Question 1

The home-care nurse is conducting a home visit for the family of a toddler-aged patient.Which finding necessitates education related to safety?&#10;A) Drugs kept in a medicine cabinet in the bathroom&#10;B) Knives stored on the counter out of reach&#10;C) A bucket of water used for mopping in the hallway&#10;D) Cleaning supplies stored in a locked cabinet under the sink&#10;

Accepted Answer

A bucket of water used for mopping in the hallway poses a risk for drowning if the toddler falls into it or tries to play with it. The drugs kept in a medicine cabinet, knives stored out of reach, and cleaning supplies stored in a locked cabinet under the sink are appropriate safety measures.

Question 2

Which is a priority teaching point regarding nutrition for the toddler-aged child?&#10;A) Limiting milk consumption&#10;B) Offering water with each meal&#10;C) Offering the child finger foods only&#10;D) Emphasizing the need for two snacks per day&#10;

Accepted Answer

Limiting milk consumption is a priority teaching point for toddler-aged children because excessive milk consumption can lead to iron-deficiency anemia and can also decrease the child's appetite for other nutritious foods. It is recommended that children between the ages of 1 and 2 years old consume no more than 16-24 ounces of milk per day.

Question 3

Which point should the nurse include in a teaching session for the parents of a toddler-aged patient who live in a home with stairs?&#10;A) Allowing the child to walk up and down the steps to enhance autonomy&#10;B) Ensuring that the child is instructed not to use the steps without assistance&#10;C) Placing a gate so the child is unable to access the steps without supervision&#10;D) Suggesting that the family consider moving to a home that does not have steps&#10;

Accepted Answer

Placing a gate at the stairs is important to prevent the child from accessing the stairs without adult supervision, which is the safest way to ensure the child's safety. Option A can be dangerous as toddlers may fall or trip while walking up or down the stairs. Option B assumes that the child will always comply with instructions, which is not always the case with a toddler. Option D may not be practical for the family or realistic as homes without stairs may not be readily available or affordable for them.

Question 4

The parents of a toddler have not sought the recommended dental care for their child.Which type of abuse should the nurse identify in this situation?&#10;A) Physical abuse&#10;B) Physical neglect&#10;C) Emotional abuse&#10;D) Emotional neglect&#10;

Accepted Answer

Physical neglect involves failing to provide for a child's basic physical needs, including healthcare, which in this case includes dental care.

Question 5

Which risk is increased for a child during the toddler stage of development because of exploration and curiosity?&#10;A) SIDS&#10;B) Suffocation injuries&#10;C) Accidental poisoning&#10;D) Motor vehicle accidents&#10;

Accepted Answer

During the toddler stage of development, children become more mobile and curious, often exploring their environment without understanding the dangers. This increased exploration and curiosity can lead to accidental poisoning, as toddlers might ingest harmful substances they find around the house.

Question 6

Which form of discipline should the nurse encourage when providing care to the family of a toddler-aged child?&#10;A) Saying &#34;no&#34;&#10;B) Ignoring the behavior&#10;C) Implementing &#34;time-outs&#34;&#10;D) Implementing corporal punishment&#10;

Accepted Answer

Implementing "time-outs" is the most appropriate form of discipline for a toddler-aged child, as it allows the child to calm down and learn appropriate behavior without physical punishment or negative reinforcement. Saying "no" can be effective but overuse can lead to the child becoming desensitized to the word. Ignoring the behavior could reinforce negative behavior, and corporal punishment is never appropriate in any situation.

Question 7

Which push-pull toys should the nurse recommend for play when providing education to the parents of a toddler-aged patient? (Select all that apply.)&#10;A) Child grocery carts&#10;B) Large trucks or cars&#10;C) Soft foam balls&#10;D) Soft mats&#10;E) Safety noodles&#10;

Accepted Answer

Child grocery carts and large trucks or cars are appropriate push-pull toys for a toddler-aged patient. These toys help develop the child's gross motor skills, coordination, and balance. Soft foam balls, soft mats, and safety noodles do not require the child to exert a push-pull action and therefore are not appropriate push-pull toys.

Question 8

The parent of a toddler states,&#34;My child wants to do everything by herself.&#34; Which term should the nurse use to describe this behavior in the medical record?&#10;A) Autonomy&#10;B) Egocentric&#10;C) Negativism&#10;D) Temperament&#10;

Accepted Answer

The behavior described by the parent is seeking autonomy, or the desire for independent decision-making and control over their own actions.

Question 9

Which data collected during the health history process cause the nurse to assess for autism?&#10;A) Using pronouns incorrectly&#10;B) Sleeping less than 14 hours per day&#10;C) Using two-word sentences at 20 months of age&#10;D) Lacking interest in games such as hide-and-go-seek&#10;

Accepted Answer

The answer of Which data collected during the health history...

Question 10

Which should the nurse recommend to the parents of a toddler who is exhibiting tantrums?&#10;A) Ignoring the child's behavior&#10;B) Locking the child in the bedroom&#10;C) Swatting the child on the backside&#10;D) Giving in to the demands of the child&#10;

Accepted Answer

Ignoring the child's behavior is the recommended approach as it takes away the attention and reinforces that tantrums are not an effective way to get what they want. Locking the child in the bedroom or swatting the child only teaches the child to use harsh behavior to get what they want, and giving in to the demands of the child may reinforce the negative behavior.

Question 11

Which parental statement regarding the sleep needs of a toddler indicates the need for additional education from the nurse?&#10;A) &#34;My child should sleep a total of 14 hours per day.&#34;&#10;B) &#34;My child will need only one afternoon nap versus two naps per day.&#34;&#10;C) &#34;I should not put my child down for a nap too late in the afternoon.&#34;&#10;D) &#34;I should expect my child to sleep 14 hours each night in addition to an afternoon nap.&#34;&#10;

Accepted Answer

The answer of Which parental statement regarding the sleep needs...

Question 12

Which goal should the nurse include in the plan of care for a toddler-aged client who is diagnosed with seasonal flu?&#10;A) &#34;The child will verbalize the need to have a bowel movement.&#34;&#10;B) &#34;The child will ask for fever reducers when hyperthermia occurs.&#34;&#10;C) &#34;The child will sneeze and cough into a tissue provided by the caregiver.&#34;&#10;D) &#34;The child will use hand sanitizer prior to touching other children in the day-care environment.&#34;&#10;

Accepted Answer

The answer of Which goal should the nurse include in...

Question 13

Which activity should the nurse recommend to the parents of a toddler-aged child to challenge object permanence?&#10;A) Jumping rope&#10;B) Stacking blocks&#10;C) Playing hide-and-go-seek&#10;D) Reading books about colors&#10;

Accepted Answer

The answer of Which activity should the nurse recommend to...

Question 14

Which statements should the nurse include when discussing the use of child safety seats for the parents of a toddler-aged patient? (Select all that apply.)&#10;A) &#34;Your child should be placed in a safety seat that is rear facing.&#34;&#10;B) &#34;If your child must be placed in the front seat,it is important to adjust the seat so it is as far from the dashboard as possible and to disengage the airbag system.&#34;&#10;C) &#34;Your child can be secured using the seat belt provided within the vehicle without an additional car seat.&#34;&#10;D) &#34;It is appropriate to hold your child in your lap for short distances if there isn't room for a safety seat within the vehicle.&#34;&#10;E) &#34;It is appropriate to place your child in the back seat with the use of an appropriate child safety seat.&#34;&#10;

Accepted Answer

The answer of Which statements should the nurse include when...

Question 15

The nurse is providing care to a toddler-aged client whose laboratory data indicate anemia.Which question should the nurse include in the health history of this patient?&#10;A) &#34;Does your child eat green leafy vegetables?&#34;&#10;B) &#34;Does your child have a history of bleeding?&#34;&#10;C) &#34;How much milk does your child drink each day?&#34;&#10;D) &#34;Does your child eat the same types of foods as the rest of the family?&#34;&#10;

Accepted Answer

The answer of The nurse is providing care to a...

Question 16

The parent of a toddler states,&#34;My child is constantly saying 'no.'&#34; When documenting this in the medical record,which term should the nurse use?&#10;A) Autonomy&#10;B) Egocentric&#10;C) Negativism&#10;D) Temperament&#10;

Accepted Answer

The answer of The parent of a toddler states,&#34;My child...

Question 17

Which should the nurse identify as most important to social development during the toddler stage of development?&#10;A) Peers&#10;B) Siblings&#10;C) Religious figures&#10;D) Day-care providers&#10;

Accepted Answer

The answer of Which should the nurse identify as most...

Question 18

Which nursing action is appropriate when assisting with the assessment of a toddler-aged patient who is diagnosed with a communicable disease?&#10;A) Asking the parents if the child has been exposed to anyone who has been sick&#10;B) Determining if the child has received the human papillomavirus (HPV)vaccine&#10;C) Establishing if the mother was exposed to any sexually transmitted infections (STIs)during pregnancy&#10;D) Monitoring for any musculoskeletal abnormalities&#10;

Accepted Answer

The answer of Which nursing action is appropriate when assisting...

Deck 22: Health Promotion of the Toddler