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RN Preschoolers
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Exam study book Nursing Care of Children of Susan R. James, Kristine Nelson, Jean Ashwill - ISBN: 9781455703678 (RN Preschoolers)
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RN Preschoolers_EAQ EXIT EXAM 2022A nurse is planning to foster independence in a group of 4-year-old children. What
self-care skill does the nurse expect 4-year-olds to be capable of performing?
1
Parting and combing hair
2
Putting on a shirt and buttoning it
3
Cutting meat with a fork and knife
4
Slipping into shoes and tying shoelaces - ANSWER: 2
Four-year-old children can put on a shirt and can fasten it if the buttons are large.
Four-year-olds will be able to comb, but not part, their hair. Four-year-olds can
handle a fork and spoon, but cannot hold the meat with the fork while cutting it with
the knife; children are usually 7 years old before this task is managed. Four-year-olds
old can put on shoes, but are usually unable to tie them until age 5.
Which areas are sources of stress in four-year-old children? Select all that apply.
1
School
2
Attention
3
Insecurity
4
Activity level
5
Separation anxiety - ANSWER: 234
Attention, insecurity, and activity level are sources of stress in four-year-old children.
School and separation anxiety are sources of stress in five-year-old children.
The preschool-age client is learning sociocultural mores. What should this imply to
the nurse regarding this client?
1
The child is developing a conscience.
2
The child is learning about gender roles.
3
The child is developing a sense of security.
4
The child is learning about the political process. - ANSWER: 1
Learning the sociocultural mores of the family implies that the child is developing a
conscience. This does not imply that the child is learning gender roles, developing a
sense of security, or learning about the political process.
,The home healthcare nurse is evaluating the environments of several preschool-age
pediatric clients. Which activities noted during the visits places a child at risk for
bodily harm? Select all that apply.
1
The client is swimming in the pool unsupervised.
2
The parents leave medications within reach of the client.
3
A parent tricks the client to eat a vitamin by saying, "This is candy."
4
A parent only allows the client to watch two hours of television each day.
5
The parents ask the client, "Has anyone touched you inappropriately at school?" -
ANSWER: 123
Activities that the nurse notes as potentially harmful include the client swimming
unsupervised in the pool, medications that are left within reach of the client, and a
parent telling the child that a vitamin is candy. Each of these findings increases the
child's risk for bodily harm necessitating the need for intervention. Two hours of
television is appropriate for a preschool-age client. A parent question asking the
client if he or she has ever been touched inappropriately at school is also
appropriate and does not place the child at risk for bodily harm.
Which behavior noted by the nurse when observing a preschool-age client indicates
the end of the Oedipus or Electra complex?
1
Identification with siblings
2
Identification with same-sex parent
3
Identification with opposite-sex peers
4
Identification with opposite-sex parent - ANSWER: 2
Identification with a same-sex parent indicates the end of the Oedipus or Electra
complex during the preschool stage of development. Identification with siblings,
opposite-sex peers, or an opposite-sex parent is not indicative of the end of these
complexes.
The nurse is providing education to the parents of a preschool-age client who is
experiencing a severe fear of the dark. Which treatment option should the nurse
share with the parents during the teaching session?
1
Prescription medication
2
Electroconvulsive therapy
3
Intensive therapy sessions
4
,Repetition of brave statements - ANSWER: 4
Repetition of brave statements is a treatment option that the nurse should share
with the parents of a preschool-age client who experiences severe fear of the dark.
Prescription medication, electroconvulsive therapy, and intensive therapy sessions
are not appropriate treatment options for the nurse to share with this client's
parents.
Which gross motor skill is exhibited by 3-year-olds?
1
Walking backward with heel to toe
2
Repeatedly catching a ball
3
Skipping and hopping on one foot
4
Riding a tricycle - ANSWER: 4
Riding a tricycle is a gross motor skill exhibited by 3-year-olds. Repeatedly catching a
ball, skipping, and hopping on one foot are gross motor skills exhibited by 4-year-
olds. Walking backward with heel to toe is a gross motor skill exhibited by 5-year-
olds.
What nursing intervention does a nurse provide during the initiative versus guilt
stage?
1
Teaching parents about child impulse control
2
Helping the client decide his or her treatment plan
3
Guiding parents to help their child achieve self-control
4
Assisting individuals in choosing ways to foster social development - ANSWER: 1
The initiative versus guilt stage is seen in children between ages three to six years.
During this stage, the nurse should teach parents about child impulse control and
cooperative behaviors for better growth and development of the child. During the
identity versus role of confusion stage, the nurse should provide enough information
to the adolescents, which allow them to choose the treatment plan. The nurse
guides the parents to help their child achieve self-control and willpower during the
stage of autonomy versus shame and doubt. The nurse assists ill adults in choosing
creative ways to foster their social development during the generativity versus self-
absorption and stagnation stage.
What is the average height of a four-year-old child?
1
2 feet, 10 inches (86.6 cm)
2
3 feet, 1.5 inches (95 cm)
3
, 3 feet, 4.5 inches (103 cm)
4
3 feet, 7.5 inches (110 cm) - ANSWER: 3
The average height of a four-year-old child is 3 feet, 4.5 inches (103 cm). The average
height of a two-year-old child is 2 feet, 10 inches (86.6 cm). The average height of a
three-year-old child is 3 feet, 1.5 inches (95 cm). The average height of a five-year-
old child is 3 feet, 7.5 inches (110 cm).
On an average, how many hours of sleep would the nurse state a preschooler needs
during the night? Record your answer using a whole number. _____ hours -
ANSWER: 12
Preschoolers need an average of 12 hours of sleep a night for proper development of
mental and physical health.
Which preschool-age clients, who will be starting kindergarten within the year,
would benefit from an individualized education plan (IEP)? Select all that apply.
1
A child with an IQ of 60
2
A child with a hearing deficit
3
A child who has a casted arm due to a fracture
4
A child diagnosed with autism spectrum disorder (ASD)
5
A child diagnosed with type 1 diabetes mellitus (DM) controlled with insulin -
ANSWER: 124
The children who would benefit from an IEP include a child with an IQ of 60 who is
intellectually disabled, a child with a hearing deficit who will require modification for
success, and a child diagnosed with ASD who will have specialized educational needs.
The child with a casted arm due to fracture does not have a chronic problem and
does not require an IEP. The child diagnosed with DM may require an individual
health plan but not an IEP.
According to Erikson's theory, what behavior would the nurse explain a preschooler
exhibits?
1
The child develops the superego.
2
The child plays beside other children.
3
The child concentrates on work and play.
4
The child becomes casual about body appearance. - ANSWER: 1
According to Erikson's theory, a preschooler develops superego or conscience during
the initiative versus guilt stage. During the autonomy versus shame and doubt stage,
the toddler engages in parallel play and starts to play beside other children. A
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