A nurse is caring for a 30-month-old child. Which of the following activities should the nurse expect the child to participate in?

Playing with an imaginary friend

Playing with dress-up clothes

Playing with a large plastic truck

Playing with a jump rope

Answer and Explanation

The Correct Answer is C

A. This type of play usually begins around ages 3 to 4.

B.   While possible, this is more typical in slightly older children who engage in more complex forms of pretend play.
C.   At 30 months (2.5 years old), children are typically engaged in simple pretend play and enjoy playing with larger, more manipulable toys like plastic trucks. Their motor skills and cognitive development at this stage support this type of play.
D.   Coordination for jumping rope generally develops later, closer to school age.

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Correct Answer is B

Explanation

A. Sinus arrhythmia is a benign condition that does not typically require immediate assessment unless accompanied by other concerning symptoms.
B. Tachypnea in a client with a hip fracture may indicate a potential complication such as pulmonary embolism or respiratory compromise, requiring immediate assessment and intervention.
C. While weakness in the lower extremities in a client with epidural analgesia warrants assessment, it is not as urgent as assessing a client with new-onset tachypnea.
D. An HbA1c level of 7.2% in a client with diabetes mellitus, while slightly above the target range, does not require immediate assessment or intervention unless accompanied by acute symptoms of hyperglycemia.

A. Eat 1 g/kg of protein per day. B. Consume foods high in potassium. C. Take magnesium hydroxide for indigestion. D. Drink at least 3 L of fluid daily.

Correct Answer is A

Explanation

A. For clients receiving hemodialysis, maintaining adequate protein intake is essential because dialysis can remove protein from the blood. The recommended intake is typically about 1 g/kg/day, which helps replace losses and supports overall health.
B. Consume foods high in potassium. Clients with chronic kidney disease often need to restrict potassium intake due to impaired kidney function and the risk of hyperkalemia.
C. Take magnesium hydroxide for indigestion. Clients with chronic kidney disease should avoid magnesium-containing antacids due to the risk of magnesium accumulation and toxicity.
D. Drink at least 3 L of fluid daily. Fluid intake usually needs to be restricted in clients undergoing hemodialysis because their kidneys cannot effectively remove excess fluid, which can lead to complications like hypertension and pulmonary edema.

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A nurse is caring for a 30-month-old child. Which of the following activities should the nurse expect the child to participate in?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first?

Correct Answer is B

Explanation

A nurse is providing discharge teaching to a client who has chronic kidney disease and is receiving hemodialysis. Which of the following Instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

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