Page 595 - Saunders Comprehensive Review For NCLEX-RN

166. Answer: 4

Rationale: In the preschooler, play is simple and imaginative and includes
activities such as crayons and coloring books, puppets, felt and magnetic boards, and
Play-Doh. A radio or a sports video is most appropriate for the adolescent. Large
picture books are most appropriate for the infant.
Test-Taking Strategy: Note the strategic words, most appropriate. Note the age of
the child, and think about the age-related activity that would be most appropriate.
Eliminate options 1 and 2, knowing that they are most appropriate for the
adolescent. From the remaining options, the word large in option 3 should provide
you with the clue that this activity would be more appropriate for a child younger
than age 5 years.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process—Planning
Content Area: Developmental Stages: Preschool and School Age
Health Problem: Pediatric-Specific: Fractures
Priority Concepts: Coping; Development
Reference: Hockenberry, Wilson, Rodgers (2017), pp. 564-565.

167. Answer: 1

Rationale: Toys for the toddler must be strong, safe, and too large to swallow or
place in the ear or nose. Toddlers need supervision at all times. Push-pull toys, large
balls, large crayons, large trucks, and dolls are some of the appropriate toys. A farm
set, a golf set, and jacks with marbles may contain items that the child could
swallow.
Test-Taking Strategy: Note the strategic words, most appropriate, and focus on the
subject, the appropriate toy for a 3-year-old. Options 2, 3, and 4 can be eliminated
because they are comparable or alike and could contain items that the child could
swallow. Remember that large and strong toys are safest for the toddler.
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Teaching and Learning
Content Area: Developmental Stages: Toddler
Health Problem: N/A
Priority Concepts: Development; Safety
Reference: Hockenberry, Wilson, Rodgers (2017), pp. 359-360.

168. Answer: 1, 4, 5

Rationale: Holding, caressing, and swaddling provide warmth and tactile
stimulation for the infant. To provide auditory stimulation, the nurse should talk to
the infant in a soft voice and should instruct the mother to do so also. Additional
interventions include playing a music box, radio, or television, or having a ticking
clock or metronome nearby. Hanging a bright shiny object in midline within 20 to 25
cm of the infant’s face and hanging mobiles with contrasting colors, such as black

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