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A mother tells the nurse that her daughter has become quite a collector, filling her room with Beanie babies, dolls, and stuffed animals. The nurse recognizes that the child is developing:
- A. Object permanence
- B. Post-conventional thinking
- C. Concrete operational thinking
- D. Pre-operational thinking
Correct Answer: C
Rationale: Collecting items reflects concrete operational thinking, where children (ages 7-11) organize and categorize objects systematically, per Piaget's stages.
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The nurse is teaching a client with a new diagnosis of epilepsy about self-care. Which of the following instructions should the nurse include?
- A. Avoid swimming or bathing alone.
- B. Take medications only when a seizure occurs.
- C. Drive a car as long as you feel alert.
- D. Consume alcohol in moderation to reduce stress.
Correct Answer: A
Rationale: avoiding swimming or bathing alone reduces the risk of injury during a seizure
A 35-year-old male comes into the clinic after he strains his back at work. The nurse anticipates the physician may suggest which topical anesthetic?
- A. aloe
- B. zinc oxide
- C. hydrocortisone
- D. capsaicin
Correct Answer: D
Rationale: Capsaicin is a topical analgesic used for muscle pain, such as back strain. Aloe, zinc oxide, and hydrocortisone are not anesthetics.
The client using a diaphragm should be instructed to:
- A. Refrain from keeping the diaphragm in longer than 4 hours
- B. Keep the diaphragm in a cool location
- C. Have the diaphragm resized if she gains 5 pounds
- D. Have the diaphragm resized if she has any surgery
Correct Answer: D
Rationale: Surgery, especially pelvic or abdominal, can alter pelvic anatomy, requiring the diaphragm to be resized for effective contraception.
The nurse is caring for a client with full thickness burns to the lower half of the torso and lower extremities. During the emergent phase of injury, the primary nursing diagnosis would focus on:
- A. Ineffective airway clearance
- B. Impaired gas exchange
- C. Fluid volume deficit
- D. Pain
Correct Answer: C
Rationale: In the emergent phase of burns, fluid volume deficit is the priority due to massive fluid loss from damaged skin, risking hypovolemic shock.
Which type of leukemia is more common in older adults?
- A. Acute myelocytic leukemia
- B. Acute lymphocytic leukemia
- C. Chronic lymphocytic leukemia
- D. Chronic granulocytic leukemia
Correct Answer: C
Rationale: Chronic lymphocytic leukemia (CLL) is most common in older adults, typically diagnosed in those over 60, due to its indolent nature and prevalence in this age group.