Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching? (Select all that apply.)
A. Need for increased caloric intake
Toddlers experience slowed growth compared to infancy, leading to a natural decrease in appetite (physiologic anorexia). Instead of increasing caloric intake, parents should be encouraged to offer nutrient-dense foods in small, frequent meals and avoid pressuring the child to eat.
B. Management of tantrums
Tantrums are common in toddlers as they begin to assert independence but struggle with emotional regulation. Parents should use strategies such as remaining calm, setting clear limits, offering choices when appropriate, and using positive reinforcement to help manage tantrums effectively.
C. How to establish trust
Establishing trust is a key developmental task of infancy (Erikson’s trust vs. mistrust stage). In toddlerhood (autonomy vs. shame and doubt stage), the focus is on developing independence, so guidance should focus on setting boundaries, providing choices, and allowing safe exploration rather than trust-building alone.
D. How to encourage cooperative play
Cooperative play is typically aimed at older preschoolers and not toddlers, who are still developing social skills and tend to engage in parallel play rather than cooperative play.
E. Dental care
Early dental hygiene is crucial for preventing cavities and establishing good oral health habits. Parents should begin brushing their toddler's teeth with a soft toothbrush and a small amount of fluoride toothpaste and schedule the first dental visit by 12 months of age or within 6 months of the first tooth eruption.
This question is an excerpt from Nurse Dive's nursing test bank - Paediatrics ATI Proctored Exam. Take the full exam now
Full Explanation
A. Toddlers experience slowed growth compared to infancy, leading to a natural decrease in appetite (physiologic anorexia). Instead of increasing caloric intake, parents should be encouraged to offer nutrient-dense foods in small, frequent meals and avoid pressuring the child to eat.
B. Tantrums are common in toddlers as they begin to assert independence but struggle with emotional regulation. Parents should use strategies such as remaining calm, setting clear limits, offering choices when appropriate, and using positive reinforcement to help manage tantrums effectively.
C. Establishing trust is a key developmental task of infancy (Erikson’s trust vs. mistrust stage). In toddlerhood (autonomy vs. shame and doubt stage), the focus is on developing independence, so guidance should focus on setting boundaries, providing choices, and allowing safe exploration rather than trust-building alone.
D. Cooperative play is typically aimed at older preschoolers and not toddlers, who are still developing social skills and tend to engage in parallel play rather than cooperative play.
E. Early dental hygiene is crucial for preventing cavities and establishing good oral health habits. Parents should begin brushing their toddler's teeth with a soft toothbrush and a small amount of fluoride toothpaste and schedule the first dental visit by 12 months of age or within 6 months of the first tooth eruption.
Similar Questions
A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. Which of the following actions should the nurse suggest to the parent?
A. Distract the child by offering to play a game.
Distracting the child with a different activity or redirecting their attention can help diffuse the situation and shift their focus away from the tantrum. Offering to play a game or engage in a preferred activity can help redirect their energy and emotions. Telling the child that temper tantrums are not acceptable may not be effective as toddlers may not fully comprehend or control their emotions yet. Ignoring the tantrums can also be challenging as it may reinforce the behavior or escalate the intensity. Physically restraining the child is not recommended as it can be distressing for the child and potentially cause harm. It is important to use positive and supportive strategies to manage and address temper tantrums in toddlers.
B. Tell the child that temper tantrums are not acceptable.
C. Ignore the temper tantrums.
D. Restrain the child physically.
Full Explanation
Distracting the child with a different activity or redirecting their attention can help diffuse the situation and shift their focus away from the tantrum. Offering to play a game or engage in a preferred activity can help redirect their energy and emotions.
Telling the child that temper tantrums are not acceptable may not be effective as toddlers may not fully comprehend or control their emotions yet. Ignoring the tantrums can also be challenging as it may reinforce the behavior or escalate the intensity.
Physically restraining the child is not recommended as it can be distressing for the child and potentially cause harm. It is important to use positive and supportive strategies to manage and address temper tantrums in toddlers.
A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. The nurse should understand that these actions are developmentally appropriate at which of the following ages?
A. 6 years
B. 5 years
C. 4 years
D. 3 years
At this age, children have developed the physical coordination and balance necessary to navigate stairs with more control and safety. They may still require support from holding onto the railing for added stability and security. As children grow older, they continue to refine their motor skills, balance, and coordination, and by the age of 4, 5, and 6 years, they typically demonstrate more advanced stair-descending skills, such as alternating feet and using the railing less for support.
Full Explanation
At this age, children have developed the physical coordination and balance necessary to navigate stairs with more control and safety. They may still require support from holding onto the railing for added stability and security. As children grow older, they continue to refine their motor skills, balance, and coordination, and by the age of 4, 5, and 6 years, they typically demonstrate more advanced stair-descending skills, such as alternating feet and using the railing less for support.
A nurse working in a pediatric clinic recognizes the three most common toxins in pediatric care?
A. Pesticides
B. Air pollution
C. Pharmacuetical
D. Lead Poisoning
Full Explanation
Lead is a toxic metal that can be found in old paint, dust, soil, and certain consumer products. Children are particularly vulnerable to lead poisoning, which can lead to developmental delays, learning difficulties, and other health problems.
Pesticides are chemicals used to control pests, such as insects and rodents. Children can be exposed to pesticides through contaminated food, water, or direct contact with treated areas. Pesticide exposure has been linked to various health issues, including neurodevelopmental disorders and respiratory problems.
Certain medications can be toxic to children, especially if taken in excessive amounts or without appropriate supervision. Accidental ingestion of medications, including over-the-counter and prescription drugs, is a significant concern in pediatric care.
While air pollution is a significant environmental factor that can impact children's health, it is not typically considered one of the most common toxins in pediatric care.