Preschool Adaptive Quizzing

An inadequately immunized 4-year-old client who was injured recently is found to have tetanus and admitted to the pediatric intensive care unit. The parents ask to assist with their daughter's care. What is the best response by the nurse?

"Your desire to help is understandable, but we have to avoid excessive stimuli."

A 3-year-old child who has acute lymphoblastic leukemia is scheduled to receive cranial radiation. What should the nurse explain to the parents about radiation?

It prevents central nervous system involvement.

A child presents with symptoms of iron poisoning from having ingested several chewable mineral supplement pills containing iron. Which symptoms are most likely to indicate that the poisoning has progressed to stage IV? Select all that apply.

Jaundice Hypoglycemia

What is the best approach for the nurse to take when preparing a 4-year-old child for an otoscopic examination?

"You can help by holding this tube while I get ready."

A nursing instructor asks a nursing student about cognitive changes in preschoolers. Which statement made by the student indicates the need for further education?

"Preschoolers are less likely to believe that inanimate objects have life-like qualities."

Which question should the nurse ask the parents of a 3-year-old client to assess fine motor skills?

"Is your child able to build a tower using 9 or 10 blocks?"

A nursing instructor asks a nursing student about tips for examining a 4-year-old sick child. Which statements made by the nurse indicate adequate teaching? Select all that apply.

"I should give the child time to play around." "I should start the examination with the child's fingers and hands." "I should gather all information related to the child's sickness from the parents."

A nursing instructor asks a nursing student about the sleep patterns of preschoolers. Which statements made by the student indicate a need for more education? Select all that apply.

"Daytime naps are very common among preschoolers." "Partial awakening leading to sleeplessness is common in preschoolers."

Which statement correctly describes the difference in fine motor development between four and five-year-olds?

"Five-year-olds can print a few letters, numbers, or words; four-year-olds cannot."

How many words in the vocabulary of a 3-year-old client would indicate the need for further assessment by the nurse?

500 words

A nurse is caring for a 5-year-old child who is a victim of physical abuse. Which interventions are appropriate while talking to the child to help reveal the abuse? Select all that apply.

Discussing the body parts using words the child will understand Telling the child that it is not the child's fault and no one is going to blame the child Telling the child that reporting the abuse to the nurse is the right thing to do

A nurse is caring for a preschooler in the immediate postoperative period after a tonsillectomy. What should the nurse encourage the parents to offer the child?

Ginger ale

Which immunization should the nurse provide parental education on during the health maintenance visit for a 4-year-old client?

Inactive poliovirus # 3

A nurse prepares a chart comparing the language development of four preschoolers. Which child may have developed advanced language skills?

Preschooler B

A 4-year-old child returns from cardiac catheterization that was performed through the groin area. In what position should the nurse place the child during the immediate postoperative period?

Supine, with the bed flat

After assessing a preschooler, a nurse concludes that a child has high physical skills for his or her age. Which finding in the child supports the nurse's conclusion?

The child is able to hold a pencil adeptly and print letters and words.

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

They double their birth length at this age.

A nurse plans to teach a group of parents about sleeping patterns of their children between the ages of 4 to 5 years. Which information should the nurse provide to the parents? Select all that apply.

Total sleep averages 12 hours at night. In the awake period, the child may sleepwalk. It is common for the child to awaken during the night.

The nurse is caring for a child diagnosed with acute aspirin poisoning. Which statements does the nurse know to be true regarding aspirin poisoning? Select all that apply.

Chronic aspirin poisoning is often mistaken for viral illness. Chronic ingestion of aspirin occurs when an amount greater than 100 mg/kg per day is ingested for more than 2 days.

The nurse is providing teaching to the parents of a preschool-age client who is prescribed iron supplements for iron-deficiency anemia. Which parental statements indicate the need for further education? Select all that apply.

"We will mix the iron with milk to enhance absorption." "We will mix the iron with black tea to enhance absorption."

According to Freud's theory, which stage should the nurse include while educating the parents about a preschooler?

Phallic stage

A nursing instructor asks a nursing student about the physical changes found in preschoolers. Which statement made by the student indicates adequate teaching? Select all that apply.

"They grow about 2.5 to 3 inches per year." "They double their birth length by around 4 years of age."

A nurse educates the mother of a four-year-old child about sexual abuse. What behavioral finding explained by the nurse signifies that the child may be a victim of child abuse?

The child may show fear of certain people or places.

Which sources of stress should the nurse include in the assessment process for a 3-year-old client? Select all that apply.

Speech Jealousy Stubbornness

Which questions should the nurse include when conducting a health history interview with the parents of a 4-year-old client to assess fine motor skills? Select all that apply.

"Is your child able to use scissors?" "Is your child able to tie shoe laces?"

Which assessment questions should the nurse include when assessing the mental health of a preschool-age client? Select all that apply.

"Is your child experiencing nightmares?" "Does your child ask questions about the genitalia?" "How do you implement punishment when a rule is broken?"

Which statement by the parent of a 4-year-old client would prompt the nurse to provide additional education related to expected gross motor skill development during this stage of development?

"I shouldn't be concerned that my child is unable to ride a tricycle."

What gross motor skills should the nurse expect a developmentally appropriate 3-year-old child to perform? Select all that apply.

Standing on one foot for a few seconds Alternating the feet when walking up stairs

What are the similarities between a preschooler and a school-aged child? Select all that apply.

Both are curious to know about their surroundings. Both are able to relate the events and their causes.

The nurse is providing education to the parents of a preschool-age client who is obese. Which parental statements indicate correct understanding of the information presented? Select all that apply.

"I should avoid giving sugar-sweetened beverages to my child." "My child should have 5 servings of fruits and vegetables each day." "It is important for my child to have at least 1 hour of activity per day."

A nurse is educating the parent of a preschooler about protecting her child from exposure to lead. Which statements made by the parent indicate a need for further education? Select all that apply.

"I will use only hot water for cooking food." "I will regularly vacuum hard-surfaced floors or windowsills or wells."

A 3.5-year-old child is returned to the room after a cardiac catheterization. What is the priority nursing intervention after this procedure?

Monitoring the insertion site for bleeding

Which nursing action is the priority when administering chelation therapy for a preschool-age client?

Monitoring urine output

What measure should a nurse suggest to a mother to encourage a preschool child to sleep?

Offer warm milk or cocoa before bedtime

Which toys should the nurse identify as most appropriate for a 3-year-old child? Select all that apply.

Pounding toy Play telephone Box filled with plastic figures

How would the nurse explain preschoolers are different from school-aged children? Select all that apply.

Preschoolers have imaginary playmates. Preschoolers believe that inanimate objects have lifelike qualities.

During a community health survey, the nurse is conducting a survey about the language development in preschoolers. What behavior is the nurse able to document in preschoolers? Select all that apply.

Preschoolers want to know the reason behind an event. Preschoolers have a vocabulary of 8,000 to 14,000 words. Preschoolers cannot distinguish between phonetically similar words.

A nurse needs to use an electronic infrared thermometer to measure the temperature of the tympanic membrane of a 4-year-old child. What steps does the nurse need to take? Select all that apply.

Pull the pinna up and out. Avoid applying pressure to the ejection button. Obtain temperature from patient's right ear if nurse is right-handed.

A nurse educates a group of mothers about the nutritional needs of preschoolers. What statement made by a mother indicates the need for further teaching?

"I should limit my child's calorie intake to 1,200 per day."

Which statement should the nurse include when providing anticipatory guidance to the parents of a 3-year-old client?

"It is important to set limits with your child."

Which of these teaching methods are suitable to a preschooler? Select all that apply.

Encouraging questions and offering explanations Using role play, imitation, and play to make learning fun

What is the best method for the nurse to teach a 4-year-old child about deep breathing before surgery?

Having the child practice using an incentive spirometer

What are the similarities between the teaching methods for a toddler compared to a preschooler? Select all that apply.

In both cases, play is used to teach a method or procedure. In both cases, learning is accompanied with pictures and short stories.

A preschooler who has undergone adenoidectomy arrives at the healthcare provider's office for a follow-up visit. What other adaptations to the surgery should the nurse assess in addition to hearing? Select all that apply.

Sense of taste Sense of smell Speech sounds

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.

Which is likely to impact a child's drawing near the end of the preschool stage of development? Select all that apply.

Culture Environment

Which suggestion should the nurse include in the teaching session for the parents of a preschool-age client to assist with the child's transition to school? Select all that apply.

Introducing the child to the teacher prior to the first day Providing personal information, such as the name of the child's pet, to the teacher Bringing a toy to assist the child with adjustment

What does the nurse explain are the effects of lead poisoning in a preschooler? Select all that apply.

Brain damage Growth retardation

A 4-year-old child is admitted with burns over the entire right arm and the anterior and posterior aspects of both legs. Using the percentage of total body surface area (TBSA) that was burned, the nurse estimates that the TBSA affected is approximately what percentage?

41%

Which findings in a four-year-old indicates an appropriate development of socialization skills? Select all that apply.

The child tends to be selfish and impatient. The child takes pride in his or her accomplishments. The child tells family tales to others with no restraint.

Which findings about spiritual development in a 5-year-old child are appropriate? Select all that apply.

The child thinks God as an imaginary friend. The child thinks that one becomes ill because of some wrongdoing. The child learns from concrete representations of religious practices, such as picture books and small statues.

A preschool child presents to the clinic for a well-child examination. What feature of the child's dress is most important for the nurse to address with the parents?

The child's name is embroidered on a jacket pocket.

A registered nurse is teaching a nursing student about the use of activated charcoal as a method of gastrointestinal decontamination in preschoolers who have ingested poison. Which statements should be included in the teaching? Select all that apply.

"Use of activated charcoal may cause constipation and intestinal obstruction." "Activated charcoal should be mixed with small amounts of chocolate milk or fruit syrup." "Activated charcoal may be used in children who have ingested large amounts of quinine."

Which techniques would the nurse use when assessing a preschool-age child? Select all that apply.

Asking questions directly to the child Asking the child to sit on the examination table Having the child undress leaving on the undergarments Asking the child when he or she would like to have the head, eye, and ear assessment done

The nurse is providing care to a preschool-age client who is diagnosed with celiac disease. Which interventions will the nurse include in the client's plan of care? Select all that apply.

Avoiding processed foods Adding oat products to the diet Obtaining a dietary prescription Administering a fat-soluble vitamin supplement

A 2-year-old child is brought to the emergency department after the sudden onset of high fever, drooling, and respiratory distress. What nursing actions should the nurse perform? Select all that apply.

Start an intravenous line. Draw a blood sample for a complete blood count and differential. Assess oxygen saturation of the blood and administer oxygen by mask if it is below 94%. Assess the child's temperature and administer an antipyretic if the rectal temperature is higher than 101° F (38.3° C).

A nurse is assessing a preschooler who is brought to the health care center for a general health check. Which characteristics observed in the child helped the nurse identify the child as gifted? Select all that apply.

The child has an exceptional sense of humor. The child is able to connect two concepts easily. The child takes pride in solving and posing new problems.

The ventilator of a patient has leakage of air from its tubing. Alveolar hypoventilation is suspected. What blood gas value does the nurse expect to see?

pH of 7.32

Which characteristics does the nurse assess from the drawings of a preschooler? Select all that apply.

Intelligence Personality development Psychosocial adjustment

Which is the most important observation for the nurse when assessing the psychosocial stage of development for a preschool-age client?

Interactions with other children during play