The nurse is observing a group of 2- and 3-year-olds in a playgroup.
Which behavior noted in one of the children indicates to the nurse that the child may have autism spectrum disorder (ASD)?
After another child takes a toy, the child cries and stomps his feet.
A child playing in the kitchen area pretends to pour a glass of milk and repeats this over and over.
While the other children are eating a snack, the child walks around the room feeling the walls and ignores the caregiver who offers him a snack.
A child flips the light switch off and on until the caregiver asks her to stop and join the other children in play.
The Correct Answer is C
A child with autism spectrum disorder may have problems with social communication and interaction, including ignoring a caregiver who offers them a snack.
Choice A is incorrect because crying and stomping feet after another child takes a toy is normal behavior for a 2- or 3-year-old child.
Choice B is incorrect because repeating an action over and over is not necessarily indicative of autism spectrum disorder.
Choice D is incorrect because flipping a light switch off and on until asked to stop and join other children in playing is not necessarily indicative of autism spectrum disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A nurse caring for a toddler who had a cast applied 2 hours ago due to multiple fractures of the right hand should report immediately to the charge nurse if the fingers on the right hand have a capillary refill of 4 seconds.
This could indicate that there is a problem with circulation.
Choice A is not an answer because it is not unusual for a child to not attempt to move her right arm or fingers after having a cast applied.
Choice B is not an answer because it is not unusual for the fingertips of the right hand to be swollen and bruised after having a cast applied.
Choice D is not an answer because it is not unusual for a child to not keep their arm elevated on a pillow after having a cast applied.
Correct Answer is C
Explanation
Paresthesia refers to an abnormal sensation of the skin, such as numbness, tingling, or burning.
When the nurse observes for diminished or absent sensation and numbness or tingling, they are monitoring for paresthesia.
Choice A is not correct because pain is not the symptom being monitored in this case.
Choice B is not correct because paralysis is not the symptom being monitored in this case.
Choice D is not correct because pallor refers to the paleness of the skin and is not the symptom being monitored in this case.
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