Nursing Elites

1. Two children are working on a puzzle together in the hospital playroom. Which type of play describes this activity?

• A. Solitary play
• B. Associative play
• C. Parallel play
• D. Cooperative play

Correct answer: D

Rationale: The correct answer is D, cooperative play. In cooperative play, children work together toward a common goal, such as completing a puzzle. Solitary play (A) is when a child plays alone, associative play (B) involves children playing together but without a common goal, and parallel play (C) is when children play alongside each other without direct interaction.

2. Which describe the feelings and behaviors of adolescents related to divorce? (Select all that apply.)

• A. Disturbed concept of sexuality
• B. All are applicable
• C. Worry about themselves, parents, or siblings
• D. Expression of anger, sadness, shame, or embarrassment

Correct answer: B

Rationale: Adolescents may withdraw from social interactions, worry about the impact of the divorce, and express strong emotions such as anger or sadness.

3. Which characteristic best describes the fine motor skills of an infant at age 5 months?

• A. Neat pincer grasp
• B. Strong grasp reflex
• C. Builds a tower of two cubes
• D. Able to grasp object voluntarily

Correct answer: D

Rationale: By 5 months, infants develop the ability to grasp objects voluntarily, showing improved motor control. The neat pincer grasp and building towers are skills that develop later.

4. The nurse is preparing to admit a child to the hospital with a diagnosis of minimal change nephrotic syndrome. The nurse understands that the peak age at onset for this disease is what?

• A. 2 to 3 years
• B. 4 to 5 years
• C. 6 to 7 years
• D. 8 to 9 years

Correct answer: B

Rationale: The peak age for the onset of minimal change nephrotic syndrome (MCNS) is typically between 4 and 5 years old. MCNS is the most common cause of nephrotic syndrome in children, particularly within this age range.

5. What diet is most appropriate for the child with chronic renal failure (CRF)?

• A. Low in protein
• B. Low in vitamin D
• C. Low in phosphorus
• D. Supplemented with vitamins A, E, and K

Correct answer: C

Rationale: A low-phosphorus diet is important in managing chronic renal failure to prevent hyperphosphatemia and its associated complications, such as bone disease. Protein intake should be controlled but not necessarily low, and vitamin D supplementation is often required, not reduced.

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