The nurse is assessing the growth and development of a 3-year-old child.

Which speech and language skills should the nurse identify as normal developmental milestones for this child?

Speaks in simple sentences with four or more words.

Recognizes most letters and numbers.

Uses gestures with 1-to-2-word sentences.

Uses 1-word sentences.

Answer and Explanation

The Correct Answer is A

At the age of 3, children should be able to speak in simple sentences with a minimum of four words. This is a normal developmental milestone for this age group. Choices B, C, and D are not appropriate developmental milestones for speech and language skills for a 3-year-old child.

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Correct Answer is C

Explanation

The nurse should report chest pain to the healthcare provider immediately when caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Chest pain can be a sign of acute chest syndrome, a potentially life-threatening complication of sickle cell disease that requires prompt treatment.

Swelling in the hands or feet, ulcers on the legs, and jaundice are common symptoms of sickle cell disease and do not require immediate reporting to the healthcare provider.

A. Take the child to a hair salon for a shampoo and a shorter haircut. B. Dispose of the child's brushes, combs, and other hair accessories. C. Rewash the child's hair following a 24-hour isolation period. D. Wash the child's bed linens and clothing in hot soapy water.

Correct Answer is D

Explanation

The nurse should instruct the parents to wash the child's bed linens and clothing in hot soapy water to kill any remaining head lice and prevent reinfestation. The child's brushes, combs, and other hair accessories should also be washed in hot soapy water or disposed of. Taking the child to a hair salon for a shampoo and a shorter haircut is not necessary for treatment of head lice. Rewashing the child's hair following a 24-hour isolation period is not necessary if the permethrin shampoo has been used as directed.

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The nurse is assessing the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Which finding should the nurse report to the healthcare provider immediately?

Correct Answer is C

Explanation

A 3-year-old boy in a daycare facility scratches his head frequently, and the nurse confirms the presence of head lice. The nurse washes the child's hair with permethrin shampoo and calls his parents. Which instruction should the nurse provide to the parents about treatment for head lice?

Correct Answer is D

Explanation

The nurse is monitoring a child with hydrocephalus who received a repeat ventriculoperitoneal (VP) shunt yesterday. Which assessment finding indicates to the nurse that the shunt is functioning normally?

The nurse is caring for an infant who was recently diagnosed with a congenital heart defect. Which assessment finding is most important for the nurse to report to the healthcare provider?

The parents of a newborn infant with hypospadias are concerned about when the surgical correction should occur. Which information should the nurse provide?

The nurse is caring for an adolescent with scoliosis who is recovering after a surgical spinal instrumentation. Which technique should the nurse use when moving this client?

When advising a new mother on caring for a child with croup, which symptom should be a priority concern for the telephone triage nurse?

The nurse is providing teaching to a school-age child with left femoral osteomyelitis and the child's parent prior to discharge. Which instruction should the nurse provide related to the initial phase of treatment?

When developing a teaching plan for an adolescent male who was recently diagnosed with Type 1 diabetes mellitus, the nurse should instruct the client to eat a source of sugar if which symptom occurs?

The nurse is assessing the growth and development of a 3-year-old child.

Which speech and language skills should the nurse identify as normal developmental milestones for this child?