Toddler NCLEX 3000 Test Questions with 100% Verified
Answers Graded A+
1. A boy, age 3, develops a fever and rash and 4. "I'll call my neighbor
is diagnosed with rubella. His mother has just who's 2 months pregnant
given birth to a baby girl. Which statement and tell her not to have
by the mother best indicates that she under- contact with my son."
stands the implications of rubella?
2. An emergency department nurse suspects ne- 2. poor hygiene and
glect in a 3-year-old boy admitted for failure weight loss.
to thrive. Signs of neglect in the child would
include:
3. A 13-month-old client is admitted to the pe- 2. Give clear liquids in
diatric unit with a diagnosis of gastroenteri- small amounts., 4. En-
tis. The toddler has experienced vomiting and courage the child to
diarrhea for the past 3 days, and laboratory eat nonsalty soups and
tests reveal that he is dehydrated. Which nurs- broths., 5. Monitor the I.V.
ing interventions are correct to prevent further solution per the physi-
dehydration? cian's order.
4. A toddler is diagnosed with a dislocated 4. Not crying when moved
right shoulder and a simple fracture of the
right humerus. Which behavior most strongly
suggests that the child's injuries stem from
abuse?
5. A parent calls the pediatric clinic to express 1. normal toddler behav-
concern over her toddler's eating habits. She ior.
says the toddler eats very little and consumes
only a single type of food for weeks on end. The
nurse knows that this behavior is characteris-
tic of:
6. The nurse is teaching parents about otitis me- 1. Eustachian tubes
dia. When discussing why children are predis-
posed to this disorder, the nurse should men-
tion the significance of which anatomical fea-
ture?
7.
, A parent brings a toddler, age 19 months, to the 3. Closed anterior and
clinic for a regular checkup. When palpating posterior fontanels
the toddler's fontanels, what should the nurse
expect to find?
8. For a child with a Wilms' tumor, which preoper- 3. Avoiding abdominal
ative nursing intervention takes highest prior- palpation
ity?
9. A 3-year-old client is admitted to the pedi- 2. Perform chest physio-
atric unit with pneumonia. He has a productive therapy as ordered., 3.
cough and appears to have difficulty breath- Encourage coughing and
ing. The parents tell the nurse that the toddler deep breathing., 5. Per-
hasn't been eating or drinking much and has form postural drainage.,
been very inactive. Which interventions to im- 6. Maintain humidification
prove airway clearance should be included by with a cool mist humidifi-
the nurse in the care plan? er.
10. The charge nurse overhears a nurse complain- 1. "It's important for the
ing that she has been assigned to a toddler child to have someone
diagnosed with tetralogy of Fallot for the past 3 assigned to him who's fa-
days and the mother is very demanding. Which miliar with his care."
response by the charge nurse is best?
11. A toddler is brought to the emergency de- 4. Intraosseously
partment in cardiac arrest. The physician tries
three times to insert an I.V. catheter but is
unsuccessful. By which alternate route can
the physician administer emergency medica-
tions?
12. The nurse is caring for a toddler with Down 3. hold and rock him and
syndrome. To help the toddler cope with give him a security object.
painful procedures, the nurse can:
13. A 2-year-old child is brought to the emergency 1. Intercostal retractions
department with suspected croup. Which data
collection finding reflects increasing respirato-
ry distress?
, 14. A 2-year-old child with a tracheostomy sudden- 1. Suction the tracheosto-
ly becomes diaphoretic and has an increased my.
heart rate, an increased respiratory rate, and
a decreased oxygen saturation level. Which of
the following should be the nurse's first ac-
tion?
15. A 3-year-old child comes to the clinic for a 1. excessive for a toddler,
wellness checkup. When the nurse weighs the requiring further data col-
child, she notes a 10-lb weight gain since his lection.
last checkup 1 year ago. The nurse recognizes
that this weight gain is:
16. A 14-month-old is undergoing bone marrow 2. Reading the toddler a
aspiration because leukemia is suspected. A book during the proce-
local anesthetic is administered, but the nurse dure
anticipates that a nonpharmacologic comfort
measure will also be needed. Which measure
is best for a toddler at this age?
17. Which desired outcome demonstrates effec- 4. The parents will call im-
tive parent teaching about disciplining a tod- mediate attention to un-
dler? desirable behavior.
18. A mother tells the nurse that she wants to be- 1. developmental readi-
gin toilet training her 22-month-old child. The ness of the child.
most important factor regarding toilet-training
that the nurse should stress to her is:
19. A toddler is ordered 350 mg of amoxicillin and 7
clavulanate (Augmentin) by mouth, four times
per day. The pharmacy sends a bottle with a
concentration of 250 mg/5 ml. How many mil-
liliters should the nurse administer per dose?
20. When caring for a 2-year-old child, the nurse 2. autonomy.
should offer choices, when appropriate, about
some aspects of care. According to Erikson,
doing this helps the child achieve :
Answers Graded A+
1. A boy, age 3, develops a fever and rash and 4. "I'll call my neighbor
is diagnosed with rubella. His mother has just who's 2 months pregnant
given birth to a baby girl. Which statement and tell her not to have
by the mother best indicates that she under- contact with my son."
stands the implications of rubella?
2. An emergency department nurse suspects ne- 2. poor hygiene and
glect in a 3-year-old boy admitted for failure weight loss.
to thrive. Signs of neglect in the child would
include:
3. A 13-month-old client is admitted to the pe- 2. Give clear liquids in
diatric unit with a diagnosis of gastroenteri- small amounts., 4. En-
tis. The toddler has experienced vomiting and courage the child to
diarrhea for the past 3 days, and laboratory eat nonsalty soups and
tests reveal that he is dehydrated. Which nurs- broths., 5. Monitor the I.V.
ing interventions are correct to prevent further solution per the physi-
dehydration? cian's order.
4. A toddler is diagnosed with a dislocated 4. Not crying when moved
right shoulder and a simple fracture of the
right humerus. Which behavior most strongly
suggests that the child's injuries stem from
abuse?
5. A parent calls the pediatric clinic to express 1. normal toddler behav-
concern over her toddler's eating habits. She ior.
says the toddler eats very little and consumes
only a single type of food for weeks on end. The
nurse knows that this behavior is characteris-
tic of:
6. The nurse is teaching parents about otitis me- 1. Eustachian tubes
dia. When discussing why children are predis-
posed to this disorder, the nurse should men-
tion the significance of which anatomical fea-
ture?
7.
, A parent brings a toddler, age 19 months, to the 3. Closed anterior and
clinic for a regular checkup. When palpating posterior fontanels
the toddler's fontanels, what should the nurse
expect to find?
8. For a child with a Wilms' tumor, which preoper- 3. Avoiding abdominal
ative nursing intervention takes highest prior- palpation
ity?
9. A 3-year-old client is admitted to the pedi- 2. Perform chest physio-
atric unit with pneumonia. He has a productive therapy as ordered., 3.
cough and appears to have difficulty breath- Encourage coughing and
ing. The parents tell the nurse that the toddler deep breathing., 5. Per-
hasn't been eating or drinking much and has form postural drainage.,
been very inactive. Which interventions to im- 6. Maintain humidification
prove airway clearance should be included by with a cool mist humidifi-
the nurse in the care plan? er.
10. The charge nurse overhears a nurse complain- 1. "It's important for the
ing that she has been assigned to a toddler child to have someone
diagnosed with tetralogy of Fallot for the past 3 assigned to him who's fa-
days and the mother is very demanding. Which miliar with his care."
response by the charge nurse is best?
11. A toddler is brought to the emergency de- 4. Intraosseously
partment in cardiac arrest. The physician tries
three times to insert an I.V. catheter but is
unsuccessful. By which alternate route can
the physician administer emergency medica-
tions?
12. The nurse is caring for a toddler with Down 3. hold and rock him and
syndrome. To help the toddler cope with give him a security object.
painful procedures, the nurse can:
13. A 2-year-old child is brought to the emergency 1. Intercostal retractions
department with suspected croup. Which data
collection finding reflects increasing respirato-
ry distress?
, 14. A 2-year-old child with a tracheostomy sudden- 1. Suction the tracheosto-
ly becomes diaphoretic and has an increased my.
heart rate, an increased respiratory rate, and
a decreased oxygen saturation level. Which of
the following should be the nurse's first ac-
tion?
15. A 3-year-old child comes to the clinic for a 1. excessive for a toddler,
wellness checkup. When the nurse weighs the requiring further data col-
child, she notes a 10-lb weight gain since his lection.
last checkup 1 year ago. The nurse recognizes
that this weight gain is:
16. A 14-month-old is undergoing bone marrow 2. Reading the toddler a
aspiration because leukemia is suspected. A book during the proce-
local anesthetic is administered, but the nurse dure
anticipates that a nonpharmacologic comfort
measure will also be needed. Which measure
is best for a toddler at this age?
17. Which desired outcome demonstrates effec- 4. The parents will call im-
tive parent teaching about disciplining a tod- mediate attention to un-
dler? desirable behavior.
18. A mother tells the nurse that she wants to be- 1. developmental readi-
gin toilet training her 22-month-old child. The ness of the child.
most important factor regarding toilet-training
that the nurse should stress to her is:
19. A toddler is ordered 350 mg of amoxicillin and 7
clavulanate (Augmentin) by mouth, four times
per day. The pharmacy sends a bottle with a
concentration of 250 mg/5 ml. How many mil-
liliters should the nurse administer per dose?
20. When caring for a 2-year-old child, the nurse 2. autonomy.
should offer choices, when appropriate, about
some aspects of care. According to Erikson,
doing this helps the child achieve :
