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Questions 149

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Question 1 of 5

The graduate nurse is assigned to care for the client on ventilator support, pending organ donation. Which goal should receive priority?

Correct Answer: A

Rationale: Adequate blood pressure ensures organ perfusion for donation.

Question 2 of 5

Which of the following characterizes peer group relationships in 8- and 9-year-olds?

Correct Answer: B

Rationale: At 8-9 years, children form strong same-sex friendships with loyalty, often engaging in group activities that reinforce social bonds.

Question 3 of 5

The nurse is preparing to administer the first dose of IV antibiotic to the client. Halfway through the infusion, the nurse realizes that the antibiotic dosage is not the same as ordered by the health care provider. Which action should the nurse take first?

Correct Answer: A

Rationale: Stopping the infusion is the priority to prevent harm from an incorrect dose, followed by notifying the provider and completing an incident report.

Question 4 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 5 of 5

Which would be included in the nursing care plan of a client experiencing severe delirium tremens?

Correct Answer: B

Rationale: Keeping closet and bathroom doors closed minimizes visual stimuli that could exacerbate hallucinations or confusion in delirium tremens, promoting a safe environment.

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