does it come ready to hook up to a toy, or do I need to buy a battery interrupter?

Great question. The toy has to be "switch enabled", such as the AbleNet Toys on Amazon: https://www.amazon.com/s?k=switch+ablenet+toy&ref=nb_sb_noss Happy Holidays.

The picture looks like the smaller jelly bean switch. can you confirm that this is the 5" big red switch?

I bought this switch for my daughter last year, her switch is 5”.

Does it have a cord to plug in the laptop

No. The end of the cord looks like an earphone jack but would not work as a switch if plugged into that hole in the laptop. You would have to get a USB converter switch.

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🔴 Switch On Accessibility: Empowering Every Touch!

VERSATILE UTILITY - Includes a snap-on clear symbol holder, making it adaptable for various applications and user needs.
VISUAL AID FOR ALL - Designed with visual impairments in mind, its large target area improves accuracy and confidence.
FEEDBACK THAT MATTERS - Enjoy tactile and auditory feedback that enhances user interaction and satisfaction.
ACCESSIBILITY REDEFINED - The Big Red Switch features a generous 5-inch activation surface, ensuring ease of use for everyone.
PERSONALIZE YOUR EXPERIENCE - Comes with interchangeable switch tops in vibrant colors—red, blue, yellow, and green—for a touch of personalization.

The AbleNet Big Red Switch is a 5-inch durable assistive technology switch designed for accessibility and special needs. It features tactile and auditory feedback, making it ideal for users with varying abilities, especially those with visual impairments. The switch includes customizable interchangeable tops and a symbol holder for versatile applications.