A nurse is conducting developmental assessments on several children in the day-care setting. Which two children does the nurse identify as having developmental delays?

A 5-year-old who is unable to zip his own jacket.

A 2-year-old who cannot recite her phone number.

A 6-year-old who is unable to sit still for a short story.

A 2-year-old who is unable to cut with scissors.

An 18-month-old toddler who is unable to phrase sentences.

Answer and Explanation

The Correct Answer is C

Choice A reason: This choice is incorrect. It is not unusual for a 5-year-old to have difficulty with zippers.
Choice B reason: This choice is incorrect. Reciting a phone number is not expected of a 2-year-old.
Choice C reason: This is one of the correct choices. A 6-year-old should be able to sit still for a short story, and difficulty doing so may indicate a developmental delay.
Choice D reason: This choice is incorrect. A 2-year-old typically does not have the fine motor skills to cut with scissors.
Choice E reason: This is one of the correct choices. An 18-month-old should be starting to phrase simple sentences, and the inability to do so may indicate a developmental delay.

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Correct Answer is B

Explanation

Choice A reason: Clubbed fingers are a sign of chronic hypoxia and may be seen in older children with cystic fibrosis, but they are not typically present at birth.
Choice B reason: This is the correct choice. Meconium ileus is a blockage of the intestines that occurs shortly after birth and is often the first sign of cystic fibrosis.
Choice C reason: A barrel chest is associated with chronic respiratory conditions and would not be present in a newborn.
Choice D reason: Steatorrheic stools, or fatty stools, may occur in cystic fibrosis but are not a primary indicator in a newborn.

A. A 7-year-old child B. A 5-month-old infant C. A 4-year-old child D. A 15-month-old toddler

Correct Answer is C

Explanation

Choice A reason: A 7-year-old child may have some difficulty with separation but is typically able to understand the reason for hospitalization better than younger children.
Choice B reason: A 5-month-old infant may show signs of distress but does not have the same understanding of separation as an older child.
Choice C reason: This is the correct choice. A 4-year-old child is at a developmental stage where separation from family can cause significant distress and difficulty.
Choice D reason: A 15-month-old toddler may experience separation anxiety, but it is generally more intense in preschool-aged children.

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A nurse is conducting developmental assessments on several children in the day-care setting. Which two children does the nurse identify as having developmental delays?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newborn is suspected of having cystic fibrosis. As the child is being prepared for transfer to a pediatric hospital, the mother asks the nurse which symptoms made the practitioner suspect cystic fibrosis. Which response by the nurse is the most appropriate?

Correct Answer is B

Explanation

In planning care, the nurse recognizes that which child should have the most difficulty with separation from family during hospitalization?

Correct Answer is C

Explanation

The nurse obtains a fingerstick blood glucose level using bedside lancet/glucose meter equipment from a client with a prescribed sliding scale insulin protocol. The meter indicates 56 mg/dL (3.12 mmol/L). At this time, which intervention should the nurse implement first?

Which two interventions are considered supportive care for a family whose infant has died from sudden infant death syndrome (SIDS)?

Nursing care of a child diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) should include which of the following?

When caring for a four-year-old who has been admitted to the hospital after having a febrile seizure, which of the following statements should be included when educating the parents? Select the two responses that apply:

The nurse is assessing a patient’s arteriovenous (AV) fistula. Which finding provides evidence of its normal function?

When planning care for a client newly diagnosed with open-angle glaucoma, the nurse identifies a priority nursing problem of visual sensory-perceptual alterations. This problem is based on which etiology?

Which of the following is NOT a risk factor for pediatric mental health disorders such as Attention Deficit Disorder (ADD)/ADHD?

Which is the best nursing response to give a parent about contacting the physician regarding a 4-month-old infant with diarrhea?