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The parent of an 8.2-kg (18-lb) 9-month-old infant is borrowing a federally approved car seat from the clinic. The nurse should explain that the safest way to put in the car seat is what?
- A. Front facing in back seat
- B. Rear facing in back seat
- C. Front facing in front seat with air bag on passenger side
- D. Rear facing in front seat if an air bag is on the passenger side
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is caring for a child with sickle cell anemia with the following order: Morphine Sulfate 2 mg IV every 24 hours. Morphine Sulfate is available in 10 mg/1mL. How many mL should the nurse administer?
- A. 0.2 mL
- B. 0.5 mL
- C. 1 mL
- D. 2 mL
Correct Answer: A
Rationale: To administer 2 mg of Morphine Sulfate when the concentration is 10 mg/mL, the nurse should administer 0.2 mL (2 mg / 10 mg/mL = 0.2 mL). Choice B, 0.5 mL, is incorrect because it is the result of dividing 2 mg by 4 mg/mL instead of 10 mg/mL. Choice C, 1 mL, is incorrect as it would be the result of dividing 2 mg by 2 mg/mL. Choice D, 2 mL, is incorrect as it would be the result of dividing 2 mg by 1 mg/mL.
As children grow and develop, their style of play changes. Which play style is descriptive of the school-age child?
- A. Plays alone but not with other children
- B. Plays games with other children and is able to follow the rules of the game
- C. Plays alone with play directed by others
- D. Plays with others in loose groups
Correct Answer: B
Rationale: The correct answer is B. School-age children are typically able to play structured games with other children and follow the rules of the game. This ability reflects their growing cognitive and social development. Choice A is incorrect as school-age children often engage in group play. Choice C is incorrect as school-age children usually have more autonomy in their play choices. Choice D is incorrect as school-age children tend to form more organized play settings rather than loose groups.
A new dad is concerned about his toddler's play patterns. The nurse informs him that ____________ play is normally exhibited by toddlers:
- A. Associative
- B. Team
- C. Solitary
- D. Parallel
Correct Answer: D
Rationale: The correct answer is D, 'Parallel.' Parallel play is a common play pattern observed in toddlers where they play alongside each other without direct interaction. This type of play allows toddlers to observe and mimic each other's actions, aiding in their social development. Choices A, B, and C are incorrect. Associative play involves some interaction between children, team play involves organized group activities, and solitary play is when a child plays alone, all of which are not typically exhibited by toddlers during play.
The apnea monitor alarm sounds on a neonate for the third time during this shift. What is the priority action by the nurse?
- A. Provide tactile stimulation.
- B. Administer 100% oxygen.
- C. Investigate possible causes of a false alarm.
- D. Assess infant for color and presence of respirations.
Correct Answer: D
Rationale: The priority action for the nurse when the apnea monitor alarm sounds on a neonate is to assess the infant for color and the presence of respirations. This initial assessment helps determine the infant's respiratory status and the need for immediate intervention. Providing tactile stimulation or administering oxygen should only be done after assessing the infant's respiratory status. Investigating possible causes of a false alarm comes after ensuring the infant's well-being through the initial assessment.
What information should be given to the parents of a 12-month-old child regarding appropriate play activities for this age?
- A. Give large push-pull toys for kinetic stimulation
- B. Place a cradle gym across the crib to help develop fine motor skills
- C. Provide the child with finger paints to enhance fine motor skills
- D. Provide a stick horse to develop gross motor coordination
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.