest abuse as the cause of the injuries. What is the nurse's first responsibility in caring for this child? Restrict the parent from the child's room. Report the incident to the proper authorities. Document all the areas of injuries. Place the child in a monitored room.
Report the incident to the proper authorities.
The mother calls the nurse to report that her toddler has just been burned on the arm. What should the nurse advise the mother to do first? Pack the arm in ice and then take the child to the closest emergency department. Call the child's health care provider (HCP) immediately and then wrap the arm in a clean cloth. Rub the burned area with an antibacterial ointment and then call the child's health care provider (HCP). Run cool water over the burned area and then wrap it in a clean cloth.
Run cool water over the burned area and then wrap it in a clean cloth.
The parents of a child with diarrhea report to the nurse that they have treated the child with home remedies, including herbal medicine. What is the most important information for the nurse to communicate to the parents regarding the use of home remedies? Closely monitor and record the number of stools. Ensure the home remedy dosage is correct for age. Read the labels to know what ingredients the child is taking. Share home remedy information with healthcare professionals.
Share home remedy information with healthcare professionals.
A nurse is caring for a child with intussusception. Which of the following is an expected client outcome related to the nursing diagnosis Acute pain related to cramping, which might be made for this child? The child has not vomited in 3 hours. The child is very still. The child exhibits no manifestations of discomfort. The child has a normal bowel movement.
The child exhibits no manifestations of discomfort.
A toddler is hospitalized for treatment of injuries that the staff believes were caused by child abuse. A staff member states that the parents "shouldn't be allowed to visit because they caused the child's injuries." When responding to this staff member, the nurse should base the comments on which understanding? The parents shouldn't be allowed to visit the child. The parents should visit on a schedule established by the health care team and should be supervised during visits. The parents should be encouraged to visit frequently and should be welcomed by the staff. The parents shouldn't visit until the child is ready for discharge.
The parents should be encouraged to visit frequently and should be welcomed by the staff.
Which desired outcome demonstrates effective parent teaching about disciplining a toddler? The parents will call immediate attention to undesirable behavior. The parents will set flexible rules. The parents will verbalize requests for behavior in negative terms. The parents will raise their voices when reprimanding the child.
The parents will call immediate attention to undesirable behavior.
Which statement obtained from the nursing history of a toddler should alert the nurse to suspect that the child has had a febrile seizure? The child has had a low-grade fever for several weeks. The seizure occurred when the child had a respiratory infection. The seizure resulted in respiratory arrest. The family history is negative for convulsions.
The seizure occurred when the child had a respiratory infection.
A caregiver tells the nurse that the 22-month-old client says no to everything. When scolded, the client gets angry and starts crying loudly but then immediately wants to be held. What is the best interpretation of this behavior? The client is not coping with stress effectively. This behavior suggests the need for counseling. This behavior is normal in a 2-year-old. The client's need for affection is not being met.
This behavior is normal in a 2-year-old.
A public health nurse is teaching a group of parents at a community health center about feeding and nutrition for toddlers. Which information is most important for the nurse to include in the teaching? The amount eaten per meal is more important than the amount eaten each day. It's OK to use dessert as a reward for good eating habits. Children should be able to choose what to eat and when they want to eat it. Toddlers often eat one food for many days in a row.
Toddlers often eat one food for many days in a row.
When developing a teaching plan for parents of toddlers about poisonous substances, the nurse should emphasize which safety points? Select all that apply. Toddlers should be adequately supervised at all times. All poisonous substances should be kept out of the reach of children and stored in a locked cabinet if necessary. The difference between pediatric and adult dosages of medicines is significant, and adult dosages given to children can have serious, harmful effects. Syrup of ipecac should be administered following all ingestions of poisonous substances. Following any poisoning, the parents should call the Poison Control Center for instructions for appropriate treatment.
Toddlers should be adequately supervised at all times. All poisonous substances should be kept out of the reach of children and stored in a locked cabinet if necessary. The difference between pediatric and adult dosages of medicines is significant, and adult dosages given to children can have serious, harmful effects. Following any poisoning, the parents should call the Poison Control Center for instructions for appropriate treatment.
A parent tells the nurse that the primary discipline method used in the home is corporal punishment. What should the nurse tell the parent about corporal punishment? Use can result in children becoming accustomed to spanking. It reinforces the idea that violence is not acceptable. It does not physically harm the child. Use can be beneficial in teaching children what they should do.
Use can result in children becoming accustomed to spanking.
The nurse prepares a 3-year-old child to have blood specimens drawn for laboratory testing. What intervention should the nurse employ? Explain why the blood needs to be drawn. Use distraction techniques during the procedure. Provide verbal explanations about what will occur. Explain the procedure in advance.
Use distraction techniques during the procedure.
A toddler diagnosed with nephrotic syndrome has a fluid volume excess related to fluid accumulation in the tissues. Which measure should the nurse anticipate including in the child's plan of care? Maintain strict bed rest. Weigh the child before breakfast. Limit visitors to 2 to 3 hours a day. Test urine specific gravity every shift.
Weigh the child before breakfast.
A registered nurse (RN) has been paired with a licensed practical nurse (LPN) for the shift. Whose care should the RN delegate to the LPN? a 19-month-old infant who had surgery for a fractured tibia 12 hours ago a 2-year-old child who nearly drowned 2 days earlier a 6-month-old infant who has gastroenteritis and vomits every 30 minutes a 17-month-old infant who lost consciousness 2 hours earlier because of a head injury
a 2-year-old child who nearly drowned 2 days earlier
Before administering a tube feeding to a toddler, which method should the nurse use to check the placement of a nasogastric (NG) tube? injection of a small amount of air while listening with a stethoscope over the abdominal area a check of the pH of fluid aspirated from the tube abdominal X-rays visualization of the measurement mark on the tube made at the time of insertion
a check of the pH of fluid aspirated from the tube
A client is admitted to the pediatric unit with a diagnosis of celiac disease. What finding would the nurse expect in this client? a concave abdomen bulges in the groin area a protuberant abdomen a palpable abdominal mass
a protuberant abdomen
Which family should the nurse determine as most in need of follow-up? a two-parent family with a foster child who has a history of caustic liquid ingestion a two-parent family whose 3-year-old has a fractured leg from an automobile accident a single parent with a toddler who has third-degree burns over 20% of the body a single mother with a 7-month-old child whose immunizations are delayed
a single parent with a toddler who has third-degree burns over 20% of the body
The nurse teaches the mother of a toddler who has had cleft palate repair that her child is at risk for developing which problem in the future? poor self-concept hearing problems chronic sinus infections a speech defect
a speech defect
Which behavior in a 20-month-old would lead the nurse to suspect that the child is being abused? talking easily with the nurse playing with toys on the examination room floor absence of crying during the examination clinging to the parent during the examination
absence of crying during the examination
A child is admitted with a 5-day history of severe vomiting and diarrhea. Which intervention is the priority for the nurse? collecting strict intake and output administering IV fluids start on a bland diet of bananas, rice, applesauce, and toast (BRAT diet) begin oral rehydration
administering IV fluids
Twelve hours after cardiac surgery, the nurse is assessing a 3-year-old who weighs 15 kg. The nurse should notify the surgeon about which clinical finding?
alterations in levels of consciousness
When assessing speech development, the nurse should refer which child for further revaluation? a 4-month-old who laughs out loud a 10-month-old who says "dada" and "mama" a 1-year-old who says 3 to 5 words an 18-month-old who only says "no"
an 18-month-old who only says "no"
When assessing a toddler's growth and development, the nurse understands that a child in this age group displays behavior that fosters which developmental task? industry initiative autonomy trust
autonomy
Which method would be most appropriate for the nurse use to determine if a 2-year-old is obese? weight-for-length charts abdominal girths body mass index (BMI)-for-age skinfold thickness measurements
body mass index (BMI)-for-age
A toddler hospitalized with nephrotic syndrome has marked dependent edema and hypoalbuminemia. His urine is frothy. When assessing the child's vital signs, the nurse should report which finding to the health care provider? blood pressure of 80/45 mm Hg respiratory rate of 28 breaths/minute body temperature of 102.8° F (39.3° C) pulse rate of 85 bpm
body temperature of 102.8° F (39.3° C)
A caregiver brings a 19-month-old client to the clinic for a regular checkup. When palpating the client's fontanels, what should the nurse expect to find? open anterior and posterior fontanels open anterior fontanel and closed posterior fontanel closed anterior and posterior fontanels closed anterior fontanel and open posterior fontanel
closed anterior and posterior fontanels
A mother brings a 15-month-old child to the well-baby clinic. She states the child has been taking approximately 18 to 20 oz (540 to 600 mL) of whole milk per day from a bottle with meals and at bedtime. The nurse should suggest that she begin weaning the child from the bottle to avoid risking: anemia. dental caries. malocclusion. malnutrition.
dental caries.
A young child who has been sexually abused has difficulty putting feelings into words. Which approach should the nurse employ with the child? engaging in play therapy role-playing reporting the abuse to a prosecutor giving the child's drawings to the abuser
engaging in play therapy
A nurse is teaching a group of parents about otitis media. When discussing why children are predisposed to this disorder, the nurse should mention the significance of which anatomical feature? tympanic membrane external ear canal nasopharynx eustachian tubes
eustachian tubes
When developing the plan of care for a toddler who has taken an acetaminophen overdose, which intervention should the nurse expect to include as part of the initial treatment? tracheostomy gastric lavage frequent serum drug levels electrocardiogram
gastric lavage
Anticipating that a preschool-age child in traction will have need for diversion, what should the nurse offer the child? blocks a remote controlled car hand puppets a video game
hand puppets
A nurse is caring for a toddler with Down syndrome. To help the toddler cope with painful procedures, the nurse can hold and rock the child and give the child a security object. establish a time limit to get ready for the procedure. count and sing with the child. prepare the child by positive self-talk.
hold and rock the child and give the child a security object.
The nurse is admitting a toddler with the diagnosis of near-drowning in a neighbor's heated swimming pool to the emergency department. The nurse should assess the child for which complication? fluid aspiration hypothermia hypoxia cutaneous capillary paralysis
hypoxia
After teaching the mother of a toddler with iron deficiency anemia about diet modifications, the nurse determines that the teaching was initially effective when the mother verbalizes she will make which dietary change? increased intake of iron-rich solids and decreased milk intake ingestion of equal amounts of iron-rich solids and milk products provision of several meals per day to the child twice-daily offerings of dairy food snacks to the child
increased intake of iron-rich solids and decreased milk intake
A child with a cardiac defect assumes a squatting position. The nurse should determine that the position is effective for the child by noting which finding? less energy required to play with toys on the floor relief of abdominal pressure improved muscle tone less dyspnea
less dyspnea
A physician orders acetaminophen elixir, 160 mg every 4 hours, for a 14-month-old client who weighs 20 lb (9.08 kg). This drug, supplied in a bottle labeled 160 mg/tsp, has a safe dosage of 10 mg/kg/dose. The nurse should administer how many milliliters?
none because this isn't a safe dose
While examining a 2-year-old client, the nurse sees that the anterior fontanel is open. The nurse should notify the physician. look for other signs of abuse. ask about a family history of Tay-Sachs disease. recognize this as a normal finding.
notify the physician.
When reviewing the history of a 3-year-old child with Down syndrome, which behavior should the nurse interpret as a delay in early development? Select all that apply. onset of walking at age 20 months sitting up at age 6 months poor response to verbal commands lack of use of expressive language feeding self with finger foods by 9 to 12 months.
onset of walking at age 20 months poor response to verbal commands lack of use of expressive language
The nurse is planning care for a toddler with a seizure disorder. Which item in the care plan should the nurse revise? padded side rails lorazepam for seizure lasting longer than 5 minutes oxygen mask and bag system at bedside padded tongue blade at the bedside
padded tongue blade at the bedside
A nurse at a community event is called to an unresponsive 3-year-old. The parent states the child was eating a hot dog. The nurse determines the child has an obstructed airway. After instructing an observer to call 911, what intervention should happen first? performing chest compressions with the heel of one hand 30 times delivering five back blows followed by five chest thrusts performing the Heimlich maneuver until the child starts choking or coughing opening the child's mouth and attempting to give 2 breaths
performing chest compressions with the heel of one hand 30 times
A toddler is admitted to the facility for treatment of a severe respiratory infection. The child's recent history includes fatty stools and failure to gain weight steadily. The physician diagnoses cystic fibrosis. By the time of the child's discharge, the child's parents must be able to perform which task independently? performing postural drainage maintaining the child in an oxygen tent maintaining the child on a fat-free diet allergy-proofing the home
performing postural drainage
When caring for a toddler with epiglottitis, the nurse should first: examine the client's throat. place a tracheotomy tray at the bedside. administer I.V. fluids. administer antibiotics.
place a tracheotomy tray at the bedside.
A nurse is caring for a group of pediatric clients. The nurse understands that which age group would most likely identify their pain as punishment for past behavior? preschool or toddler (age 2-5 years) adolescents (age 12-17 years) school age children (age 6 -11 years) infant (age 9-12 months)
preschool or toddler (age 2-5 years)
A client is admitted to the facility with nephrotic syndrome. The nurse carefully monitors the client's fluid intake and output and checks urine specimens regularly with a reagent strip. Which finding is the nurse most likely to see? proteinuria glycosuria ketonuria polyuria
proteinuria
A toddler who has been treated for a foreign body aspiration begins to fuss and cry when the parents attempt to leave the hospital for an hour. The parents will be returning to take the toddler home. As the nurse tries to take the child out of the crib, the child pushes the nurse away. The nurse interprets this behavior as indicating which stage of separation anxiety? detachment regression despair protest
protest
The nurse is caring for a young child who has been admitted to the hospital with pertussis. To prevent the spread of the infection, which of the following is the most important action of the nurse? place the child in a negative pressure room wear gloves when providing care for the child use eye protection for direct contact with the child provide masks for everyone entering the room
provide masks for everyone entering the room
A young child with a history of bronchial asthma is brought to the emergency department for the second time in a month with symptoms of audible expiratory wheezing and intercostal retractions. The parents voice frustration about repeated hospital visits. What teaching intervention is most important for the nurse to address with the parents? providing resources to aid in quitting if the parents are smokers informing the parents that asthmatic episodes are easily treated assuring the parents that young children will outgrow asthma educating the parents on dietary restrictions to control asthma
providing resources to aid in quitting if the parents are smokers
A 2 1/2-year-old child and his 2-month-old sibling are brought to the clinic by their father, who explains that the older child says "no" whenever asked to do something. The nurse should explain that the negativism demonstrated by toddlers is frequently an expression of which characteristic? sibling rivalry need to expend excess energy separation anxiety pursuit of autonomy
pursuit of autonomy
The nurse is caring for a 3-year-old child with iron deficiency anemia and providing dietary instructions to the parents. Which of the following should be a priority for the nurse to include in the teaching? recommending lean meats urging pasta with tomato sauce encouraging milk products insisting on a banana each day
recommending lean meats
A 14-month-old child returns from surgery for an undescended testicle. When planning for the child's discharge, the nurse should remind the parents to observe their child for which complication? normal bowel movement within 24 hours ability to ambulate ability to take clear liquids well redness or swelling at the incision site
redness or swelling at the incision site
Which of the following objects poses the most serious safety threat to a 2-year-old client in the hospital? mobile hanging over the crib side rails in the halfway position crayons and paper stuffed teddy bear in the crib
side rails in the halfway position
A nurse is auscultating for heart sounds in a client. The nurse notes a grade 1 heart murmur. Which characteristic best describes a grade 1 heart murmur? softer than the heart sounds equal in loudness to the heart sounds can be heard without a stethoscope associated with a precordial thrill
softer than the heart sounds
A registered nurse (RN) has been "care-paired" with a licensed practical nurse (LPN) during the evening shift. Whose care should the RN assign to the LPN? the 2-year-old child who has started eating soft, solid foods following a tonsillectomy a 22-month-old infant with type 1 diabetes who has a blood glucose level of 277 mg/dl (15.37 mmol/L). a 17-month-old infant with a contusion as a result of a motor vehicle accident 4 hours earlier a 12-month-old infant who has a white blood cell (WBC) count of 34/μl and a fever
the 2-year-old child who has started eating soft, solid foods following a tonsillectomy
The nurse is caring for a toddler who has been diagnosed with pernicious anemia. Which of the following should the nurse include in the health teaching about pernicious anemia for the parents? how to prepare the child for bone marrow transplant the need to comply with lifelong injections of vitamin B12 the importance of immediately reporting a fever how to increase dietary intake of iron
the need to comply with lifelong injections of vitamin B12
A toddler has a temperature above 101°F (38.3°C). The healthcare provider orders acetaminophen, 120 mg suppository, to be administered rectally every 4 to 6 hours. The nurse should question an order to administer the medication rectally if the child has a diagnosis of: sepsis. thrombocytopenia. anemia. leukocytosis.
thrombocytopenia.
A child with a poor nutritional status and weight loss is at risk for a negative nitrogen balance. To help diagnose this problem, the nurse anticipates that the physician will order which laboratory test? sweat test total protein hemoglobin (Hb) total iron-binding capacity
total protein
A client's caregivers state that they childproofed their home for their 2-year-old. During a home visit, the nurse discovers some situations that show the caregivers don't fully understand the developmental abilities of their toddler. Which situation displays misunderstanding by the caregivers? safety latches on kitchen cabinets hot water heater temperature set at 120° F (48.9° C) or below pot handles turned toward the back of the stove toy chest in front of a second-story, locked window
toy chest in front of a second-story, locked window
