Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse is involved in a clinic screening for the kindergarten readiness of preschoolers.
Primarily the children being screened are between the ages of 4 and 5 years. Which child
does the nurse recognize as being ready to attend school?
a. The 4-year-old who points correctly to three different colors and voices reluctance
to start school.
b. The 5-year-old who is unhappy about being told there is a 5-minute wait and then
refuses to count.
c. The 4-year-old who counts to 10, recalls part of a story, and asks questions about
the screening.
d. The 5-year-old who insists a parent stay with him, counts to 10, knows five colors,
and recalls a story.
ANS: C
Chapter: Chapter 9 Toddlers and Preschoolers
Chapter Learning Objective: 1. Identify normal growth and development for toddlers
and preschoolers.
Page: 175
Heading: Preschooler Growth and Development (Age 3 to 5 Years) > Cognitive Skills
of a Preschooler
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Growth and Development
Difficulty: Moderate
Feedback
A. This is incorrect. This 4-year-old does not know at least four colors, but most
importantly, voices reluctance to start school. It is best if the preschooler feels
positively about school.
B. This is incorrect. The 5-year-old appears to have difficulty understanding the
concept of time. The refusal to count may be indicative of immaturity related to a
refusal to follow directions.
C. This is correct. A 4-year-old who can count to 10, recall part of a story, and asks
questions about the screening exhibits a readiness for school.
D. This is incorrect. This 5-year-old is passing the screening requirements; however,
there should be concern about maturity. A preschooler who is reluctant to be
away from a parent may not be ready to attend school.
, PTS: 1 CON: Growth and Development
2. The nurse is gathering assessment information from the parent of a 5-year-old child. The
parent states, “I am very frustrated. She insists on doing things alone even if it is a
struggle to do it right, and gets angry if I redo the task.” Which information will the nurse
share with the parent to promote greater understanding?
a. Assure the parent that the child will become more compliant as she matures.
b. Suggest how the parent can critique the child’s actions without hurting feelings.
c. Encourage the parent to set aside time each week to teach the child the correct
way to do things.
d. Explain the child’s interest in new things, the need to be independent, and pride in
her abilities.
ANS: D
Chapter: Chapter 9 Toddlers and Preschoolers
Chapter Learning Objective: 1. Identify normal growth and development for toddlers
and preschoolers.
Page: 175
Heading: Preschooler Growth and Development (Age 3 to 5 Years) > Social and
Emotional Milestones of a Preschooler
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Synthesis [Creating]
Concept: Growth and Development
Difficulty: Difficult
Feedback
A. This is incorrect. The preschooler is demonstrating appropriate milestones related
to social and emotional development. The nurse does not tell the parent that the
child will become more compliant with age.
B. This is incorrect. Both parent and child will benefit from knowledge that the
preschooler is demonstrating expected growth and development. The parent
needs to encourage and not critique the child’s efforts.
C. This is incorrect. Social and emotional development is based on the child’s
interest in demonstrating independence and ability. The parent can best teach by
example.
D. This is correct. The behavior of this preschooler reflects the milestones related to
social and emotional development. The nurse should explain behaviors in a
positive way and encourage the parent to support expected growth and
development.
PTS: 1 CON: Growth and Development
, 3. A parent has brought a toddler to a new pediatric clinic for a routine visit. The nurse will
obtain a health history from the parent. Which information is most important for the nurse
to gather?
a. Chief complaint
b. Family medical history
c. Toddler medical history
d. Social history
ANS: C
Chapter: Chapter 9 Toddlers and Preschoolers
Chapter Learning Objective: 2. Discuss the nursing assessment of toddlers and
preschoolers.
Page: 175
Heading: Nursing Assessment > Health History
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Analysis [Analyzing]
Concept: Caring
Difficulty: Moderate
Feedback
A. This is incorrect. The information provided in this scenario indicates the visit is
routine at a new pediatric clinic; there is not likely to be a chief complaint.
B. This is incorrect. Family history (genetic disorders, chronic diseases, childhood
cancers) is important; however, there is another choice that is most important.
C. This is correct. The most important health history information is the toddler’s
medical history, which will include childhood illnesses, hospitalizations,
surgeries, immunizations, and results of vision/hearing/developmental screens.
D. This is incorrect. While the information will be included, the social history
(living arrangements, day care/preschool, and behavior) is likely to be considered
the least important during an initial visit.
PTS: 1 CON: Caring
4. The nurse in a pediatric office is performing physical assessments on multiple patients.
Which patient will the nurse specifically report to the health-care provider because of
physical assessment findings?
a. The 4-year-old patient with a blood pressure of 110/75 mm Hg, pulse of 98
beats/min
b. The 3-year-old patient with a history of prematurely closed fontanels who has a
headache
c. The 2-year-old patient with asthma who exhibits abdominal breathing at 26
breaths/min
d. The 3-year-old patient with a soiled diaper, at the 70th percentile of weight and
Identify the choice that best completes the statement or answers the question.
1. The nurse is involved in a clinic screening for the kindergarten readiness of preschoolers.
Primarily the children being screened are between the ages of 4 and 5 years. Which child
does the nurse recognize as being ready to attend school?
a. The 4-year-old who points correctly to three different colors and voices reluctance
to start school.
b. The 5-year-old who is unhappy about being told there is a 5-minute wait and then
refuses to count.
c. The 4-year-old who counts to 10, recalls part of a story, and asks questions about
the screening.
d. The 5-year-old who insists a parent stay with him, counts to 10, knows five colors,
and recalls a story.
ANS: C
Chapter: Chapter 9 Toddlers and Preschoolers
Chapter Learning Objective: 1. Identify normal growth and development for toddlers
and preschoolers.
Page: 175
Heading: Preschooler Growth and Development (Age 3 to 5 Years) > Cognitive Skills
of a Preschooler
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Growth and Development
Difficulty: Moderate
Feedback
A. This is incorrect. This 4-year-old does not know at least four colors, but most
importantly, voices reluctance to start school. It is best if the preschooler feels
positively about school.
B. This is incorrect. The 5-year-old appears to have difficulty understanding the
concept of time. The refusal to count may be indicative of immaturity related to a
refusal to follow directions.
C. This is correct. A 4-year-old who can count to 10, recall part of a story, and asks
questions about the screening exhibits a readiness for school.
D. This is incorrect. This 5-year-old is passing the screening requirements; however,
there should be concern about maturity. A preschooler who is reluctant to be
away from a parent may not be ready to attend school.
, PTS: 1 CON: Growth and Development
2. The nurse is gathering assessment information from the parent of a 5-year-old child. The
parent states, “I am very frustrated. She insists on doing things alone even if it is a
struggle to do it right, and gets angry if I redo the task.” Which information will the nurse
share with the parent to promote greater understanding?
a. Assure the parent that the child will become more compliant as she matures.
b. Suggest how the parent can critique the child’s actions without hurting feelings.
c. Encourage the parent to set aside time each week to teach the child the correct
way to do things.
d. Explain the child’s interest in new things, the need to be independent, and pride in
her abilities.
ANS: D
Chapter: Chapter 9 Toddlers and Preschoolers
Chapter Learning Objective: 1. Identify normal growth and development for toddlers
and preschoolers.
Page: 175
Heading: Preschooler Growth and Development (Age 3 to 5 Years) > Social and
Emotional Milestones of a Preschooler
Integrated Processes: Nursing Process
Client Need: Psychosocial Integrity
Cognitive Level: Synthesis [Creating]
Concept: Growth and Development
Difficulty: Difficult
Feedback
A. This is incorrect. The preschooler is demonstrating appropriate milestones related
to social and emotional development. The nurse does not tell the parent that the
child will become more compliant with age.
B. This is incorrect. Both parent and child will benefit from knowledge that the
preschooler is demonstrating expected growth and development. The parent
needs to encourage and not critique the child’s efforts.
C. This is incorrect. Social and emotional development is based on the child’s
interest in demonstrating independence and ability. The parent can best teach by
example.
D. This is correct. The behavior of this preschooler reflects the milestones related to
social and emotional development. The nurse should explain behaviors in a
positive way and encourage the parent to support expected growth and
development.
PTS: 1 CON: Growth and Development
, 3. A parent has brought a toddler to a new pediatric clinic for a routine visit. The nurse will
obtain a health history from the parent. Which information is most important for the nurse
to gather?
a. Chief complaint
b. Family medical history
c. Toddler medical history
d. Social history
ANS: C
Chapter: Chapter 9 Toddlers and Preschoolers
Chapter Learning Objective: 2. Discuss the nursing assessment of toddlers and
preschoolers.
Page: 175
Heading: Nursing Assessment > Health History
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Analysis [Analyzing]
Concept: Caring
Difficulty: Moderate
Feedback
A. This is incorrect. The information provided in this scenario indicates the visit is
routine at a new pediatric clinic; there is not likely to be a chief complaint.
B. This is incorrect. Family history (genetic disorders, chronic diseases, childhood
cancers) is important; however, there is another choice that is most important.
C. This is correct. The most important health history information is the toddler’s
medical history, which will include childhood illnesses, hospitalizations,
surgeries, immunizations, and results of vision/hearing/developmental screens.
D. This is incorrect. While the information will be included, the social history
(living arrangements, day care/preschool, and behavior) is likely to be considered
the least important during an initial visit.
PTS: 1 CON: Caring
4. The nurse in a pediatric office is performing physical assessments on multiple patients.
Which patient will the nurse specifically report to the health-care provider because of
physical assessment findings?
a. The 4-year-old patient with a blood pressure of 110/75 mm Hg, pulse of 98
beats/min
b. The 3-year-old patient with a history of prematurely closed fontanels who has a
headache
c. The 2-year-old patient with asthma who exhibits abdominal breathing at 26
breaths/min
d. The 3-year-old patient with a soiled diaper, at the 70th percentile of weight and
