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Questions 148

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Extract:


Question 1 of 5

The nurse observes a 2 1/2-year-old toddler in the waiting room. Based on expected child development, the nurse expects to see the child engaged in which type of play?

Correct Answer: C

Rationale:
Toddlers (2-3 years) engage in parallel play, playing alongside but not cooperatively with others, due to developing social skills.

Question 2 of 5

A client has a rate-responsive permanent pacemaker in his upper chest. The nurse understands rate-responsive to mean which of the following?

Correct Answer: D

Rationale: A rate-responsive pacemaker increases the pacing rate when sensors detect increased activity (
D), mimicking normal heart rate response. Other options (A, B,
C) describe different pacemaker functions.

Question 3 of 5

The nurse is assessing a client for tactile fremitus. Which client would most likely exhibit a decrease in tactile fremitus? A client with:

Correct Answer: A

Rationale: Emphysema causes air trapping and hyperinflation, reducing tactile fremitus due to decreased transmission of vocal vibrations through the lungs.

Question 4 of 5

A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?

Correct Answer: D

Rationale: Morphine can cause sphincter of Oddi spasm, worsening pancreatitis pain, so it should be questioned; meperidine is preferred.

Question 5 of 5

Which assignment should not be performed by the nursing assistant?

Correct Answer: D

Rationale: Administering an enema is an invasive procedure requiring clinical judgment, which is beyond the scope of a nursing assistant's responsibilities.

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