Nursing Exam Prep: Question and Answers

A nurse in the child life center encourages preschool children to engage in role play. Why does the nurse consider this an important part of socialization? It helps children think about careers. It teaches ch ...

A nurse in the child life center encourages preschool children to engage in role play. Why does the nurse consider this an important part of socialization? It helps children think about careers. It teaches children about stereotypes. It encourages expression of concerns. It provides guidelines for adult behavior. A nurse is planning to foster independence in a group of 4-year-old children. What self-care skill does the nurse expect 4-year-olds to be capable of performing? Parting and combing hair Putting on a shirt and buttoning it Cutting meat with a fork and knife Slipping into shoes and tying shoelaces When planning discharge teaching for the parents of a child with asthma, what information should the nurse include? Avoid foods high in fat. Stay at home for 2 weeks. Increase protein and calorie intake. Minimize exertion and exposure to cold. With which roommate should the nurse place a 4-year-old boy who has been admitted to the hospital with nephrotic syndrome? A 5-year-old girl with acute glomerulonephritis A 2-year-old girl recovering from varicella A 6-year-old boy postoperative appendectomy A 3-year-old girl with cystic fibrosis A preschool child is found to have chickenpox during the acute phase. The nurse tells the parents, "It's important not to expose your child to anyone undergoing certain types of prolonged medication therapy." What medication therapy puts a person at risk? Anticonvulsant Systemic steroid Antihypertensive Topical antibiotic The nurse discusses discipline with parents of a 4-year-old child. Which parental statement regarding time-out reflects an appropriate application of this method of discipline? "I explain the reason for the time-out before and after disciplining her." "I send her to her room for misbehaving." "We limit time-out to 20 minutes per incident." "Putting her in a dark closet for time-out is very effective." Parents express concerns to the nurse that their 4-year-old child is spending a large amount of time playing with an imaginary friend. What is the best response by the nurse? "You have good reason to be concerned. This is not typical." "Perhaps your child needs more interaction with real friends." "Imaginary playmates are an important part of a young child's life." "This is a sign of social immaturity. I recommend psychological counseling." Which description provided by the parent of a preschool-age client would suggest to the nurse that the child is experiencing sleep terrors? Calling out after a dream Awakening during the second half of the night Being aware that others are in the room after awakening A 3-year-old child is admitted to the pediatric unit with a tentative diagnosis of Wilms tumor. The nurse obtains the child's health history from the parents. What does the child's history reveal that will help establish the diagnosis? Periorbital edema Projectile vomiting Abdominal swelling Low-grade temperature A preschool-aged child with leukemia who is undergoing chemotherapy is susceptible to rectal ulcerations. What should the nurse recommend to the parents that will lessen the severity of this problem? Encourage lying on the abdomen when in bed. Have the child wear cotton underpants at night. Apply rectal ointment liberally four times a day. Clean the child's perianal area after each bowel movement. On a routine visit to the well-child clinic, the parents of a 3-year-old child tell the nurse that their child is a "picky" eater and express concern about their child's nutritional status. What should the nurse suggest to help the parents meet the child's nutritional requirements? Including some of the foods the child prefers in every meal Cooking nutritious meals and staying with the child until the food is eaten Serving a regular diet to the family and a special meal that the child will eat Explaining that there will be no dessert until the child eats the food on the plate A 3-year-old preschooler has been hospitalized with nephrotic syndrome. What is the best way for the nurse to evaluate fluid retention or loss? Measuring the abdominal girth daily Having the child urinate in a bedpan Testing the child's urine for proteinuria Weighing the child at the same time each day Which ages are the most critical for language development during the preschool stage of development? Select all that apply. 2 years 3 years 4 years 5 years 6 years What is the best way for a nurse to interact with a 3-year-old child sitting in the waiting room of the pediatric clinic? By walking into the waiting room to greet the child By calling the child by name at the waiting room door By asking the receptionist to bring the child into the examining room By standing at the examining room door while the child walks down the hall What is the average height of a four-year-old child? 2 feet, 10 inches (86.6 cm) 3 feet, 1.5 inches (95 cm) 3 feet, 4.5 inches (103 cm) 3 feet, 7.5 inches (110 cm) A nurse is teaching a class of nursing assistants about the differences in care among various age groups. Care of which age group of children does the nurse describe as the most challenging? From 1 to 4 years of age From 6 to 8 years of age From 6 to 12 months of age From birth to 6 months of age The nurse notes that a 4-year-old child is having difficulty relating to some of the children in the playroom. What does the nurse identify as the reason that this problem is not unexpected? At this age preschoolers engage only in parallel play. At this age preschoolers are extremely dependent on their parents. Fierce temper tantrums and negativism are typical behaviors of preschoolers. Exaggerating and boasting to impress others are typical behaviors of preschoolers. What is true about a preschooler’s imaginary playmates? Imaginary playmates make the preschooler feel inferior to them. Imaginary playmates attempt to achieve what the child accomplishes. Imaginary playmates cause a child to confuse reality and fantasy. Imaginary playmates experience what a preschooler wants to remember. A nurse in the pediatric clinic is testing a 4-year-old child with recurrent otitis media for signs of hearing loss. The child's parent asks what can be done if there is a hearing loss. The nurse responds that the most common treatment is what? Myringotomy Adenoidectomy Neomycin ear drops Systemic steroid therapy What nursing intervention does a nurse provide during the initiative versus guilt stage? Teaching parents about child impulse control Helping the client decide his or her treatment plan Guiding parents to help their child achieve self-control Assisting individuals in choosing ways to foster social development When preparing a child with asthma for discharge, what instructions must the nurse emphasize to the family? Select all that apply. Limit allergens in the home. Maintain a dry home environment. Avoid placing limits on the child's behavior. Continue the medications even if the child is asymptomatic. Prevent exposure to infection by having the child tutored at home. A young child with acute nonlymphoid leukemia is admitted to the pediatric unit with a fever and neutropenia. What are the most appropriate nursing interventions to minimize the complications associated with neutropenia? Placing the child in a private room, restricting ill visitors, and using strict hand washing techniques Encouraging a well-balanced diet, including iron-rich foods, and helping the child avoid overexertion Avoiding rectal temperatures, limiting injections, and applying direct pressure for 5 minutes after venipuncture Offering a moist, bland, soft diet; using toothettes rather than a toothbrush; and providing frequent saline mouthwashes What findings should a nurse expect when examining the laboratory report of a preschooler with rheumatic fever? Negative C-reactive protein Increased reticulocyte count Positive antistreptolysin titer Decreased sedimentation rate What is the maximum recommended intramuscular dose for medications in preschoolers? 0.5 mL 1.0 mL 1.5 mL 2.0 mL A nurse is caring for a child with newly diagnosed acute lymphoblastic leukemia. What clinical findings does the nurse anticipate when assessing the child? Select all that apply. Pallor Fatigue Jaundice Multiple bruises Generalized edema A 4-year-old child is being prepared for a myringotomy in the ambulatory care unit. What is most important for the nurse to do when the child is called to the operating room? Removing the child's undergarments Placing the child's toys on the bedside table Allowing the child to climb onto the stretcher Having the parents accompany the child to the operating suite A preschool child is found to have atopic dermatitis. The nurse emphasizes that the child should be discouraged from scratching. The child's mother asks why scratching should be prevented. What is the nurse’s response? "Scratching causes lesions to become more contagious." "Scratching spreads dermatitis to other areas of the body." "Scratching results in skin breaks that can lead to infection." "Scratching produces changes that are precursors to skin cancer." An IV catheter is to be inserted into a 3-year-old toddler's peripheral vein. As local topical anesthetic is applied, the toddler starts to cry and asks whether the insertion is going to hurt. How should the nurse respond? "Yes, it will hurt, but not for very long." "Maybe it will hurt, but remember that big kids don't cry." "Yes, it may hurt, but if you hold still it won't hurt too much." "It will hurt a little, but I'm good at getting the needle into your arm." The clinic nurse is teaching the parents of a 3½-year-old child who is up to date on all vaccinations when it will be necessary to return to the clinic for the next set of vaccinations. Which statement indicates that the parents understand the teaching? "We need to come back to the clinic in 1 year for more vaccinations." "We need to come back to the clinic in 2 months for more vaccinations." "We need to come back to the clinic in 6 months for more vaccinations." What is the best approach for the nurse to use when preparing a preschooler for surgery? Having the parents explain the procedure Waiting until the last moment to tell the child Using a doll to demonstrate perioperative care Showing pictures of what will occur during surgery In the well-child clinic a nurse teaches a group of parents about guidelines that may prevent Reye syndrome in their preschool-aged children. What should the nurse tell the parents? "Use a medication other than aspirin when your child has a fever." "Restrict your child's carbohydrate intake when there are signs of a cold." "Begin sponge bathing with cold water if your child experiences a high fever." "You may want to have your child immunized with a recently developed vaccine." How can a nurse best meet a preschooler's developmental needs just before a physical examination? By allowing the child to handle the examination equipment By explaining to the child what will happen during the examination By arranging for a peer who has had the same examination to talk to the child By requesting that one of the parents stay with the child during the examination A child undergoes tonsillectomy and adenoidectomy for numerous recurrent respiratory tract infections. After the surgery, what should the nurse teach the parents to do? Offer crushed ice chips. Encourage the intake of ice cream. Keep the child in the supine position. Gargle with a diluted mouthwash solution. According to the nurse describing Erikson’s theory, in which stage does a preschooler start to pretend? Integrity versus despair stage Autonomy versus sense of shame and doubt stage Generativity versus self-absorption and stagnation stage A 4-year-old child with acute lymphocytic leukemia (ALL) is to undergo bone marrow aspiration. While involving the child in therapeutic play before the procedure, what should the nurse help him understand? He needs to have a positive attitude. His parents are concerned about him. He did nothing to cause his current illness. His problem was caused by an environmental factor. Which step should the nurse follow for the administration of ear drops in children of 4 to 5 years of age? Pull the auricle up and out. Place the cotton ball into innermost part of canal. Keep the child in side-lying position for 10 to 15 minutes. Instill prescribed drops while holding dropper 3 cm above ear canal. A 3.5-year-old child hospitalized with nephrotic syndrome. The child has been toilet trained for longer than one year but has been incontinent while in the hospital. The child's parents express concern over this behavior. What is the most therapeutic response by the nurse? "Your child is wetting the bed to get attention. Set limits when this occurs." "The incontinence is caused by the renal disease. It will stop with physical improvement." "This is an expected response to hospitalization. Ignore the regressive behavior and be supportive." "Your child is using this regressive behavior to help cope with hospitalization; just use diapers and say nothing." A nurse is caring for a preschooler who is being prepared for surgery. What does the nurse expect to have the most influence on the child's response to hospitalization? Fear of separation Fear of bodily harm Belief in death's finality Belief in the supernatural A 4-year-old child with Wilms tumor undergoes nephrectomy. What essential information should the nurse plan to teach the parents? Restrict the child's intake of sodium. Maintain the child's fluid restrictions. Recognize the signs of urinary tract infection. A young child is found to have leukemia. In addition to systemic chemotherapy, the practitioner prescribes cranial radiation as part of the therapeutic regimen. The nurse explains to the parents that cranial radiation is used to treat leukemia because it does what? Reduces the risk of systemic infection Intensifies the effects of chemotherapy Helps prevent metastasis to the lymphatic system Helps prevent central nervous system involvement The nurse is caring for a 4-year-old child who has been hospitalized with an acute asthma exacerbation. Which assessment finding requires action by the nurse? Diminished breath sounds Pulse rate of 110 beats/min Pulse oximetry reading of 95% Respiratory rate of 24 breaths/min The preschool-age client is learning sociocultural mores. What should this imply to the nurse regarding this client? The child is developing a conscience. The child is learning about gender roles. The child is developing a sense of security. The child is learning about the political process. A child with nephrotic syndrome visits the clinic for follow-up. During the visit the parent states that the child is always tired and has no appetite. The nurse notes that the child has a muddy, pale complexion. What problem does the nurse suspect? Impending renal failure Being too active in school A developing viral infection Refusal of the prescribed medications Which clinical manifestation would cause the nurse to suspect that a preschool-age client ingested a corrosive agent, such as bleach? Gagging Drooling Vomiting The parents of a 4-year-old child call the health center and report that their child has a fever of 102.6° F (39.2° C), is complaining of a sore throat, and will not lie down, preferring to sit up and lean forward. The child is drooling and looks ill and agitated. In light of this information, what guidance should the nurse provide the family? The child needs to be seen immediately by a healthcare provider. The parents should provide cool mist and continue to give fluids to the child. The child should receive ibuprofen in an appropriate dose to decrease the fever. The parents should call back in several hours and update the health center on the child's condition. The nurse is providing education to the parents of a preschool-age client who is experiencing a severe fear of the dark. Which treatment option should the nurse share with the parents during the teaching session? Prescription medication Electroconvulsive therapy Intensive therapy sessions Repetition of brave statements Which statement is true regarding the development of body image in preschoolers? They can become conscious of their size. They have well-defined body boundaries. They are not likely to learn prejudices and biases. They do not reflect the opinions of others regarding their own appearance. At which age would the nurse anticipate the appearance of an imaginary friend for a preschool- age client? 3-year-old 4-year-old 5-year-old 6-year-old Which is a later symptom of acute aspirin poisoning seen in children? Nausea Tinnitus Vomiting Confusion A nurse is planning to teach activities of daily living to a developmentally disabled 3-year-old child. What activity should the nurse plan to teach to the child first? Dressing Toileting Self-feeding Hair combing Which type of language development is seen in 4-year-olds? Names four or more colors Knows simple songs Has vocabulary of about 2100 words Uses sentences of six to eight words, with all parts of speech A nurse educates a group of parents about how to teach their children to safely cross roads and walk in parking lots. Which age group of the children is the nurse referring to? Toddlers Adolescents Preschoolers School-age children What changes are observed in a preschool-aged child? Select all that apply. Flexed thoracic spine Increased foot eversion Growth spurt Balanced and coordinated body Decreased abdominal protrusion When a nurse brings a dinner tray to a 4-year-old child hospitalized with pneumonia, the child says, "I'm too sick to feed myself." What is the best response by the nurse? "Try to eat as much as you can." "You can eat later when you feel better." "Wait a few minutes, and I will be back to help you." "You're really not that sick, and I'm sure you can feed yourself. Which does the nurse explain is true about preschoolers? They need around 1800 calories in a day. Their caloric needs are half of what adults need. They become choosy about food around 5 years of age. Their physical growth is faster than their cognitive development. Which geometric figure is often the last to be mastered during the preschool stage of development? Square Triangle Rectangle Which factors influence vocabulary, speech, and comprehension in preschoolers? Select all that apply. Environment Health status Temperament Cognitive ability Physical development Which skill does the nurse explain to the parent is normally exhibited by a preschooler? Copying squares Running with difficulty Difficulty in walking stairs Jumping and hopping with ease What is the average weight of a three-year-old child? 26.5 lb (12 kg) 32 lb (14.5 kg) 41 lb (18.5 kg) 36.5 lb (16.5 kg) During a clinic visit a 4-year-old child suddenly yells, "Don't sit on Erin!" The parent whispers that Erin is an imaginary friend. What is the nurse's best action? Referring the parents to classes on parenting Providing special instructions for appropriate discipline Avoiding sitting where the child says the imaginary friend is located Making a referral to a child psychologist regarding the imaginary friend The mother of a preschool-age child tells the school nurse that her husband is dying of cancer and that she is worried about how her child will cope. As part of their discussion, what does the school nurse include that preschool-age children view death as? Universal Irreversible A form of sleep A frightening ghost A nurse accompanies a 3-year-old child to the pediatric unit's playroom. The toddler seems reluctant to select a toy or activity. Which toy is most appropriate for the nurse to offer as a means of fostering creativity? Mold and clay Pencil and paper Simple video game A 3-year-old child is hospitalized with nephrotic syndrome. The child has oliguria and generalized edema. What factor does the nurse identify that will have the greatest effect on the child's adjustment to hospitalization? Lack of parental visits Inability to select a variety of foods Response of peers to the edematous appearance Willingness to participate in cooperative play activities Which behavior noted by the nurse when observing a preschool-age client indicates the end of the Oedipus or Electra complex? Identification with siblings Identification with same-sex parent Identification with opposite-sex peers Identification with opposite-sex parent At which age should the nurse anticipate that the preschool-age client will begin to participate in the social side of eating? 3 years 4 years 5 years 6 years A young child is admitted to the pediatric unit with a diagnosis of Wilms tumor. Considering the unique needs of a child with this diagnosis, what statement should be on a sign placed by the nurse at the child’s bedside? Keep NPO. No IV medications. Record intake and output. Do not palpate the abdomen. A nurse advises a mother to teach her child to swim under guided supervision. Which age group of the child is the nurse referring to? Toddlers Adolescents Preschoolers School-age children Which statement is true about the sleep pattern of preschoolers? Daytime naps are very common among preschoolers. On average, a preschooler sleeps about 12 hours a night. Partial awakening leading to sleeplessness is common among preschoolers. About 30% of sleep time in preschoolers is spent in the rapid eye movement sleep (REM) cycle. Which sensory function is difficult to assess in preschoolers? Smell Taste Vision Touch Which psychosocial change is least likely to be seen in preschoolers? Preschoolers suck their thumbs during stress. Preschoolers feel guilty for behaving inappropriately. Preschoolers feel happy if there is a newborn in the family. Preschoolers are curious to know more about surroundings. Which age group would the nurse state engages in associative play? Infants Toddlers Adolescents Preschoolers Which statement about language development in preschoolers is correct? Preschoolers find words such as "die" and "dye" confusing. Preschoolers realize that words have arbitrary rather than absolute meanings. Preschoolers become aware of the rules for linking words into phrases and sentences. Preschoolers accept language as a means of representing the world in a subjective manner. What is the required average daily intake of calories in preschoolers? 700 1,000 1,800 A nurse is planning to teach the parents of a preschool child with recently diagnosed cystic fibrosis why the child has respiratory problems. What should the nurse remember about the underlying pathophysiology? Airway irritability causes spasms. Lung parenchyma becomes inflamed. Excessively thick mucus obstructs airways. Endocrine glands secrete surplus hormones. A 3-year-old child with the diagnosis of tetralogy of Fallot is brought to the United States by a charitable organization for cardiac surgery. What should the nurse expect when conducting an admission assessment of the child? Clubbing of fingers Increased temperature Slow, irregular respirations Subcutaneous hemorrhages What is the recommended protein intake for preschoolers? 1 g/day 13 g/day 300 mg/day 700 mg/day At which age may the eruption of permanent dentition begin? Two years Three years Four years Five years Which chemicals, when ingested by a child, can cause severe pneumonia? Bleach Lighter fluid Toilet cleaner Mildew remover he student nurse is learning about the pathophysiology of lead poisoning in children. Where in the body does lead ultimately settle, remaining inert and in storage? Blood Bones Soft tissues A preschool-aged child visits the health clinic with his mother. The mother is concerned about the child's interaction with "imaginary friends." What is the best response by the nurse? "I'll get the doctor to prescribe an antianxiety medication." "Your child should be seen by a psychiatrist for this issue." "You need to get a developmental assessment for your child." "This is completely normal behavior for a child in this age group." A preschooler thinks that he or she has done something wrong. What feeling can result? Guilt Mistrust Isolation Shame and doubt What change is seen when a child enters from a stage of toddlerhood to the stage of preschooler? Preschoolers sleep soundly at night. Preschoolers take frequent naps during the day. Preschoolers get into the habit of extending bedtimes. Preschoolers sleep about nine hours each night. The nurse is caring for a young child diagnosed with lead poisoning. Which finding indicates that the client has suffered from high-dose exposure to lead? Blindness Hyperactivity Hearing impairment Mild intellectual deficit A nurse on the pediatric unit is planning recreational activities for a 4-year-old with an exacerbation of nephrotic syndrome. What are the most appropriate activities in light of the child's developmental level and physical status? Riding a tricycle and playing with large blocks Watching cartoon videos and listening to stories\ Reading animal stories and playing video games Leading a pull toy and playing with a map puzzle A 4-year-old child is admitted to the pediatric unit with a tentative diagnosis of acute lymphocytic leukemia (ALL). Which signs and symptoms does the nurse expect when obtaining the health history and performing a physical assessment? Select all that apply. Edema Alopecia Anorexia Insomnia Petechiae A mother comes for a well-child visit of her 4-year-old child. Which psychosocial developmental skill is the nurse likely to notice in the child? Self-evaluation Logical thinking Increased curiosity Understand others child with a history of asthma is brought to the emergency department experiencing an acute exacerbation of asthma. Which nursing assessment findings support this conclusion? Select all that apply. Fever Stridor Wheezing Tachycardia Hypotension Which major concern related to temperament should the nurse assess closely when providing care to a preschool-age client who is beginning school? Adaptability Socialization Language skills Fine motor skills Which assessment data would cause a nurse to initiate treatment for a potential aspirin overdose for a preschool-age child who presents in the emergency department (ED)? Select all that apply. Nausea Tinnitus Ecchymosis Hypoventilation Which trait should the nurse expect when assessing a preschool-age client who is considered gifted? Poor language development Pronounced short-term memory Talented in one area, such as drawing Interests similar to other children of the same age A 10-year-old child is admitted to the hospital for surgery. The parents state that the child is mentally challenged and functions on the level of a 3-year-old. What should the nurse include in the child's preoperative teaching plan? Excluding the child from this complicated preparation Encouraging parents to teach the child the needed information Providing explanations at a preschooler's level of understanding Presenting the lesson at the cognitive level of a young school-age child Which belief should a nurse expect a preschooler to hold regarding the concept of death? A temporary condition Results from certain illnesses Something that happens in the hospital An event that eventually happens to everyone A 3-year-old boy is found to have X-linked Duchenne muscular dystrophy. Neither parent has muscular dystrophy. Which statement indicates that the parents understand how the disorder is transmitted? "Our sons or daughters may have the disease." "Our daughters may be carriers of the disease." "We each contributed a gene that gave our son the disease." "We know that that our other son probably won't get the disease." A 4-year-old child with nephrotic syndrome has repeated relapses. As the child gets older, what is the most important attribute for the child to develop? A positive body image The ability to test urine Fine muscle coordination Acceptance of possible sterility A 4-year-old child who has never been separated from parents or siblings is admitted to the hospital. What is most important for the nurse to encourage the parents to do? Have one of them stay with the child. Visit the child during regular visiting hours. Bring a favorite toy to the hospital for the child. Allow the nurse to be the child's major caregiver. Which activities will the nurse suggest to the parents of a preschool-age child to enhance gross motor skills? Select all that apply. Using scissors Riding a bicycle Throwing a ball Tying shoe laces Playing with clay A nursing student is measuring blood pressure (BP) of a preschooler and seeks help from a nursing instructor for hearing Korotkoff sounds. What should the instructor suggest to the student? \ Use an ultrasonic stethoscope to measure BP. Measure BP by choosing a cuff labeled as a child cuff. Hear Korotkoff sounds with the help of pediatric stethoscope bell. Place the stethoscope firmly on the antecubital for good auscultation. A mother needs to get her blood pressure (BP) checked, but her 4-year-old child is interfering in the process. What should the nurse do to gain the child’s cooperation? Ask the mother to restrain the child. Instruct the mother to scold her child. Allow the child to manipulate the instrument. Scare the child by showing an injection needle. Which activity, related to family relationships, should the nurse anticipate when assessing a 5- year-old female client? Having a rivalry with an older brother Exploring cooking activities with the mother Wanting to conform to the expectations of parents Tolerating separation from parents for a short period of time A 4-year-old child is brought to the emergency department after falling on the handlebars of a tricycle. The child is guarding the abdomen, crying, and not allowing any physical contact with the staff. What is the best action by the nurse? Medicating the child for pain before proceeding Allowing the child to guide the examiner's hand to the area that hurts Having the parents restrain the child while the abdomen is auscultated Suggesting that the healthcare provider prescribe computed tomography of the child's abdomen A 4-year-old girl with a brain tumor diagnosed as an astrocytoma is admitted to the pediatric unit. The nurse performs a physical assessment while the child is lying in the supine position. During the assessment the child states that her head hurts and begins to cry. What does the nurse suspect as the most likely cause of the headache? Hunger from fasting until blood tests are completed Separation anxiety that manifests in physical symptoms Increased intracranial pressure caused by blood pooling in the head Mutilation anxiety, which is most common in children of this age group A nurse is studying Erikson’s theory of psychosocial development in preschoolers. Which task does the nurse identify as the chief psychosocial task of this age group? Control over bodily functions Development of a sense of initiative Toleration of separation from parents Ability to interact with others in a less egocentric manner Which is often a source of stress for 5-year-old clients that the nurse should include in the assessment process during the health maintenance visit? Jealousy Stubbornness Procrastination Companionship Which nursing actions are developmentally appropriate when caring for a hospitalized preschool-age child? Select all that apply. Providing brochures regarding home care options Using toys for distraction during a painful procedure Knocking on the child’s hospital room door prior to entering Offering medical equipment to play with prior to a procedure Providing clear instructions about details of a procedure that will occur near discharge Which condition may a 4-year-old child develop due to a failure in mastering sensorimotor integration? Obesity Dyslalia Sleep disturbance Developmental stuttering After several days of bed rest, a preschool-age child with the diagnosis of a liver laceration becomes demanding and will not listen to the nurses. The child was found in the playroom twice on the previous shift. How can the nurse best meet the needs of this child? Tell the child why remaining in bed will enhance his recovery. Have a television set moved into the child's room as soon as possible. Place soft restraints on the child when family members cannot be present. Move the child into a room with another preschooler with whom he can play. Which suggestion should the nurse include in the teaching session for the parents of a preschool- age client to assist with the child’s transition to school? Select all that apply. Recommending a full day program for the child Bringing a toy to assist the child with adjustment Sitting with the child in class until acclimation occurs Introducing the child to the teacher prior to the first day Providing personal information, such as the name of the child’s pet, to the teacher The pediatric nurse compares the sources of stress in preschoolers of different ages. Which source of stress is common to 3-year-olds, 4-year-olds, and 5-year-olds? Destructiveness Procrastination Companionship Belongings A healthcare provider writes prescriptions for a young child with a tentative diagnosis of Wilms tumor. Which prescription should the nurse question? Abdominal ultrasound Computed tomography scan Magnetic resonance imaging What does that nurse state that is true about language development in preschoolers? They start questioning events. They realize that words have arbitrary meanings. They distinguish between phonetically similar sounds. They use 2,000 to 8,000 words to express their desires. The nurse is caring for a preschooler diagnosed as suffering from frequent episodes of sleep terrors. Which statements describing the nature of sleep terrors does the nurse know to be true? Select all that apply. It is followed by full waking. It usually occurs 1 to 4 hours after falling asleep. It takes place during rapid-eye movement (REM) sleep. The child rapidly returns to sleep after an episode of sleep terrors. The child is aware of and reassured by another’s presence after an episode of sleep terrors. A preschooler who has ingested aspirin is brought to the emergency department. Which treatment should the nurse provide immediately? Hemodialysis Anticonvulsants Activated charcoal Sodium bicarbonate What statements would a nurse include in a safety promotional program to educate the parents of preschoolers? Select all that apply. "Have your child sleep on his or her back or side." "Teach your children physical safety rules." "Allow your children to be friendly to strangers." "Remove doors from unused refrigerators and freezers." "Avoid instructing children to cross roads and walk in parking lots." Which gross motor behaviors should the nurse assess for when conducting a health maintenance visit for a 4-year-old client? Select all that apply. Skating Skipping Jumping rope Catching a ball Hopping on one foot A nurse advises the father of a toddler to encourage pretend play in the child. What are the reasons behind this advice? Select all that apply. To help improve sleeping habits To help develop fine muscle skills To help the child become more creative To help the child develop social problem-solving skills To help the child learn to understand other points of view 3½-year-old boy from Central America who has tetralogy of Fallot attends the pediatric cardiac clinic for a diagnostic workup before corrective surgery is scheduled. The nurse's assessment of the child's motor ability demonstrates that he is just beginning to walk unsupported. When comparing this child with other 3½-year-old children, what does the nurse determine about the child? Has started to walk at the appropriate age Should have started to walk about 2 years earlier Demonstrates an insignificant delay in starting to walk Probably walked by holding on at 24 to 30 months of age A nurse educates a mother who complains that her preschool-aged child suffers from bedtime fears and insomnia. Which of these statements should the nurse tell the mother? "You should avoid keeping the lights on in the child’s room." "You should comfort the child after he or she experiences a bedtime fear and leave the child in his or her own bed." "You should feed the child some tea, coffee, or chocolate before the child goes to bed." "You should start sleeping with the child in order to calm the child." Which type of speech should the nurse anticipate when conducting a developmental assessment for a preschool-age client? Bilingual Persuasive Telegraphic Informative fter assessing a preschooler, a nurse concludes that a child has high physical skills for his or her age. Which finding in the child supports the nurse’s conclusion? The child can jump rope. The child can skip on alternate feet. The child can walk up and down steps with ease. The child is able to hold a pencil adeptly and print letters and words. nurse is assessing the growth and development of a 3-year-old child. What does the nurse expect the child to be able to do? Hop on one foot. Button a sweater. Cup the hands to catch a ball. Go upstairs while alternating the feet. Which findings in a four-year-old indicates an appropriate development of socialization skills? Select all that apply. The child tends to be selfish and impatient. The child takes pride in his or her accomplishments. The child tells family tales to others with no restraint. The child is eager to do things correctly and please others. The child tries to follow rules during an associative play, but cheats to avoid losing. Which activities will the nurse suggest to the parents of a preschool-age child to enhance fine motor skills? Select all that apply. Using scissors Riding a bicycle Throwing a ball Tying shoe laces Playing with clay A mother worries about the delayed bedtime of her 4-year-old child. What should the nurse suggest to the mother? "You should sleep with your child." "You should scold your child to sleep." "You should listen to your child’s concerns." "You should offer your child a glass of milk before bedtime." A 3-year-old child with sickle cell anemia is admitted to the child health unit during a painful episode. Splenomegaly is identified. What does the nurse explain to the parents about splenomegaly? Common in infancy Difficult to palpate in children Triggered by a vasoocclusive crisis Most common during late childhood What should a nurse refrain from when a 5-year-old child ingests hair shampoo? Select all that apply. Induce vomiting in the child. Give ipecac syrup to the child. Turn the head of the child to the side. Empty the child’s mouth if there is shampoo in it. Call the local poison control center before any intervention. A nurse educates the mother of a preschooler about potential physical changes in the child. Which statement made by the mother needs correction? "My child will gain about 7 lbs (3.18 kg) per year." "My child will grow 2.5 to 3 inches (6.2 to 7.5 cm) per year." "Large and fine muscle coordination will improve in my child." "My child will appear more slender due to elongation of the legs." Which item the nurse discusses is true about the brain maturation and cognitive development of preschoolers? Preschoolers are least concerned about bodily harm. Preschoolers are aware of the cause and effect relationship. Most rapid growth occurs in the temporal lobes of the brain. Preschoolers are inept at classifying objects according to size Which interventions should the nurse recommend for a preschool-age client who is biting other children at daycare? Select all that apply. Separating the child from the situation Implementing distraction to avert the behavior Enquiring whether the child is getting enough sleep Telling the child it is not okay to hurt another person Using a time-out form of discipline for the child’s behavior A father worries about the effects that an imaginary playmate will have over his 5-year-old child. What should the nurse inform the father? Select all that apply. "Your child will achieve what the imaginary playmate attempts." "Your child will have an inferiority complex because of imaginary playmates." "Imaginary playmates will confuse your child’s grasp of reality." "Imaginary playmates will experience what your child wants to remember." "Your child’s imagination of a playmate means that your child is healthy." What pain scale is used to measure the intensity of pain in preschoolers? FACES scale Visual analogue scale Numerical rating scale Verbal descriptor scale What does a nurse need to do during the third accuracy check before administering ear drops in a 5-year-old child? Perform hand hygiene Teach the parents about medication Check the label of medication at child’s bedside At what age should a nurse instruct a parent that his or her child will have finicky eating habits? One year old Two years old Four years old Five years old Which statement should the nurse make when providing information to the parent of a preschool- age client who calls the pediatric clinic after dropping a mercury thermometer at home? "Hang up and call 9-1-1 for further treatment." "Contact the poison control center immediately." "Clean up the spill using paper towels and disposable gloves." "Bring your child to the clinic immediately for further assessment." Which assessment findings would cause a nurse to believe that a preschool-age client is not receiving enough vitamin C in the diet? Select all that apply. Headaches Rashes Bleeding gums Muscle weakness Scaling of the skin The nurse is preparing to administer an intramuscular injection to a preschool-age client. Which is the most appropriate statement by the nurse prior to this procedure? "We will give you your shot when your mommy comes back." "This is a magic sword that will give you your medicine and male you all better." "It is all right to cry. After we are done, you can go to the box and pick out your favorite sticker." "I will wipe your skin with a magic wipe and then hold the needle like this and say ‘one, two, three, go’ and give you your shot. Are you ready?" While assessing a four-year-old child, a nurse learns that the child is able to judge an action as good because it resulted in a reward. Which stage of moral development does the nurse note down in the child’s health record? Phallic stage Oedipal stage Instrumental orientation Punishment and obedience orientation Which techniques would the nurse use when assessing a preschool-age child? Select all that apply. Asking questions directly to the child Asking the child to sit on the examination table Having the child undress leaving on the undergarments Having the parent of the child leave the room for the duration of the assessment Asking the child when he or she would like to have the head, eye, and ear assessment done A doctor orders the nurse to palpate the radial region of a 4-year-old child and measure the pulse. Which location does the nurse palpate? Inner side of the ankle Thumb side of the forearm at the wrist Medial edge of the sternocleidomastoid muscle in the neck Fourth to fifth intercostal space at the left midclavicular line Which statement should the nurse include when providing anticipatory guidance to the parents of a 3-year-old client? "It is important to set limits with your child." "Your child may begin to have more nightmares." "It is important to enroll your child in swimming lessons." "Your child may begin to exhibit more aggressive behavior." A nurse is educating the parent of a preschooler about protecting her child from exposure to lead. Which statements made by the parent indicate a need for further education? Select all that apply. "I will use only hot water for cooking food." "I will ensure that my child eats regular meals." "I will regularly vacuum hard-surfaced floors or windowsills or wells." "I will ensure that my child’s diet contains sufficient iron and calcium." "I will wash and dry my child’s hands and face frequently, especially before eating." Which fears should the nurse include in a teaching session for the parents of a preschool-age client during a scheduled health maintenance visit? Select all that apply. Skipping Jumping rope Catching a ball Hopping on one foot A nurse is planning to communicate with a preschool child. What is most important for the nurse to know about the child first? State of health Developmental level Ability for self-expression Fear of authoritarian figures A nurse educates a mother about how to help a stressed preschooler. Which information is the nurse most likely to provide? "You should feed and dress your child." "You should prepare your child to be ready for a new sibling." "You should start sending your child to a playschool." "You should consult a specialist if your child sucks his or her thumb." A 4½-year-old child is brought to the emergency department with a fractured tibia. Which type of fracture is most common in children of this age? Greenstick Transverse Compound Comminuted A father asks a nurse for strategies to convince his 5-year-old to wear a helmet while bicycling. What should the nurse suggest to the father? "You should forbid your child from riding a bicycle." "You should wear your helmet while riding your bicycle." "You should limit your child’s bicycling to a defined area." "You should tell your child about the risks associated with not wearing a helmet." What should the nurse do to meet the emotional needs of a 4-year-old child who is receiving daily injections? Allow the child to play with a needle and syringe and encourage acting out. Provide the child with a doll and related equipment, and observe what happens. Encourage the child to draw pictures about what is happening and associated feelings. Explain the procedure to the child in simple terms and allow an hour before an injection is scheduled. Which infection caused by droplets larger than 5 microns would the nurse explain is found in children between 3 to 6 years of age? Rubella Scabies Measles Chickenpox After a preschooler undergoes craniotomy for the removal of a brain tumor, the nurse identifies an area of serosanguineous drainage about the size of a quarter on the child's dressing. What is the immediate response by the nurse? Circling the area with nonabsorbable ink Reinforcing the dressing with gauze pads Removing the dressing to check the sutures Which data should the nurse anticipate when conducting a developmental assessment for a 5- year-old client? Select all that apply. Names coins correctly Has a vocabulary of 1500 words Participates in parallel play Ties shoe laces independently Has hand dominance established The nurse caring for a 3-year-old child with meningitis should be alert for which signs and symptoms of increased intracranial pressure? Select all that apply. Vomiting Headache Irritability Tachypnea Hypotension A child presents with symptoms of aspirin poisoning with altered mental status. Which are the appropriate treatment methods in this scenario? Select all that apply. Hemodialysis is used in severe cases. External cooling is used for hyperpyrexia. Activated charcoal is always given as soon as possible. Lavage is performed to remove concretions of acetylsalicylic acid (ASA). Potassium bicarbonate transfusions are used to correct metabolic acidosis. The parent of a 4-year-old client states, "My child gets so upset when I ask her to stop talking so that I can answer a work phone call. I don’t understand why this happens." Which response by the nurse is most appropriate? "School is a source of stress for many children at this age." "Worrying is a source of stress for many children at this age." "Attention is a source of stress for many children at this age." "Belongings are a source of stress for many children at this age." What situation would the nurse instruct the parents may possibly predispose a preschooler to feeling guilty? The individual is unable to establish companionship. The parents try to control the child and limit choices. The parents fail to establish a sense of trust in the chi Which individuals have the greatest impact on the preschool-age client’s drawings? Select all that apply. Sister Father Mother Brother Teacher Which fears should the nurse include in a teaching session for the parents of a preschool-age client during a scheduled health maintenance visit? Select all that apply. Ghosts The dark Large dogs Poor academic performance Objects associated with pain A nurse explains to the parents of a 4-year-old child with chickenpox that immunity by antibody formation during the course of the illness provides what? Active natural immunity Active artificial immunity Passive natural immunity Passive artificial immunity A preschooler who is allergic to environmental pollutants is to be given a hyposensitization injection. What clinical finding prompts the nurse to withhold the injection? Serous otitis media Allergic conjunctivitis Wheezing and dyspnea Rash on the face and neck Which clinical manifestation should the nurse monitor the preschool-age client diagnosed with lead toxicity for that is associated with the hematologic system? Anemia Glycosuria Distractibility Hyperactivity A preschool-age child has been restricted to bed rest since being admitted to the hospital. As he begins to recover, he becomes interested in playing. In light of his developmental level and activity restriction, what should the nurse provide for him? Stuffed animals Matchbox cars and a shoebox garage Simple three- or four-piece wooden puzzles A child living in a high-risk geographic area has their blood lead level (BLL) tested. The nurse determines that the child’s exposure status is not likely to change, and recommends rescreening in 1 year. What is likely to be the client’s BLL? 3 mcg/dL 6 mcg/dL 13 mcg/dL 18 mcg/dL A child is brought in to the emergency department with acute aspirin poisoning. Which clinical manifestations indicate that the child exhibits early symptoms of aspirin poisoning? Select all that apply. Hyperactivity Seizures Tinnitus Hyperventilation Respiratory failure Which statements about preschoolers are correct? Select all that apply.

Which statements about preschoolers are correct? Select all that apply.

They can ride a tricycle. They can understand the concept of right and left. Their thinking is often described as magical thinking. They cannot tolerate brief separations from parents. They use language without comprehending the meaning of words. A nurse in the pediatric clinic is teaching the parents of preschool children with asthma about allergens, such as insects, that contribute to asthmatic episodes. What insect or arthropod is the most common allergen for children prone to asthma? Spider Centipede Carpenter ant Household cockroach A child presents with symptoms of iron poisoning from having ingested several chewable mineral supplement pills containing iron. Which symptoms are most likely to indicate that the poisoning has progressed to stage IV? Select all that apply. Jaundice Hypoglycemia Hematochezia Pyloric stenosis Metabolic acidosis A nurse in the pediatric unit is reviewing the arterial blood gas values of a 4-year-old child recovering from severe dehydration. Which results most accurately reflect the child's recovery? pH 7.50, Po 2 85 mm Hg,Pco 2 35 mm Hg pH 7.25, Po 2 60 mm Hg, Pco 2 50 mm Hg pH 7.45, Po 2 70 mm Hg, Pco 2 25 mm Hg A nurse advises the parent of a three-year-old child to encourage scribbling and drawing in the child. Which skills does the nurse plan to enhance in the child by this intervention? Select all that apply. Reading Fine muscle Gross motor Advanced memory Eye-hand coordination A preschool-aged child is admitted to the pediatric unit for urinary diversion surgery. The ureters are transplanted to a section of the colon, with one end attached to the abdominal wall as an ileostomy. The parents ask the nurse for the name of the procedure. What is the nurse's response? Cystostomy Ileal conduit Ureterosigmoidostomy Cutaneous ureterostomy nurse finds that a 5-year-old child shows a verbal response score of 3 on Glasgow coma scale. What clinical finding does this signify? Oriented Confused Inappropriate words Incomprehensible sounds he nurse is providing care to a preschool-age client of Asian descent during a scheduled health maintenance visit. The family speaks fluent English. Which assessment strategies should the nurse implement with the child and family based on the current data? Select all that apply. Avoiding prolonged eye contact Phrasing questions in a neutral manner Asking all questions directly to the interpreter Asking several questions for time management purposes Which of these teaching methods are suitable to a preschooler? Select all that apply. Fostering independent learning Encouraging questions and offering explanations Teaching psychomotor skills needed to maintain health Using role play, imitation, and play to make learning fun Allowing them to make decisions about health and health promotion The parents of a 3½-year-old tell the nurse that their child has become a "picky eater" and has not gained much weight. How should the nurse respond? "This is not expected; your child may be sick." "This is a fast growth period; you need to give your child vitamins." "Your child is growing slower; preschoolers don't have large appetites." "Preschoolers enjoy gifts; offer a reward when your child eats an entire meal." A nurse is caring for a preschooler in the immediate postoperative period after a tonsillectomy. What should the nurse encourage the parents to offer the child? Ginger ale Orange juice Hot chocolate Cherry popsicle A nurse concludes that teaching is effective when the mother of a preschooler on a low-residue diet states that she will serve her child what? A frankfurter on a roll Ripe peaches with ice cream Peanut butter and jam on white bread Scrambled eggs and toasted white bread What does the nurse explain are the effects of lead poisoning in a preschooler? Select all that apply. Amblyopia Strabismus Brain damage Hepatic steatosis Growth retardation What measure should a nurse take while giving an injection to a preschooler? Ask the parent to restrain the child. Distract the child with conversation. Avoid awakening the child if asleep. Avoid using lidocaine ointment over the injection site. A nurse educates a group of mothers about the nutritional needs of preschoolers. What statement made by a mother indicates the need for further teaching? "I should give my child a variety of foods." "I should increase the protein in my child’s diet." "I should be concerned about my child’s weight gain." "I should limit my child’s calorie intake to 1,200 per day." A nurse is teaching the parents of a 3-year-old child with a diagnosis of cystic fibrosis about their child's special needs. What statement indicates that the parents need further teaching about the issues related to cystic fibrosis? "We'll have to air-condition the whole house." "We'll have to move to a very warm climate." "Our child will be taking pancreatic enzymes with meals." "Our child will need skin care after each bowel movement." How many words in the vocabulary of a 3-year-old client would indicate the need for further assessment by the nurse? 500 words 900 words 1500 words 2100 words Which is likely to impact a child’s drawing near the end of the preschool stage of development? Select all that apply. Culture Disease Environment Physical growth Hand dominance preschooler with partial-thickness burns on 21% of the total body surface area progresses from the emergency phase to the acute phase of burn care. What is the most important nursing intervention at this time? Monitoring for signs of infection Instituting a pain management plan Maintaining a high nutritional intake Which statement regarding injury prevention should the nurse include in a presentation for the parents of preschool-age clients? "Preschool-age children are more prone to falls than toddler." "Preschool-age children are at risk for injury due to poor gross motor skills." "Preschool-age children are less likely to follow rules which increase the risk for injury." "Preschool-age children are at risk for injury because they are provided more freedom, such as riding a tricycle in the street." Which sources of stress should the nurse include in the assessment process for a 3-year-old client? Select all that apply. Speech Jealousy Insecurity Attention Stubbornness Which actions should a nurse take while caring for a preschooler whose blood lead level is found to be 25 mcg/dL? Select all that apply. Contact social services Provide the family with lead education Consider treating the child with appropriate chelation therapy Refer the child to a clinical center specializing in lead poisoning Immediately provide diagnostic testing and initiate chelation therapy A 4-year-old child is found to have Hirschsprung disease (aganglionic megacolon), and the healthcare provider prescribes a special diet. The nurse is assigned to provide dietary instructions for the parents. What diet will the nurse be teaching the parents? High-fat High-fiber Low-calorie Low-residue How should a nurse assess a 4-year-old child with abdominal pain? By asking the child to point to where it hurts By auscultating the child's abdomen for bowel sounds By observing position and behavior while the child is moving By questioning the parents about their child's eating and bowel habits The nurse finds a 4.5-year-old hospitalized girl, who has several siblings, crying and shouting at her teddy bear, "There! You bad girl! Don't be mad at your brother! Go to the hospital!" What does an understanding of preschooler development lead the nurse to believe that this behavior is based on? Believes the parents love the brother more Is angry at the brother and wishes that he were sick Is missing the brother and wishes that they could be together Thinks that being sick is related to bad thoughts about the brother A young child who has ingested liquid dishwater detergent is brought to the emergency department. Which does the nurse understand as appropriate treatment methods for this client? Select all that apply. Gastric emptying by emesis is recommended. Analgesics can be administered. Neutralization can be used to effectively treat ingestion of corrosives. Activated charcoal is an appropriate treatment for ingestion of corrosives. Water or milk, usually less than or equal to 120 mL or 4 oz, can be used to dilute the corrosive. During a community health survey, the nurse is conducting a survey about the language development in preschoolers. What behavior is the nurse able to document in preschoolers? Select all that apply. Preschoolers start to understand riddles and jokes. Preschoolers want to know the reason behind an event. Preschoolers have a vocabulary of 8,000 to 14,000 words. Preschoolers know that words may have arbitrary meanings. Preschoolers cannot distinguish between phonetically similar words. Which teaching statement related to the growth of a preschool-age client is appropriate when educating the family during a scheduled health maintenance visit? "The rate of physical growth accelerates during this stage of development." "Muscle and bone development is mature during this stage of development." "You can expect your child to keep the potbelly appearance during this stage of development." "Your child’s legs will grow in length versus the trunk of the body during this stage of development." What developmental intervention should the nurse provide to the parents of preschoolers? Educating parents about the risk of falls and other accidents Educating parents about the importance of immunization Teaching parents about reducing risks of physical injuries at home and during play Guiding parents in making lifestyle modifications for stress reduction in their child Which recommendation should the nurse make to the parents of a preschool-age client who is experiencing frequent nightmares? Select all that apply. Bring the child to the parental bed. Allow the child time to settle back into sleep. Reassure the child by rubbing his or her back. Repeat a nighttime routine, such as reading a story. Place a television in the child’s room as a distraction. Which skill, if it cannot be performed by a 3-year-old child, should alert the nurse that the child may be developmentally delayed? Catching a ball Copying a square Balancing on one foot Using a spoon effectively A nurse educates the mother of a four-year-old child about sexual abuse. What behavioral finding explained by the nurse signifies that the child may be a victim of child abuse? The child may attempt suicide. The child may be verbally aggressive. The child may have stress-related concerns. The child may show fear of certain people or places. A nurse who volunteers in a daycare for preschoolers has been asked to give a presentation to parents about health promotion. Which topics should the nurse include? Nutrition and bullying Toilet training and immunizations Injury prevention and dental health Organized sports and immunizations Which language characteristics should the nurse expect when assessing a preschool-age client during a scheduled health maintenance visit? Select all that apply. Explaining opposites Defining simple objects Describing the use of an object Verbalizing simple classifications Using deviations from grammar rules A 4-year-old child is admitted to the pediatric unit with a tentative diagnosis of acute lymphocytic leukemia (ALL). The mother states that changes in her child's behavior and the "black and blue" marks were noticed several days ago. She blames herself for not bringing her child to the clinic sooner. On what information about the pathophysiology of leukemia should the nurse base a response? The diagnosis can be certain only after a blood smear is analyzed. If leukemia is diagnosed, the child's prognosis is probably guarded. Early signs and symptoms of leukemia are similar to those of other mild illnesses of childhood. The description of the clinical findings indicates that the child has been ill for longer than a single week. A nurse suspects sexual child abuse in a preschooler who has come for a routine check-up. What physical findings lead to the nurse’s suspicion? Select all that apply. The nurse finds signs of immersion burns. The nurse finds hematomas and bruises at various stages of resolution. The nurse finds injuries and trauma inconsistent with reported cause. The nurse finds that the preschooler has difficulty walking and sitting. The nurse finds that the child has pain, itching, or unusual odor in genital area. A mother takes her 4-year-old child to the playground. The child becomes aggressive and refuses to play or interact with other children. What is the temperament of the child according to the longitudinal study of psychiatrists Stella Chess and Alexander Thomas? The easy child The difficult child The hyperactive child The slow to warm-up child A nurse is trying to involve a hospitalized preschooler in therapeutic play. Why is this so important? The child can work out ways of coping with fears. It provides an opportunity to accept the hospital situation. The child can forget the reality of the situation for a little while. It provides an opportunity to meet other children on the pediatric unit. A 4-year-old child with nephrotic syndrome is being treated with corticosteroid therapy. While evaluating lab values and the intake and output results, the nurse expects to note a decrease in what? Polyuria Hematuria Glycosuria Proteinuria After assessing a 5-year-old, a nurse suspects that the child is a victim of physical neglect. Which findings support the nurse’s suspicion? Select all that apply. The child has enuresis. The child has lacerations. The child has malnutrition. The child has poor hygiene. The child has sleep disorders. he nurse is studying the stages that characterize the progression of chemical pneumonia in young children following ingestion of a hydrocarbon. Which symptoms does the nurse correctly list as occurring in the third stage postingestion, between 72 to 96 hours? Select all that apply. Sweating Stupor Multiple organ failure Coagulation abnormalities Pain in right upper quadrant Which assessment questions should the nurse include when assessing the mental health of a preschool-age client? Select all that apply. "Is your child experiencing nightmares?" "Does your child ask questions about the genitalia?" "Does your child wear a helmet when riding a bicycle?" "How do you implement punishment when a rule is broken?" "Is your child up to date on the recommended immunizations?" Which description by the nurse is true about the play of preschoolers? Select all that apply. Preschoolers hinder play of other children. Preschoolers follow set rules while playing. Preschoolers pretend to play different roles. Preschoolers get engaged in associative play. Preschoolers need a temporary leader to play. A nurse needs to educate a parent about the playing behavior of preschoolers. What information should the nurse provide to the parent? "Your child will avoid playing different roles." "Your child will dislike having a leader for any activity." "Your child will cooperate while playing with another child." "Your child will often like to play with a group of 7-9 children." The mother of a preschooler reports to a nurse that her child has reverted back to bed wetting. Which questions asked by the nurse are appropriate? Select all that apply. "Is there a new sibling in the family?" "Did you recently move in to a new home?" "Does your child regularly visit a house that was built before 1950?" "Does your child live in a house built before 1978 with ongoing renovations?" he nurse is educating the parent of a preschooler who has frequent nightmares. Which instruction should the nurse provide to the parent? Select all that apply. "You may keep the lights on." "You may sleep with your child." "You may tuck in a soft toy with your child." "You may talk to the child about his or her fears." "You may take the child to your room to comfort him."