Which description provided by the parent of a preschool-age client would suggest to the nurse
that the child is experiencing sleep terrors?
Sweating profusely
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
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 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."
"I explain the reason for the time-out before and after disciplining her."
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."
that the child is experiencing sleep terrors?
Sweating profusely
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
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 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."
"I explain the reason for the time-out before and after disciplining her."
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."
