Question 5431)
Which toys would be best for a 5-month-old infant who has infantile eczema?
A. Soft, washable toys
B. Stuffed toys
C. Puzzles and games
D. Toy cars
Answer: A
Explanation: Soft, washable toys of smooth, nonallergenic material should be used. Stuffed toys are
contraindicated. Puzzles and games are not age appropriate. Toy cars could be used for scratching and should be
avoided. Toy cars are also not age appropriate
Question 5432)
Which diversion would be appropriate for the nurse to plan to use with an 8-
month-old infant?
A. A colorful mobile
B. Large blocks to stack
C. A colorful rattle
D. A game of peek-a-boo
Answer: D
Explanation: Peek-a-boo is appropriate for an 8-month-old. Peek-a-boo helps the infant with the concept of object
permanence; things that are out of sight do exist. An 8-month-old can sit up; once an infant can sit up, the mobiles
should be removed because they can strangle an infant who might try to stand up. An 8-month-old infant cannot
stack large blocks yet. A colorful rattle is more appropriate for a younger infant.
Question 5433)
Which activity would best occupy a 12-month-old child while the nurse is
interviewing the parents?
A. String of large snap beads and a large plastic bowl
B. Riding toy
C. Several small puzzles
D. Paste, paper, and scissors
Answer: A
Explanation: Stringing large beads is appropriate for 12 months. Note that the beads are large and therefore not
subject to being swallowed. A riding toy and small puzzles would be more appropriate for a toddler. Paste, paper,
and scissors are appropriate for a preschooler when used with supervision.
Question 5434)
An 18-month-old child is admitted for a repeat cardiac catheterization. The
parents are continuously present and do everything for the child—dress him, feed him, and even
play for him. The nurse wants to prepare the child and the parents for the procedure. Which of
the following should be included in the care plan?
A. Give the child simple explanations
B. Talk with the parents to assess their knowledge and how they can help with the child’s care.
C. No specific action will be necessary because the child and family have been through a cardiac catheterization
previously.
D. Ask the parents to stay away as much as possible because they upset the child.
Answer: B
Explanation: An 18-month-old child cannot understand explanations. The nurse needs to assess the clients’
knowledge and base teaching on that assessment. The nurse should not assume that no teaching is needed just
because the child has had the procedure before. There are no data to indicate that the parents upset the child.
They do appear to be smothering the child, but at this time, the child would probably be more miserable without
the parents. The nurse may want to teach parents about growth and development needs of the toddler.
Question 5435)
In planning care for an 18-month-old child, the nurse would expect him to be able
to do which of the following?
A. Button his shirt and tie his shoes
B. Feed himself and drink from a cup
C. Cut with scissors
D. Walk up and down stairs
Answer: B
Explanation: An 18-month-old should be able to feed himself and drink from a cup. He may be messy. A 5- or 6-
year-old can usually button a shirt and tie shoes. Cutting with scissors is appropriate for a preschool child. A 2-
year-old child can go up and down stairs with both feet on the same step, and a 3-year-old child can go up and
down stairs by alternating feet.
Question 5436)
The mother of a 2-year-old child asks the nurse how to cope with the child’s
frequent temper tantrums when he does not get what he wants immediately. What information
should the nurse include when responding?
A. As long as the child is safe, ignore him during the tantrum.
B. If the child’s demands are reasonable, give him part of what he wants.
C. Spank the child if the tantrum continues for more than five minutes.
D. Explain to the child why he cannot have what he wants and promise him a reward when he stops crying.
Answer: A
Explanation: Temper tantrums are common and normal in a 2-year-old because he is developing autonomy. As long
as the child is safe, he should be ignored. Giving in to the child’s demands is likely to reinforce the negative
behavior and create a longterm pattern of behavior. The nurse should not recommend to the parents that they
spank a child. Promising a reward to stop crying is bribing the child and should not be recommended. A 2-yearold
who is having a temper tantrum is not likely to listen to explanations.
Question 5437)
A 3-year-old child is admitted to the pediatric unit for diagnostic tests. His mother
is discussing the child’s hospitalization with the nurse. She is concerned about staying with this
child and caring for her other two children at home. Which suggestion to the mother will most
help the child adjust to being in the hospital?
A. Do not visit the child until discharge so that your child won’t cry when you leave.
B. Spend the night in the hospital with your child
C. Bring your child’s favorite teddy bear and security blanket to the hospital.
D. Buy your child a gift to let the child know you care deeply.
Answer: C
Explanation: The child’s teddy bear and security blanket will help to give the child a sense of security. Spending the
night would be ideal, but it may not be possible for this mother with two children at home. It is part of the normal
separation reaction for a 3-year-old to be upset when the mother leaves. The parents should visit even if the child
cries when they leave. Buying a gift will provide less security than bringing the child’s favorite comfort items to the
hospital.
Question 5438)
The parents of a 3-year-old child are leaving for the evening. Which behavior
would the nurse expect the child to exhibit?
A. Wave goodbye to the parents
B. Cry when the parents leave
C. Hide his/her head under the covers
D. Ask to go to the playroom
Answer: B
Explanation: It is normal for a 3-year-old to cry when the parents leave. The child will probably not wave goodbye
even though he/she is able to. The child is not likely to hide under the covers. The child will likely be too upset to
ask to go to the playroom.
Question 5439)
When planning outdoor play activities for a normal 4-year-old child, which activity
is most appropriate?
A. Two-wheeled bike
B. Sandbox
C. Climbing trees
D. Push toy lawn mower
Answer: B
Explanation: A sandbox is appropriate for outdoor play. A 4-year-old is too young for a two-wheeled bike or for
climbing a tree without strict supervision. He is probably past the age of pushing a toy lawn mower, which is more
appropriate for a toddler.
Question 5440)
A 5-year-old child had major surgery several days ago and is allowed to be up.
When planning diversional activity, which action by the nurse is most appropriate?
A. Give the child a book to read
B. Play a board game with the child
C. Encourage the child to play house with other children.
D. Turn on the television so the child can watch cartoons.
Answer: C
Explanation: Five-year-old children like cooperative play, such as playing house. The other activities are solitary
activities. Note that the child is several days postsurgery. Most 5-year-olds are not able to read a book by
themselves. Playing a board game with a child is not wrong, but it is a solitary activity. Most 5-year-olds would
prefer to play with other children. There is almost always a better alternative than turning on the television. This
child is several days postsurgery and is able to be up and play with others.
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