MCCN Exam 2 Part 2 Questions And Correct
Answers 100% Verified
Which of the following is the most significant factor that predisposes toddlers to
frequent infections, such as otitis media, tonsillitis, and upper respiratory tract
infections?
a. Respiration is abdominal.
b. Pulse and respiratory rates are slower than in infancy.
c. Defense mechanisms are less effective than in infancy.
d. The presence of short, straight internal ear/throat structures and large
tonsil/adenoid lymph tissue. - ANSWER ANS: D
The internal ear canal remains short and straight as in the infant. The lymphoid tissue of
the tonsils and adenoids remains relatively large. These two anatomic conditions
combine to predispose the toddler to frequent infections. The abdominal respirations
and lowered pulse and respiratory rate of toddlers do not affect their susceptibility to
infection. The defense mechanisms are more efficient compared with those of infancy.
What are the psychosocial developmental tasks of toddlerhood?
a. Development of a conscience.
b. Recognition of sex differences.
c. Ability to get along with age mates.
d. Ability to withstand delayed gratification. - ANSWER ANS: D
If the need for basic trust has been satisfied, toddlers can give up dependence for
control, independence, and autonomy. One of the tasks that the toddler is concerned
with is the ability to withstand delayed gratification. Development of a conscience
occurs during the preschool years. The recognition of sex differences occurs during the
preschool years. The ability to get along with age mates develops during the preschool
and school-age years.
A parent of an 18 month old child reports to the nurse that the child says "no" to
,everything and has rapid mood swings. If scolded, the child displays anger then
immediately wants to be held. Which of the following is the nurse's best interpretation of
this behavior? a. This is normal behavior for the age of the child. b. This is unusual
behavior for the age of the child. c. The child is failing to cope effectively with stress.
d. The child is demanding more attention. - ANSWER ANS: A
Toddlers use specific behaviors in the struggle for independence. They exert their will
with persistence negativism and the use of the word "no." Children of this age also
exhibit mood swings without warning. The nurse should reassure the parents that their
child is exhibiting behavior expected of an 18 month old child.
The nurse is planning care for a 17-month-old child. According to Piaget, in what stage
would the nurse expect the child to be?
a. Trust
b. Preoperations
c. Secondary circular reaction
d. Tertiary circular reaction - ANSWER ANS: D
The 17 month old is in the fifth stage of the sensorimotor phase: tertiary circular
reactions. The child uses active experimentation to achieve previously unattainable
goals. Trust is Erikson's first stage. Preoperation is the stage of cognitive development,
usually present in older toddlers and preschoolers. Secondary circular reactions last
from about ages 4 to 8 months.
Which statement describes a toddler's cognitive development at age 20 months? a.
Searches for an object only if he or she sees it being hidden.
b. Realizes that "out of sight" is not out of reach.
c. Puts objects into a container but cannot take them out.
d. Understands the passage of time such as "just a minute" and "in an hour." - ANSWER
ANS: B
At this age the child is in the final sensorimotor stage. Children will now search for an
object in several potential places, even though they saw only the original hiding place.
Children have a more developed sense of objective permanence. They will search for
objects even if they have not seen them hidden. Putting an object in a container but
being unable to take it out indicates tertiary circular reactions. An embryonic sense of
time exists; although toddlers may behave appropriately to time-oriented phrases, their
sense of timing is exaggerated.
,Although a 14 month old received a shock from an electrical outlet recently, the parents
find the child about to place a paper clip in another outlet. What is the best
interpretation of this behavior?
a. Her cognitive development is delayed.
b. This is typical behavior because toddlers are not very developed.
c. This is typical behavior because of inability to transfer knowledge to new
situations.
d. This is not normal behavior because toddlers should know better than to repeat an
act that caused pain. - ANSWER ANS: C
At the tertiary circular reactions stage, children have only a crude understanding of
object categories. The shape of an object defines its function in their world. The slot of
an outlet is for putting things into. Her cognitive development is typical and appropriate
for her age and typical of a toddler. "Only some awareness exists of a causal relation
between events.".
Two toddlers are playing in a sandbox when one child suddenly takes the toy away from
the other child. What is the best explanation of this interaction?
a. This is normal behavior because toddlers are aggressive.
b. This is normal behavior because toddlers are egocentric.
c. Toddlers know that it is expected of them to share toys.
d. At this age, they should cognitively understand what is right and wrong. - ANSWER
ANS: B
Play develops from the solitary play of infancy to the parallel play of toddlers. The
toddler plays alongside other children, not with them. This typical behavior of the
toddler is not intentionally aggressive. Shared play is not within their cognitive
development. Toddlers do not conceptualize shared play. Because the toddler cannot
view the situation from the perspective of the other child, it is okay to take the toy. Thus,
taking a toy cannot be said to be right or wrong.
Which statement about toilet training is correct?
a. Bladder training is usually accomplished before bowel training.
, b. Wanting to please the parent helps motivate the child to use the toilet.
c. Watching older siblings use the toilet confuses the child.
d. Children must be forced to sit on the toilet when first learning. - ANSWER ANS: B
Voluntary control of the anal and urethral sphincters is achieved sometime after the
child is walking. The child must be able to recognize the urge to let go and to hold on.
The child must want to please the parent by holding on rather than pleasing self by
letting go. Bowel training precedes bladder training. Watching older siblings provides
role modeling and facilitates imitation for the toddler. The child should be introduced to
the potty chair or toilet in a nonthreatening manner.
Which characteristic best describes the gross motor skills of a 24-month-old child?
a. Skips
b. Rides tricycle
c. Broad jumps
d. Walks up and down stairs - ANSWER ANS: D
The 24-month-old child can go up and down stairs alone with two feet on each step.
Skipping and the ability to broad jump are skills acquired at age 3. Tricycle riding is
achieved at age 4.
Waiting Room in Clinic In the clinic waiting room, a nurse witnesses that a parent is
teaching an 18-month-old toddler to make a tower out of blocks. In this situation, the
nurse should recognize that fact about this task.
a. Blocks at this age are used primarily for throwing.
b. Toddlers are too young to imitate the behavior of others.
c. Toddlers are capable of building a tower of blocks.
d. Toddlers are too young to build a tower of blocks. - ANSWER ANS: C
This is a good parent-child interaction. An 18 month old is able to build a tower of 3 or 4
blocks. Building towers of blocks usually starts at 15 months. With continued growth,
the child can build taller towers. At this age, children also learn from imitating others
around them and don't throw blocks anymore.
The parents of a newborn state that their toddler "hates the baby and suggested that we
Answers 100% Verified
Which of the following is the most significant factor that predisposes toddlers to
frequent infections, such as otitis media, tonsillitis, and upper respiratory tract
infections?
a. Respiration is abdominal.
b. Pulse and respiratory rates are slower than in infancy.
c. Defense mechanisms are less effective than in infancy.
d. The presence of short, straight internal ear/throat structures and large
tonsil/adenoid lymph tissue. - ANSWER ANS: D
The internal ear canal remains short and straight as in the infant. The lymphoid tissue of
the tonsils and adenoids remains relatively large. These two anatomic conditions
combine to predispose the toddler to frequent infections. The abdominal respirations
and lowered pulse and respiratory rate of toddlers do not affect their susceptibility to
infection. The defense mechanisms are more efficient compared with those of infancy.
What are the psychosocial developmental tasks of toddlerhood?
a. Development of a conscience.
b. Recognition of sex differences.
c. Ability to get along with age mates.
d. Ability to withstand delayed gratification. - ANSWER ANS: D
If the need for basic trust has been satisfied, toddlers can give up dependence for
control, independence, and autonomy. One of the tasks that the toddler is concerned
with is the ability to withstand delayed gratification. Development of a conscience
occurs during the preschool years. The recognition of sex differences occurs during the
preschool years. The ability to get along with age mates develops during the preschool
and school-age years.
A parent of an 18 month old child reports to the nurse that the child says "no" to
,everything and has rapid mood swings. If scolded, the child displays anger then
immediately wants to be held. Which of the following is the nurse's best interpretation of
this behavior? a. This is normal behavior for the age of the child. b. This is unusual
behavior for the age of the child. c. The child is failing to cope effectively with stress.
d. The child is demanding more attention. - ANSWER ANS: A
Toddlers use specific behaviors in the struggle for independence. They exert their will
with persistence negativism and the use of the word "no." Children of this age also
exhibit mood swings without warning. The nurse should reassure the parents that their
child is exhibiting behavior expected of an 18 month old child.
The nurse is planning care for a 17-month-old child. According to Piaget, in what stage
would the nurse expect the child to be?
a. Trust
b. Preoperations
c. Secondary circular reaction
d. Tertiary circular reaction - ANSWER ANS: D
The 17 month old is in the fifth stage of the sensorimotor phase: tertiary circular
reactions. The child uses active experimentation to achieve previously unattainable
goals. Trust is Erikson's first stage. Preoperation is the stage of cognitive development,
usually present in older toddlers and preschoolers. Secondary circular reactions last
from about ages 4 to 8 months.
Which statement describes a toddler's cognitive development at age 20 months? a.
Searches for an object only if he or she sees it being hidden.
b. Realizes that "out of sight" is not out of reach.
c. Puts objects into a container but cannot take them out.
d. Understands the passage of time such as "just a minute" and "in an hour." - ANSWER
ANS: B
At this age the child is in the final sensorimotor stage. Children will now search for an
object in several potential places, even though they saw only the original hiding place.
Children have a more developed sense of objective permanence. They will search for
objects even if they have not seen them hidden. Putting an object in a container but
being unable to take it out indicates tertiary circular reactions. An embryonic sense of
time exists; although toddlers may behave appropriately to time-oriented phrases, their
sense of timing is exaggerated.
,Although a 14 month old received a shock from an electrical outlet recently, the parents
find the child about to place a paper clip in another outlet. What is the best
interpretation of this behavior?
a. Her cognitive development is delayed.
b. This is typical behavior because toddlers are not very developed.
c. This is typical behavior because of inability to transfer knowledge to new
situations.
d. This is not normal behavior because toddlers should know better than to repeat an
act that caused pain. - ANSWER ANS: C
At the tertiary circular reactions stage, children have only a crude understanding of
object categories. The shape of an object defines its function in their world. The slot of
an outlet is for putting things into. Her cognitive development is typical and appropriate
for her age and typical of a toddler. "Only some awareness exists of a causal relation
between events.".
Two toddlers are playing in a sandbox when one child suddenly takes the toy away from
the other child. What is the best explanation of this interaction?
a. This is normal behavior because toddlers are aggressive.
b. This is normal behavior because toddlers are egocentric.
c. Toddlers know that it is expected of them to share toys.
d. At this age, they should cognitively understand what is right and wrong. - ANSWER
ANS: B
Play develops from the solitary play of infancy to the parallel play of toddlers. The
toddler plays alongside other children, not with them. This typical behavior of the
toddler is not intentionally aggressive. Shared play is not within their cognitive
development. Toddlers do not conceptualize shared play. Because the toddler cannot
view the situation from the perspective of the other child, it is okay to take the toy. Thus,
taking a toy cannot be said to be right or wrong.
Which statement about toilet training is correct?
a. Bladder training is usually accomplished before bowel training.
, b. Wanting to please the parent helps motivate the child to use the toilet.
c. Watching older siblings use the toilet confuses the child.
d. Children must be forced to sit on the toilet when first learning. - ANSWER ANS: B
Voluntary control of the anal and urethral sphincters is achieved sometime after the
child is walking. The child must be able to recognize the urge to let go and to hold on.
The child must want to please the parent by holding on rather than pleasing self by
letting go. Bowel training precedes bladder training. Watching older siblings provides
role modeling and facilitates imitation for the toddler. The child should be introduced to
the potty chair or toilet in a nonthreatening manner.
Which characteristic best describes the gross motor skills of a 24-month-old child?
a. Skips
b. Rides tricycle
c. Broad jumps
d. Walks up and down stairs - ANSWER ANS: D
The 24-month-old child can go up and down stairs alone with two feet on each step.
Skipping and the ability to broad jump are skills acquired at age 3. Tricycle riding is
achieved at age 4.
Waiting Room in Clinic In the clinic waiting room, a nurse witnesses that a parent is
teaching an 18-month-old toddler to make a tower out of blocks. In this situation, the
nurse should recognize that fact about this task.
a. Blocks at this age are used primarily for throwing.
b. Toddlers are too young to imitate the behavior of others.
c. Toddlers are capable of building a tower of blocks.
d. Toddlers are too young to build a tower of blocks. - ANSWER ANS: C
This is a good parent-child interaction. An 18 month old is able to build a tower of 3 or 4
blocks. Building towers of blocks usually starts at 15 months. With continued growth,
the child can build taller towers. At this age, children also learn from imitating others
around them and don't throw blocks anymore.
The parents of a newborn state that their toddler "hates the baby and suggested that we
