When observing 4 year-old children playing in the hospital playroom, what activity would the nurse expect to see the children participating in?

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Question 1 of 5

When observing 4 year-old children playing in the hospital playroom, what activity would the nurse expect to see the children participating in?

Correct Answer: D

Rationale: Cooperative play with preschoolers is expected for 4-year-olds. Per Erikson/Piaget, initiative and preoperational stages foster social interaction, unlike competitive games , parallel play , or solitary . D matches development, making it the norm.

Question 2 of 5

The unlicensed assistive personnel (UAP) reports a sudden increase in temperature to 101 degrees Fahrenheit for a post surgical client. The nurse checks on the client's condition and observes a cup of steaming coffee at the bedside. What instructions are appropriate to give to the UAP?

Correct Answer: B

Rationale: Recheck temperature 15 minutes after removing hot liquids' is appropriate. Coffee likely raised oral temp; rechecking ensures accuracy. Fluids (A, C) or charting miss causation. B aligns with protocol, making it correct.

Question 3 of 5

A client frequently admitted to the locked psychiatric unit repeatedly compliments and invites one of the nurses to go out on a date. The nurse's response should be to

Correct Answer: D

Rationale: Discussing therapeutic boundaries is best. It reinforces professional limits, addressing behavior constructively, per ethics. Reassignment , reprimand , or policy avoid engagement. D maintains care, making it optimal.

Question 4 of 5

A client has been tentatively diagnosed with Graves' disease (hyperthyroidism). Which of these findings noted on the initial nursing assessment requires quick intervention by the nurse?

Correct Answer: C

Rationale: Exophthalmos requires quick intervention in Graves'. Bulging eyes signal thyroid orbitopathy, needing urgent referral to prevent vision loss. Weight loss , restlessness , and irritability are managed less acutely. C prioritizes complication, making it critical.

Question 5 of 5

The nurse is assigned to care for a client who had a myocardial infarction (MI) 2 days ago. The client has many questions about this condition. What area is a priority for the nurse to discuss at this time?

Correct Answer: D

Rationale: Activity and rest guidelines are priority 2 days post-MI. They prevent strain, aiding recovery, per acute phase needs. Daily needs , rehab , and meds/diet follow. D ensures safety, making it key.

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