Solutions
What would be most effective in helping promote initiative and nutritional health for a
preschooler? - ANSWER-Allowing the child to spread soft cheese on crackers
A young client arrives at the clinic with a rash on the trunk and flexor surfaces of the
extremities. The parent informs the nurse that the rash started a day before on the exterior
surfaces of the extremities; 2 days before, the child had a really bad rash on the face. The health
care provider diagnoses the child with erythema infectiosum. The nurse tells the parent that
this is also known as: - ANSWER-fifth disease
A parent brings the 4-year-old child for a check-up. Which finding would concern the nurse? -
ANSWER-Resting pulse rate of 120
A father and his 4-year-old son are waiting in an exam room when the nurse enters and greets
them. Which activity that the nurse observes the boy doing would best demonstrate the
primary developmental task of the preschool-age child, according to Erikson? - ANSWER-
Opening drawers in the room, pulling out supplies, and examining them
When assessing a child and his parents during a well-child visit, the nurse determines that the
child is experiencing night terrors. Which of the following would the nurse be most likely to
suggest to assist the parents in dealing with this issue.? - ANSWER-Allowing the episode to take
its course
The parents of a preschool-aged child are investigating child care centers to enroll the child.
What would the nurse review with the parents prior to them making a decision? Select all that
apply. - ANSWER-Repetition and reinforcement
Repetition and reinforcement - ANSWER-Introduce new food gradually and include variety
The nurse is assessing a 4-year-old child. Which assessment finding would the nurse identify as
being of the highest concern? - ANSWER-Stands on one foot for about 3 seconds.
The nurse has completed an education program on normal communication abilities in the
preschool child. Which statement by a participant indicates a need for further education? -
ANSWER-"I'm concerned that my 5-year-old can only count to 20."
During a well-child checkup, the mother of a 5-year-old girl reports her daughter seems much
smaller than her 2 older children did at this same age. A review of the medical record reveals
, that the child is 44 inches tall and weighs 42 pounds. What information should be included in
the response by the nurse? - ANSWER-"Your daughter is slightly taller than other children her
age but her weight is normal."
The nurse is assessing a 3-year-old child. Which assessment finding would the nurse identify as
abnormal? - ANSWER-Falls when bending over to touch toes.
The nurse is assessing a 5-year-old child. Which assessment finding would be documented as
abnormal? - ANSWER-Inability to state address
Which type of play would the nurse use to prepare a preschooler for upcoming surgery to
reduce the stress of the event? - ANSWER-Dramatic play
The parent of a 5-year-old child calls the doctor's office to seek advice about proper nutrition
for her child. Which statement by the mother indicates that further teaching is needed? -
ANSWER-"Since she doesn't like vegetables, we no longer serve them to her."
A nurse is caring for a 4-year-old child that will be undergoing a procedure to remove a mass
from the abdomen. In order to help the child remain calm in preparation for getting an IV
catheter placed, what intervention might the nurse implement? - ANSWER-Allow the child to
play with a procedure doll
The parent of a four year-old child has expressed concern that the child is wetting her bed
several times each week. What should the nurse teach the parent? - ANSWER-Bed wetting is not
an unexpected behavior at this age
The nurse is caring for a 5-year-old child. The child's parent reports that the parent and child are
constantly fighting about the child's choice of clothing. The child insists on selecting ones own
clothes. The parent is tired of the power struggle and is embarrassed by the child's mismatched
apparel. The parent asks for guidance. How should the nurse respond? - ANSWER-"Offer two or
three coordinated outfits and let the child choose."
A 12-year-old girl has recently begun menstruating and is well into puberty. She is visiting the
doctor today for a routine physical examination. Which of the following findings should cause
concern in the nurse? - ANSWER-Vulvar irritation
A nurse is carrying on a conversation with a 7-year-old girl during an office visit. Which of the
following is an example of the level of language development the nurse should expect in this
child? - ANSWER-Difficulty understanding the concept of "half past" in reference to time
An anxious 12-year-old girl receives an injection from the nurse and sighs with relief when it is
done. After a moment of reflection, the girl asks the nurse, "Is it hard to give someone an