Course Point Preschool
A 5-year-old girl is pretending to be a crocodile during a physical examination. Her mother just smiles and rolls her eyes at the nurse. What would be the best response for the nurse to give the child? "What happened to my client? Did you eat her?" "My dear, you are a girl, not a crocodile. Now sit still so that I can examine you." "What a wonderful imagination you have! I've never seen anyone who was so good at pretending to be a crocodile." "Oh no! I have a crocodile in my room. Please don't bite me!"
"What a wonderful imagination you have! I've never seen anyone who was so good at pretending to be a crocodile."
The nurse has completed an educational program on normal growth and development in children. Which statement by a participant would indicate a need for further education? "I will add some crayons, chalk and finger paints to my three-year-old's birthday gifts." "It is okay for my four-year-old to still play in his sandbox." "I am so glad I can get rid of all of those bath toys because they take up so much room." "My four-year-old will be getting a tricycle for her birthday. I'm glad it's a good gift for her."
"I am so glad I can get rid of all of those bath toys because they take up so much room."
The parents of a 4-year-old girl tell the nurse that their daughter is having frequent nightmares. Which statement indicates that the girl is having night terrors instead of nightmares? "She has a hard time going back to sleep." "She comes and wakes us up after she awakens." "She is scared after she wakes up." "She screams and thrashes when we try to touch her."
"She screams and thrashes when we try to touch her."
A 3-year-old is hospitalized unexpectedly and is frightened about the experience. What action could the nurse take to minimize the anxiety the child is experiencing? Tell the child that everything will be fine and not to worry. Provide all of the child's care, including all ADLs. Insist that the parents stay with the child at all times. Allow the child to handle the equipment before it is used on the child.
Allow the child to handle the equipment before it is used on the child.
A nurse is developing a plan of care for a 4-year-old client with cystic fibrosis who has frequent hospitalizations related to his illness. Which would be the most appropriate nursing diagnosis for this client? Risk for imbalance nutrition, more than body requirements Health-seeking behaviors Delayed growth and development related to frequent illness Parental anxiety related to lack of understanding
Delayed growth and development related to frequent illness
What suggestions regarding the evaluation of a childcare center would the nurse share with a preschooler's mother? Specific program goals to be accomplished should be available. The longer the center has been in operation, the better it is. A ratio of 10 children to 1 teacher is adequate. Research local newspapers to see if there are any complaints against the center.
Specific program goals to be accomplished should be available.
When assessing the growth and development of a 4-year-old, which would the nurse note as being appropriate? has best friends at preschool and sleepovers tells a fantasy story about a bear and a car scribbles with no discernable pictures/letters begins to show logical thought processes
tells a fantasy story about a bear and a car
When collecting data on a preschool-aged child during a well-child visit, the nurse discovers the child has gained 12 lb (5.4 kg) and grown 2.5 inches (6.3 cm) in the last year. The nurse interprets these findings to indicate which situation? Weight is below an expected range and height is above an expected range. Weight falls within an expected range and height is less than what would be expected. Weight is above an expected range and height is within an expected range. Weight and height are within expected patterns of growth.
Weight is above an expected range and height is within an expected range
Which type of play should the nurse encourage for a preschool-age child who is hospitalized? dressing in the mother's coat to play house playing an electronic handheld game planting flower bulbs that can be watched growing next spring turning out the lights to play hide and seek
dressing in the mother's coat to play house
Parents of a 3½-year-old indicate they spend time with grandparents who live near a lake. The nurse will emphasize: enrolling the child in swimming lessons. adults learning infant/child cardiopulmonary resuscitation (CPR). using and renewing sunscreen regularly. having the child wear a personal flotation device whenever near or on the water.
having the child wear a personal flotation device whenever near or on the water.
A nurse is describing growth and development during the preschool period. What would the nurse identify as a predominant and heightened characteristic for this age group? fine motor skills gross motor skills vocabulary imagination
imagination
In counseling a group of parents regarding the development of school readiness in preschoolers, it is most important to emphasize: enrollment process in a preschool. visiting the kindergarten. library visits and story hour. the home environment.
the home environment.
The nurse is caring for a 4-year-old girl following an appendectomy. The girl becomes fearful and starts to cry as soon as the nurse walks into the room. When the nurse asks about the crying, the girl says, "Nurses who wear shirts with flowers give shots." The nurse understands that this statement is an example of: animism. transduction. magical thinking. beginning empathy.
transduction.
A father tells the nurse that his son has been asking questions about his genitals. The father states that he is unsure how to answer the questions of a 4-year-old. How should the nurse respond? "That is a difficult subject to address. I'm not sure what is the best way to answer that question." "It's best to answer his questions using accurate anatomical names and keep your answers simple." "I would suggest getting books with pictures to help explain the differences between male and female genitalia." "You should answer his questions by whatever feels most comfortable to you."
"It's best to answer his questions using accurate anatomical names and keep your answers simple."
The nurse is preparing a safety presentation for a health fair for families. Which instruction should the nurse prioritize when illustrating car safety and the family? "Explain that wearing a seat belt is a law and the police officer will give a ticket if the seat belt is not buckled." "Stop the car any time the preschooler unbuckles the restraints." "Reward the child with candy or some other treat each time the child keeps the seat belt on." "Set a good example. Wear your own seat belt every time you drive."
"Set a good example. Wear your own seat belt every time you drive."
The nurse is speaking with the parent of a 4-year-old child. Which statement by the parent would suggest a need for further investigation? "My child loves to play dress-up with friends at day care." "Sometimes I wish my child would play with a toy in the way it was intended. My child is constantly pretending it is something else." "When we go to the park, my child never wants to play with the other children." "I think it is so cute when my child wants to help my spouse with yardwork." "My son loves to follow around his older sister."
"When we go to the park, my child never wants to play with the other children."
If the child is gaining weight at an expected rate, a child who weighs 36 lb (16.3 kg) at 3 years of age would weigh what amount at age 5? 38 lb to 40 (17.2 to 18.1 kg) 50 to 52 lb (22.7 to 23.6 kg) 58 to 60 lb (26.3 to 27.2 kg) 44 to 46 lb (20 to 21 kg)
44 to 46 lb (20 to 21 kg)
Which would be a nutritional goal for a preschool client? Let the child eat only what the child wants. Introduce new food gradually and include variety. Eat everything on the plate. Reduce messiness and spills.
Introduce new food gradually and include variety.
The nurse is providing teaching about good nondairy sources of calcium for preschoolers. Which of these fruits contains the most calcium? Orange Apple Banana Peach
Orange
A parent tells a nurse that the child has recently established some friendships for the first time. In which age group do you expect this child to be? School age Toddler Preschool Adolescence
Preschool
The nurse is presenting nutritional information at a community health fair. Which suggestion should the nurse prioritize when illustrating proper nutrition for preschoolers? Need extra calcium for proper muscle growth Should drink at least 4 cups of milk each day Need three big meals a day due to rapid growth Snacks throughout the day help the child meet nutritional requirements
Snacks throughout the day help the child meet nutritional requirements
Which gross motor skill would the 4-year-old child have most recently attained? The child can tie his/her shoelaces. The child can button his/her clothes. The child can cut his/her food. The child can hop on one foot.
The child can hop on one foot.
The nurse is watching a 4-year-old child play with another preschool child. The children are playing a game with rules. The nurse notes that the child is demonstrating what type of play? cooperative play associative play dramatic play parallel play
cooperative play
The nurse is assessing a 4-year-old child. The child tells the nurse about her friend, Nancy, who lives in her room at home. The mother tells the nurse that Nancy is not a real person. The nurse would use which term when documenting this assessment finding? imaginary friend preoperational thought magical thinking animism
imaginary friend
During an extended stay in a hospital the nurse has observed a 5-year-old having several temper tantrums. How should the nurse address this behavior with the parents? "I am concerned that your child may have a developmental delay since most children of this age don't throw temper tantrums." "I think we need to plan how to discipline your child when acting out this way." "Is it common for your child to throw temper tantrums at home? We have observed this behavior several times here." "We don't allow children of this age to throw tantrums so you will need to manage your child's behavior."
"Is it common for your child to throw temper tantrums at home? We have observed this behavior several times here."
The nurse is observing several children interacting during a community health event. Which observed behavior would be indicative of a 4-year-old child? "I told the other child no, when he asked me to cheat at the game." "I ran the race better than my best friend because he was slow." "Look! I am a nurse, and I am helping people feel better!" "I lost the game because I did not play good, and I am sad."
"Look! I am a nurse, and I am helping people feel better!"
The mother of a 3-year-old tells the nurse that she is concerned that her child is not developing motor skills quickly enough. She states that, "My son can't skip and cannot stand on one foot for any length of time while playing." How should the nurse respond? "I wouldn't be too concerned since he seems fine during my assessment." "Your child is not expected to be able to perform those activities at 3 years of age." "I am sure he will become more proficient in these activities soon." "Maybe practicing these activities with him would help him improve these motor skills."
"Your child is not expected to be able to perform those activities at 3 years of age."
The nurse is conducting a well-child examination of a 4-year-old and is assessing the child's height. By how much should the nurse expect the child's height to have increased since last year's examination? 2.5 to 3 inches (6.35 to 7.62 cm) 3.5 to 4 inches (8.89 to 10.16 cm) 1 to 2 inches (2.54 to 5.07 cm) 0.5 to 1 inch (1.27 to 2.54 cm)
2.5 to 3 inches (6.35 to 7.62 cm)
A family from India has recently moved to the United States. Their 5-year-old child often visits the school nurse after lunch reporting a "stomachache." The lunch staff tell the nurse that the child eats very little for lunch. What is the best action by the nurse? Speak to the child and parents to discuss the repercussions of visiting the nurse so frequently. Talk with the child and encourage that lunches be brought from home so that nutrient needs are met. Meet with the child and parents and discuss if cultural food preferences may be hindering the amount being eaten at lunch. Explain to the child that the reason for the stomachache is that not enough is being eaten during lunch.
Meet with the child and parents and discuss if cultural food preferences may be hindering the amount being eaten at lunch.
A 4-year-old is going to finger paint for the first time. What is the best action for the adult supervisor of this activity? Make a model for the child to follow so it will be easy to copy. Draw a picture first for the child to see how to do it. Support whatever the child paints. Tell the child that it will be fun but that he or she should not make a mess.
Support whatever the child paints.
The nurse is caring for several clients on the pediatric unit. When interacting with the preschool-age child, which action does the nurse predict will occur? Takes in new information at a rapid rate and asks "why" and "how" Increased attention span and can be interested in an activity for a long length of time Insists doing something and the next moment reverts to being dependent Grows and develops skills more rapidly than at any other time in their life
Takes in new information at a rapid rate and asks "why" and "how"
The home health nurse, who is visiting a home with a 4-year-old child, prepares a nursing care plan to address the child's risk for injury related to the parents' insufficient knowledge of safety practices for preschool-aged children. Which nursing intervention(s) will the nurse include in the plan of care? Select all that apply. Teach the parents to use a forward-facing car seat with a harness and top tether. Teach the parents that the child should use an approved bicycle helmet when riding a bicycle at any time. Teach the parents that medications can be kept in unlocked cabinets if childproof caps are used. Instruct the parents that they should teach the child to wash the hands when soiled. Teach the parents to smoke one at a time outside the home when the child is inside the home.
Teach the parents to use a forward-facing car seat with a harness and top tether. Teach the parents that the child should use an approved bicycle helmet when riding a bicycle at any time. Instruct the parents that they should teach the child to wash the hands when soiled. Teach the parents to smoke one at a time outside the home when the child is inside the home.
In teaching caregivers of preschool children, the nurse would reinforce that which activity would be most important for this age group? The preschool child should be properly restrained when riding in a vehicle. The preschool child should cover mouth when coughing or sneezing. The preschool child should brush and floss teeth after snacks and meals. The preschool child should be screened for amblyopia.
The preschool child should be properly restrained when riding in a vehicle.
The nurse is conducting a well-child assessment of a 4-year-old. Which assessment finding warrants further investigation? absence of dental caries presence of 19 deciduous teeth presence of 20 deciduous teeth presence of 10 deciduous teeth
presence of 10 deciduous teeth
The nurse is monitoring children playing in the unit's playroom. The nurse notes that some children are involved in associative play by which actions? playing a board game with each other pushing toy cars around on a large rug with roads drawing pictures in the art area several children engrossed in their own tool-and-bench set
pushing toy cars around on a large rug with roads
The nurse is providing teaching to the mother of a 4-year-old girl about bike safety. Which statement by the mother indicates a need for further teaching? "She can ride on the street if I am riding with her." "The balls of her feet should reach both pedals while sitting." "Pedal back brakes are better for her age group." "She should always ride on the sidewalk."
"She can ride on the street if I am riding with her."
The parent of a 5-year-old child calls the doctor's office to seek advice about proper nutrition for her child. Which statement by the mother indicates that further teaching is needed? "She loves fruit, so I give her 1 cup each day." "Since she doesn't like vegetables, we no longer serve them to her." "I give her three meals a day and some snacks in between if she gets hungry." "We offer her the same foods we are eating, just in smaller portions."
"Since she doesn't like vegetables, we no longer serve them to her."
A nurse is caring for a 4-year-old child. The parents indicate that their child often reports that objects in the house are his friends. The parents are concerned because the child says that the grandfather clock in the hallway smiles and sings to him. Which response by the nurse is best? "Has your child suffered any type of physical trauma lately?" "Is there any family history of mental health disorders?" "Attributing lifelike qualities to inanimate objects is quite normal at this age." "Your child is demonstrating animism, which is common."
"Attributing lifelike qualities to inanimate objects is quite normal at this age."
The caregiver of a 6-year-old expresses concern that the child cannot yet print her first and last name. The caregiver is wondering if this is normal. Which response by the nurse would be mostappropriate? "By the age of 6, most children can print some letters and maybe their first name." "It is not unusual for children of this age to be writing their first name in cursive." "Some children this age cannot hold a pencil or crayon well enough to write legibly." "Usually by the age of 6, most children can write numbers up to nine, but no letters."
"By the age of 6, most children can print some letters and maybe their first name."
During a well-child visit, the caregiver expresses concern that the 3-year-old child often stutters when speaking. Which response should the nurse prioritize to best assist this family? "Stuttering is common in young children because they are not physically capable of forming all the sounds." "Difficulties with speaking generally indicate that the adults in the child's life are not reading to the child enough." "Children of this age may stutter while they search for just the right word." "Stuttering is usually indicative of a hearing loss."
"Children of this age may stutter while they search for just the right word."
A nurse is teaching a group of parents of preschoolers about safety. Which information would the nurse include? Select all that apply. "Allow your child to ride in the front seat of the car." "Do not allow your child to approach strange dogs." "Have your child hold hands with a grown-up in parking lots." "Role-model bicycle safety by wearing a helmet too." "Do not refer to medicines as candy."
"Do not allow your child to approach strange dogs." "Have your child hold hands with a grown-up in parking lots." "Role-model bicycle safety by wearing a helmet too." "Do not refer to medicines as candy."
The nurse is conducting a well-child exam of a 4-year-old boy. Which statement would alert the nurse that the child is at risk for iron deficiency? "He does not like spinach, but he does like chicken and beef." "He enjoys eggs and fortified cereal for breakfast." "He loves milk and drinks it every time he is thirsty." "He eats a well-balanced diet."
"He loves milk and drinks it every time he is thirsty."
The mother of a 4-year-old reports using time-outs as a means for disciplining the child. Which statement by the mother would require the nurse to provide additional teaching? "He is allowed out of time-out when he is calm." "I usually have him in time-out for about 10 minutes." "I put him in time-out when the problem occurs." "The time-out doesn't just have to be in his room."
"I usually have him in time-out for about 10 minutes."
The father of a 4½-year-old boy has contacted the nurse because he is concerned that his son is frequently touching his genitals. The nurse explains that this is normal during the preschool years. Which statement by the father would indicate a need for further teaching? "This is probably a good time to talk about safety and who can touch him." "I have heard that both boys and girls often touch themselves at this age." "I will need to find an appropriate punishment for him if this continues." "I should teach him certain rules about this activity."
"I will need to find an appropriate punishment for him if this continues."
The mother of a 4-year-old child is concerned that she caught him masturbating in the bath tub. Which is the most appropriate response by the nurse? "If you catch your child masturbating, you should immediately make them stop." "Masturbation is not a normal behavior for a child of that age." "Masturbation is a normal part of preschool development." "You will need to speak with the doctor about that behavior since I cannot address sexual issues in a child."
"Masturbation is a normal part of preschool development."
A school nurse has completed an educational program for parents of preschool children. Which statement by a participant indicates a need for further education? "I need to work with my 4-year-old; she should be able to cut paper with scissors on her own." "I'm glad to know that it's okay that my 5-year-old is learning to skate." "My 3-year-old is doing fine, he can hop on one foot already." "My 5-year-old son still needs me to dress and undress him."
"My 5-year-old son still needs me to dress and undress him."
Parents of a preschooler tell the nurse that their child often refuses to go to sleep at night. Which suggestion by the nurse would be helpful? Select all that apply. "Set up some familiar bedtime rituals for your child." "Try reading a favorite story before bedtime." "Try using a night light in the child's room." "Avoid having your child watch frightening shows on TV before bedtime." "Keep the door closed and the lights off so that your child can fall asleep faster."
"Set up some familiar bedtime rituals for your child." "Try reading a favorite story before bedtime." "Try using a night light in the child's room." "Avoid having your child watch frightening shows on TV before bedtime."
The nurse has completed an education program on normal communication abilities in the preschool-age child. Which statement by a participant indicates a need for further education? "Stating his name and address is too hard for my 5-year-old child; it will be another year before he can do that." "My child is finally talking in a way that most of my friends can understand her speech." "I am glad to know that my 4-year-old child asking so many questions is normal." "When my child counts numbers, it is only to 10 and we are slowing working on counting higher."
"Stating his name and address is too hard for my 5-year-old child; it will be another year before he can do that."
During an assessment, a preschool-aged child tells the nurse about having 12 siblings. The nurse is aware that the child has two older brothers. What would be the nurse's best response? "Does it make you feel more important when you add on brothers?" "Don't lie to me. That's never a nice thing to do to someone." "I guess you don't know much about counting yet." "That is a good pretend answer but tell me the names of the brothers you really have."
"That is a good pretend answer but tell me the names of the brothers you really have.
The nurse is conducting a health screening for a 3-year-old boy as required by his new preschool. Which statement by the parents warrants further discussion and intervention? "There is a very low student-teacher ratio, and they do a lot of hands-on projects." "The school is quite structured and advocates corporal punishment." "The school has a loose environment, which is a good match for his temperament." "The school requires processed foods and high sugar foods be avoided."
"The school is quite structured and advocates corporal punishment."
A nurse is caring for a 4-year-old child who will be undergoing a procedure to remove a mass from the abdomen. In order to help the child remain calm in preparation for getting an IV catheter placed, what intervention might the nurse implement? Distract the child with games and candy. Don't discuss the procedure in front of the child. Take the child to the playroom for coloring. Allow the child to play with a procedure doll.
Allow the child to play with a procedure doll.
A parent tells the nurse about being frustrated because the preschool-aged child screams every time the parent attempts to buckle the child's seat belt. What advice should the nurse give this parent? Arrange for a babysitter to avoid taking the child in the car. Tell the child that you will give a treat for buckling up. Warn the child of punishment for not buckling up and then follow through. Do not start the car until seat belts are in place.
Do not start the car until seat belts are in place.
Nursing students are reviewing information about preschooler growth and development. The students demonstrate understanding of the information when they identify which of the following as a common fear during this period? Select all that apply. Fear of independence Fear of separation Fear of the dark Fear of abandonment Fear of mutilation
Fear of the dark Fear of mutilation Fear of separation Fear of abandonment
A preschool-age child tells the nurse about an imaginary friend. The parents are concerned because the child refuses to do anything without the friend's help. Which nursing diagnosis is most applicable for the family? Parental anxiety related to lack of understanding of childhood development Social isolation related to unwillingness to relate except through imaginary friend Compromised family coping related to abnormal behavior of child Disturbed thought processes related to deep-set psychological need
Parental anxiety related to lack of understanding of childhood development
The nurse is caring for a preschool-age child in the hospital with severe developmental delays. The parents have three other younger children at home and both parents work full-time outside the home. The family has just moved to this area. Which nursing diagnosis would be the highest priority in regard to the parents at this time? Readiness for enhanced parenting Imbalanced nutrition, less than body requirements Interrupted family processes Risk for caregiver role strain
Risk for caregiver role strain
A nurse is developing a teaching plan for parents of preschoolers about how to address the issue of strangers and safety. Which would the nurse expect to include in the teaching? Select all that apply. Teach your children to say "no" to anyone whose touching makes them feel uncomfortable. Encourage children to tell you or another trusted adult if someone asks them to keep a secret about anything uncomfortable. Wait until children are old enough to tell them how to call for help in an emergency. Urge your children to report others who are bullying. Urge children never to talk to or accept a ride from a stranger.
Teach your children to say "no" to anyone whose touching makes them feel uncomfortable. Encourage children to tell you or another trusted adult if someone asks them to keep a secret about anything uncomfortable. Urge your children to report others who are bullying. Urge children never to talk to or accept a ride from a stranger.
At a physical examination, a nurse asks the father of a 4-year-old how the boy is developing socially. The father sighs deeply and explains that his son has become increasingly argumentative when playing with his regular group of three friends. The nurse recognizes that this phenomenon is most likely due to: regression. preschoolers having a harder time sharing than toddlers. playing in an even-number group of children (four). testing and identification of group role.
testing and identification of group role.
The parents of a 4-year-old child tell the school nurse that they are worried that their child will fall behind other children academically because they are not able to afford expensive toys like computer games and handheld electronic devices. Which are acceptable response(s) by the nurse? Select all that apply. "All of these expensive toys that are advertised and purchased by some people are not necessary for preschoolers. Simple toys like chalk and Legos are great." "I understand how this can be frustrating, but rest assured this does not place your child at a disadvantage academically." "Do you play with your child and provide means of play through things like dolls, puzzles, crayons, and child-safe modeling clay? These are the types of toys suggested for preschoolers." "Are there any family members who can help you get these games for your child?" "Why are you not financially able to provide these toys and games for your child?"
"All of these expensive toys that are advertised and purchased by some people are not necessary for preschoolers. Simple toys like chalk and Legos are great." "I understand how this can be frustrating, but rest assured this does not place your child at a disadvantage academically." "Do you play with your child and provide means of play through things like dolls, puzzles, crayons, and child-safe modeling clay? These are the types of toys suggested for preschoolers."
Parents of a preschool child are discussing a recent story in the local news about a child being abducted. The parents are concerned about the safety of their child and wonder what to tell the child to keep the child safe but without frightening the child. Which would be the bestrecommendation for the nurse to give these parents? Explain in a calm and everyday manner how the child should stay away from strangers in cars. It is your responsibility to keep your child safe, not your child's; keep the child in your sight at all times. Don't worry about it; the odds of your child being abducted are very low. Wait until the child is school-aged before telling the child what to do, so the child will be better able to handle it.
Explain in a calm and everyday manner how the child should stay away from strangers in cars.
The nurse is providing an in-service for parents of preschoolers regarding nutrition. Which comments by the parents demonstrate successful learning following the in-service? Select all that apply. "My 4-year-old should be ingesting at least 700 mg of calcium through food daily to promote good bone health." "The only way I can get my child to consume sources of vitamin C is through fruit juices. I guess it's better than not at all." "My 4-year-old is above normal in weight but I'm sure it's just baby fat and will be lost with age." "I generally give my child choices about foods within each food category, ensuring all food groups are represented." "We very rarely feed our child fast food and when we do we try to keep it as healthy as possible with no soda."
"My 4-year-old should be ingesting at least 700 mg of calcium through food daily to promote good bone health." "I generally give my child choices about foods within each food category, ensuring all food groups are represented." "We very rarely feed our child fast food and when we do we try to keep it as healthy as possible with no soda."
The nurse has brought a group of preschoolers to the playroom to play. Which activity would the nurse predict the children to become involved in? Painting pictures in the art corner of the room Pretending to be mommies and daddies in the playhouse Playing a board game Watching a movie with other children their age
Pretending to be mommies and daddies in the playhouse
