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What tasks would be appropriate to expect of a 5-year-old
child? ANS: A
a. Setting the table with paper plates Parents must consider developmental level and safety
b. Washing the dirty knives when asking the 5-year-old child to help
c. Carrying glasses from the table to the sink with chores.
d. Scrubbing out the sink with cleanser
A 3-year-old child, while playing with his favorite toy in the
playroom of the pediatric unit, is approached by another
child who also wants to play with the same toy. What
ANS: C
behavior will the nurse anticipate from this child?
The 3-year-old child is egocentric and likely will become
a. Will play well with the other child.
angry when others attempt to take
b. Will give the toy up and then not play anymore.
his or her possessions.
c. Will become angry and a physical response might en-
sue.
d. Will ignore the toy and go on to something else
What is the nurse's best advice to a parent about a
preschooler's "imaginaryfriend"?
a. Having imaginary friends is a sign that the child has low
ANS: B
self-esteem.
Imaginary friends are common and normal during the
b. It is common for preschoolers to have imaginary
preschool period and serve many
friends.
purposes, such as relief from loneliness, mastery of fears,
c. Preschoolers invent an imaginary friend when they feel
and acting as a scapegoat.
overwhelmed.
d. The best approach to dealing with an imaginary friend
is to ignore them.
What intervention might the nurse suggest as helpful for
ANS: C
the child with enuresis?
If a child is experiencing enuresis, liquids after dinner
a. Applying an electric pad that gently shocks the child
should be limited and the child should
b. Waking the child several times during the night to
routinely void before going to bed.
urinate
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c. Decreasing fluid intake after the evening meal
d. Increasing dietary fiber intake
What should the nurse suggest as the most appropriate
toy choice for a 3-year-old?
ANS: C
a. A board game
Large construction sets are suitable toys for the
b. A small pet, such as a goldfish
preschool-age child.
c. A large construction set
d. Push-pull toys
The nurse is educating a group of preschool parents ANS: C
about the importance of safety. Which statement by a Children must not play in or around the car or be left alone,
parent indicates the need for further education? even for a brief moment, in the
a. "I continue to provide a great deal of indirect supervi- car. Preschool children still require a good deal of indirect
sion for my child." supervision to protect them from
b. "My stairway is always free of clutter." dangers that arise from their immature judgment or social
c. "I only leave my child in the car for brief moments." environment. Stairways should be
d. "Medications are kept in a locked cabinet." free of clutter and medications kept out of reach.
A child is brought to the pediatric clinic because he has
been vomiting for the past 2 days. What acid-base imbal-
ance would the nurse expect to occur from this persistent ANS: D
vomiting? Hydrochloric acid and sodium chloride from the stomach
a. Hyperkalemia are lost from persistent vomiting.
b. Hypernatremia This results in alkalosis.
c. Acidosis
d. Alkalosis
Why are rapid respirations a possible cause of dehydra-
tion?
a. They prevent the child from drinking. ANS: C
b. They increase circulation, thus increasing urine produc- Rapid respirations cause increased insensible fluid loss.
tion.
c. They cause evaporation of fluid on the mucous mem-
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branes.
d. They often lead to vomiting.
Which is the most appropriate intervention for a
3-month-old infant who has gastroesophageal reflux?
a. Position the infant in the crib on his or her abdomen,
ANS: A
with the head elevated.
After feedings, the infant is placed in a prone position to
b. Administer medication as ordered to stimulate the py-
avoid increased intraabdominal
loric sphincter.
pressure.
c. Give thin rice cereal with formula before feeding solid
foods.
d. Place the infant in an infant seat after feedings.
The nurse is interviewing parents of an infant with pyloric
stenosis. What would the nurse expect the parents to
ANS: B
report?
Vomiting is the outstanding symptom of pyloric stenosis.
a. Diarrhea
Food is ejected with considerable
b. Projectile vomiting
force, which is described as projectile vomiting.
c. Poor appetite
d. Constipation
A mother reports that her child has been scratching the
anal area and complaining of itching. What does the ANS: A
nurse suspect based on this information? With pinworms, the nurse or parent may notice that the
a. Pinworms child scratches the anal area and
b. Giardiasis complains of itchiness. The other choices do not cause this
c. Ringworm reaction.
d. Roundworm
A mother reports that her 2-year-old child experiences
ANS: C
constipation frequently. Which food would the nurse rec-
Dietary modifications for constipation include eating more
ommend to include in the child's diet?
high-roughage foods such as
a. Cooked vegetables
whole-grain breads and cereals.
b. Pretzels