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Exam 4 NUR 404 | Complete Solutions (Answered)
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Exam 4 NUR 404 | Complete Solutions (Answered) A nurse is providing education to parents about readiness for toilet training in toddlers. Which statement by the parents indicates that their child is likely ready for toilet training? A. "My child can walk forward but hasn't mastered walking backw...

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  • November 18, 2024
  • 25
  • 2024/2025
  • Exam (elaborations)
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  • exam 4 nur 404
  • nur 404
  • nur 404 exam 4

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  • NUR 404
  • NUR 404

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Exam 4 NUR 404



A nurse is providing education to parents about readiness for toilet training in toddlers.
Which statement by the parents indicates that their child is likely ready for toilet
training?

A. "My child can walk forward but hasn't mastered walking backwards yet."
B. "My child still needs help pulling their pants up and down but is interested in the
toilet."
C. "My child has some accidents but is able to stay dry for an hour at a time."
D. "My child can walk backwards, is able to pull pants up and down, and seems
interested in using the toilet."

Rationale: Successful toilet training requires a combination of physical, neurological,
and behavioral readiness. Complete myelination of the spinal cord allows control over
the urinary and anal sphincters. A child should show signs of independence, such as
being able to walk backwards, pull pants up and down, and express interest in using the
toilet.

The nurse is educating a group of parents on drowning prevention strategies for
toddlers aged 1-4 years. Which statement by a parent indicates a need for further
teaching?

A. "We've installed a fence with a self-latching gate around our pool to prevent access
when no one is around."
B. "I will make sure my child always has a lifejacket on when we are in or near any body
of water, including at pools and lakes."
C. "As long as I'm within earshot, my child can play in the bathtub for a few minutes
alone since it's only a small amount of water."
D. "Even in shallow water, I will keep my child within arm's reach and provide constant
supervision."

Rationale: Children, particularly toddlers, can drown in even small amounts of water,
such as in a bathtub. Constant supervision is essential, as drowning can occur silently
and quickly. Parents should never leave children unattended in the bathtub, even for a
short period.

A nurse is assessing a 4-year-old child during a routine well-child visit. Which behavior
would the nurse expect to observe that aligns with Piaget's preoperational stage of
cognitive development?

A. The child shows understanding that other people may have different feelings or

,thoughts than they do.
B. The child demonstrates the ability to connect symbols or pictures with objects and
uses them in pretend play.
C. The child engages in logical reasoning when solving simple problems.
D. The child understands that objects remain the same even when they cannot see
them, which indicates an awareness of conservation.

Rationale: In Piaget's preoperational stage (ages 2-7), children begin to use symbols,
pictures, and objects to represent other things in imaginative play, such as using a block
to represent a car. This is typical of their emerging symbolic thought and aligns with
expected cognitive development for this stage.

The nurse is observing a toddler's behavior during a developmental assessment. Which
behavior would indicate that the child is successfully navigating Erikson's Autonomy vs.
Shame and Doubt stage?

A. The child consistently seeks parental help when trying new tasks to ensure they do it
correctly.
B. The child refuses to participate in routines and rituals, preferring unstructured play
over regular activities.
C. The child insists on attempting tasks independently, even if they struggle or make
mistakes, and may occasionally display frustration.
D. The child frequently asks permission to explore new areas and waits for approval
before moving away from their parent.

Rationale: In the Autonomy vs. Shame and Doubt stage (ages 1-3), toddlers strive for
independence and often insist on doing tasks by themselves, even if they face difficulty.
This behavior, coupled with occasional frustration, is a sign that the child is building a
sense of autonomy, a critical developmental milestone for this age group.

Which clinical manifestation will the nurse anticipate when providing care to a toddler
who is diagnosed with acute lead poisoning? Select all that apply.

Emesis
Nausea
Diarrhea
Anorexia
Hypophosphatemia
Seizures
Pica
Irritability

Which clinical manifestation of increasing intracranial pressure (ICP) will the nurse
expect to assess in the 2-year-old diagnosed with meningitis? Select all that apply. One,
some, or all responses may be correct.

, Seizures
Vomiting
Hyperactivity
Bulging fontanels
Subnormal temperature
Decreased respiratory rate
Difficulty with speech
Decreased blood pressure

The parent of a 24-month-old toddler who has been treated for pinworm infestation is
taught how to prevent a recurrence. Which statement by the parent indicates that the
teaching has been effective? Select all that apply. One, some, or all responses may be
correct.

"I'll keep the cat off my child's bed."
"I'll disinfect my child's room every 2 days."
"We'll need to wash all of our sheets every day."
"My child's fingernails should be cut short."
"I need to tell the school nurse to have the toilets cleaned."
"I'll have the whole family take the medication again in 2 weeks."
"I will have the child shower each morning."
"My child will only play indoors during treatment."

A toddler is admitted to the pediatric unit with a temperature of 103.5°F (39.7°C), a
runny nose, and a productive cough. Respiratory secretion specimens are sent for
culture and sensitivity tests. Which precautions will the nurse include when caring for
this client? Select the 4 appropriate precautions.

Droplet
Contact
Airborne
Neutropenic
Restriction of parental visitation
Standard

The nurse is providing dietary guidance to the parent of a 2-year-old toddler who is
described as a "picky eater." Which statement by the parent indicates a need for further
education?

A. "I will offer my child finger foods during meals to help them feel more independent."
B. "My toddler drinks about 30 ounces of low-fat milk per day, which should be enough
to meet their calcium needs."
C. "I limit juice intake to no more than 6 ounces each day to avoid excess sugar."
D. "For each meal, I serve my child 2 tablespoons of each food item to match their
serving size."

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