Pediatric Nursing Caring For Children and Their Families 3rd Edition Potts Test Bank

Pediatric Nursing Caring for Children
and Their Families 3rd Edition Potts

Test Bank
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CHAPTER 10: GROWTH AND DEVELOPMENT OF THE PRESCHOOLER
MULTIPLE CHOICE
1. The nurse on the pediatric unit is working with the recreational and developmental specialists to plan
some activities for the children. One activity is a card game, in which the participant is required to sort
into piles cards picturing like objects. The nurse realizes that children of which of the following age
groups have just begun to have this capacity?
a. 3 years c. 4 years
b. 3-1/2 years d. 6 years
ANS: C
Feedback
A Incorrect. The child cannot sort objects into like categories at 3 years of age.
B Incorrect. The child cannot sort objects into like categories at 3-1/2 years of age.
C Correct. By age 4 years, the child can sort objects into like categories.
D Incorrect. The child can sort objects into like categories earlier than 6 years of age.
PTS: 1 REF: p. 310 - Table 10-2 Preschool Developmental Milestones

OBJ: Cognitive Level: Comprehension
2. The difference in vocabulary between the 3-year-old child and the 4-year-old child is:
a. 150 versus 400 words c. 300 versus 800 words
b. 200 versus 500 words d. 900 versus 1,500 words
ANS: D
Feedback
A Incorrect. The vocabulary of the 3-year-old child is about 900 words, the 4-year-old
child has about 1,500 words.
B Incorrect. The vocabulary of the 3-year-old child is about 900 words, the 4-year-old
C Incorrect. The vocabulary of the 3-year-old child is about 900 words, the 4-year-old
D Correct. The vocabulary of the 3-year-old child is about 900 words, the 4-year-old
PTS: 1 REF: p. 310 - Table 10-2 Preschool Developmental Milestones

3. A mother is concerned about her preschool child running into the street without looking. The nurse
would advise this mother that for preschoolers:
a. verbal reminders of established limits and looking before crossing are effective
b. fear of punishment is the only thing that works to prevent this behavior
c. an adult must be with the preschool child at all times
d. children this age seldom run into the street without looking unless chasing a ball
ANS: A
Feedback
A Correct. For the mother concerned about her preschooler running into the street without
looking, the nurse would advise that for preschoolers verbal reminders of established
limits and looking before crossing are effective.
B Incorrect. For the mother concerned about her preschooler running into the street
without looking, the nurse would not advise that for preschoolers fear of punishment is
the only thing that works to prevent this behavior.
C Incorrect. For the mother concerned about her preschooler running into the street
without looking, the nurse would not advise that adult must be with the preschool child
at all times.
D Incorrect. For the mother concerned about her preschooler running into the street
without looking, the nurse would not advise that children this age seldom run into the
street without looking unless chasing a ball.
PTS: 1 REF: p. 313 - Psychosocial Development

OBJ: Cognitive Level: Application
4. Which of the following ages might be a more opportune time for the birth of an additional sibling,
because at this age the child is less jealous of a younger sibling?
a. 1 c. 3
b. 2 d. 4
ANS: C
Feedback
A Incorrect. The more opportune time for the birth of an additional sibling is not when an
existing child is age 1.
B Incorrect. The more opportune time for the birth of an additional sibling is not when an
existing child is age 2.
C Correct. The 3-year old child likes to please caregivers and conform to their wishes. At
this age, the child is less jealous of a younger sibling, so this may be an opportune time
for the birth of a younger sibling.
D Incorrect. As a child turns 4, there is an increase in aggressive behavior, making this a
less opportune time for the birth of an additional sibling.
PTS: 1 REF: p. 314 - Family Relations OBJ: Cognitive Level: Knowledge
5. Which of the following statements might a preschool child most likely make when questioned as to
why something is right or wrong?
a. “Because my mother says so.”
b. “Because there are rules about this.”
c. “Because it’s in the Ten Commandments.”
d. “I just know it is so.”
ANS: A
Feedback
A Correct. The preschooler has little understanding of why something is right or wrong,
and if questioned, will often say, “Because my mother says so.”
B Incorrect. The preschooler has little understanding of why something is right or wrong,
and if questioned, will not say, “Because there are rules about this.”
C Incorrect. The preschooler has little understanding of why something is right or wrong,
and if questioned, will not say, “Because it’s in the Ten Commandments.”
D Incorrect. The preschooler has little understanding of why something is right or wrong,
and if questioned, will not say, “I just know it is so.”
PTS: 1 REF: p. 316 - Moral and Spiritual Development
OBJ: Cognitive Level: Knowledge
6. A preschooler knows she should not ram her tricycle into the garage door at home, but she does this at
a friend’s house. What is the most logical reason for this difference in behavior at home and at the
friend’s house?
a. The preschooler values her own house more than she values the house of a playmate.
b. The child’s mother is much stricter and supervises children much more closely than the
playmate’s mother.
c. A young preschool child may have difficulty applying known rules to a different situation.
d. There is a higher level of frustration when outside her own home and play territory.
ANS: C
Feedback
A Incorrect. The preschooler knowing not to ram her tricycle into her home garage door
but does this at a friend’s house, is not doing this because he preschooler values her own
house more than she values the house of a playmate.
B Incorrect. The preschooler knowing not to ram her tricycle into her home garage door
but does this at a friend’s house, is not doing this because the child’s mother is much
stricter and supervises children much more closely than the playmate’s mother.
C Correct. Young preschoolers may have difficulty applying known rules to different
situations, hence knowing not to ram her tricycle into her home garage door is not the
same as ramming her tricycle into her friend’s garage door.
D Incorrect. The preschooler knowing not to ram her tricycle into her home garage door
but does this at a friend’s house, is not doing this because there is a higher level of
frustration when outside her own home and play territory.
PTS: 1 REF: p. 316 - Moral and Spiritual Development

7. A nurse is instructing the mother of a 3-year-old about diet. The nurse will recommend that the mother
look at the amount of fat in the child’s diet and ensure that the fat in the diet is:
a. at least 40% c. less than 15%
b. around 10% d. no more than 30%
ANS: D
Feedback
A Incorrect. The nurse instructing the mother of a 3-year-old about diet will not
recommend that the mother ensure that the fat in the diet is at least 40%.
B Incorrect. The nurse instructing the mother of a 3-year-old about diet will not
recommend that the mother ensure that the fat in the diet is around 10%.
C Incorrect. The nurse instructing the mother of a 3-year-old about diet will not
recommend that the mother ensure that the fat in the diet is less than 15%.
D Correct. The nurse instructing the mother of a 3-year-old about diet will recommend
that the mother ensure that the fat in the diet is no more than 30%.
PTS: 1 REF: p. 317 - Nutrition

8. The nurse practitioner is presenting the mother of a preschooler with a bottle of vitamins. The nurse
most importantly needs to instruct the mother to do which of the following things?
a. Give the vitamins with sips of milk.
b. Give preschoolers half a vitamin and grade-school children a whole vitamin.
c. Store the vitamins in a locked cabinet that the child cannot access.
d. Teach the child how to be independent and self-administer the vitamins.
ANS: C
Feedback
A Incorrect. The nurse presenting the mother of a preschooler with a bottle of vitamins
will not instruct the mother to give the vitamins with sips of milk.
B Incorrect. The nurse presenting the mother of a preschooler with a bottle of vitamins
will not instruct the mother to give preschoolers half a vitamin and grade-school
children a whole vitamin.
C Correct. The nurse presenting the mother of a preschooler with a bottle of vitamins will
most importantly instruct the mother to store the vitamins in a locked cabinet that the
child cannot access.
D Incorrect. The nurse presenting the mother of a preschooler with a bottle of vitamins
will not instruct the mother to teach the child how to be independent and self-administer
the vitamins.
PTS: 1 REF: p. 317 - Nursing Tip: Vitamins

9. The biggest predictor of a child’s risk of developing obesity in adulthood is which of the following
factors?
a. parental obesity c. amount of time spent sleeping
b. living in the country d. two-caregiver household
ANS: A
Feedback
A Correct. The biggest predictor of a child’s risk of developing obesity in adulthood is
parental obesity.
B Incorrect. The biggest predictor of a child’s risk of developing obesity in adulthood is
not living in the country.
C Incorrect. The biggest predictor of a child’s risk of developing obesity in adulthood is
not the amount of time spent sleeping.
D Incorrect. The biggest predictor of a child’s risk of developing obesity in adulthood is
not that the child lives in a two-caregiver household.
PTS: 1 REF: p. 318 - Childhood Obesity

10. To help a preschooler sleep at night, the nurse will recommend to the caregivers that they:
a. avoid milk drinks at bedtime
b. have the child watch television until he or she falls asleep
c. read a bedtime story and establish a firm bedtime
d. provide soda or coffee with milk at bedtime
ANS: C
Feedback
A Incorrect. To help a preschooler sleep at night, the nurse will not recommend that the
caregivers avoid milk drinks at bedtime.
B Incorrect. To help a preschooler sleep at night, the nurse will not recommend that the
caregivers have the child watch television until he or she falls asleep.
C Correct. To help a preschooler sleep at night, the nurse will recommend that the
caregivers read a bedtime story and establish a firm bedtime.
D Incorrect. To help a preschooler sleep at night, the nurse will not recommend that the
caregivers provide soda or coffee with milk at bedtime.
PTS: 1 REF: p. 319 - Family Teaching

11. The father asks a nurse for advice on how to deal with his child’s nightmares. The best advice from the
nurse would be:
a. have the child get into bed with the father
b. sleep in the child’s bed with him
c. have the child get up and play a game
d. comfort and reassure the child that nightmares are not real
ANS: D
Feedback
A Incorrect. When the father asks a nurse for advice on how to deal with his child’s
nightmares, the best advice from the nurse will not be have the child get into bed with
the father.
B Incorrect. When the father asks a nurse for advice on how to deal with his child’s
nightmares, the best advice from the nurse will not be sleep in the child’s bed with him.
C Incorrect. When the father asks a nurse for advice on how to deal with his child’s
nightmares, the best advice from the nurse will not be have the child get up and play a
game.
D Correct. When the father asks a nurse for advice on how to deal with his child’s
nightmares, the best advice from the nurse will be to comfort and reassure the child that
nightmares are not real.
PTS: 1 REF: p. 319 - Sleep Disturbances

12. The caregivers ask the nurse for advice about their preschool child participating in some sports. The
nurse shares that the main goal for children of this age engaging in sports is to:
a. learn how to compete with others
b. win whenever winning is possible
c. have fun, exercise, and learn to enjoy a sport
d. make their caregivers and relatives proud of them
ANS: C
Feedback
A Incorrect. If caregivers ask the nurse for advice about their preschool child participating
in some sports, the nurse does not shares that the main goal for children of this age
engaging in sports is to learn how to compete with others.
B Incorrect. If caregivers ask the nurse for advice about their preschool child participating
engaging in sports is to win whenever winning is possible.
C Correct. If caregivers ask the nurse for advice about their preschool child participating
in some sports, the nurse shares that the main goal for children of this age engaging in
sports is to have fun, exercise, and learn to enjoy a sport.
D Incorrect. If caregivers ask the nurse for advice about their preschool child participating
engaging in sports is to make their caregivers and relatives proud of them.
PTS: 1 REF: p. 321 - Activity

13. The American Academy of Pediatrics suggests that caregivers do which of the following things in
regard to physical activities for preschoolers?
a. Encourage a variety of physical activities in a noncompetitive environment.
b. Keep physical activities to a minimum until the child is in grade school.
c. Have the child engage in competitive sports to see there they excel.
d. Push the child to practice sports activities while they are more flexible.
ANS: A
Feedback
A Correct. The American Academy of Pediatrics suggests that caregivers encourage a
variety of physical activities in a noncompetitive environment in regard to physical
activities for preschoolers.
B Incorrect. The American Academy of Pediatrics does not recommend to caregivers that
preschoolers need to keep physical activities to a minimum until the child is in grade
school.
C Incorrect. The American Academy of Pediatrics does not recommend to caregivers that
preschoolers need to have the child engage in competitive sports to see there they excel.
D Incorrect. The American Academy of Pediatrics does not recommend to caregivers that
preschoolers need to push the child to practice sports activities while they are more
flexible.

14. The caregivers ask what activities are appropriate for preschoolers. The nurse will recommend which
of the following activities?
a. cross-country skiing c. T-ball, karate, and gymnastics
b. volleyball d. football and baseball
ANS: C
Feedback
A Incorrect. Cross-country skiing is not an appropriate activity for preschoolers.
B Incorrect. Volleyball is not an appropriate activity for preschoolers.
C Correct. T-ball, karate, and gymnastics are age-appropriate activities for preschoolers.
D Incorrect. Football and baseball are not appropriate activities for preschoolers.

15. The nurse is teaching a caregiver to select activities that will develop hand-eye-mouth coordination in
a preschooler. Which of the following activities would indicate that this caregiver had learned to select
well?
a. bubbles and stickers c. swimming
b. horseback riding d. hide-and-seek
ANS: A
Feedback
A Correct. The nurse teaches the caregiver to select activities that will develop
hand-eye-mouth coordination in a preschooler, and includes coloring, scissors, stickers
and bubbles.
B Incorrect. The nurse teaches the caregiver to select activities that will develop
hand-eye-mouth coordination in a preschooler, but does not include horseback riding.
C Incorrect. The nurse teaches the caregiver to select activities that will develop
hand-eye-mouth coordination in a preschooler, but does not include swimming.
D Incorrect. The nurse teaches the caregiver to select activities that will develop
hand-eye-mouth coordination in a preschooler, but does not include hide-and-seek.
PTS: 1 REF: p. 322 - Table 10-4 Toys and Activities that Stimulate Development
16. A nurse is assessing the play of a 4-year-old. Which of the following best describes what the nurse
would observe in the play of this age preschooler?
a. playing alongside but not with playmates, taking toys away from others, using a pounding
bench, and playing with a musical toy
b. interactive play, obeying limits, creating an imaginary friend, and engaging in fantasy play
c. engaging in group sports or games and playing with puppets
d. playing by him- or herself in the corner, engaged in putting a puzzle together
ANS: B
Feedback
A Incorrect. Playing alongside but not with playmates, taking toys away from others,
using a pounding bench, and playing with a musical toy does not best describe a
4-year-old.
B Correct. A 4-year-old’s play is interactive; the child cooperates with another child,
obeying limits, creating an imaginary friend, and engaging in fantasy play.
C Incorrect. Engaging in group sports or games and playing with puppets does not best
describe a 4-year-old.
D Incorrect. Playing by him- or herself in the corner, engaged in putting a puzzle together
does not best describe a 4-year-old.
PTS: 1 REF: p. 322 - Play OBJ: Cognitive Level: Application
17. A mother asks the nurse for advice on what kind of books would best keep the attention of her
preschooler. Which of the following descriptions by the nurse would be the best advice?
a. books with a predictable storyline and repeated phrases that help keep a child’s attention
b. adventure books with unusual and unpredictable surprise happenings throughout the book
c. various types of poetry
d. nursery rhymes
ANS: A
Feedback
A Correct. If the mother asks the nurse for advice on what kind of books would best hold
the attention of her preschooler, the nurse will advise books with a predictable storyline
and repeated phrases that help keep a child’s attention.
B Incorrect. If the mother asks the nurse for advice on what kind of books would best hold
the attention of her preschooler, the nurse will not advise adventure books with unusual
and unpredictable surprise happenings throughout the book.
C Incorrect. If the mother asks the nurse for advice on what kind of books would best hold
the attention of her preschooler, the nurse will not advise various types of poetry.
D Incorrect. If the mother asks the nurse for advice on what kind of books would best hold
the attention of her preschooler, the nurse will not advise nursery rhymes.
PTS: 1 REF: p. 322 - Literacy

18. The nurse is doing an assessment with a preschooler and her caregivers. The caregivers reveal that
their child watches an average of 8 hours of television each day. The nurse will share with the
caregivers that the American Academy of Pediatrics recommends which of the following number of
hours of television a day for a preschooler?
a. 1 to 2 c. 5 to 6
b. 3 to 4 d. 7 to 8
ANS: A
Feedback
A Correct. The American Academy of Pediatrics recommends 1 to 2 hours of television a
day for a preschooler.
B Incorrect. The American Academy of Pediatrics does not recommend 3 to 4 hours of
television a day for a preschooler.
C Incorrect. The American Academy of Pediatrics does not recommend 5 to 6 hours of
D Incorrect. The American Academy of Pediatrics does not recommend 7 to 8 hours of
PTS: 1 REF: p. 322 - Television and Media OBJ: Cognitive Level: Knowledge
19. The nurse will advise caregivers not to allow their child to watch programs with violence or programs
there people make poor choices and behave badly because:
a. these shows are too long considering the amount of time children are allowed to watch
television
b. preschoolers cannot differentiate between reality and fantasy and may use the behaviors of
actors on television to deal with their own problems
c. young children keep these pictures in their minds all their lives and affect them when they
are older
d. preschoolers begin to confuse the actors with their caregivers and accuse their caregivers
of doing what the actors did
ANS: B
Feedback
A Incorrect. The reason the nurse advises caregivers not to allow their children to watch
programs with violence or there people make poor choices and behave badly is not
because these shows are too long considering the amount of time children are allowed to
watch television.
B Correct. The reason the nurse advises caregivers not to allow their children to watch
programs with violence or there people make poor choices and behave badly is because
preschoolers cannot differentiate between reality and fantasy and may use the behaviors
of actors on television to deal with their own problems.
C Incorrect. The reason the nurse advises caregivers not to allow their children to watch
because young children keep these pictures in their minds all their lives and affect them
when they are older.
D Incorrect. The reason the nurse advises caregivers not to allow their children to watch
because preschoolers begin to confuse the actors with their caregivers and accuse their
caregivers of doing what the actors did.
PTS: 1 REF: p. 322 - Television and Media

20. When a preschooler is watching a new show or a new video, the caregivers need to:
a. watch the new show or video with the child
b. allow extra time or play the video more than once
c. invite other children to watch this presentation in a group
d. limit viewing time to 20 minutes
ANS: A
Feedback
A Correct. When a preschooler is watching a new show or a new video, the caregivers
need to watch the new show or video with the child.
B Incorrect. When a preschooler is watching a new show or a new video, the caregivers do
not need to allow extra time or play the video more than once.
C Incorrect. When a preschooler is watching a new show or a new video, the caregivers do
not need to invite other children to watch this presentation in a group.
D Incorrect. When a preschooler is watching a new show or a new video, the caregivers do
not need to limit viewing time to 20 minutes.
PTS: 1 REF: p. 323 - Box 10-1 Guidelines for Television and Video Viewing
21. The pediatric nurse spends time teaching caregivers about prevention of dental caries. Later a
caregiver correctly tells the pediatric nurse that he paid careful attention to daily brushing and flossing
with his preschooler because he had learned from the nurse that dental caries can cause:
a. extreme mouth and jaw pain
b. loss of a majority of the taste buds
c. a serious loss of appetite, weight loss, and anorexia or other eating disorders in childhood
d. premature loss of teeth, alteration of the dental arch, and compromised development of
permanent teeth
ANS: D
Feedback
A Incorrect. Extreme mouth and jaw pain is not the key problem described as a result of
dental caries.
B Incorrect. Loss of a majority of the taste buds is not the key problem described as a
result of dental caries.
C Incorrect. A serious loss of appetite, weight loss, and anorexia or other eating disorders
in childhood are not the key problems described as a result of dental caries.
D Correct. The number one dental problem in the preschool years is dental cavities or
tooth decay, which can result in premature loss of teeth, alteration of the dental arch,
and compromised development of permanent teeth.
PTS: 1 REF: p. 320 - Dental Health

22. Which of the following statements by the caregiver of a preschooler would indicate that the caregiver
had paid attention to the nurse’s instructions on dental hygiene practices?
a. “Our child brushes his teeth all by himself without any help from us.”
b. “We give our child a pea-sized amount of fluoride toothpaste.”
c. “When our child is 6 years old, we will make an appointment to see the dentist.”
d. “When our child does a good job brushing, we let her have a lollypop.”
ANS: B
Feedback
A Incorrect. “Our child brushes his teeth all by himself without any help from us.” is not
the statement made by the caregiver that would indicate that the caregiver had paid
attention to the nurse’s instructions on dental hygiene practices.
B Correct. “We give our child a pea-sized amount of fluoride toothpaste” is the statement
made by the caregiver that would indicate that the caregiver had paid attention to the
nurse’s instructions on dental hygiene practices.
C Incorrect. “When our child is 6 years old, we will make an appointment to see the
dentist.” is not the statement made by the caregiver that would indicate that the
caregiver had paid attention to the nurse’s instructions on dental hygiene practices.
D Incorrect. “When our child does a good job brushing, we let her have a lollypop.” is not
the statement made by the caregiver that would indicate that the caregiver had paid
attention to the nurse’s instructions on dental hygiene practices.
PTS: 1 REF: p. 320 - Dental Health

23. A caregiver asks the nurse why her preschooler grinds her teeth at night. The best response by the
nurse is which of the following statements?
a. “This is a common practice during the preschool years; it may be a way she releases
tension and calms herself so she can fall asleep.”
b. “This is the time when permanent teeth are trying to grow, and the pain causes grinding at
night.”
c. “Loss of baby teeth will cause the mouth to get out of adjustment, and this causes grinding
at night.”
d. “You are probably keeping your child up too late at night and not making sure the child
gets a nap.”
ANS: A
Feedback
A Correct. “This is a common practice during the preschool years; it may be a way she
releases tension and calms herself so she can fall asleep” is the best response the nurse
can give to the caregiver asking why her preschooler grinds her teeth at night.
B Incorrect. “This is the time when permanent teeth are trying to grow, and the pain
causes grinding at night” is not the best response the nurse can give to the caregiver
asking why her preschooler grinds her teeth at night.
C Incorrect. “Loss of baby teeth will cause the mouth to get out of adjustment, and this
causes grinding at night” is not the best response the nurse can give to the caregiver
asking why her preschooler grinds her teeth at night.
D Incorrect. “You are probably keeping your child up too late at night and not making sure
the child gets a nap” is not the best response the nurse can give to the caregiver asking
why her preschooler grinds her teeth at night.
PTS: 1 REF: p. 321 - Night Grinding

24. A child with a diagnosis of cerebral palsy is admitted to the hospital pediatric ward. The night nurse
notices that this child is grinding his teeth. This nurse is aware that this behavior is most often due to
which of the following causes in a child with cerebral palsy?
a. jaw muscle spasticity c. lack of sufficient oxygen
b. normal preschooler tension d. low hemoglobin
ANS: A
Feedback
A Correct. Children with cerebral palsy grind their teeth due to jaw muscle spasticity.
B Incorrect. Children with cerebral palsy grind their teeth, but not due to normal
preschooler tension.
C Incorrect. Children with cerebral palsy grind their teeth, but not due to lack of sufficient
oxygen.
D Incorrect. Children with cerebral palsy grind their teeth, but not due to low hemoglobin.
PTS: 1 REF: p. 321 - Night Grinding

25. In regard to safety, compared with the toddler the preschool-aged child is:
a. more prone to falls and more reckless
b. about the same, regarding falls and reckless behavior
c. more apt to listen to rules and be aware of potential dangers
d. less apt to listen to rules and be aware of potential dangers
ANS: C
Feedback
A Incorrect. In regard to safety, compared with the toddler the preschool-aged child is not
more prone to falls and more reckless.
B Incorrect. In regard to safety, compared with the toddler the preschool-aged child is not
about the same, regarding falls and reckless behavior.
C Correct. In regard to safety, compared with the toddler the preschool-aged child is
more apt to listen to rules and be aware of potential dangers.
D Incorrect. In regard to safety, compared with the toddler the preschool-aged child is not
less apt to listen to rules and be aware of potential dangers.
PTS: 1 REF: p. 323 - Safety and Injury Prevention

26. When teaching the caregivers about transporting children safely in the car, the nurse will stress that the
adults must abide by the same rules they expect the children to abide by, and this includes putting on
the seat belt before the car moves, because of which of the following reasons?
a. Preschoolers like to imitate whatever adults do.
b. The caregiver could die or be comatose and be of no help at all in an accident.
c. It is not fair for an adult to expect a child to do something the adult will not do.
d. Adults are more likely to be hurt in an accident.
ANS: A
Feedback
A Correct. When teaching the caregivers about transporting children safely in the car, the
nurse will stress that the adults must abide by the same rules they expect the children to
abide by because preschoolers like to imitate whatever adults do.
B Incorrect. When teaching the caregivers about transporting children safely in the car, the
nurse will not stress that the adults must abide by the same rules they expect the
children to abide by because the caregiver could die or be comatose and be of no help at
all in an accident.
C Incorrect. When teaching the caregivers about transporting children safely in the car, the
children to abide by because it is not fair for an adult to expect a child to do something
the adult will not do.
D Incorrect. When teaching the caregivers about transporting children safely in the car, the
children to abide by because adults are more likely to be hurt in an accident.
PTS: 1 REF: p. 323 - Safety and Injury Prevention

27. The pediatric nurse working with preschoolers will find which of the following problems to be more
common at this age than at any other age?
a. appendicitis and tonsillitis requiring day surgeries or one-day hospitalization
b. accidents, cuts, bruises, and major traumas requiring emergency room care
c. poisoning with lead, plants, household chemicals, and other sources
d. minor illnesses such as colds, otitis media, and gastrointestinal disturbances
ANS: D
Feedback
A Incorrect. The pediatric nurse working with preschoolers will not find that appendicitis
and tonsillitis requiring day surgeries or one-day hospitalization are more common at
this age.
B Incorrect. The pediatric nurse working with preschoolers will not find that accidents,
cuts, bruises, and major traumas requiring emergency room care are more common at
this age.
C Incorrect. The pediatric nurse working with preschoolers will not find that poisoning
with lead, plants, household chemicals, and other sources are more common at this age.
D Correct. The pediatric nurse working with preschoolers will find that minor illnesses
such as colds, otitis media, and gastrointestinal disturbances are more common at this
age.
PTS: 1 REF: p. 317 - Health Screenings

28. Which of the following statements by caregivers of a preschooler would best indicate that the
caregivers were paying attention to the teachings of the nurse on how to decrease the incidence of
illnesses in their child?
a. “We don’t let our child play with other children unless the caregivers assure us they are
not ill.”
b. “Our child’s temperature is taken every morning and every night, and if it is elevated, we
call the health care practitioner.”
c. “We make certain that our child washes her hands after using the bathroom and before
eating.”
d. “Our child takes a vitamin pill every day, eats a balanced diet, and takes sufficient fluids.”
ANS: C
Feedback
A Incorrect. “We don’t let our child play with other children unless the caregivers assure
us they are not ill” is not the statement by the caregivers of a preschooler that indicates
they comprehend how best to decrease the incidence of illnesses in their child.
B Incorrect. “Our child’s temperature is taken every morning and every night, and if it is
elevated, we call the health care practitioner” is not the statement by the caregivers of a
preschooler that indicates they comprehend how best to decrease the incidence of
illnesses in their child.
C Correct. “We make certain that our child washes her hands after using the bathroom
and before eating” is the statement by the caregivers of a preschooler that best indicates
D Incorrect. “Our child takes a vitamin pill every day, eats a balanced diet, and takes
sufficient fluids” is not the statement by the caregivers of a preschooler that indicates
PTS: 1 REF: p. 317 - Health Screenings

29. The preschooler can best learn to cope with frustration and dissatisfaction through which of the
following activities?
a. interacting with caregivers in regard to rules and expectations
b. attending some type of early childhood program such as day care or preschool
c. observing the interactions of groups of people on the television
d. going out to eat or to social events with the caregivers and other adults
ANS: B
Feedback
A Incorrect. Interacting with caregivers in regard to rules and expectations is not the best
activity that teaches the preschooler to cope with frustration and dissatisfaction.
B Correct. Attending some type of early childhood program such as day care or preschool
is the best activity that teaches the preschooler to cope with frustration and
dissatisfaction.
C Incorrect. Observing the interactions of groups of people on the television is not the best
activity that teaches the preschooler to cope with frustration and dissatisfaction.
D Incorrect. Going out to eat or to social events with the caregivers and other adults is not
the best activity that teaches the preschooler to cope with frustration and dissatisfaction.
PTS: 1 REF: p. 326 - Preparation for School

30. The main goal of the activities of early childhood programs is to provide:
a. caregivers a safe place to leave their children while they work
b. the elementary schools with school-ready students
c. the preschooler a mastery of skills and a sense of confidence and success
d. teachers of elementary schools with a nucleus of students who can abide by rules
ANS: C
Feedback
A Incorrect. Early childhood programs are not places just for leaving children while
parents work.
B Incorrect. Early childhood programs are not designed to supply elementary schools with
school-ready students.
C Correct. Early childhood programs desire to promote a sense of mastery, confidence,
and success in the preschooler.
D Incorrect. Preschool is not necessarily designed to provide students who will abide by
the rules.

31. Caregivers of a preschooler ask the pediatric nurse how they can tell if their preschooler is ready for
school. The nurse would most likely:
a. refer them to a psychologist for specific tests to measure readiness
b. conduct one of the tests with absolute indicators of school readiness
c. instruct the caregivers on indicators of school success such as age, ability to play with
other children, and attention span
d. suggest they enroll their child just as soon as they can get the school to accept the child
ANS: C
Feedback
A Incorrect. An evaluation by a psychologist is not typically necessary.
B Incorrect. It would not be conclusive to administer a single test.
C Correct. In an effort to predict readiness for school, the caregivers should evaluate the
child’s age, ability to plan with others, and attention span.
D Incorrect. Suggesting that parents enroll their child as soon as the child is accepted is
not an appropriate strategy for determining if the child is ready to enter school.

32. The nurse is working with the caregivers to prepare the preschooler for the first day of school. Which
of the following activities by the caregivers would most likely help?
a. put the child on a school schedule a few weeks before school starts
b. have an older child tell the preschooler about the school schedule
c. talk about the expectations and rules of the school
d. give the child a book with lots of pictures and big print
ANS: A
Feedback
A Correct. By placing the child on a school schedule in advance, the child will become
increasingly familiar with the routine, which will likely make the adjustment easier.
B Incorrect. Having an older child tell the preschooler about the schedule would not be as
effective as if the child experienced it.
C Incorrect. Reviewing the expectations and rules of school may increase anxiety.
D Incorrect. Providing a child with a book would not effectively prepare a preschooler for
the first day of classes.
PTS: 1 REF: p. 326 - Family Teaching: Preparation for the First Day of School
33. The caregivers can best minimize separation issues associated with school by:
a. letting the child know that this experience will not be fun all the time
b. presenting the experience as a fun and exciting adventure
c. telling the child ahead of time about all the things he or she will not like, to prepare the
child
d. staying away from the school and letting the child know he or she is big now and can
solve his or own problems
ANS: B
Feedback
A Incorrect. By letting the child know that the experience will not be fun all the time.
B Correct. By suggesting that school is an adventure and that learning can be fun, the
transition to school can be enhanced.
C Incorrect. By telling the child ahead of time those things that he or she will not like, the
caregivers may cause the child to experience separation issues.
D Incorrect. Staying away from school and telling the child he or she is big now will likely
enhance separation difficulties.

34. The caregivers ask the nurse how long the time-out should be for their 5-year-old preschooler. The
best reply by the nurse would be which of the following?
a. “The time depends on the offense. The worse the offense, the longer the child needs to
think about what he or she did or did not do.”
b. “About 20 minutes is time enough to think about what he or she needs to do next time to
stay out of trouble.”
c. “Time-out ends when the child agrees to follow the rules, so the time varies.”
d. “No longer than 5 minutes, which is 1 minute per year of age.”
ANS: D
Feedback
A Incorrect. “The time depends on the offense. The worse the offense, the longer the child
needs to think about what he or she did or did not do” is not the best replay by the nurse
about how long the time-out should be for their 5-year-old preschooler.
B Incorrect. “About 20 minutes is time enough to think about what he or she needs to do
next time to stay out of trouble” is not the best replay by the nurse about how long the
time-out should be for their 5-year-old preschooler.
C Incorrect. “Time-out ends when the child agrees to follow the rules, so the time varies”
is not the best replay by the nurse about how long the time-out should be for their
5-year-old preschooler.
D Correct. A time-out should be limited to 1 minute per year of age. Therefore, for a
5-year-old child, the time-out should last no longer than 5 minutes.
PTS: 1 REF: p. 325 - Discipline and Limit Setting

35. A caregiver asks the nurse to explain what happens if the time-out is too long. The best reply by the
nurse is which of the following?
a. “If the child is kept in time-out beyond the time it takes to calm down, he or she has
enough time to become resentful.”
b. “The child will begin to think up new bad behaviors if given enough time in time-out.”
c. “Too much time-out will exhaust the child, and he or she will have difficulty thinking.”
d. “Time-out will stop having any effect on the child at all as he or she designs ways to
amuse him- or herself.”
ANS: A
Feedback
A Correct. If a child remains in a time-out longer than this recommended time, it can lead
to resentment.
B Incorrect. An excessive time-out is not associated with the conception of new bad
behaviors.
C Incorrect. An excessive time-out will not exhaust the child.
D Incorrect. A time-out is not associated with the child designing new ways to amuse him-
or herself.

36. The nurse is teaching a group of caregivers about reverse attention. Which of the following statements
by a caregiver 2 weeks later would indicate that this caregiver was following the instructions of the
nurse?
a. “My child was coloring quietly, and I gave him a compliment on his good behavior.”
b. “Our child was coloring the walls with crayons, and I put him in time-out.”
c. “When our daughter took crayons away from a playmate, I put all the crayons up until she
could agree to share.”
d. “I had my child gift wrap the crayons and give them to a playmate.”
ANS: A
Feedback
A Correct. Reverse attention has been deemed an effective tool for teaching appropriate
behavior. Rather than acknowledging only bad behavior, good behavior is also
acknowledged. Therefore, for the child who is coloring quietly, it is important for the
caregiver to recognize the child’s actions.
B Incorrect. Instituting a time-out would be an example of recognizing bad behavior.
C Incorrect. Taking away items such as crayons would be an example of recognizing bad
behavior.
D Incorrect. Having a child gift-wrap crayons is not an example of recognizing good
behavior.

37. Which of the following adult behaviors would be most important for preschoolers to witness
caregivers engaging in?
a. modeling positive behavior
b. giving or receiving rewards for positive behavior
c. punishing others for poor behavior
d. receiving punishment or feeling bad about their bad behavior
ANS: B
Feedback
A Incorrect. While modeling positive behaviors is important, giving rewards for positive
behavior will be a more powerful tool for teaching appropriate behavior.
B Correct. An effective tool for teaching appropriate behavior, giving attention or
rewards to positive behaviors communicates the desired actions to the preschooler. It is
common for bad behaviors to be disciplined, while good behaviors are ignored.
C Incorrect. While punishing others for poor behavior or receiving punishment or feeling
bad about bad behavior is important in the discipline process, it is most important for
the preschooler to be aware of positive behaviors.
D Incorrect. While punishing others for poor behavior or receiving punishment or feeling
bad about bad behavior is important in the discipline process, it is most important for
the preschooler to be aware of positive behaviors.

COMPLETION
1. Generally, children will gain an average of ____________________ pounds per year.
ANS:
5
five
Children will gain an average of 5 pounds per year in weight.
PTS: 1 REF: p. 308 - Physical Growth

2. Generally, a child will grow ____________________ inches in height per year.
ANS:
3
three
Children will grow an average of 3 inches per year in height.
PTS: 1 REF: p. 308 - Physical Growth


Pediatric Nursing Caring For Children and Their Families 3rd Edition Potts Test Bank

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and Their Families 3rd Edition Potts

PTS: 1 REF: p. 310 - Table 10-2 Preschool Developmental Milestones

PTS: 1 REF: p. 310 - Table 10-2 Preschool Developmental Milestones

PTS: 1 REF: p. 313 - Psychosocial Development

PTS: 1 REF: p. 314 - Family Relations OBJ: Cognitive Level: Knowledge

PTS: 1 REF: p. 316 - Moral and Spiritual Development

PTS: 1 REF: p. 317 - Nutrition

PTS: 1 REF: p. 317 - Nursing Tip: Vitamins

PTS: 1 REF: p. 318 - Childhood Obesity

PTS: 1 REF: p. 319 - Family Teaching

PTS: 1 REF: p. 319 - Sleep Disturbances

PTS: 1 REF: p. 321 - Activity

PTS: 1 REF: p. 321 - Activity

PTS: 1 REF: p. 321 - Activity

PTS: 1 REF: p. 322 - Play OBJ: Cognitive Level: Application

PTS: 1 REF: p. 322 - Literacy

PTS: 1 REF: p. 322 - Television and Media

PTS: 1 REF: p. 320 - Dental Health

PTS: 1 REF: p. 320 - Dental Health

PTS: 1 REF: p. 321 - Night Grinding

PTS: 1 REF: p. 321 - Night Grinding

PTS: 1 REF: p. 323 - Safety and Injury Prevention

PTS: 1 REF: p. 323 - Safety and Injury Prevention

PTS: 1 REF: p. 317 - Health Screenings

PTS: 1 REF: p. 317 - Health Screenings

PTS: 1 REF: p. 326 - Preparation for School

PTS: 1 REF: p. 326 - Preparation for School

PTS: 1 REF: p. 326 - Preparation for School

PTS: 1 REF: p. 326 - Preparation for School

PTS: 1 REF: p. 325 - Discipline and Limit Setting

PTS: 1 REF: p. 325 - Discipline and Limit Setting

PTS: 1 REF: p. 325 - Discipline and Limit Setting

PTS: 1 REF: p. 325 - Discipline and Limit Setting

1. Generally, children will gain an average of ____________________ pounds per year.

PTS: 1 REF: p. 308 - Physical Growth

2. Generally, a child will grow ____________________ inches in height per year.

PTS: 1 REF: p. 308 - Physical Growth

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