Question 1

The nurse is about to administer prescribed medication to a 4 year old.The medication is renally excreted.Which of the following statements is correct concerning this scenario?

Accepted Answer

A)  The dosage reflects the status that kidneys are not fully matured until after age 5.
B)  The dosage reflects the status that kidneys have reached full maturity.
C)  The dosage reflects the status that kidneys are hyperactive from birth to age 5.
D)  Renally excreted meds are contraindicated for children under 5 years.The nurse needs to call the physician for clarification. B

Question 2

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

Accepted Answer

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

Question 3

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?

Accepted Answer

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. A

Question 4

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?

Accepted Answer

A)  Radiator heating system
B)  Air conditioner
C)  Hardwood flooring
D)  Wall-to-wall carpeting

Question 5

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?

Accepted Answer

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

Question 6

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

Accepted Answer

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

Question 7

The nurse suspects a 5-year-old child has asthma.Which information garnered from the child's medical history would be a risk factor for asthma or for exacerbating asthma?

Accepted Answer

A)  The child was breast-fed.
B)  The child sleeps every night with the family dog in his bed.
C)  The child was born via a C-section.
D)  The child had pressure equalizer tubes as an infant.

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?

Accepted Answer

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

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

Accepted Answer

A)  Down 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 10

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

Accepted Answer

A)  Have him change his own pajamas before returning 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 11

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

Accepted Answer

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

Question 12

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?

Accepted Answer

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.

Question 13

A preschooler and her school-age brother both have 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?

Accepted Answer

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

Question 14

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

Accepted Answer

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 15

Autism disorder is common and is invariably encountered by nurses providing care for children.Which of the following statements is correct concerning this disorder?

Accepted Answer

A)  It is caused by maternal drug abuse especially cocaine during the in utero period.
B)  It is caused by child vaccines.
C)  It is considered as a genetically determined disorder.
D)  It is more common with children who had high Apgar scores as newborns.

Question 16

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?

Accepted Answer

A)  Increased regulation of WIC programs to insure compliance
B)  Decrease the number of children exposed to pet dander
C)  Regulation of the paint allowed for use with toys
D)  All of the above

Question 17

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

Accepted Answer

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

Question 18

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

Accepted Answer

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

Question 19

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?

Accepted Answer

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

Question 20

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

Accepted Answer

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.

Exam 19: Preschool Child