NURS 340 Preparation For The Nclex Questions and Answers Test Bank ,100% CORRECT
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Course
NURS 340
Institution
NURS 340
NURS 340 Preparation For The Nclex Questions and Answers Test Bank
Origin: Chapter 4, 1
1. The nurse is performing a physical assessment of a 3-year-old girl. What finding would be a concern for the nurse?
A) The toddler gained 4 pounds in weight since last year.
B) The toddler gained 3 inch...
nurs 340 preparation for the nclex questions and answers test bank
1 the nurse is performing a physical assessment of a 3 year old girl what finding would be a concern for the nurse
2 the nurse is
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NURS 340 Preparation For The Nclex Questions and Answers
Test Bank
Origin: Chapter 4, 1
1. The nurse is performing a physical assessment of a 3-year-old girl. What
finding would be a concern for the nurse?
A) The toddler gained 4 pounds in weight since last year.
B) The toddler gained 3 inches in height since last year.
C) The toddler's anterior fontanel is not fully closed.
D) The circumference of the child's head increased 1 inch
since last year. Ans: C
Feedback:
The anterior fontanel should be closed by the time the child is 18-months
old. The average toddler weight gain is 3 to 5 pounds per year.
Length/height increases by an average of 3 inches per year. Head
circumference increases about 1 inch from when the child is between 1 and
2 years of age, then increases an average of a half-inch per year until age 5.
Origin: Chapter 4, 2
2. The nurse is describing the maturation of various organ systems during
toddlerhood to the parents. What would the nurse correctly include in this
description?
A) Myelinization of the brain and spinal cord is complete at about 24
months.
B) Alveoli reach adult numbers by 3 years of age.
C) Urine output in a toddler typically averages approximately 30 mL/hour.
D) Toddlers typically have strong abdominal muscles by
the age of 2. Ans: A
Feedback:
Myelinization of the brain and spinal cord continues to progress and is
complete around 24 months of age. Alveoli reach adult numbers usually
around the age of 7. Urine output in a toddler typically averages 1
mL/kg/hour. Abdominal musculature in a toddler is weak, resulting in a pot-
bellied appearance.
Page 1
, Origin: Chapter 4, 3
3. The nurse is teaching the parents of a 2-year-old toddler methods of
dealing with their child's 'negativism.' Based on Erickson's theory of
development, what would be an appropriate intervention for this child?
A) Discourage solitary play; encourage playing with other children.
B) Encourage the child to pick out his own clothes.
C) Use 'time-outs' whenever the child says 'no' inappropriately.
D) Encourage the child to take turns when
playing games. Ans: B
Feedback:
Erikson defines the toddler period as a time of autonomy versus shame and
doubt. It is a time of exerting independence. Allowing the child to choose his
own clothes helps him to assert his independence. Negativism and always
saying "no" is a normal part of healthy
Page 2
, development and is occurring as a result of the toddler's attempt to assert
his or her independence. It should not be punished with 'time-outs.' The
toddler should be encouraged to play alone and with other children.
Toddlers cannot take turns in games until age 3.
Origin: Chapter 4, 4
4. The nurse is caring for a toddler who is in Piaget's sensorimotor stage
of cognitive development. Which task would the nurse expect the
toddler to be able to perform?
A) Completing puzzles with four pieces
B) Winding up a mechanical toy
C) Playing make-believe with dolls
D) Knowing which are his or her toys
Ans: D
Feedback:
The toddler in Piaget's sensorimotor stage of cognitive development (18 to
24 months) understands requests, is capable of following simple directions,
and has a sense of ownership (knowing which toys are his). The other tasks
are accomplished by the child in the preoperational stage (2 to 7 years).
Origin: Chapter 4, 5
5. The nurse is observing a 24-month-old boy in a day care center. Which
finding suggests delayed motor development?
A) The child has trouble undressing himself.
B) The child is unable to push a toy lawnmower.
C) The child is unable to unscrew a jar lid.
D) The child falls when he bends over.
Ans: B
Feedback:
Children with normal motor development are able to push toys with
wheels at 24 months of age. He won't be ready to undress himself, unscrew
a jar lid, or bend over without falling until about 36 months of age.
Origin: Chapter 4, 6
Page 3
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