Which of the following toys should the nurse recommend for a 5-month-old?
- A. A big red balloon
- B. A teddy bear with button eyes
- C. A push-pull wooden truck
- D. A colorful busy box
Correct Answer: D
Rationale: A busy box facilitates the fine motor development that occurs between 4 and 6 months. Balloons are contraindicated because small children may aspirate balloons. Because the button eyes of a teddy bear may detach and be aspirated, this toy is unsafe for children younger than 3 years. A 5-month-old is too young to use a push-pull toy.
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When assessing a child with a cleft palate, the nurse is aware that the child is at risk for more frequent episodes of otitis media due to which of the following?
- A. Lowered resistance from malnutrition
- B. Ineffective functioning of the Eustachian tubes
- C. Plugging of the Eustachian tubes with food particles
- D. Associated congenital defects of the middle ear.
Correct Answer: B
Rationale: Because of the structural defect, children with cleft palate may have ineffective functioning of their Eustachian tubes creating frequent bouts of otitis media.
A hospitalized schoolager states: 'I'm not afraid of this place, I'm not afraid of anything.' This statement is most likely an example of which of the following?
- A. Regression
- B. Repression
- C. Reaction formation
- D. Rationalization
Correct Answer: C
Rationale: Reaction formation is the schoolager's typical defensive response when hospitalized. In reaction formation, expression of unacceptable thoughts or behaviors is prevented (or overridden) by the exaggerated expression of opposite thoughts or types of behaviors.
Which of the following clinical assessment would most likely be demonstrated in severe dehydration?
- A. Pale skin turgor
- B. Normal skin turgor
- C. Marked oliguria
- D. Normal blood pressure
Correct Answer: C
Rationale: Severe dehydration is marked by reduced urine output (oliguria) due to significant fluid loss, a key clinical sign, unlike normal skin turgor or blood pressure which deteriorate later.
Constipation is characterized by decrease in the frequency or passage of stools the formation of hard, dry stools usually due to some disease except:
- A. Anal fissure
- B. Imperforate anus
- C. Pyloric stenosis
- D. Hirschsprung's disease.
Correct Answer: C
Rationale: Pyloric stenosis causes vomiting due to gastric outlet obstruction, not constipation. The other conditions (anal fissure, imperforate anus, Hirschsprung’s disease) are directly linked to constipation or stool passage issues.
Nurse Bryan knows that one of the most effective strategies to teach a Four year old about safety is to...
- A. Show him potential dangers to avoid
- B. Tell him he is bad when they do something dangerous
- C. Provide good examples of safety behavior
- D. Show him pictures of children who have involve with accidents
Correct Answer: C
Rationale: Modeling safety behavior is an effective way to teach preschoolers.
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