NCLEX 10000 Toddler Study Guide Exam
Questions And Actual Answers Graded
A+.
On a home visit following discharge from the hospital after treatment for severe gastroenteritis,
the parent tells the nurse that a toddler answers "No!" and is difficult to manage. After
discussing this further with the parent, the nurse explains that the child's behavior is most likely
the result of which factor?
a) expression of individuality
b) inherited personality trait
c) usual lack of interest in everything
d) beginning leadership skills - Answer expression of individuality
Correct
Explanation:
The "no" behavior demonstrated by a toddler is typical of this age group as the child attempts
to be self-assertive as an individual. The negativism does not demonstrate an inherited
personality trait or disinterest. Rather, it reflects the developmental task of establishing
autonomy. The toddler is attempting to exert control over the environment
During assessment of a child with celiac disease, the nurse should most likely note which
physical finding?
a) periorbital edema
b) protuberant abdomen
c) tender inguinal lymph nodes
d) enlarged liver - Answer protuberant abdomen
Correct
Explanation:
The intestines of a child with celiac disease fill with accumulated undigested food and flatus,
causing the characteristic protuberant abdomen
The nurse is caring for a child whose mother is deaf and untrusting of staff. She frequently cries
at the bedside, but refuses intervention from social work or the chaplain. Which issue is most
,c) Lack of knowledge about the child's illness and treatment
d) Communication barriers between the mother and staff - Answer Communication barriers
between the mother and staff
Correct
Explanation:
The communication barrier is the most significant and would require immediate attention.
Strategies need to be implemented that include taking the time to share information via the
written word with all new members of the healthcare team and the mother.
A parent of a toddler brings the child to the emergency department because the child has
accidentally been scalded by hot water spilling from the stove. In order to differentiate the burn
from potential abuse, the nurse first should assess the child:
a) on the buttocks.
b) for a circular pattern.
c) on the front of the body.
d) on the back of the body. - Answer on the front of the body.
Explanation:
Accidental scaldings are usually splash-related and occur on the front of the body. Any burns on
the back of the body or in a well-defined circular or glove pattern may indicate physical abuse.
A 2-year-old child is brought to the emergency department with suspected croup. Which
assessment finding reflects increasing respiratory distress?
a) Flushed skin
b) Decreased level of consciousness (LOC)
c) Intercostal retractions
d) Bradycardia - Answer Intercostal retractions
Correct
Explanation:
Clinical manifestations of respiratory distress include tachypnea, tachycardia, restlessness,
dyspnea, intercostal retractions, and cyanosis.
When teaching a mother of a 17-month-old about toilet training, which instruction would
, c) Place the toddler on the potty chair every 2 hours for 10 minutes.
d) Be sure the child is ready before starting to toilet train. - Answer Be sure the child is ready
before starting to toilet train.
Correct
Explanation:
All of the instructions are appropriate, but knowing whether the child is ready to toilet train is
initially most appropriate. Many 17-month-olds do not have the neuromuscular control to be
able to be trained. Waiting a few more months until the child is closer to age 2 years allows the
child to develop more control. The mother should be taught the signs of readiness for toilet
training.
A nurse on the pediatric floor is caring for a toddler refusing to take liquid acetaminophen for
fever. What would be the best option?
a) Give it up and try again in a couple hours.
b) Call the health care provider to change the order.
c) Allow the mother to hold the child and give the medication.
d) Explain to the child why it is important. - Answer Allow the mother to hold the child and
give the medication.
Correct
Explanation:
A toddler's increasing autonomy is commonly expressed by negativism. They are unreliable in
expressing pain — they respond just as strongly to painless procedures as they do to painful
ones. Toddlers have little concept of danger and have common fears. The toddler has trust in
mother and may be more willing to take the medication from her.
The parents report that their child has a runny nose, fever, and cough and is irritable and
constantly rubbing his ears. When assessing the ear, how should the nurse expect the child's
tympanic membrane to appear
a) Clear and inverted.
b) Scarred.
c) Bulging and red.
d) Pearly gray. - Answer Bulging and red.
Correct
Questions And Actual Answers Graded
A+.
On a home visit following discharge from the hospital after treatment for severe gastroenteritis,
the parent tells the nurse that a toddler answers "No!" and is difficult to manage. After
discussing this further with the parent, the nurse explains that the child's behavior is most likely
the result of which factor?
a) expression of individuality
b) inherited personality trait
c) usual lack of interest in everything
d) beginning leadership skills - Answer expression of individuality
Correct
Explanation:
The "no" behavior demonstrated by a toddler is typical of this age group as the child attempts
to be self-assertive as an individual. The negativism does not demonstrate an inherited
personality trait or disinterest. Rather, it reflects the developmental task of establishing
autonomy. The toddler is attempting to exert control over the environment
During assessment of a child with celiac disease, the nurse should most likely note which
physical finding?
a) periorbital edema
b) protuberant abdomen
c) tender inguinal lymph nodes
d) enlarged liver - Answer protuberant abdomen
Correct
Explanation:
The intestines of a child with celiac disease fill with accumulated undigested food and flatus,
causing the characteristic protuberant abdomen
The nurse is caring for a child whose mother is deaf and untrusting of staff. She frequently cries
at the bedside, but refuses intervention from social work or the chaplain. Which issue is most
,c) Lack of knowledge about the child's illness and treatment
d) Communication barriers between the mother and staff - Answer Communication barriers
between the mother and staff
Correct
Explanation:
The communication barrier is the most significant and would require immediate attention.
Strategies need to be implemented that include taking the time to share information via the
written word with all new members of the healthcare team and the mother.
A parent of a toddler brings the child to the emergency department because the child has
accidentally been scalded by hot water spilling from the stove. In order to differentiate the burn
from potential abuse, the nurse first should assess the child:
a) on the buttocks.
b) for a circular pattern.
c) on the front of the body.
d) on the back of the body. - Answer on the front of the body.
Explanation:
Accidental scaldings are usually splash-related and occur on the front of the body. Any burns on
the back of the body or in a well-defined circular or glove pattern may indicate physical abuse.
A 2-year-old child is brought to the emergency department with suspected croup. Which
assessment finding reflects increasing respiratory distress?
a) Flushed skin
b) Decreased level of consciousness (LOC)
c) Intercostal retractions
d) Bradycardia - Answer Intercostal retractions
Correct
Explanation:
Clinical manifestations of respiratory distress include tachypnea, tachycardia, restlessness,
dyspnea, intercostal retractions, and cyanosis.
When teaching a mother of a 17-month-old about toilet training, which instruction would
, c) Place the toddler on the potty chair every 2 hours for 10 minutes.
d) Be sure the child is ready before starting to toilet train. - Answer Be sure the child is ready
before starting to toilet train.
Correct
Explanation:
All of the instructions are appropriate, but knowing whether the child is ready to toilet train is
initially most appropriate. Many 17-month-olds do not have the neuromuscular control to be
able to be trained. Waiting a few more months until the child is closer to age 2 years allows the
child to develop more control. The mother should be taught the signs of readiness for toilet
training.
A nurse on the pediatric floor is caring for a toddler refusing to take liquid acetaminophen for
fever. What would be the best option?
a) Give it up and try again in a couple hours.
b) Call the health care provider to change the order.
c) Allow the mother to hold the child and give the medication.
d) Explain to the child why it is important. - Answer Allow the mother to hold the child and
give the medication.
Correct
Explanation:
A toddler's increasing autonomy is commonly expressed by negativism. They are unreliable in
expressing pain — they respond just as strongly to painless procedures as they do to painful
ones. Toddlers have little concept of danger and have common fears. The toddler has trust in
mother and may be more willing to take the medication from her.
The parents report that their child has a runny nose, fever, and cough and is irritable and
constantly rubbing his ears. When assessing the ear, how should the nurse expect the child's
tympanic membrane to appear
a) Clear and inverted.
b) Scarred.
c) Bulging and red.
d) Pearly gray. - Answer Bulging and red.
Correct
