A nurse is assessing a 24-month-old toddler. Which of the following findings should the nurse report to the provider?

Eats a large amount of food one day then very little the next

Holds his breath when having a temper tantrum

Sleeps 11 to 12 hr per day

Has a vocabulary of 30 words

Answer and Explanation

The Correct Answer is B

A. Eating a large amount of food one day and very little the next is a normal eating pattern for toddlers. They may have days when they eat more and days when they eat less.

B. This finding should be reported to the provider. Breath-holding spells during temper tantrums can be concerning and may require further evaluation.

C. Toddlers typically need about 11-14 hours of sleep per day, so sleeping 11 to 12 hours is within the normal range.

D. A vocabulary of 30 words is considered normal for a 24-month-old toddler.

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Correct Answer is B

Explanation

A. The first dose of the Hepatitis B vaccine is typically administered shortly after birth, not at 12 months of age.

B. Correct. The first dose of the Varicella (chickenpox) vaccine is recommended at 12 months of age.

C. The Human Papillomavirus (HPV) vaccine is not typically started until the preadolescent or adolescent years, typically around ages 11-12.

D. The first dose of the Inactivated Polio Virus (IPV) vaccine is usually given at 2 months of age, with additional doses at 4 months and 6-18 months.

A. Oliguria B. Hypertension C. Hyperactive bowel sounds D. Hyporeflexia

Correct Answer is D

Explanation

A. Oliguria (decreased urine output) is not typically associated with hypokalemia. It can be a symptom of other electrolyte imbalances or kidney dysfunction.

B. Hypertension (high blood pressure) is not a typical finding in a child with hypokalemia. Low potassium levels are more likely to be associated with cardiac dysrhythmias and hypotension.

C. Hyperactive bowel sounds are not directly related to hypokalemia. They can occur in various gastrointestinal conditions, but they are not a specific indicator of potassium
levels.

D. This is the correct answer. Hypokalemia (low potassium levels) can lead to decreased neuromuscular excitability, which can result in hyporeflexia (reduced reflexes). This is an important neurological sign associated with low potassium levels.

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A nurse is assessing a 24-month-old toddler. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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