RN Toddler EAQ EXAM 2022
A 2 1/2-year-old child and his 2-month-old sibling are brought to the clinic by their
father, who explains that the older child says "no" whenever asked to do something.
The nurse should explain that the negativism demonstrated by toddlers is frequently
an expression of which characteristic?
sibling rivalry
need to expend excess energy
separation anxiety
pursuit of autonomy - ANSWER: pursuit of autonomy
When assessing speech development, the nurse should refer which child for further
revaluation?
a 4-month-old who laughs out loud
a 10-month-old who says "dada" and "mama"
a 1-year-old who says 3 to 5 words
an 18-month-old who only says "no" - ANSWER: an 18-month-old who only says "no"
What should the nurse do first when admitting a toddler with croup?
Place a tracheostomy set at the bedside.
Assess respiratory status.
Ensure adequate fluid intake.
Monitor vital signs. - ANSWER: Assess respiratory status.
A child with a cardiac defect assumes a squatting position. The nurse should
determine that the position is effective for the child by noting which finding?
less energy required to play with toys on the floor
relief of abdominal pressure
improved muscle tone
less dyspnea - ANSWER: less dyspnea
Which toy should the nurse give to a toddler to use in the hospital playroom?
wheelbarrow
blocks
truck with four wheels.
tricycle - ANSWER: blocks
Which desired outcome demonstrates effective parent teaching about disciplining a
toddler?
The parents will call immediate attention to undesirable behavior.
The parents will set flexible rules.
The parents will verbalize requests for behavior in negative terms.
The parents will raise their voices when reprimanding the child. - ANSWER: The
parents will call immediate attention to undesirable behavior.
,The nurse is caring for a 3-year-old child with iron deficiency anemia and providing
dietary instructions to the parents. Which of the following should be a priority for
the nurse to include in the teaching?
recommending lean meats
urging pasta with tomato sauce
encouraging milk products
insisting on a banana each day - ANSWER: recommending lean meats
A client is admitted to the facility with nephrotic syndrome. The nurse carefully
monitors the client's fluid intake and output and checks urine specimens regularly
with a reagent strip. Which finding is the nurse most likely to see?
proteinuria
glycosuria
ketonuria
polyuria - ANSWER: proteinuria
The nurse is conducting a comprehensive assessment on a school-age child. Which
parent statement would suggest to the nurse that a child may have celiac disease?
"His stools are large and smelly."
"He is so short."
"His belly is so small."
"His urine is so dark in color." - ANSWER: "His stools are large and smelly."
A toddler diagnosed with nephrotic syndrome has a fluid volume excess related to
fluid accumulation in the tissues. Which measure should the nurse anticipate
including in the child's plan of care?
Maintain strict bed rest.
Weigh the child before breakfast.
Limit visitors to 2 to 3 hours a day.
Test urine specific gravity every shift. - ANSWER: Weigh the child before breakfast.
Which statement obtained from the nursing history of a toddler should alert the
nurse to suspect that the child has had a febrile seizure?
The child has had a low-grade fever for several weeks.
The seizure occurred when the child had a respiratory infection.
The seizure resulted in respiratory arrest.
The family history is negative for convulsions. - ANSWER: The seizure occurred when
the child had a respiratory infection.
A 3-year-old child is to receive 500 ml of dextrose 5% in normal saline (D5NSS)
solution over 8 hours. At what rate (in milliliters/hour) would the nurse set the
infusion pump/ Record your answer using one decimal place. - ANSWER: 62.5
A caregiver tells the nurse that the 22-month-old client says no to everything. When
scolded, the client gets angry and starts crying loudly but then immediately wants to
be held. What is the best interpretation of this behavior?
The client is not coping with stress effectively.
, This behavior suggests the need for counseling.
This behavior is normal in a 2-year-old.
The client's need for affection is not being met. - ANSWER: This behavior is normal in
a 2-year-old.
Which of the following objects poses the most serious safety threat to a 2-year-old
client in the hospital?
mobile hanging over the crib
side rails in the halfway position
crayons and paper
stuffed teddy bear in the crib - ANSWER: side rails in the halfway position
While examining a 2-year-old client, the nurse sees that the anterior fontanel is
open. The nurse should
notify the physician.
look for other signs of abuse.
ask about a family history of Tay-Sachs disease.
recognize this as a normal finding. - ANSWER: notify the physician.
The parents of a child with rheumatic fever express concern that their other children
will develop the disease. Which response from the nurse is best?
"Medicine is available to prevent this, so check with your primary care provider."
"Your other children are as likely to develop this disease."
"This disease is not contagious."
"Your other children are girls, so they are less likely to get it." - ANSWER: "This
disease is not contagious."
The parents of a toddler do not want their child to have a varicella immunization,
stating, "My child will have better immunity if he or she gets the disease now."
Which is the nurse's best response?
"The antibodies in the vaccine are good for other communicable diseases as well."
"You are correct and chicken pox is not fatal."
"Chicken pox is not very contagious, so it is unlikely your child will contract it
naturally."
"If the child contracts the disease, it could be very serious, even life threatening." -
ANSWER: "If the child contracts the disease, it could be very serious, even life
threatening."
Which suggestion would be most helpful to the parents of a 2-year-old child when
managing separation anxiety during hospitalization?
Bring the child's favorite toys from home.
Leave while the child is sleeping.
Tell the child the time they are leaving and returning.
Keep the visit time short. - ANSWER: Bring the child's favorite toys from home.
A 2 1/2-year-old child and his 2-month-old sibling are brought to the clinic by their
father, who explains that the older child says "no" whenever asked to do something.
The nurse should explain that the negativism demonstrated by toddlers is frequently
an expression of which characteristic?
sibling rivalry
need to expend excess energy
separation anxiety
pursuit of autonomy - ANSWER: pursuit of autonomy
When assessing speech development, the nurse should refer which child for further
revaluation?
a 4-month-old who laughs out loud
a 10-month-old who says "dada" and "mama"
a 1-year-old who says 3 to 5 words
an 18-month-old who only says "no" - ANSWER: an 18-month-old who only says "no"
What should the nurse do first when admitting a toddler with croup?
Place a tracheostomy set at the bedside.
Assess respiratory status.
Ensure adequate fluid intake.
Monitor vital signs. - ANSWER: Assess respiratory status.
A child with a cardiac defect assumes a squatting position. The nurse should
determine that the position is effective for the child by noting which finding?
less energy required to play with toys on the floor
relief of abdominal pressure
improved muscle tone
less dyspnea - ANSWER: less dyspnea
Which toy should the nurse give to a toddler to use in the hospital playroom?
wheelbarrow
blocks
truck with four wheels.
tricycle - ANSWER: blocks
Which desired outcome demonstrates effective parent teaching about disciplining a
toddler?
The parents will call immediate attention to undesirable behavior.
The parents will set flexible rules.
The parents will verbalize requests for behavior in negative terms.
The parents will raise their voices when reprimanding the child. - ANSWER: The
parents will call immediate attention to undesirable behavior.
,The nurse is caring for a 3-year-old child with iron deficiency anemia and providing
dietary instructions to the parents. Which of the following should be a priority for
the nurse to include in the teaching?
recommending lean meats
urging pasta with tomato sauce
encouraging milk products
insisting on a banana each day - ANSWER: recommending lean meats
A client is admitted to the facility with nephrotic syndrome. The nurse carefully
monitors the client's fluid intake and output and checks urine specimens regularly
with a reagent strip. Which finding is the nurse most likely to see?
proteinuria
glycosuria
ketonuria
polyuria - ANSWER: proteinuria
The nurse is conducting a comprehensive assessment on a school-age child. Which
parent statement would suggest to the nurse that a child may have celiac disease?
"His stools are large and smelly."
"He is so short."
"His belly is so small."
"His urine is so dark in color." - ANSWER: "His stools are large and smelly."
A toddler diagnosed with nephrotic syndrome has a fluid volume excess related to
fluid accumulation in the tissues. Which measure should the nurse anticipate
including in the child's plan of care?
Maintain strict bed rest.
Weigh the child before breakfast.
Limit visitors to 2 to 3 hours a day.
Test urine specific gravity every shift. - ANSWER: Weigh the child before breakfast.
Which statement obtained from the nursing history of a toddler should alert the
nurse to suspect that the child has had a febrile seizure?
The child has had a low-grade fever for several weeks.
The seizure occurred when the child had a respiratory infection.
The seizure resulted in respiratory arrest.
The family history is negative for convulsions. - ANSWER: The seizure occurred when
the child had a respiratory infection.
A 3-year-old child is to receive 500 ml of dextrose 5% in normal saline (D5NSS)
solution over 8 hours. At what rate (in milliliters/hour) would the nurse set the
infusion pump/ Record your answer using one decimal place. - ANSWER: 62.5
A caregiver tells the nurse that the 22-month-old client says no to everything. When
scolded, the client gets angry and starts crying loudly but then immediately wants to
be held. What is the best interpretation of this behavior?
The client is not coping with stress effectively.
, This behavior suggests the need for counseling.
This behavior is normal in a 2-year-old.
The client's need for affection is not being met. - ANSWER: This behavior is normal in
a 2-year-old.
Which of the following objects poses the most serious safety threat to a 2-year-old
client in the hospital?
mobile hanging over the crib
side rails in the halfway position
crayons and paper
stuffed teddy bear in the crib - ANSWER: side rails in the halfway position
While examining a 2-year-old client, the nurse sees that the anterior fontanel is
open. The nurse should
notify the physician.
look for other signs of abuse.
ask about a family history of Tay-Sachs disease.
recognize this as a normal finding. - ANSWER: notify the physician.
The parents of a child with rheumatic fever express concern that their other children
will develop the disease. Which response from the nurse is best?
"Medicine is available to prevent this, so check with your primary care provider."
"Your other children are as likely to develop this disease."
"This disease is not contagious."
"Your other children are girls, so they are less likely to get it." - ANSWER: "This
disease is not contagious."
The parents of a toddler do not want their child to have a varicella immunization,
stating, "My child will have better immunity if he or she gets the disease now."
Which is the nurse's best response?
"The antibodies in the vaccine are good for other communicable diseases as well."
"You are correct and chicken pox is not fatal."
"Chicken pox is not very contagious, so it is unlikely your child will contract it
naturally."
"If the child contracts the disease, it could be very serious, even life threatening." -
ANSWER: "If the child contracts the disease, it could be very serious, even life
threatening."
Which suggestion would be most helpful to the parents of a 2-year-old child when
managing separation anxiety during hospitalization?
Bring the child's favorite toys from home.
Leave while the child is sleeping.
Tell the child the time they are leaving and returning.
Keep the visit time short. - ANSWER: Bring the child's favorite toys from home.
