Nokea
A child of 36 months would be expected to:
- A. Build a tower of 5 cubes
- B. Repeat back 5 digits
- C. Draw a man with a head and body
- D. Demonstrate symbolic play
Correct Answer: D
Rationale: At 36 months, a child is expected to demonstrate symbolic play. Building a tower of 5 cubes and drawing a man with a head and body are also typical milestones.
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A feature of Turner syndrome is:
- A. Short stature
- B. Polydactyly
- C. Congenital heart defects
- D. Mental retardation
Correct Answer: A
Rationale: Short stature is a common feature of Turner syndrome, along with ovarian insufficiency and other physical abnormalities.
Common presenting features of myotonic dystrophy are:
- A. Floppy infant
- B. Corneal opacities
- C. Frontal baldness
- D. Macro-orchidism
Correct Answer: D
Rationale: Macro-orchidism: Myotonic dystrophy is characterized by muscle weakness and myotonia. Macro-orchidism (enlarged testes) is a distinctive feature, especially in male patients.
A nurse cares for a client who is recovering from a myocardial infarction. The client states, I will need to stop eating so much chili to keep that indigestion pain from returning. How should the nurse respond?
- A. Chili is high in fat and calories; it would be a good idea to stop eating it.
- B. The provider has prescribed an antacid for you to take every morning.
- C. What do you understand about what happened to you?
- D. When did you start experiencing this indigestion?
Correct Answer: C
Rationale: Assessing the client’s understanding of their condition helps the nurse provide appropriate education and address misconceptions about symptoms.
The nurse has provided home care instructions to the parents of a child who is being discharged after cardiac surgery. Which statement by the parents indicates a need for further instructions?
- A. “A balance of rest and exercise is important.â€
- B. “I can apply lotion or powder to the incision if it is itchy.â€
- C. “Activities in which my child could fall need to be avoided for 2-4 weeks.â€
- D. “We should avoid going to places like the mall or grocery stores for at least 2 weeks after surgery.â€
Correct Answer: B
Rationale: Applying lotion or powder to the incision can increase the risk of infection. Parents should be instructed to keep the incision clean and dry.
Closure of ductus will worsen following conditions
- A. Coarctation of Aorta
- B. TGA without VSD
- C. Pulmonary Atresia
- D. Hypoplastic left heart
Correct Answer: C
Rationale: Closure of the ductus arteriosus worsens pulmonary atresia by cutting off pulmonary blood flow.