NCLEX 10000 Toddler Test Questions with 100% Verified Answers
1. On a home visit following discharge expression of individuality
from the hospital after treatment Correct
for severe gastroenteritis, the par- Explanation:
ent tells the nurse that a toddler an- The "no" behavior demonstrated by a
swers "No!" and is difficult to man- toddler is typical of this age group as
age. After discussing this further the child attempts to be self-assertive
with the parent, the nurse explains as an individual. The negativism does
that the child's behavior is most not demonstrate an inherited person-
likely the result of which factor? ality trait or disinterest. Rather, it re-
flects the developmental task of es-
a) expression of individuality tablishing autonomy. The toddler is at-
b) inherited personality trait tempting to exert control over the envi-
c) usual lack of interest in every- ronment
thing
d) beginning leadership skills
2. During assessment of a child with protuberant abdomen
celiac disease, the nurse should Correct
most likely note which physical Explanation:
finding? The intestines of a child with celiac dis-
ease fill with accumulated undigested
a) periorbital edema food and flatus, causing the character-
b) protuberant abdomen istic protuberant abdomen
c) tender inguinal lymph nodes
d) enlarged liver
3. The nurse is caring for a child Communication barriers between the
whose mother is deaf and untrust- mother and staff
ing of staff. She frequently cries at Correct
the bedside, but refuses interven- Explanation:
tion from social work or the chap- The communication barrier is the most
lain. Which issue is most important significant and would require immedi-
for the nurse to address with the ate attention. Strategies need to be
mother to promote a trusting rela- implemented that include taking the
tionship? time to share information via the writ-
ten word with all new members of the
a) The mother's fear that the staff healthcare team and the mother.
do not respect her
b) The mother's feelings of loss of
,NCLEX 10000 Toddler Test Questions with 100% Verified Answers
control over her child
c) Lack of knowledge about the
child's illness and treatment
d) Communication barriers be-
tween the mother and staff
4. A parent of a toddler brings the on the front of the body.
child to the emergency department Explanation:
because the child has accidentally Accidental scaldings are usually
been scalded by hot water spilling splash-related and occur on the front
from the stove. In order to differen- of the body. Any burns on the back of
tiate the burn from potential abuse, the body or in a well-defined circular
the nurse first should assess the or glove pattern may indicate physical
child: abuse.
a) on the buttocks.
b) for a circular pattern.
c) on the front of the body.
d) on the back of the body.
5. A 2-year-old child is brought to the Intercostal retractions
emergency department with sus- Correct
pected croup. Which assessment Explanation:
finding reflects increasing respira- Clinical manifestations of respiratory
tory distress? distress include tachypnea, tachycar-
dia, restlessness, dyspnea, intercostal
a) Flushed skin retractions, and cyanosis.
b) Decreased level of conscious-
ness (LOC)
c) Intercostal retractions
d) Bradycardia
6. When teaching a mother of a Be sure the child is ready before start-
17-month-old about toilet training, ing to toilet train.
which instruction would initially beCorrect
most appropriate? Explanation:
All of the instructions are appropri-
a) Remove the diaper and use train- ate, but knowing whether the child is
ing pants to begin the process. ready to toilet train is initially most ap-
, NCLEX 10000 Toddler Test Questions with 100% Verified Answers
b) Offer a reward every time the propriate. Many 17-month-olds do not
child has a bowel movement in the have the neuromuscular control to be
potty chair. able to be trained. Waiting a few more
c) Place the toddler on the potty months until the child is closer to age 2
chair every 2 hours for 10 minutes. years allows the child to develop more
d) Be sure the child is ready before control. The mother should be taught
starting to toilet train. the signs of readiness for toilet train-
ing.
7. A nurse on the pediatric floor is car- Allow the mother to hold the child and
ing for a toddler refusing to take liq- give the medication.
uid acetaminophen for fever. What Correct
would be the best option? Explanation:
A toddler's increasing autonomy is
a) Give it up and try again in a commonly expressed by negativism.
couple hours. They are unreliable in expressing pain
b) Call the health care provider to — they respond just as strongly to
change the order. painless procedures as they do to
c) Allow the mother to hold the painful ones. Toddlers have little con-
child and give the medication. cept of danger and have common
d) Explain to the child why it is fears. The toddler has trust in mother
important. and may be more willing to take the
medication from her.
8. The parents report that their child Bulging and red.
has a runny nose, fever, and cough Correct
and is irritable and constantly rub- Explanation:
bing his ears. When assessing the Based on the report of the child's
ear, how should the nurse expect signs and symptoms, the nurse should
the child's tympanic membrane to suspect otitis media. On assessment,
appear the tympanic membrane would appear
bulging and bright red (because of in-
a) Clear and inverted. creased middle ear pressure), typical-
b) Scarred. ly indicative of otitis media.
c) Bulging and red.
d) Pearly gray.
9. A nurse manager of the pediatric Logging off a computer containing
unit is responsible for making sure client information
1. On a home visit following discharge expression of individuality
from the hospital after treatment Correct
for severe gastroenteritis, the par- Explanation:
ent tells the nurse that a toddler an- The "no" behavior demonstrated by a
swers "No!" and is difficult to man- toddler is typical of this age group as
age. After discussing this further the child attempts to be self-assertive
with the parent, the nurse explains as an individual. The negativism does
that the child's behavior is most not demonstrate an inherited person-
likely the result of which factor? ality trait or disinterest. Rather, it re-
flects the developmental task of es-
a) expression of individuality tablishing autonomy. The toddler is at-
b) inherited personality trait tempting to exert control over the envi-
c) usual lack of interest in every- ronment
thing
d) beginning leadership skills
2. During assessment of a child with protuberant abdomen
celiac disease, the nurse should Correct
most likely note which physical Explanation:
finding? The intestines of a child with celiac dis-
ease fill with accumulated undigested
a) periorbital edema food and flatus, causing the character-
b) protuberant abdomen istic protuberant abdomen
c) tender inguinal lymph nodes
d) enlarged liver
3. The nurse is caring for a child Communication barriers between the
whose mother is deaf and untrust- mother and staff
ing of staff. She frequently cries at Correct
the bedside, but refuses interven- Explanation:
tion from social work or the chap- The communication barrier is the most
lain. Which issue is most important significant and would require immedi-
for the nurse to address with the ate attention. Strategies need to be
mother to promote a trusting rela- implemented that include taking the
tionship? time to share information via the writ-
ten word with all new members of the
a) The mother's fear that the staff healthcare team and the mother.
do not respect her
b) The mother's feelings of loss of
,NCLEX 10000 Toddler Test Questions with 100% Verified Answers
control over her child
c) Lack of knowledge about the
child's illness and treatment
d) Communication barriers be-
tween the mother and staff
4. A parent of a toddler brings the on the front of the body.
child to the emergency department Explanation:
because the child has accidentally Accidental scaldings are usually
been scalded by hot water spilling splash-related and occur on the front
from the stove. In order to differen- of the body. Any burns on the back of
tiate the burn from potential abuse, the body or in a well-defined circular
the nurse first should assess the or glove pattern may indicate physical
child: abuse.
a) on the buttocks.
b) for a circular pattern.
c) on the front of the body.
d) on the back of the body.
5. A 2-year-old child is brought to the Intercostal retractions
emergency department with sus- Correct
pected croup. Which assessment Explanation:
finding reflects increasing respira- Clinical manifestations of respiratory
tory distress? distress include tachypnea, tachycar-
dia, restlessness, dyspnea, intercostal
a) Flushed skin retractions, and cyanosis.
b) Decreased level of conscious-
ness (LOC)
c) Intercostal retractions
d) Bradycardia
6. When teaching a mother of a Be sure the child is ready before start-
17-month-old about toilet training, ing to toilet train.
which instruction would initially beCorrect
most appropriate? Explanation:
All of the instructions are appropri-
a) Remove the diaper and use train- ate, but knowing whether the child is
ing pants to begin the process. ready to toilet train is initially most ap-
, NCLEX 10000 Toddler Test Questions with 100% Verified Answers
b) Offer a reward every time the propriate. Many 17-month-olds do not
child has a bowel movement in the have the neuromuscular control to be
potty chair. able to be trained. Waiting a few more
c) Place the toddler on the potty months until the child is closer to age 2
chair every 2 hours for 10 minutes. years allows the child to develop more
d) Be sure the child is ready before control. The mother should be taught
starting to toilet train. the signs of readiness for toilet train-
ing.
7. A nurse on the pediatric floor is car- Allow the mother to hold the child and
ing for a toddler refusing to take liq- give the medication.
uid acetaminophen for fever. What Correct
would be the best option? Explanation:
A toddler's increasing autonomy is
a) Give it up and try again in a commonly expressed by negativism.
couple hours. They are unreliable in expressing pain
b) Call the health care provider to — they respond just as strongly to
change the order. painless procedures as they do to
c) Allow the mother to hold the painful ones. Toddlers have little con-
child and give the medication. cept of danger and have common
d) Explain to the child why it is fears. The toddler has trust in mother
important. and may be more willing to take the
medication from her.
8. The parents report that their child Bulging and red.
has a runny nose, fever, and cough Correct
and is irritable and constantly rub- Explanation:
bing his ears. When assessing the Based on the report of the child's
ear, how should the nurse expect signs and symptoms, the nurse should
the child's tympanic membrane to suspect otitis media. On assessment,
appear the tympanic membrane would appear
bulging and bright red (because of in-
a) Clear and inverted. creased middle ear pressure), typical-
b) Scarred. ly indicative of otitis media.
c) Bulging and red.
d) Pearly gray.
9. A nurse manager of the pediatric Logging off a computer containing
unit is responsible for making sure client information
