Deck 19: Preschool Child

Question 1

A nurse is reviewing the chart of a preschool child who has been diagnosed with Asperger's syndrome. Which of the following findings is the nurse most likely to discover?

A) Eating finger foods at 10 months old
B) Absent crawling at 10 months old
C) Separation anxiety at 10 months old
D) Saying "ma-ma" at 10 months old

Answer 1

Absent crawling at 10 months old

Question 2

A mother comments to the school nurse that her child has poor hygiene habits and asks the nurse for suggestions as to how to teach her child to improve on his hygiene. Which of the following recommendations would the nurse give the mother?

A) Have him learn it at school.
B) Model the behavior at home.
C) Lecture him about hygiene.
D) Punish him when he forgets to brush his teeth.

Answer 2

Model the behavior at home.

Question 3

Which of the following is a hallmark of Piaget's preconceptual substage?

A) Using language to function symbolically
B) Using concrete thought processes
C) Using mental abstracting
D) Using transductive reasoning

Answer 3

Using language to function symbolically

Question 4

During a well-child visit, a parent tells the nurse that their preschooler occasionally wakes up during the middle of the night. Based on growth and development, which of the following would be the most common reason for the preschooler to wake up?

A) Nightmares
B) Night terrors
C) Enuresis
D) Hunger

Question 5

A 4-year-old boy had an episode of enuresis. Which of the following actions should be taken by the parents?

A) Have him change his own pajamas before going to bed.
B) Take away one video game.
C) Tell his 6-year-old sister about the incident.
D) Make him wear his diaper to bed.

Question 6

During the 5-year-old well-child visit, the father tells the nurse that he is unsure if the child is socially ready to attend school. The nurse asks the father to describe some of the social interactions of the child. Which of the following behaviors would indicate that the preschooler is socially ready to attend school?

A) He gives his brother the ball when he is tired of playing with it.
B) He never engages in any activity until his mother tells him to.
C) He plays well with a group of neighborhood children.
D) He moves from one activity to another.

Question 7

A nurse is discussing genetic disorders with a local community group. Which of the following statements would the nurse make during the presentation?

A) Downs syndrome is most likely to appear during the preschool years.
B) Hemophilia is most likely to appear during the preschool years.
C) Cystic fibrosis is most likely to appear during the preschool years.
D) Multiple sclerosis is most likely to appear during the preschool years.

Question 8

A 4-year-old child tells the school nurse that he invented a new song. Which of the following would be the best response by the nurse?

A) Congratulate the child on a job well done.
B) Tell the child that he is too young to invent anything.
C) Nicely tell the child that it does not sound like a song.
D) Ask the child to come back later when there is more time to listen to the song.

Question 9

Which of the following foods will a 5-year-old child need help eating?

A) Pudding
B) Macaroni and cheese
C) Chicken
D) Jelly sandwich

Question 10

A 2-year-old child has hives. Of the following items ingested, which is most likely to have caused the allergic reaction?

A) Apple juice
B) Oatmeal raisin cookies
C) Jelly sandwich
D) Banana

Question 11

A nurse is working with a local daycare center to develop appropriate outdoor play activities for 5-year-old children at the center. Which of the following activities would the nurse most likely recommend?

A) Having the children bring their bikes to the center so they can go for bike rides in the neighborhood
B) Playing hopscotch on the sidewalk in front of the daycare center
C) Taking the children swimming at the neighborhood pool
D) Playing on the outdoor preschool equipment while being supervised by daycare personnel

Question 12

A 5-year-old is consuming a daily caloric intake of 1400 calories. Approximately what portion of the diet should be comprised of carbohydrates?

A) 300 calories
B) 700 calories
C) 900 calories
D) 1200 calories

Question 13

Which sleep ritual is age appropriate for a preschooler?

A) Asking for every light in the home to be turned on at bedtime
B) Saying good night to all 20 stuffed animals in the room before going to sleep
C) Going right to sleep
D) Asking the parent to read all books on the bookshelf before going to bed

Question 14

A preschooler and her school-age brother both received the same swimming tube as a gift. The brother accidentally took his sister's swimming tube. The sister protested that she needed her swimming tube to go swimming. Which of the following is being demonstrated by this behavior by the sister?

A) Abstract thinking
B) Concrete thinking
C) Jealousy
D) A temper tantrum

Question 15

A school nurse is planning to assess the visual acuity of the preschool students at the school. Which of the following tests would be used?

A) Snellen Screening test
B) Denver Eye Screening test
C) Ishihara's test
D) Cover test

Question 16

A nurse is using primary prevention strategies to prevent child abuse in the community. Which of the following interventions would the nurse implement?

A) Educate the public about violence and the potential for abuse.
B) Remove a child who has been abused from the home.
C) Report a case of child abuse.
D) Refer a parent who abused their child to counseling.

Question 17

During a well-child visit, a father tells the nurse that the preschool-aged child has been enjoying their "road trips" that they take together when the child gets to sit in the front seat of the car with him. Which of the following actions should the nurse take next?

A) Report the father to the Department of Human Services.
B) Encourage the father to have the child sit in the back seat instead.
C) Instruct the father on the dangers of having small children in the front seat.
D) Provide the parent with educational materials about car seat safety.

Question 18

A nurse is determining caloric needs for a preschooler who weighs 18 kilograms. Which of the following represents the daily caloric needs for this child?

A) 1360 calories
B) 1540 calories
C) 1620 calories
D) 1800 calories

Question 19

A 5-year-old is prescribed a medication that is renally excreted. Which of the following considerations should be made when the nurse examines the dosage of the medication?

A) The dosage should be lower than the recommended dose.
B) The dosage should be at the recommended dose.
C) The dosage should be higher than the recommended dose.
D) The medication should not be administered.

Question 20

A 4-year-old girl asks her mother for a second cup of yogurt before starting to eat the first cup she was given. What will the child most likely do with the extra helping?

A) Eat it herself.
B) Ask her brother if he wants it.
C) Feed it to her dog.
D) Give it to her imaginary friend.

Question 21

A nurse is using the Healthy People 2020 health promotion and disease prevention objectives for preschoolers when planning for health policy development in the community. Which of the following health policies would the nurse support?

A) Elimination of the school requirement for the MMR vaccine
B) Regulation of the use of electronic devices used by preschoolers
C) Regulation of the paint allowed for use with toys
D) Elimination of WIC programs

Question 22

How old is a preschooler with a receptive vocabulary of up to 5600 words?

A) 42 months old
B) 48 months old
C) 54 months old
D) 60 months old

Question 23

The nurse suspects a 5-year-old child has asthma. Which information from the child's past medical history is a risk factor?

A) The child was breast-fed.
B) The child had respiratory infections as an infant.
C) The child was born via a C-section.
D) The child had pressure equalizer tubes as an infant.

Question 24

A mother thinks her 2-year-old child drank Drano. What should the nurse tell the mother to do next?

A) Call the pediatrician on call.
B) Give ipecac syrup.
C) Call the Poison Control Center.
D) Wait to see if the child will vomit.

Question 25

The nurse makes a home visit to a child who has recently been diagnosed with asthma. Which environmental finding has the potential to trigger an asthma exacerbation?

A) Radiator heating system
B) Air conditioner
C) Hardwood flooring
D) Leaky roof

Question 26

A nurse is discussing with parents how to prevent burns in a preschooler. Which of the following recommendations is the nurse most likely to give the parents?

A) Do not read to the child while sitting on the sofa in front of the fireplace.
B) Do not cook on a gas grill until the child is a teenager.
C) Do not leave cigarettes and matches on the kitchen counter.
D) Do not cook with the child in the kitchen.

Question 27

Which of the following behaviors by a preschooler indicates use of an effective coping mechanism? (select all that apply)

A) The preschooler walks away from the situation.
B) The preschooler blames a friend for causing the problem.
C) The preschooler states what he is upset about.
D) The preschooler has a temper tantrum.

Question 28

A nurse administers the Draw-a-Person and Draw-a-Family tests with a preschool student. Which of the following purposes will these tests serve? (select all that apply)

A) Assess verbal development.
B) Assess intelligence development.
C) Assess social development.
D) Assess emotional development.

Question 29

A mother tells the nurse her 3-year-old child has not been himself lately. The nurse examines the child. Which of the following physical findings would be cause for concern? (select all that apply)

A) Bruises
B) Pale skin
C) Enlarged lymph nodes
D) Hives

Question 30

The nurse is conducting a physical exam on a 3-year-old child. Which of the following would be the best way for the nurse to approach the child during the exam?

A) Let the child listen to the nurse's heart with the stethoscope.
B) Tell him to sit quietly while the nurse examines him.
C) Ask his parents to leave the room to minimize distractions.
D) Ask another nurse to hold him while the nurse examines him.

Question 31

The school nurse is observing the development of gross motor skills of young children at the school and watches a child who is learning how to throw a ball overhand. How old is this child?

A) 3 years old
B) 4 years old
C) 5 years old
D) 6 years old

Question 32

Which of the following is the most common intraocular tumor in young children?

A) Neuroblastoma
B) Wilms tumor
C) Retinoblastoma
D) Leukemia