HESI Peds: Preschoolers

An IV catheter is to be inserted into a 3-year-old toddler's peripheral vein. As local topical anesthetic is applied, the toddler starts to cry and asks whether the insertion is going to hurt. How should the nurse respond?

"Yes it will hurt, but not for very long"

A nurse educates a mother about the proper administration of oral medication to her 4-year-old child. What statement made by the mother indicates effective learning? Select all that apply.

I should use a disposable oral syringe to prepare liquid doses

What would the nurse state is true about preschoolers at the age of 4 years?

They double their birth length at this age

What is true about a preschooler's imaginary playmates?

Imaginary playmates experience what a preschooler wants to remember

A nurse in the child life center encourages preschool children to engage in role play. Why does the nurse consider this an important part of socialization?

It encourages expression of concerns

Which description provided by the parent of a preschool-age client would suggest to the nurse that the child is experiencing sleep terrors?

Sweating profusely

The clinic nurse is teaching the parents of a 3½-year-old child who is up to date on all vaccinations when it will be necessary to return to the clinic for the next set of vaccinations. Which statement indicates that the parents understand the teaching?

"We need to come back to the clinic in 1 year for more vaccinations."

The pediatric nurse compares the sources of stress in preschoolers of different ages. Which source of stress is common to 3-year-olds, 4-year-olds, and 5-year-olds?

Belongings

What are the similarities between a preschooler and a toddler? Select all that apply.

Both preschoolers and toddlers have similar dietary requirements. Both preschoolers and toddlers are unable to recall explanations about pain.

Which should the nurse anticipate for a 5-year-old client related to play? Select all that apply.

Dress-up play Cooperative play

Which of these features would the nurse state are exhibited by a preschooler?

Eagerness for formal education Learn to function independently

What does that nurse state that is true about language development in preschoolers?

They start questioning events

What is the average height of a four-year-old child?

3 ft 4.5 in.

What is the average weight of a three-year-old child?

32 lb

Which characteristics observed in a five-year-old child are appropriate? Select all that apply.

Ability to swim and skate Interest in trying new foods Ability to draw triangles and diamonds

Which nursing interventions are appropriate while caring for a preschooler exposed to lead poisoning? Select all that apply.

Administering the local anesthetic procaine Preventing further exposure of the child to lead Identify the sources of lead in the environment

What does the nurse state the average weight of a preschooler at the age of 5 years old?

41 lbs

Which age should the nurse anticipate that the preschool-age client will relinquish many fears?

5 years

Which roommate should the nurse manager assign to a 4-year-old boy who has been admitted to the pediatric unit with nephrotic syndrome?

5-year-old girl with thalassemia

A 4-year-old child with nephrotic syndrome has repeated relapses. As the child gets older, what is the most important attribute for the child to develop?

A positive body image

A 3.5-year-old child has been ill with nephrotic syndrome. The child has been toilet trained for longer than 1 year but has been incontinent lately. The child's parents express concern over this behavior. What is the most therapeutic response by the nurse to the parents?

"This is an expected response to hospitalization. Ignore the regressive behavior and be supportive."

According to Erikson's theory, what behavior would the nurse explain a preschooler exhibits?

Child develops the superego

When teaching the parents of a preschool-age client about the development of sexuality, which should the nurse include as having the most influence?

Child-rearing practices

Which is a later symptom of acute aspirin poisoning seen in children?

Confusion

A nurse is educating a group of parents about preschoolers. Which information provided by the nurse is incorrect? Select all that apply.

His or her body will appear bulky Physical growth of your child will be faster than their learning process

What should the nurse suggest when parents ask what to do about their preschooler's stuttering?

Ignore the hesitancy and try to prevent situations that increase stuttering

A preschool-aged child with leukemia who is undergoing chemotherapy is susceptible to rectal ulcerations. What should the nurse recommend to the parents that will lessen the severity of this problem?

Clean the child's perineal area after each bowel movement

A child with nephrotic syndrome visits the clinic for follow-up. During the visit the parent states that the child is always tired and has no appetite. The nurse notes that the child has a muddy, pale complexion. What problem does the nurse suspect?

Impending renal failure

Two 3-year-old clients are playing together in a hospital playroom. One is working on a puzzle, and the other is stacking blocks. Which type of play are these children participating in based on this scenario?

Parallel play

A nurse on the pediatric unit is planning to teach the parents of a 3-year-old child requiring complex care. Both parents are employed full-time. How should the nurse arrange the instructional program?

Provide information in short sessions

A 3.5-year-old child begins to scream and kick when a laboratory technician arrives to draw blood. The nurse understands that this reaction primarily is a result of the child's what?

Terror of intrusive procedures

The preschool-age client is learning sociocultural mores. What should this imply to the nurse regarding this client?

The child is developing a conscience

. At which age should the nurse anticipate that the preschool-age client will begin to participate in the social side of eating?

5 years

A young child who has ingested liquid dishwater detergent is brought to the emergency department. Which does the nurse understand as appropriate treatment methods for this client? Select all that apply.

Analgesics can be administered Water or milk, usually less than or equal to 120 ml or 4 oz, can be used to dilute the corrosive.

What age-related fear should the nurse expect when preparing a 4-year-old child for surgery?

Intrusive procudures

How is the teaching method for a preschooler different from that for a toddler?

Preschoolers are encouraged to learn together

What change is seen when a child enters from a stage of toddlerhood to the stage of preschooler?

Preschoolers get into the habit of extending bedtimes.

Which statement should the nurse include when providing anticipatory guidance to the parents of a 4-year-old client? Select all that apply.

Your child may begin to have more nightmares Your child may begin to exhibit more aggressive behavior

Which factors influence vocabulary, speech, and comprehension in preschoolers? Select all that apply.

Environment Cognitive ability

A nurse is assessing the growth and development of a 3-year-old child. What does the nurse expect the child to be able to do?

Go upstairs while alternating feet

A nurse is caring for 3-year-old children. At what stage of cognitive thought does the nurse expect them to be?

Preconceptional

Which infection caused by droplets larger than 5 microns would the nurse explain is found in children between 3 to 6 years of age?

Rubella