Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which nursing action would help foster a hospitalized 3-year-old's sense of autonomy?
A. Let the child choose what time to take the oral antibiotics
B. Allow the child to have a doll for medical play
Allowing the child to have a doll for medical play would help foster their sense of autonomy. This allows the child to take on a role of authority and control in a familiar context, promoting a sense of independence and decision-making.
C. Let the child watch age appropriate videos
D. Allow the child to administer her own dose of Cephalexin (keflex) wa oral syringe
This question is an excerpt from Nurse Dive's nursing test bank - Paediatrics ATI Proctored Exam. Take the full exam now
Full Explanation
Allowing the child to have a doll for medical play would help foster their sense of autonomy. This allows the child to take on a role of authority and control in a familiar context, promoting a sense of independence and decision-making.
Similar Questions
A nurse is collecting data from an infant at a well-child visit. The nurse should understand that birth weight typically doubles by what age?
A. 6 months
Birth weight typically doubles by 6 months of age.
B. 12 months
C. 3 months
D. Months
Full Explanation
Birth weight typically doubles by 6 months of age.
A nurse is teaching the parents of a 6-month-old infant about age-specific growth and development. Which statement is true regarding infant development? Select all that apply.
A. Head lag is commonly noted in infants at age 6 months.
B. A 6-month-old infant has trouble holding objects
C. Lack of visual coordination usually resolves by age 6 months
D. A 6-month-old infant can usually roll from prone to supine and supine to prone positions
E. A teething ring is appropriate for a 6-month-old infant
Full Explanation
Head lag is not commonly noted in infants at age 6 months. By this age, infants should have developed good head control and should not exhibit significant head lag when pulled into a sitting position.
A 6-month-old infant typically has developed the ability to hold objects and grasp them with their hands, so they should not have trouble holding objects at this stage of development.
A nurse is caring for a 3-year-old child whose parents report that she has an intense fear painful procedures, such as injections. Which of the following strategies should the nurse add to the child's plan of care? (Select all that apply.)
A. Have a parent stay with the child during procedures.
For toddlers, parents are the primary source of security. Their presence helps decrease the child's anxiety and provides emotional support during stressful events.
B. Allow the child to keep a toy from home with her.
Transitional objects (like a favorite teddy bear or blanket) provide a sense of home and safety in an unfamiliar hospital environment.
C. Cluster invasive procedures whenever possible.
While we often cluster care to allow for rest, clustering invasive or painful procedures can be overwhelming and traumatic for a small child. It is better to allow the child time to recover and regain a sense of safety between painful events.
D. Perform the procedure as quickly as possible.
While you should explain the procedure in simple terms right before it happens, toddlers have a limited attention span and high anticipatory anxiety. Completing the task quickly and efficiently reduces the duration of distress.
E. Use mummy restraints during painful procedures
Restraints should be a last resort. For a 3-year-old, therapeutic holding by a staff member or parent is preferred over mechanical or mummy restraints, which can increase fear and a sense of loss of control.