The nursing instructor is illustrating the various types of play. The instructor determines the class is successful when the students correctly choose which example as best representing onlooker play?

Playing apart from others without being part of a group.

Playing in an organized group with each other.

Acting out a troubling situation.

Observing without participating.

Answer and Explanation

The Correct Answer is D

Choice A reason: Playing apart without group involvement describes solitary play, not onlooker play, which involves watching others without joining. Observing without participating is the defining feature, making this incorrect, as it misidentifies the type of play in the instructor’s illustration of pediatric play types.

Choice B reason: Organized group play is cooperative play, not onlooker play, which entails passive observation. Students identifying observing without participating show understanding, making this incorrect, as it represents a different play type unrelated to the onlooker behavior described in the class.

Choice C reason: Acting out a troubling situation is dramatic play, not onlooker play, which focuses on watching without engagement. Observing without participating is the correct example, making this incorrect, as it does not match the passive nature of onlooker play in the instructor’s lesson.

Choice D reason: Onlooker play involves observing others’ play without participating, typical in young children assessing social situations. Students choosing this example demonstrate understanding, aligning with pediatric developmental play theories, making it the correct choice for a successful class on types of play.

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Correct Answer is B

Explanation

Choice A reason: Scoliosis screening is typically prioritized in older children (10-14 years), as curvature often appears during puberty. Vision and hearing screenings are critical for 6-8-year-olds to support learning, making this less urgent and incorrect for the prioritized screening in this elementary school age group.

Choice B reason: Vision and hearing screenings are critical for 6-8-year-olds, as deficits can impair academic performance and development. Early detection ensures timely intervention, aligning with pediatric school health guidelines, making this the prioritized screening for elementary students to support their educational and health needs.

Choice C reason: Assessing nutritional needs is important but less standardized as a routine screening compared to vision and hearing, which directly impact learning. These screenings take precedence, making this less critical and incorrect for the nurse’s priority in routine health checks for 6-8-year-olds.

Choice D reason: Reviewing immunization records ensures compliance but is administrative, not a health screening like vision and hearing, which detect active issues. These screenings are more urgent, making this incorrect compared to prioritizing assessments that directly affect the health of 6-8-year-old students.

A. “Sterilize a pair of narrow tweezers. While someone else holds the child’s head still, carefully insert the tweezers and remove the paper if there is any.” B. “Wait for a day or two to see if the child’s ears seem irritated. If they do, bring her in.” C. “The child should be seen by a care provider. Don’t put anything in her ear and bring her in right away.” D. “Wash her ear out using warm water and an ear syringe then the paper will flush out with the water.”

Correct Answer is C

Explanation

Choice A reason: Using tweezers risks ear canal injury or pushing paper deeper in a 2-year-old, potentially causing trauma. Professional evaluation ensures safe removal, making this dangerous and incorrect compared to advising immediate medical attention to address the potential foreign object in the child’s ear safely.

Choice B reason: Delaying care for irritation risks complications like infection or eardrum damage from a foreign object in a 2-year-old. Immediate provider assessment is safer, making this inadequate and incorrect compared to prioritizing prompt medical evaluation for the child’s potential ear issue.

Choice C reason: Immediate care provider evaluation ensures safe removal of any paper, preventing ear damage or infection in a 2-year-old. Advising against inserting objects protects the child, aligning with pediatric safety protocols, making this the correct response to address the caregiver’s concern effectively.

Choice D reason: Washing the ear with a syringe may push paper deeper or injure a 2-year-old’s delicate ear canal. Professional intervention is needed, making this risky and incorrect compared to seeking immediate medical evaluation to safely address the potential foreign object in the child’s ear.

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The nursing instructor is illustrating the various types of play. The instructor determines the class is successful when the students correctly choose which example as best representing onlooker play?

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Naxlex Comprehensive Predictor Exams

The school nurse is preparing to conduct routine health screenings of the elementary school students. Which screening will the nurse prioritize for students ages 6 to 8?

Correct Answer is B

Explanation

The caregiver of a 2-year-old calls the clinic concerned that her child may have pushed paper into her ears, and she asks the nurse what to do. The mother found the child pushing on her ears with torn paper on the floor in front of her. What would be the appropriate response by the nurse?

Correct Answer is C

Explanation

A nurse is presenting a class on discipline for a group of parents of toddlers. What information would be important for the nurse to teach this group? (Select all that apply)

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A child diagnosed with allergic rhinitis is rubbing his nose upward and backward. Which response is the child exhibiting?

The location of the kidneys in the child in relationship to the location of the kidneys in the adult makes which fact a greater likelihood in the child?

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