A nurse is assessing a 24-month-old toddler at a well-child checkup. Which of the following findings indicates to the nurse that the toddler has a developmental delay?
Falls when throwing a ball overhand
Goes up stairs with two feet on each step
Runs with a wide stance
Refers to self by name
The Correct Answer is D
A. It is expected for a 24-month-old to have some difficulty with coordination when throwing a ball.
B. Using both feet on each step when going upstairs is developmentally appropriate at this age.
C. Running with a wide stance is common in toddlers as they develop balance and coordination.
D. This is the correct answer. By 24 months, a toddler should begin using pronouns such as "I" or "me" instead of referring to themselves by name, indicating a possible language delay.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Warm skin – Hypoglycemia typically presents with cool, clammy skin due to vasoconstriction, not warm skin.
B. Tachypnea – Tachypnea is a sign of diabetic ketoacidosis (DKA), which occurs with hyperglycemia, not hypoglycemia.
C. Nervousness – This is the correct answer because hypoglycemia triggers the release of epinephrine, leading to symptoms such as nervousness, tremors, sweating, and palpitations.
D. Ketonuria – Ketonuria is associated with DKA, which occurs in severe hyperglycemia, not hypoglycemia.
Correct Answer is B
Explanation
A. Almonds – While nut allergies exist, they are not strongly associated with latex allergies.
B. Bananas – Correct. Latex-fruit syndrome is a known cross-reactivity between latex and certain fruits, including bananas, avocados, kiwis, and chestnuts. These foods contain proteins similar to latex, which can trigger allergic reactions.
C. Strawberries – Strawberries are not commonly linked to latex allergies.
D. Hazelnuts – While hazelnuts can cause allergic reactions, they are not a known cross-reactive food with latex.
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