Chapter 5: NURS 340 Preparation For The Nclex Questions and Answers Test Bank ,100% CORRECT
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Chapter 5: NURS 340
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Chapter 5: NURS 340
Chapter 5: NURS 340 Preparation For The Nclex Questions and Answers Test Bank
Origin: Chapter 5, 1
1. The nurse is conducting a well-child examination of a 5-year-old girl, who was 40 inches tall at her last examination at age 4. Which height measurement would be within the normal range of growt...
chapter 5 nurs 340 preparation for the nclex questions and answers test bank
1 the nurse is conducting a well child examination of a 5 year old girl
who was 40 inches tall at her last examination a
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Chapter 5: NURS 340 Preparation For The Nclex Questions and
Answers Test Bank
Origin: Chapter 5, 1
1. The nurse is conducting a well-child examination of a 5-year-old girl, who
was 40 inches tall at her last examination at age 4. Which height
measurement would be within the normal range of growth expected for a
preschooler?
A) 41 inches
B) 43 inches
C) 45 inches
D) 47 inches
Ans: B
Feedback:
The average preschool-age child will grow 2.5 to 3 inches (6.5 to 7.8 cm)
per year. The average 3-year-old is 37 inches tall (96.2 cm), the average 4-
year-old is 40.5 inches tall (103.7 cm), and the average 5-year-old is 43
inches tall (118.5 cm).
Origin: Chapter 5, 2
2. The nurse is teaching the parents of a 4-year-old boy about the normal
maturation of the child's organs during the preschool years and their effect
on body functions. Which statements accurately describe these changes?
Select all that apply.
A) Myelination of the spinal cord allows for bowel and bladder control to
be complete
in most children by age 3 years.
B) The respiratory structures are continuing to grow in size, and the
number of alveoli continues to increase, reaching the adult number at
about 7 years of age.
C) Heart rate increases and blood pressure decreases slightly during the
preschool
years; an innocent heart murmur may be heard upon auscultation.
D) The bones continue to increase in length and the muscles continue
to strengthen and mature; however, the musculoskeletal system is
still not fully mature.
E) The small intestine is continuing to grow in length, and stool passage
usually
occurs once or twice per day in the average preschooler.
F) The urethra remains long in both boys and girls, making them more
Page 1
, susceptible to urinary tract infections than adults.
Ans: A, B, D, E
Feedback:
Most of the body systems have matured by the preschool years. Myelination
of the spinal cord allows for bowel and bladder control to be complete in
most children by age 3 years. The respiratory structures are continuing to
grow in size, and the number of alveoli continues to increase, reaching the
adult number at about 7 years of age. The bones continue to increase in
length and the muscles continue to strengthen and mature.
However, the musculoskeletal system is still not fully mature. The small
intestine is continuing to grow in length, and stool passage usually occurs
once or twice per day in the average preschooler. The 4-year-old generally
has adequate bowel control. Heart rate decreases and blood pressure
increases slightly during the preschool years. An innocent heart murmur
may be heard upon auscultation. The urethra remains short in both boys
Page 2
, and girls, making them more susceptible to urinary tract infections than
adults.
Origin: Chapter 5, 3
3. The nurse is assessing the psychosocial development of a preschooler.
What are normal activities characteristic of the preschooler? Select all that
apply.
A) Plans activities and makes up games
B) Initiates activities with others
C) Acts out roles of other people
D) Engages in parallel play with peers
E) Classifies or groups objects by their common elements
F) Understands relationships among objects
Ans: A, B, C
Feedback:
The many activities of the preschooler include beginning to plan activities,
making up games, initiating activities with others, and acting out the roles
of other people (real and imaginary). Toddlers engage in parallel play;
preschoolers engage in cooperative play. School-age children classify or
group objects by common elements and understand relationships among
objects.
Origin: Chapter 5, 4
4. The nurse is caring for a 5-year-old girl posttonsillectomy. The girl looks
out the window and tells the nurse that it is raining and says, "The sky is
crying because it is sad that my throat hurts." The nurse understands that the
girl is demonstrating which mental process?
A) Magical thinking
B) Centration
C) Transduction
D) Animism
Ans: A
Feedback:
The nurse understands that the girl is demonstrating magical thinking.
Magical thinking is a normal part of preschool development. The preschool-
age child believes her thoughts to be all-powerful. Transduction is reasoning
by viewing one situation as the basis for another situation whether or not
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