Nursing Elites

1. At which age should the nurse expect most infants to begin to say mama and dada with meaning?

• A. 4 months
• B. 6 months
• C. 10 months
• D. 14 months

Correct answer: C

Rationale: By around 10 months, infants often start to say "mama" and "dada" with meaning, associating these words with their parents.

2. The nurse suspects that a child has ingested some type of poison. What clinical manifestation would be most suggestive that the poison was a corrosive product?

• A. Tinnitus
• B. Disorientation
• C. Stupor, lethargy, and coma
• D. Edema of the lips, tongue, and pharynx

Correct answer: D

Rationale: Edema of the lips, tongue, and pharynx is a characteristic sign of corrosive poisoning, indicating damage to mucous membranes from ingestion of a caustic substance. Other symptoms may vary depending on the poison but are not as specific to corrosive ingestion.

3. During a well-child checkup, the parent of a 5-year-old child reports the child seems much smaller than the 2 older siblings did at this same age. A review of the medical record reveals that the child is 44 inches tall and weighs 42 pounds. What information should be included in the response by the nurse?

• A. The weight of your child at this time is within normal limits for this age but the child is moderately taller than other children this age.
• B. Your child is within the acceptable range for height but the child is significantly smaller in weight for this age.
• C. Your child is within normal limits for weight but the child is slightly shorter in stature than other children this age.
• D. Your child is slightly taller than other children this age but the child’s weight is normal.

Correct answer: D

Rationale: The correct answer is D. The child is slightly taller than average, but the weight is within normal limits. This information should be reassuring to the parent and provides insights into normal growth patterns. Choice A is incorrect as it inaccurately states that the child is taller than other children this age. Choice B is incorrect because the child's weight is actually within normal limits. Choice C is incorrect as it inaccurately states that the child is shorter in stature than other children this age.

4. What are signs and symptoms of a possible kidney transplant rejection in a child? (Select all that apply.)

• A. Fever
• B. Hypotension
• C. All are applicable
• D. Swelling and tenderness of graft area

Correct answer: B

Rationale: Signs of kidney transplant rejection include fever, diminished urinary output, and swelling/tenderness in the graft area. These symptoms indicate that the body may be rejecting the transplanted organ, requiring immediate medical attention.

5. A new dad is concerned about his toddler's play patterns. The nurse informs him that ____________ play is normally exhibited by toddlers:

• A. Associative
• B. Team
• C. Solitary
• D. Parallel

Correct answer: D

Rationale: The correct answer is D, 'Parallel.' Parallel play is a common play pattern observed in toddlers where they play alongside each other without direct interaction. This type of play allows toddlers to observe and mimic each other's actions, aiding in their social development. Choices A, B, and C are incorrect. Associative play involves some interaction between children, team play involves organized group activities, and solitary play is when a child plays alone, all of which are not typically exhibited by toddlers during play.

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