Nokea
During a developmental screening, a 4-year-old child is asked to perform a task. Which of the following tasks should the nurse expect the child to perform?
- A. Draw a stick figure with seven body parts
- B. Draw a circle
- C. Identify right from left hand
- D. Tie their shoelaces
Correct Answer: B
Rationale: At 4 years old, children are typically able to draw a circle, which is a developmental milestone for their age. Drawing a stick figure with specific body parts might be beyond their developmental level, identifying right from left hand can be challenging, and tying shoelaces requires more advanced motor skills.
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A diabetic client develops sinusitis and otitis media accompanied by a fever of 100.8â—‹0 F (38.2â—‹0 C). What effect may this have on his need for insulin?
- A. It will have no effect.
- B. it will cause wide fluctuations in the
- C. it will decrease the need insulin. need for insulin
- D. It will increase the need for insulin.
Correct Answer: D
Rationale: When a diabetic client develops an infection, such as sinusitis and otitis media with a fever, the stress response can increase blood glucose levels. Infections trigger the release of stress hormones like cortisol and adrenaline, which can lead to insulin resistance. Insulin requirements may increase during an infection due to the elevated blood glucose levels and the body's increased demand for energy to fight the infection. Therefore, the diabetic client with sinusitis and otitis media accompanied by a fever of 100.8°F (38.2°C) will likely require an increase in their insulin dosage to help control their blood glucose levels during this period.
Hyperbilirubinemia at weeks of age suggests all of the following EXCEPT
- A. Physiologic jaundice
- B. Hypothyroidism
- C. Pyloric stenosis
- D. Biliary atresia
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You are meeting a 6-year-old girl who is going to join a primary school. The parents states that their child has some antisocial problems and they have a concern regarding school phobia and attendance. Of the following, the statement about school phobia that should be included in your discussion is
- A. affected children usually do not have antisocial tendencies
- B. girls are more likely affected than boys
- C. there is strong association with social class
- D. the oldest member of a family of few children is more likely to be affected
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A four-year-old patient has been diagnosed with leukemia. The patient's parents follow the Jehovah's Witness faith and inform the physician that they will not approve any type of blood transfusions. The pediatric nurse is aware that:
- A. the parent's approval is unnecessary in an emergency.
- B. the patient can only receive blood that has been donated by family members.
- C. the patient can receive volume expanders.
- D. none of the above.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following is a common extra-articular manifestation of rheumatoid arthritis?
- A. Interstitial lung disease
- B. Cardiovascular disease
- C. Neuropathy
- D. All of the above
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.