Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
The nurse is caring for a three year-old child on droplet precautions, Which developmentally appropriate toy should the nurse recommend for this child?
A. Finger paints
Finger paints are appropriate for a three-year-old as they allow for creative expression and are suitable for independent play without the risk of choking or small parts.
B. Building blocks
Building blocks are also appropriate but may not provide the same sensory and creative engagement as finger paints.
C. Books with paper pages
Books with paper pages could be suitable, but the child may need supervision to prevent tearing pages.
D. Small colored beads
Small colored beads pose a choking hazard and are not suitable for this age group.
This question is an excerpt from Nurse Dive's nursing test bank - Ati paediatrics Proctored Exam 1. Take the full exam now
Full Explanation
A. Finger paints are appropriate for a three-year-old as they allow for creative expression and are suitable for independent play without the risk of choking or small parts.
B. Building blocks are also appropriate but may not provide the same sensory and creative engagement as finger paints.
C. Books with paper pages could be suitable, but the child may need supervision to prevent tearing pages.
D. Small colored beads pose a choking hazard and are not suitable for this age group.
Similar Questions
A nurse is teaching parents of infants about object permanence. The parents demonstrate understanding when they state that which of the following behaviors indicates that an infant has developed object permanence?
A. Recognizes a familiar face, such as the mother
Recognizing a familiar face is part of social recognition but does not specifically indicate object permanence.
B. Secures objects by pulling on a string
Securing objects by pulling on a string shows fine motor skills but is not directly related to object permanence.
C. Actively searches for a hidden object
Actively searching for a hidden object indicates that the infant understands that the object still exists even when out of sight, demonstrating the development of object permanence.
D. Recognizes a familiar object, such as a bottle
Recognizing a familiar object does not necessarily indicate that the infant understands the concept of object permanence.
Full Explanation
A. Recognizing a familiar face is part of social recognition but does not specifically indicate object permanence.
B. Securing objects by pulling on a string shows fine motor skills but is not directly related to object permanence.
C. Actively searching for a hidden object indicates that the infant understands that the object still exists even when out of sight, demonstrating the development of object permanence.
D. Recognizing a familiar object does not necessarily indicate that the infant understands the concept of object permanence.
A nurse is planning to provide topical analgesia to numb the site prior to a scheduled lumbar puncture for a preschool-age child. Which of the following actions should the nurse plan to take? (Select all that apply.)
A. Place a transdermal fentanyl patch
A transdermal fentanyl patch is not appropriate for this situation, especially for a short procedure, as it requires time to reach therapeutic levels.
B. Apply EMLA (lidocaine/prilocaine) an hour more the procedure begins.
Applying EMLA cream (lidocaine/prilocaine) at least an hour prior to the procedure helps numb the skin, making the lumbar puncture less painful.
C. Give the child a cup of juice and crackers to keep them calm
Offering a cup of juice and crackers can help distract the child and provide comfort during the waiting period.
D. sedate the child 15 minutes before the procedure
Sedation is not typically necessary for a lumbar puncture in a preschool-age child unless there are specific concerns, and it is usually done with caution.
E. Place tegaderm to the back
Placing tegaderm is unnecessary for the back area where the lumbar puncture will occur and does not contribute to pain management.
Full Explanation
A. A transdermal fentanyl patch is not appropriate for this situation, especially for a short procedure, as it requires time to reach therapeutic levels.
B. Applying EMLA cream (lidocaine/prilocaine) at least an hour prior to the procedure helps numb the skin, making the lumbar puncture less painful.
C. Offering a cup of juice and crackers can help distract the child and provide comfort during the waiting period.
D. Sedation is not typically necessary for a lumbar puncture in a preschool-age child unless there are specific concerns, and it is usually done with caution.
E. Placing tegaderm is unnecessary for the back area where the lumbar puncture will occur and does not contribute to pain management.
The nurse is discussing toddler development with the mother of a 2 1/2-year-old child. Which statement by the mother indicates she has an understanding of how to best help the child succeed in her age-related psychosocial developmental tasks?
A. “I do everything I can for my daughter."
Doing everything for the child can hinder their ability to develop independence and confidence.
B. “I encourage my daughter to try things for herself as much as she can."
Encouraging a toddler to try things for themselves fosters independence and supports their developmental task of gaining autonomy, which is essential at this stage.
C. “I constantly stress the difference between right and wrong to my daughter."
While teaching right from wrong is important, an overly strict approach may lead to feelings of guilt and inhibit exploration.
D. “I provide many opportunities for my daughter to play with other children her age."
Providing opportunities for social play is beneficial, but it is not as directly related to the independence that the child needs at this age.
Full Explanation
A. Doing everything for the child can hinder their ability to develop independence and confidence.
B. Encouraging a toddler to try things for themselves fosters independence and supports their developmental task of gaining autonomy, which is essential at this stage.
C. While teaching right from wrong is important, an overly strict approach may lead to feelings of guilt and inhibit exploration.
D. Providing opportunities for social play is beneficial, but it is not as directly related to the independence that the child needs at this age.