The nurse is designing a nursing care plan for a toddler with lymphoma, who is hospitalized for treatment. What is a priority intervention that the nurse should include in this child's nursing plan?

Monitoring the toddler for developmental delays

Introducing the toddler to other toddlers in the unit

Planning physical therapy for the child

Limiting visitors to scheduled visiting hours

Answer and Explanation

The Correct Answer is A

A. Correct: Chronic illness and hospitalization can interfere with normal development. The nurse should monitor for developmental delays and provide interventions to support growth.

B. Incorrect: While socialization is important, a toddler’s primary concern is security and routine, not peer interaction.

C. Incorrect: Physical therapy may be needed later, but monitoring development is the priority.

D. Incorrect: Limiting visitors is unnecessary unless the child is immunocompromised; toddlers benefit from familiar caregivers.

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Correct Answer is D

Explanation

A. Correct: Flattening of the occiput (plagiocephaly) is caused by prolonged pressure on one part of the skull.

B. Correct: Repositioning the head in an upright chair can help reduce continuous pressure on one spot.

C. Correct: Supervision during tummy time is necessary to ensure safety and prevent suffocation.

D. Incorrect: Infants should always sleep on their backs to reduce the risk of Sudden Infant Death Syndrome (SIDS). Tummy time should be done while the infant is awake and supervised.

A. Substituting cow's milk if breast milk is not available B. Advocating iron supplements with bottle-feeding C. Advising fluid intake per feeding of 5 or 6 ounces D. Discouraging the addition of fruit juice to the diet

Correct Answer is D

Explanation

A. Incorrect: Cow’s milk should never be given to infants under 1 year because it lacks essential nutrients like iron and can lead to gastrointestinal bleeding.

B. Incorrect: Iron supplementation is not necessary unless the infant is premature or formula-fed with low-iron formula. Standard iron-fortified formula is usually sufficient.

C. Incorrect: A 2-week-old should typically consume 1.5 to 3 ounces per feeding, increasing gradually. 5-6 ounces per feeding is excessive at this age.

D. Correct: Fruit juice should be discouraged before 12 months of age as it provides unnecessary sugars, increases the risk of obesity, and may contribute to dental caries.

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The nurse is designing a nursing care plan for a toddler with lymphoma, who is hospitalized for treatment. What is a priority intervention that the nurse should include in this child's nursing plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is conducting a routine health assessment of a 3-month-old boy and notices a flat occiput. The nurse provides teaching and emphasizes the importance of tummy time. Which response by the mother indicates a need for further teaching?

Correct Answer is D

Explanation

The nurse is promoting a healthy diet to guide a mother when feeding her 2-week- old girl. Which is the most effective anticipatory guidance?

Correct Answer is D

Explanation

After assessing a 10-year-old girl, the nurse documents the appearance of breast buds, identifying this as what body change?

What finding would the nurse most likely discover in a 10-year-old child in the period of concrete operational thought?

At which age would the nurse expect to find the beginning of object permanence?

The nurse is examining the posture of a male toddler and notes lordosis. What would be the appropriate reaction of the nurse to this finding?

The nurse is observing a 24-month-old boy in a day care center. Which finding suggests delayed motor development?

The nurse is performing a health assessment of a 3-month-old African-American boy. For what condition should this infant be monitored based on his race?

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