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Questions 149

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Extract:


Question 1 of 5

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:

Correct Answer: C

Rationale: Collecting items reflects concrete operational thinking, where children (ages 7-11) organize and categorize objects systematically, per Piaget's stages.

Question 2 of 5

The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 68/34, pulse rate 130, and respirations 18. Which is the client's most appropriate priority nursing diagnosis?

Correct Answer: B

Rationale: The vital signs indicate hypovolemic shock, making fluid volume deficit the priority nursing diagnosis.

Question 3 of 5

Which play activity is best suited to the gross motor skills of the toddler?

Correct Answer: B

Rationale: Playing with a ball encourages gross motor skills like kicking and throwing, suitable for a toddler's developmental stage.

Question 4 of 5

A home health nurse is making preparations for morning visits. Which one of the following clients should the nurse visit first?

Correct Answer: B

Rationale: Nighttime dyspnea suggests acute heart failure exacerbation, requiring priority.

Question 5 of 5

The nurse is caring for a client with a long history of taking magnesium hydroxide for managing symptoms of peptic ulcer disease. Which finding in the client's medical history would be of concern to the nurse?

Correct Answer: C

Rationale: Magnesium hydroxide can cause fluid retention, worsening heart failure. Other conditions are not directly affected.

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