ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 11 Questions
Question 1 of 5
What factor is most important in predisposing toddlers to frequent infections?
Correct Answer: D
Rationale:
Toddlers continue to have the short, straight internal ear canals of infants. The lymphoid tissue of the tonsils and adenoids continues to be relatively large. These two anatomic conditions combine to predispose toddlers to frequent infections. The abdominal respirations and lowered pulse and respiratory rate of toddlers do not affect their susceptibility to infection. The defense mechanisms are more efficient compared with those of infancy.
Question 2 of 5
What do the psychosocial developmental tasks of toddlerhood include?
Correct Answer: D
Rationale: If the need for basic trust has been satisfied, then toddlers can give up dependence for control, independence, and autonomy. One of the tasks that toddlers are concerned with is the ability to delay gratification. Development of a conscience and recognition of sex differences occur during the preschool years. The ability to get along with age mates develops during the preschool and school-age years.
Question 3 of 5
The developmental task with which the child of 15 to 30 months is likely to be struggling is a sense of which?
Correct Answer: D
Rationale: Autonomy versus shame and doubt is the developmental task of toddlers. Trust versus mistrust is the developmental stage of infancy. Initiative versus guilt is the developmental stage of early childhood. Intimacy and solidarity versus isolation is the developmental stage of early adulthood.
Question 4 of 5
Parents of an 18-month-old boy tells the nurse that he says no to everything and has rapid mood swings. If he is scolded, he shows anger and then immediately wants to be held. What is the nurses best interpretation of this behavior?
Correct Answer: A
Rationale:
Toddlers use distinct behaviors in the quest for autonomy. They express their will with continued negativity and use of the word no. Children at this age also have rapid mood swings. The nurse should reassure the parents that their child is engaged in expected behavior for an 18-month-old.
Question 5 of 5
A 17-month-old child should be expected to be in which stage, according to Piaget?
Correct Answer: C
Rationale: A 17-month-old is in the fifth stage of the sensorimotor phase, tertiary circular reactions. The child uses active experimentation to achieve previously unattainable goals. Preoperations is the stage of cognitive development usually present in older toddlers and preschoolers. Concrete operations is the cognitive stage associated with school-age children. The secondary circular reaction stage lasts from about ages 4 to 8 months.