Question 1

Which bedtime preparation rituals are the most appropriate for the nurse to suggest? (Select all that apply. )

Accepted Answer

A)  Telling a story 
B)  Placing a favorite toy in bed 
C)  Placing a glass of water at the bedside 
D)  Turning on a night-light 
E)  Playing energetically 
A)  Telling a story 
B)  Placing a favorite toy in bed 
C)  Placing a glass of water at the bedside 
D)  Turning on a night-light 
E)  Playing energetically A,B,C,D

Question 2

A 4-year-old child insists he has more money with a nickel than his father has with a dime.What is this perception,as described in Piaget's theory?

Accepted Answer

A)  Egocentrism 
B)  Artificialism 
C)  Animism 
D)  Intuition 
A)  Egocentrism 
B)  Artificialism 
C)  Animism 
D)  Intuition D

Question 3

The nurse points out what advantage(s)of a nursery school or preschool experience? (Select all that apply. )

Accepted Answer

A)  Increasing self-confidence 
B)  Fostering group cooperation 
C)  Detecting adjustment problems 
D)  Attainment of toilet training skills 
E)  Playing experiences with other children 
A)  Increasing self-confidence 
B)  Fostering group cooperation 
C)  Detecting adjustment problems 
D)  Attainment of toilet training skills 
E)  Playing experiences with other children A,B,C,E

Question 4

A father is concerned about how long his preschool-age child will continue sucking his thumb.What is the most helpful response from the nurse?

Accepted Answer

A)  "Most children will stop thumb-sucking naturally by school age." 
B)  "Over-the-counter treatments that give a bad taste can be placed on the thumb to discourage the practice." 
C)  "Consistently touching the child's fingers whenever he sucks his thumb is most effective." 
D)  "Thumb-sucking is detrimental to the eruption of the child's teeth and must be stopped as soon as possible." 
A)  "Most children will stop thumb-sucking naturally by school age." 
B)  "Over-the-counter treatments that give a bad taste can be placed on the thumb to discourage the practice." 
C)  "Consistently touching the child's fingers whenever he sucks his thumb is most effective." 
D)  "Thumb-sucking is detrimental to the eruption of the child's teeth and must be stopped as soon as possible."

Question 5

What will children who are unable to express themselves with words often do?

Accepted Answer

A)  Become reclusive and introspective. 
B)  Develop other methods of verbal communication. 
C)  Engage in more creative play. 
D)  Have tantrums and act out. 
A)  Become reclusive and introspective. 
B)  Develop other methods of verbal communication. 
C)  Engage in more creative play. 
D)  Have tantrums and act out.

Question 6

Which is an example of associative play?

Accepted Answer

A)  Two children playing in house,one playing the role of the dad and the other playing the role of the mom 
B)  Two children playing in a sand box,one building a wall and the other digging a hole 
C)  Two children playing with sports-associated items,one with a football and the other with a bat 
D)  Two children playing with a coloring book,one coloring pictures and the other looking at pictures 
A)  Two children playing in house,one playing the role of the dad and the other playing the role of the mom 
B)  Two children playing in a sand box,one building a wall and the other digging a hole 
C)  Two children playing with sports-associated items,one with a football and the other with a bat 
D)  Two children playing with a coloring book,one coloring pictures and the other looking at pictures

Question 7

The parent of a   -year-old child tells the nurse,"My daughter points instead of speaking whenever she wants me to get something for her,but she understands me when I ask her to do something." Based on the parent's comment,what does the nurse suspect?

Accepted Answer

A)  Age-appropriate language development 
B)  An expressive language delay 
C)  A receptive language delay 
D)  A potential hearing deficit 
A)  Age-appropriate language development 
B)  An expressive language delay 
C)  A receptive language delay 
D)  A potential hearing deficit

Question 8

What tasks would be appropriate to expect of a 5-year-old child?

Accepted Answer

A)  Setting the table with paper plates 
B)  Washing the dirty knives 
C)  Carrying glasses from the table to the sink 
D)  Scrubbing out the sink with cleanser 
A)  Setting the table with paper plates 
B)  Washing the dirty knives 
C)  Carrying glasses from the table to the sink 
D)  Scrubbing out the sink with cleanser

Question 9

A 4-year-old child tells the nurse she will not eat peas because they are green.Of what is this an example?

Accepted Answer

A)  Egocentrism 
B)  Artificialism 
C)  Animism 
D)  Centering 
A)  Egocentrism 
B)  Artificialism 
C)  Animism 
D)  Centering

Question 10

What should the nurse suggest as the most appropriate toy choice for a 3-year-old?

Accepted Answer

A)  A board game 
B)  A small pet,such as a goldfish 
C)  A large construction set 
D)  Push-pull toys 
A)  A board game 
B)  A small pet,such as a goldfish 
C)  A large construction set 
D)  Push-pull toys

Question 11

What developmental milestone(s)assist the 5-year-old boy toward developing his sexual identity? (Select all that apply. )

Accepted Answer

A)  Begins to be less focused on his mother. 
B)  Ignores both parents totally. 
C)  Regresses to a more infantile level. 
D)  Forms a romantic attachment to the mother. 
E)  Identifies with the parent of the same sex. 
A)  Begins to be less focused on his mother. 
B)  Ignores both parents totally. 
C)  Regresses to a more infantile level. 
D)  Forms a romantic attachment to the mother. 
E)  Identifies with the parent of the same sex.

Question 12

What fear is unique to the preschool period?

Accepted Answer

A)  Water 
B)  Animals 
C)  Bodily harm 
D)  Death 
A)  Water 
B)  Animals 
C)  Bodily harm 
D)  Death

Question 13

Which statement best describes the 3-year-old child?

Accepted Answer

A)  Boisterous,tattles on others 
B)  Aggressive,shows off 
C)  Helpful,wants to assist with chores 
D)  Talkative,inquisitive about the environment 
A)  Boisterous,tattles on others 
B)  Aggressive,shows off 
C)  Helpful,wants to assist with chores 
D)  Talkative,inquisitive about the environment

Question 14

The nurse is discussing preschoolers' sexual curiosity with the parent.What statement by the mother leads the nurse to determine that the mother understands the information?

Accepted Answer

A)  "Make up funny words for body parts." 
B)  "Distract the child with a toy if they ask about sex." 
C)  "Answer their questions when they ask." 
D)  "Tell them to ask you again when they are 6 years old." 
A)  "Make up funny words for body parts." 
B)  "Distract the child with a toy if they ask about sex." 
C)  "Answer their questions when they ask." 
D)  "Tell them to ask you again when they are 6 years old."

Question 15

The parent of a   -year-old child tells the nurse,"Bedtime is difficult.I can't get my son to go to bed at night." The nurse and the child's mother discuss options.What intervention is the most appropriate choice?

Accepted Answer

A)  Allow the child to put himself to bed when he is tired. 
B)  Let the child read in his room until he falls asleep. 
C)  Establish a bedtime routine and use it consistently. 
D)  Tire him out with physical activity before bedtime. 
A)  Allow the child to put himself to bed when he is tired. 
B)  Let the child read in his room until he falls asleep. 
C)  Establish a bedtime routine and use it consistently. 
D)  Tire him out with physical activity before bedtime.

Question 16

What is the most appropriate intervention when dealing with occasional aggression in a 4-year-old child?

Accepted Answer

A)  Have the child take a time-out in the corner for 4 minutes. 
B)  Spank the child at the time of the incident. 
C)  Take away television privileges for the day. 
D)  Send the child to his room for 30 minutes. 
A)  Have the child take a time-out in the corner for 4 minutes. 
B)  Spank the child at the time of the incident. 
C)  Take away television privileges for the day. 
D)  Send the child to his room for 30 minutes.

Question 17

What is the nurse's best advice to a parent about a preschooler's "imaginary friend"?

Accepted Answer

A)  Having imaginary friends is a sign that the child has low self-esteem. 
B)  It is common for preschoolers to have imaginary friends. 
C)  Preschoolers invent an imaginary friend when they feel overwhelmed. 
D)  The best approach to dealing with an imaginary friend is to ignore them. 
A)  Having imaginary friends is a sign that the child has low self-esteem. 
B)  It is common for preschoolers to have imaginary friends. 
C)  Preschoolers invent an imaginary friend when they feel overwhelmed. 
D)  The best approach to dealing with an imaginary friend is to ignore them.

Question 18

The parents of a 4-year-old boy are concerned because they have noticed him frequently touching his penis.What knowledge would act as the basis for the nurse's response?

Accepted Answer

A)  This behavior indicates a normal curiosity about sexuality. 
B)  Masturbation suggests the boy has an excessive fear of castration. 
C)  It is usually a result of discomfort from a penile rash or irritation. 
D)  The behavior is abnormal and the child should be referred for counseling. 
A)  This behavior indicates a normal curiosity about sexuality. 
B)  Masturbation suggests the boy has an excessive fear of castration. 
C)  It is usually a result of discomfort from a penile rash or irritation. 
D)  The behavior is abnormal and the child should be referred for counseling.

Question 19

How does the nurse characterize the play of 5-year-old children?

Accepted Answer

A)  Enjoying rough and tumble play 
B)  Playing well-organized games 
C)  Following rules 
D)  Preferring inside activities 
A)  Enjoying rough and tumble play 
B)  Playing well-organized games 
C)  Following rules 
D)  Preferring inside activities

Question 20

What does including play in the plan of care for a 5-year-old allow the child to do? (Select all that apply. )

Accepted Answer

A)  Exercise his imagination. 
B)  Assume a role and act it out. 
C)  Offer an emotional outlet. 
D)  Avoid magical thinking. 
E)  Interact with other children. 
A)  Exercise his imagination. 
B)  Assume a role and act it out. 
C)  Offer an emotional outlet. 
D)  Avoid magical thinking. 
E)  Interact with other children.

Exam 18: The Preschool Child

Which bedtime preparation rituals are the most appropriate for the nurse to suggest? (Select all that apply. )

A 4-year-old child insists he has more money with a nickel than his father has with a dime.What is this perception,as described in Piaget's theory?

The nurse points out what advantage(s)of a nursery school or preschool experience? (Select all that apply. )

A father is concerned about how long his preschool-age child will continue sucking his thumb.What is the most helpful response from the nurse?

What will children who are unable to express themselves with words often do?

Which is an example of associative play?

The parent of a -year-old child tells the nurse,"My daughter points instead of speaking whenever she wants me to get something for her,but she understands me when I ask her to do something." Based on the parent's comment,what does the nurse suspect?

What tasks would be appropriate to expect of a 5-year-old child?

A 4-year-old child tells the nurse she will not eat peas because they are green.Of what is this an example?

What should the nurse suggest as the most appropriate toy choice for a 3-year-old?

What developmental milestone(s)assist the 5-year-old boy toward developing his sexual identity? (Select all that apply. )

What fear is unique to the preschool period?

Which statement best describes the 3-year-old child?

The nurse is discussing preschoolers' sexual curiosity with the parent.What statement by the mother leads the nurse to determine that the mother understands the information?

The parent of a -year-old child tells the nurse,"Bedtime is difficult.I can't get my son to go to bed at night." The nurse and the child's mother discuss options.What intervention is the most appropriate choice?

What is the most appropriate intervention when dealing with occasional aggression in a 4-year-old child?

What is the nurse's best advice to a parent about a preschooler's "imaginary friend"?

The parents of a 4-year-old boy are concerned because they have noticed him frequently touching his penis.What knowledge would act as the basis for the nurse's response?

How does the nurse characterize the play of 5-year-old children?

What does including play in the plan of care for a 5-year-old allow the child to do? (Select all that apply. )

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women With Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women With Complications During Labor and Birth

The Family After Birth

Nursing Care of Women With Complications Following Birth

The Nurses Role in Womens Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn With a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

The School-Age Child

The Adolescent

The Childs Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child With a Sensory or Neurological Condition

The Child With a Musculoskeletal Condition

The Child With a Respiratory Disorder

The Child With a Cardiovascular Disorder

The Child With a Condition of the Blood, Blood-Forming Organs, or Lymphatic System

The Child With a Gastrointestinal Condition

The Child With a Genitourinary Condition

The Child With a Skin Condition

The Child With a Metabolic Condition

Childhood Communicable Diseases, Bioterrorism, Natural Disasters, and the Maternalchild Patient

The Child With an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

Filters