The nurse is conducting a well-child assessment for a 5-year-old boy in preparation for kindergarten. The boy's grandmother is his primary caregiver because the boy's mother has suffered from depression and substance abuse issues. The nurse understands that the child is at increased risk for which developmental problem?

Speech and language delays

Fine motor skills delay

Stuttering

Lack of social and emotional readiness for school

Answer and Explanation

The Correct Answer is D

A.   Speech and language delays could occur but might not be the primary developmental problem given the circumstances.
B.   Fine motor skills delays could also occur but might not be the primary developmental problem considering the caregiver's situation.
C.   Stuttering might arise but might not be the primary developmental problem given the context of the caregiving environment.
D.   Children in environments affected by parental depression and substance abuse may face challenges in developing social and emotional readiness for school due to inconsistent caregiving and potential emotional stressors.

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Correct Answer is ["B","C","D","E","F"]

Explanation

A. Preschoolers do have a degree of attention but may not notice if a page is skipped during reading.
B. Preschoolers are often drawn to stories that describe experiences different from their own, fostering imagination and understanding of different perspectives.
C. Stories with repeated phrases or predictable patterns can help maintain a preschooler's attention and engagement.
D. Preschoolers often enjoy picture books as visual cues aid in understanding the story and keep them engaged.
E. Preschoolers engaging in various literacy-related behaviors like retelling stories, pretending to read, and asking questions about stories they've heard indicate developing literacy skills.
F. Reciting stories or portions of books shows early literacy skills in preschoolers as they grasp and remember parts of a story.

A. 45 inches B. 47 inches C. 41 inches D. 43 inches

Correct Answer is D

Explanation

A) 45 inches - This would be an unusually high growth of 5 inches in one year, which is above the average growth rate for a child of this age.
B) 47 inches - This represents a growth of 7 inches in one year, which is significantly higher than the expected average and is highly unlikely.
C) 41 inches - This indicates a growth of only 1 inch in a year, which is below the average growth rate for a 5-year-old child.
D) 43 inches - This is a growth of 3 inches from the last examination and falls within the normal range of growth for a preschooler, which is approximately 2 to 3 inches per year.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The school nurse is helping parents choose books for their preschoolers. What literacy skills present in the preschooler would the nurse consider when making choices? Select all that apply.

Correct Answer is ["B","C","D","E","F"]

Explanation

The nurse is conducting a well-child examination of a 5-year-old girl, who was 40 inches tall at her last examination at age 4. Which height measurement would be within the normal range of growth expected for a preschooler?

Correct Answer is D

Explanation

A nurse is caring for a 7-year-old child who has an upper respiratory infection and type 1 diabetes mellitus. Which of the following statements by the mother indicates a need for further instruction?

Ceclor oral suspension 375 mg g. 8h, is ordered for a patient on discharge. The pharmacy gives the patient Ceclor 125 mg/5 ml oral suspension. How many teaspoons will the nurse instruct the patient to take per dose? Record numbers only.

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

The school nurse is teaching parents risk factors for suicide in adolescents. What would the nurse discuss? Select all that apply.

During a well-child check-up, the parents of a 9-year-old boy tell the nurse that their son's friends told him that soccer is a stupid game, and now he wants to play baseball. Which comment by the nurse best explains the effects of peer groups?

A new mother tells the nurse that she is having difficulty breastfeeding her baby. When observing the mother, which actions prompt the nurse to provide teaching about proper breastfeeding techniques? Select all that apply.

A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?