A nurse is performing a physical assessment on a 2-year-old toddler who is being admitted to the pediatric unit. What statement by the nurse would be most appropriate to elicit cooperation from the toddler?

"Let me listen to your heart with this stethoscope."

"Do you want me to check your ears first or your mouth first?"

"You have to hold still while I measure your temperature."

"Can you show me how you can count your fingers?"

Answer and Explanation

The Correct Answer is B

Choice A reason: This statement by the nurse may not be appropriate for a 2-year-old toddler, as it does not offer any choice or control to the toddler. It may also sound scary or intimidating to the toddler.

Choice B reason: This statement by the nurse would be most appropriate for a 2-year-old toddler, as it offers a limited choice and a sense of control to the toddler. It also shows respect for the toddler's preferences and autonomy.

Choice C reason: This statement by the nurse may not be appropriate for a 2-year-old toddler, as it does not offer any choice or control to the toddler. It may also sound demanding or threatening to the toddler.

Choice D reason: This statement by the nurse may not be appropriate for a 2-year-old toddler, as it does not relate to the physical assessment. It may also distract or confuse the toddler from what is being done.

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Correct Answer is D

Explanation

Choice A reason: This statement by the child indicates a partial understanding of the discharge instructions, as it shows awareness of the importance of blood glucose monitoring for diabetes mellitus. However, the child may also need to check his or her blood sugar level at other times, such as before bedtime, before exercise, or when sick.

Choice B reason: This statement by the child indicates a need for further teaching, as it shows a misunderstanding of the proper technique for insulin administration for diabetes mellitus. The child should rotate the injection sites to prevent lipodystrophy, a condition that causes lumps or dents in the skin.

Choice C reason: This statement by the child indicates an understanding of the discharge instructions, as it shows awareness of the importance of dietary management for diabetes mellitus. The child should follow a balanced and consistent carbohydrate diet that matches the insulin dose and activity level.

Choice D reason: This statement by the child indicates an understanding of the discharge instructions, as it shows awareness of the signs and symptoms of hyperglycemia, a condition that occurs when the blood sugar level is too high and can lead to diabetic ketoacidosis, a serious complication of diabetes mellitus.

A. The child's name, age, diagnosis, and allergies B. The child's vital signs, oxygen saturation, and pain score C. The child's medication history, current medications, and IV fluids D. The child's family situation, coping skills, and emotional needs

Correct Answer is B

Explanation

Choice A reason: This information is important but not the most important for the nurse to communicate during the handoff report. It may be already available in the electronic health record or the transfer form.

Choice B reason: This information is the most important for the nurse to communicate during the handoff report, as it reflects the current clinical status and stability of the child. It may also indicate any changes or interventions that are needed in the ICU.

Choice C reason: This information is important but not the most important for the nurse to communicate during the handoff report. It may be already available in the electronic health record or the medication administration record.

Choice D reason: This information is important but not the most important for the nurse to communicate during the handoff report. It may be more relevant for the psychosocial assessment and support of the child and family in the ICU.

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A nurse is performing a physical assessment on a 2-year-old toddler who is being admitted to the pediatric unit. What statement by the nurse would be most appropriate to elicit cooperation from the toddler?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discharging a child who has diabetes mellitus from a pediatric unit. What statement by the child indicates that he or she understands the discharge instructions?

Correct Answer is D

Explanation

A nurse is transferring a 12-year-old child from the pediatric unit to the intensive care unit (ICU) after a severe asthma attack. What is the most important information that the nurse should communicate to the ICU staff during the handoff report?

Correct Answer is B

Explanation

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A nurse is discharging a 5-year-old child who has diabetes mellitus from a pediatric unit. Which of the following statements by the parent indicates a need for further teaching?

A nurse is admitting a 4-year-old child to the pediatric unit. What is the best way to obtain the child's cooperation during the admission process?

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