A nurse is preparing to examine a preschooler during a well-child visit.
Which of the following actions should the nurse take to prepare the child?

Perform the most invasive assessment first.

Separate the child from the caregiver during the examination.

Allow the child to role-play using miniature equipment.

Use medical terminology to describe what happened.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Performing the most invasive assessment first can cause distress and fear in a preschooler. It’s generally recommended to start with less invasive procedures to build trust and cooperation.

Choice B rationale

Separating a child from their caregiver during an examination can cause anxiety and fear. It’s often beneficial to have the caregiver present during the examination to provide comfort and reassurance.

Choice C rationale

Allowing a child to role-play using miniature equipment can help alleviate fears and anxieties about the examination. It gives the child a sense of control and understanding of what to expect.

Choice D rationale

While it’s important to explain procedures to a child, using medical terminology can confuse and scare them. It’s better to use simple, age-appropriate language that the child can understand.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

The correct answer is C. When administering an oral elixir to a 3-month-old infant using an oral medication syringe, the nurse should position the syringe to the side of the infant’s tongue. This prevents the medication from being administered too quickly and reduces the risk of choking.

A. Bulging fontanel. B. Insomnia. C. Low-pitched cry. D. Positive Babinski reflex.

Correct Answer is A

Explanation

Choice A rationale

A bulging fontanel is a common sign of increased intracranial pressure (ICP) in infants. The fontanels, or soft spots on an infant’s head, allow for brain growth. When there is increased pressure, as in conditions that cause increased ICP, it can cause the fontanels to bulge outwards.

Choice B rationale

Insomnia is not typically associated with increased ICP in infants. Changes in consciousness, such as irritability or lethargy, may be seen, but these are not the same as insomnia.

Choice C rationale

A low-pitched cry is not typically associated with increased ICP in infants. Changes in cry might occur, but they are not specific to increased ICP4.

Choice D rationale

A positive Babinski reflex is normal in infants up to about 12 months of age. It is not specifically associated with increased ICP4.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is preparing to examine a preschooler during a well-child visit.Which of the following actions should the nurse take to prepare the child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an oral elixir to a 3-month-old infant using an oral medication syringe. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is collecting data from an 8-month-old infant who has increased intracranial pressure (ICP). Which of the following manifestations should the nurse expect?

Correct Answer is A

Explanation

A nurse is caring for a preschooler who is in an acute care facility.Which of the following should the nurse identify as an expected behavior of a preschool-aged child?

A nurse is caring for a 4-year-old child who had an incident of bedwetting during hospitalization. The child’s parents express concern about the incident. Which of the following responses should the nurse make?

What would be included in the plan of care for a child just returned to the floor from surgery in which a clubfoot was repaired? Select all that apply.

A nurse is caring for a newborn who has a myelomeningocele and is admitted to the newborn intensive care unit (NICU) to await surgery.Which of the following nursing goals is the priority in the care of this infant?

The nurse is preparing to care for a newborn receiving phototherapy.Which interventions should be included in the plan of care? Select all that apply.

A child with spina bifida is at risk for developing which of the following complications?

A nurse is caring for a toddler who is scheduled to have a lumbar puncture.Which of the following actions should the nurse take?

A nurse is caring for a 4-year-old child who is 2 days postoperative following the insertion of a ventriculoperitoneal shunt.Which of the following findings should the nurse identify as the priority?

A nurse is preparing to examine a preschooler during a well-child visit.
Which of the following actions should the nurse take to prepare the child?