CMCA FINALS
A Toddler sems unable to remain dry despite toilet training, which patient
teaching should be included in his plan of care? correct answershe
probably not yet physically ready for toilet training
RATIONALE: children must have both physical and mental maturity for
toilet training. For many children, this point is not reached until they are 2
½ or 3 years old.
a toddler mother is concerned because her toddler takes her blanket
everywhere. Which advice would be most appropriate for her regarding
this? correct answersunderstand that this is probably a normal event
RATIONALE: blankets or favorite toys serves as transitional objects or
security objects. the parents of 2yrs old child are concerned because their
child's back seems curved.
Which is the nurse's best response? correct answersThis is normal for this
age
RATIONALE: toddlers have natural lordosis (forward curvature of spine)
that resolves as they grow. It is not within a nurse's scope of care to order
radiographs
A 10-year-old girl is newly diagnosed with diabetes. The nurse plans to teach
her about nutrition related to her diagnosis. Which is the best approach to
teach this child?
A. Play a diabetic nutrition trivia game with her.
B. Show her a video about meal planning.
C. Give her a list of foods she cannot have.
D.Have the doctor teach her thisinformation. correct
answersAnswer: A. Play a diabetic nutrition trivia game with her.
Rationale: Learning through play is a valuable tool at this age. She may be
bored by a video. Giving her a list of what she cannot have is a negative
approach. This teaching is within the scope of the nurse
Preschool children tend to "center" on information. Which is the best
description of this action?
E. They learn only the middle part of a procedure.
F. They may concentrate on one part of a procedure and appear not to hear
another.
G. They have to have printed material directly in front of them to
understand it.
, D. They do not retain information longer than a week. correct
answersAnswer: B. They may concentrate on one part of a procedure and
appear not to hear another
Rationale: To center means to concentrate on only one characteristic of
an object or event (seeing a banana is yellow, but not long)
An infant's mother asks you, "When should I expect my daughter to
begin to walk?" Which of the following is an appropriate response?
A. "Probably by 9 months."
B. "Most children walk around 12 months."
C. "It varies so much I couldn't even guess."
D. "Try not to worry. When she's ready, she'll walk." correct answers"Most
children walk around 12 months."
Rationale: Children typically walk by 12 months, although there is a wide
range from 7 to 22 months.
You learn that a friend's 4-month-old son rolled off a changing table.
Which of the following would you conclude from this?
A. The parents were neglectful.
B. The parents lacked knowledge of infant development.
C. The changing table was poorly built.
D. The infant was unusually advanced in development. correct
answersThe parents lacked knowledge of infant development.
Rationale: Most 4-month-olds are capable of turning over. If parents are
not aware of this, "rolling over" accidents tend to happen during this
month.
You discover that an infant's mother is propping a bottle at bedtime to
help her fall asleep. Which patient teaching would the nurse provide
this mother?
A. This can promote tooth decay. B. This can cause a facial rash.
C. The bottle could break, injuring the infant.
D. Calcium can be drained from the bones correct answersThis can
promote tooth decay.
Rationale: Falling asleep with a bottle of formula allows formula to remain
in contact with teeth for an extended time, which leads to "baby-bottle
syndrome," or tooth decay
Begins immediately after birth and continued at every contract during the
newborn hospital or birthing center stay or during an early home visit correct
answersassessment
A Toddler sems unable to remain dry despite toilet training, which patient
teaching should be included in his plan of care? correct answershe
probably not yet physically ready for toilet training
RATIONALE: children must have both physical and mental maturity for
toilet training. For many children, this point is not reached until they are 2
½ or 3 years old.
a toddler mother is concerned because her toddler takes her blanket
everywhere. Which advice would be most appropriate for her regarding
this? correct answersunderstand that this is probably a normal event
RATIONALE: blankets or favorite toys serves as transitional objects or
security objects. the parents of 2yrs old child are concerned because their
child's back seems curved.
Which is the nurse's best response? correct answersThis is normal for this
age
RATIONALE: toddlers have natural lordosis (forward curvature of spine)
that resolves as they grow. It is not within a nurse's scope of care to order
radiographs
A 10-year-old girl is newly diagnosed with diabetes. The nurse plans to teach
her about nutrition related to her diagnosis. Which is the best approach to
teach this child?
A. Play a diabetic nutrition trivia game with her.
B. Show her a video about meal planning.
C. Give her a list of foods she cannot have.
D.Have the doctor teach her thisinformation. correct
answersAnswer: A. Play a diabetic nutrition trivia game with her.
Rationale: Learning through play is a valuable tool at this age. She may be
bored by a video. Giving her a list of what she cannot have is a negative
approach. This teaching is within the scope of the nurse
Preschool children tend to "center" on information. Which is the best
description of this action?
E. They learn only the middle part of a procedure.
F. They may concentrate on one part of a procedure and appear not to hear
another.
G. They have to have printed material directly in front of them to
understand it.
, D. They do not retain information longer than a week. correct
answersAnswer: B. They may concentrate on one part of a procedure and
appear not to hear another
Rationale: To center means to concentrate on only one characteristic of
an object or event (seeing a banana is yellow, but not long)
An infant's mother asks you, "When should I expect my daughter to
begin to walk?" Which of the following is an appropriate response?
A. "Probably by 9 months."
B. "Most children walk around 12 months."
C. "It varies so much I couldn't even guess."
D. "Try not to worry. When she's ready, she'll walk." correct answers"Most
children walk around 12 months."
Rationale: Children typically walk by 12 months, although there is a wide
range from 7 to 22 months.
You learn that a friend's 4-month-old son rolled off a changing table.
Which of the following would you conclude from this?
A. The parents were neglectful.
B. The parents lacked knowledge of infant development.
C. The changing table was poorly built.
D. The infant was unusually advanced in development. correct
answersThe parents lacked knowledge of infant development.
Rationale: Most 4-month-olds are capable of turning over. If parents are
not aware of this, "rolling over" accidents tend to happen during this
month.
You discover that an infant's mother is propping a bottle at bedtime to
help her fall asleep. Which patient teaching would the nurse provide
this mother?
A. This can promote tooth decay. B. This can cause a facial rash.
C. The bottle could break, injuring the infant.
D. Calcium can be drained from the bones correct answersThis can
promote tooth decay.
Rationale: Falling asleep with a bottle of formula allows formula to remain
in contact with teeth for an extended time, which leads to "baby-bottle
syndrome," or tooth decay
Begins immediately after birth and continued at every contract during the
newborn hospital or birthing center stay or during an early home visit correct
answersassessment
