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ERIFIED 600 QUESTIONS AND ANSWERS WITH RATIO
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NALES
Which term describes the play activity of the preschool aged child? A
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. Cooperative
B
B.Associative B
C. Parallel
B
D. Solitary
B
B (Associative)
B
(Play of the preschool aged child is described as associative. At this stage, children
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are more interested in playing with other children than they are with playing with t
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oys. The child may talkto other children and exchange toys or play games without
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any rules. Answer A describes the play of a school-
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aged child. Answer C describes the play of an infant.)
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The nurse is ready to begin an exam on a nine-month-
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old infant who is sitting quietly on hismother's lap. Which should the nurse do first
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?
A. Check the Babinski reflex
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B. Listen to the heart and lung sounds
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C. Palpate the abdomen
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D. Check tympanic membranes
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B (Listen to the heart and lung sounds)
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(While the infant is quiet, the nurse should begin the exam by listening to the hea
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rt and lungs. Ifthe nurse elicits the Babinski reflex , palpates the abdomen, or chec
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ks the tympanic membranes,the infant may cry and it will be difficult to adequate
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ly listen to the heart and lungs; therefore answers A,C, and D are incorrect.)
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In terms of cognitive development, a three-year-old would be expected to:
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A. Think abstractly B
B. Use magical thinking B B
C. Understand conservation of matter B B B
D. See things from the perspective of others
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B (Use magical thinking)
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,NGN NCLEX RN EXAM TEST BANK ACCURATE AND V
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ERIFIED 600 QUESTIONS AND ANSWERS WITH RATIO
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NALES
(A three-year-
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old is expected to use magical thinking, such as believing that a toy bear is a real b
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ear. Answers A, C, and D are incorrect because of abstract thinking, conservation o
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f matter, andthe ability to look at things from the perspective of others are cognitiv
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e abilities of an older child)
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Which of the following describes the language development of a two-year-old?
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A. Doesn't understand yes and no B B B B
B. Understands the meaning of all words B B B B B
C. Can combine three or four words
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D. Repeatedly asks "why?"
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C (can combine three or four words)
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(The two year old can combine three to four words. Answers A and B are incorrec
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t because thetwo-year-
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old understands yes and no, but does not understand the meaning of all the words.
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Answer D is incorrect because seeking information and asking "why?" is typica
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l of the three-year old)
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A client who has been receiving Urokinase (uPA) for deep vein thrombosis is note
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d to have darkbrown urine in the urine collection bag. Which action should the nurs
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e take immediately?
B B
A. Prepare an injection of vitamin K B B B B B
B. Irrigate the urinary catheter with 50 mL of normal saline
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C. Offer the client additional oral fluids
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D. Withhold the medication and notify the physician B B B B B B
D (Withhold the medication and notify the physician)
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(Urokinase is a thrombolytic agent used in the treatment of deep vein thrombosis,
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pulmonary embolus, or myocardial infarction. The presence of dark brown or rust
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-
colored urine suggests bleeding. The nurse should withhold the medication, call t
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he doctor immediately, and prepare toadminister Amicar. Answer A is correct be
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cause vitamin K is not the antidote for urokinase.
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Answers B and C are incorrect because they do not address the adverse proble
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m of bleeding)Which of the following can occur with the frequent use of calciu
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m based antacids?
B B
,A. Constipation
, NGN NCLEX RN EXAM TEST BANK ACCURATE AND V
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ERIFIED 600 QUESTIONS AND ANSWERS WITH RATIO
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NALES
B. Hyperperistalsis
C. Delayed gastric emptying
B B
D. Diarrhea
B B
A (Constipation)
B
(The client taking calcium-
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based antacids will frequently develop constipation. Answers B, C,and D are n
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ot associated with the use of calcium-
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based antacids; therefore, they are incorrect.)
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