Page 1 peds toddler
A 2-year-old child who has been restricted to bed rest 1
because of a diagnosis of meningitis is now allowed out of The toddler is exhibiting typical behavior for this developmental level; most toddlers
bed. The nurse suggests going to the playroom. The child will say no as a means of asserting their independence. Although the child may be
responds by shaking the head vigorously from side to side, eager to resume playing, the behavior described is related to the child's assertion of
screaming, "No! Won't!" However, the child is trying to autonomy. Although toddlers who are attempting to assert independence will say no
climb out of the crib at the same time. In light of these even when they mean yes, they do understand the difference. This child's behavior
behaviors, what is the most likely conclusion by the nurse? does not indicate confusion; it is typical of 2-year-old children, who will say no to
1 most things as a means of asserting their independence.
The child is trying to assert independence.
2
The child is eager to resume regular play activities.
3
The child is unsure of the difference between yes and no.
4
The child is confused as a result of increased intracranial
pressure.
A 2-year-old toddler has hearing loss caused by recurrent 2
otitis media. What treatment does the nurse anticipate that Myringotomy is a surgical opening into the eardrum to permit drainage of
the practitioner will recommend? accumulated fluid associated with otitis media. Ear drops are not used because they
1 will obscure the view of the tympanic membrane. Removal of the mastoid will not
Ear drops relieve pressure within inflamed ears. Antibiotics, not steroids, are used for an
2 infectious process.
Myringotomy
3
Mastoidectomy
4
Steroid therapy
peds toddler 1
,Page 2 peds toddler
A 2-year-old toddler requires close supervision to protect 1
against potential accidents. The nurse teaches a class for The toddler is developing autonomy, is curious, and learns self-protection from
parents about the learning style of toddlers. How do toddlers experience. Toddlerhood play is parallel play, not interactive, play. The struggle for
learn self-protection? autonomy at this age limits learning from siblings, even though the toddler attempts to
1 copy their behavior. The toddler is still learning from experiences, not from others.
Through trial-and-error strategies The toddler is still attempting to distinguish the self as separate from the parents; the
2 struggle for autonomy limits learning from parents. Toddlers learn gross and fine
By imitating playmates and siblings motor skills as they play with their toys, not self-protection.
3
By obeying orders from mother and father
4
By playing with age-appropriate toys and puzzles
A 3-year-old boy in respiratory distress is treated in the 1
emergency department. A diagnosis of acute spasmodic During a spasmodic croup attack, cool humidified air to decrease inflammation is a
laryngitis (spasmodic croup) is made. At the time of fast home remedy. An attempt should be made to interrupt the attack at home first
discharge, the mother asks how to handle another attack at rather than going to the emergency department. Cough syrup is ineffective because it
home. What should the nurse recommend? does not relieve laryngeal spasm. Tea with honey is an ineffective remedy for a
1 spasmodic croup attack, and the tea may present a risk of aspiration.
Placing him near a cool-mist humidifier
2
Bringing him to the emergency department
3
Giving him an over-the-counter cough syrup
4
Offering him warm tea sweetened with honey
peds toddler 2
,Page 3 peds toddler
A 3-year-old child has been observed in the clinic waiting 1
room taking toys from others, tearing pages out of books, Watching violent programs is positively correlated with the development of
and striking the mother. The nurse takes time when aggression. Television viewing time does not necessarily have anything to do with
interviewing the mother to ask about television habits interaction time with the mother. Children's shows have not been shown to slow
because of what reason? cognitive development. There are no statistics stating specifically that the number of
1 hours of television watched correlates directly with an intensification of aggression.
Viewing violent programs is positively correlated with the
development of aggression.
2
The nurse is interested in how much time the mother spends
in interactions with the child.
3
Watching Sesame Street and other children's shows results in
slow cognitive development.
4
There is a direct connection between the number of hours of
television viewed and toddler aggression.
A 3-year-old child ingests a substance that may be a poison. 2
The parent calls a neighbor who is a nurse and asks what to The Poison Control Center has the most current and up-to-date information on how to
do. What is the best response by the nurse? treat any type of poisoning. Also, the center can advise the parent whether to bring the
1 child to the hospital and what data to collect to bring to the hospital, if this becomes
Administer syrup of ipecac. necessary. Administration of syrup of ipecac is no longer recommended by the
2 American Academy of Pediatrics. A potential poisoning may or may not require
Call the Poison Control Center. emergency intervention; with expert advice the child may be treated in the home.
3 Also, the experts at the Poison Control Center can provide advice about initial
Take the child to the emergency department. interventions at home before going to the hospital. No treatment should begin before
4 obtaining information about the amount and kind of substance ingested and the advice
Give the child bread dipped in milk to absorb the poison. of a healthcare provider.
peds toddler 3
, Page 4 peds toddler
A 3-year-old child ingests a substance that may be a poison. 2
The parent calls a neighbor who is a nurse and asks what to The Poison Control Center has the most current and up-to-date information on how to
do. What is the best response by the nurse? treat any type of poisoning. Also, the center can advise the parent whether to bring the
1 child to the hospital and what data to collect to bring to the hospital, if this becomes
Administer syrup of ipecac. necessary. Administration of syrup of ipecac is no longer recommended by the
2 American Academy of Pediatrics. A potential poisoning may or may not require
Call the Poison Control Center. emergency intervention; with expert advice the child may be treated in the home.
3 Also, the experts at the Poison Control Center can provide advice about initial
Take the child to the emergency department. interventions at home before going to the hospital. No treatment should begin before
4 obtaining information about the amount and kind of substance ingested and the advice
Give the child bread dipped in milk to absorb the poison. of a healthcare provider.
A 3-year-old child is admitted with partial- and full- 1
thickness burns over 30% of the body. What significant The immediate postburn period is marked by dramatic changes in fluid and electrolyte
adverse outcome during the first 48 hours should the nurse balance. Alterations in electrolyte balance can produce confusion, weakness, cardiac
attempt to prevent? irregularities, and seizures. As a result of large fluid losses through the denuded skin,
1 vasodilation, and edema formation, hypovolemic shock may develop. Pneumonia is a
Shock later complication associated with immobility. Contractures are a later complication
2 associated with scarring and aggravated by improper positioning and splinting.
Pneumonia Hypotension, not hypertension, occurs with hypovolemic shock.
3
Contractures
4
Hypertension
peds toddler 4
A 2-year-old child who has been restricted to bed rest 1
because of a diagnosis of meningitis is now allowed out of The toddler is exhibiting typical behavior for this developmental level; most toddlers
bed. The nurse suggests going to the playroom. The child will say no as a means of asserting their independence. Although the child may be
responds by shaking the head vigorously from side to side, eager to resume playing, the behavior described is related to the child's assertion of
screaming, "No! Won't!" However, the child is trying to autonomy. Although toddlers who are attempting to assert independence will say no
climb out of the crib at the same time. In light of these even when they mean yes, they do understand the difference. This child's behavior
behaviors, what is the most likely conclusion by the nurse? does not indicate confusion; it is typical of 2-year-old children, who will say no to
1 most things as a means of asserting their independence.
The child is trying to assert independence.
2
The child is eager to resume regular play activities.
3
The child is unsure of the difference between yes and no.
4
The child is confused as a result of increased intracranial
pressure.
A 2-year-old toddler has hearing loss caused by recurrent 2
otitis media. What treatment does the nurse anticipate that Myringotomy is a surgical opening into the eardrum to permit drainage of
the practitioner will recommend? accumulated fluid associated with otitis media. Ear drops are not used because they
1 will obscure the view of the tympanic membrane. Removal of the mastoid will not
Ear drops relieve pressure within inflamed ears. Antibiotics, not steroids, are used for an
2 infectious process.
Myringotomy
3
Mastoidectomy
4
Steroid therapy
peds toddler 1
,Page 2 peds toddler
A 2-year-old toddler requires close supervision to protect 1
against potential accidents. The nurse teaches a class for The toddler is developing autonomy, is curious, and learns self-protection from
parents about the learning style of toddlers. How do toddlers experience. Toddlerhood play is parallel play, not interactive, play. The struggle for
learn self-protection? autonomy at this age limits learning from siblings, even though the toddler attempts to
1 copy their behavior. The toddler is still learning from experiences, not from others.
Through trial-and-error strategies The toddler is still attempting to distinguish the self as separate from the parents; the
2 struggle for autonomy limits learning from parents. Toddlers learn gross and fine
By imitating playmates and siblings motor skills as they play with their toys, not self-protection.
3
By obeying orders from mother and father
4
By playing with age-appropriate toys and puzzles
A 3-year-old boy in respiratory distress is treated in the 1
emergency department. A diagnosis of acute spasmodic During a spasmodic croup attack, cool humidified air to decrease inflammation is a
laryngitis (spasmodic croup) is made. At the time of fast home remedy. An attempt should be made to interrupt the attack at home first
discharge, the mother asks how to handle another attack at rather than going to the emergency department. Cough syrup is ineffective because it
home. What should the nurse recommend? does not relieve laryngeal spasm. Tea with honey is an ineffective remedy for a
1 spasmodic croup attack, and the tea may present a risk of aspiration.
Placing him near a cool-mist humidifier
2
Bringing him to the emergency department
3
Giving him an over-the-counter cough syrup
4
Offering him warm tea sweetened with honey
peds toddler 2
,Page 3 peds toddler
A 3-year-old child has been observed in the clinic waiting 1
room taking toys from others, tearing pages out of books, Watching violent programs is positively correlated with the development of
and striking the mother. The nurse takes time when aggression. Television viewing time does not necessarily have anything to do with
interviewing the mother to ask about television habits interaction time with the mother. Children's shows have not been shown to slow
because of what reason? cognitive development. There are no statistics stating specifically that the number of
1 hours of television watched correlates directly with an intensification of aggression.
Viewing violent programs is positively correlated with the
development of aggression.
2
The nurse is interested in how much time the mother spends
in interactions with the child.
3
Watching Sesame Street and other children's shows results in
slow cognitive development.
4
There is a direct connection between the number of hours of
television viewed and toddler aggression.
A 3-year-old child ingests a substance that may be a poison. 2
The parent calls a neighbor who is a nurse and asks what to The Poison Control Center has the most current and up-to-date information on how to
do. What is the best response by the nurse? treat any type of poisoning. Also, the center can advise the parent whether to bring the
1 child to the hospital and what data to collect to bring to the hospital, if this becomes
Administer syrup of ipecac. necessary. Administration of syrup of ipecac is no longer recommended by the
2 American Academy of Pediatrics. A potential poisoning may or may not require
Call the Poison Control Center. emergency intervention; with expert advice the child may be treated in the home.
3 Also, the experts at the Poison Control Center can provide advice about initial
Take the child to the emergency department. interventions at home before going to the hospital. No treatment should begin before
4 obtaining information about the amount and kind of substance ingested and the advice
Give the child bread dipped in milk to absorb the poison. of a healthcare provider.
peds toddler 3
, Page 4 peds toddler
A 3-year-old child ingests a substance that may be a poison. 2
The parent calls a neighbor who is a nurse and asks what to The Poison Control Center has the most current and up-to-date information on how to
do. What is the best response by the nurse? treat any type of poisoning. Also, the center can advise the parent whether to bring the
1 child to the hospital and what data to collect to bring to the hospital, if this becomes
Administer syrup of ipecac. necessary. Administration of syrup of ipecac is no longer recommended by the
2 American Academy of Pediatrics. A potential poisoning may or may not require
Call the Poison Control Center. emergency intervention; with expert advice the child may be treated in the home.
3 Also, the experts at the Poison Control Center can provide advice about initial
Take the child to the emergency department. interventions at home before going to the hospital. No treatment should begin before
4 obtaining information about the amount and kind of substance ingested and the advice
Give the child bread dipped in milk to absorb the poison. of a healthcare provider.
A 3-year-old child is admitted with partial- and full- 1
thickness burns over 30% of the body. What significant The immediate postburn period is marked by dramatic changes in fluid and electrolyte
adverse outcome during the first 48 hours should the nurse balance. Alterations in electrolyte balance can produce confusion, weakness, cardiac
attempt to prevent? irregularities, and seizures. As a result of large fluid losses through the denuded skin,
1 vasodilation, and edema formation, hypovolemic shock may develop. Pneumonia is a
Shock later complication associated with immobility. Contractures are a later complication
2 associated with scarring and aggravated by improper positioning and splinting.
Pneumonia Hypotension, not hypertension, occurs with hypovolemic shock.
3
Contractures
4
Hypertension
peds toddler 4
