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Questions 158

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Question 1 of 5

Which term describes the play activity of the preschool aged child?

Correct Answer: B

Rationale: Preschool-aged children (3–5 years) typically engage in associative play, where they play together with shared activities but without formal rules or organization. Cooperative play develops later, parallel play is common in toddlers, and solitary play is seen in younger children.

Question 2 of 5

The nurse is caring for a client hospitalized with bipolar disorder, manic phase. Which of the following snacks would be best for the client?

Correct Answer: C

Rationale: An apple is a healthy, easy-to-eat snack that provides nutrition without excessive sodium (chips), caffeine (cola), or high calories (milkshake), suitable for a manic client needing stability.

Question 3 of 5

A newborn weighed seven pounds at birth. At six months of age, the infant could be expected to weigh:

Correct Answer: A

Rationale: Infants typically double their birth weight by 6 months. A 7-pound newborn would weigh approximately 14 pounds at 6 months. The other weights are excessive or unrealistic.

Question 4 of 5

The first action that the nurse should take if she finds the client has an O2 saturation of 68% is:

Correct Answer: C

Rationale: An O2 saturation of 68% indicates severe hypoxemia requiring immediate oxygen administration (e.g. via mask) to restore oxygenation. Elevating the head rechecking later or assessing heart rate are secondary to correcting hypoxia.

Question 5 of 5

A client has received digoxin 0.25 mg po daily for 2 weeks. Which of the following digoxin levels indicates toxicity?

Correct Answer: D

Rationale: Digoxin's therapeutic level is 0.8-2.0 ng/mL. Digoxin's toxic level is >2.0 ng/mL.

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