NUR 101 Final Exam Practice Assessment for exam preparations

1. A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the client? A. Large building blocks Rationale: Large building blocks are age-appropriate toys for a 12-month-old toddler. B. Hanging crib toys Rationale: A crib gym is not an age-appropriate toy for a 12-month-old toddler. The ability to stand places the toddler at risk of strangling from the strings of the toys. C. Modeling clay Rationale: Modeling clay is not an age-appropriate toy for a 12-month-old toddler due to the risk of the child ingesting it. D. Crayons and a coloring book Rationale: Crayons and a coloring book are not age-appropriate toys for a 12-month-old client. 2. A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse. The nurse should understand that these behaviors indicate which of the following developmental reactions? A. An anxiety reaction Rationale: Hospitalization is stressful, regardless of the age of the client. However, for an 18-month-old toddler, separation from parents adds to that stress. The toddler's behavior indicates an anxiety reaction to the stress of hospitalization. Separation anxiety initially causes demonstrations of protest. Remaining sad and quiet when a parent leaves indicates the second response to separation anxiety, which is despair. B. Regression Rationale: The toddler's behavior is age-appropriate. C. Resentment toward the mother Rationale: This reaction is not age-appropriate. D. Developing autonomy Rationale: An 18-month-old toddler might be beginning to develop autonomy. However, remaining sad and quiet without protesting when a parent leaves is an unusual behavior for a toddler and is not related to developing autonomy.