Question

A nurse is preparing to administer dextrose 5% in water (D5W) 1,000 mL intravenous (IV) to infuse over 12 hours. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

Answer 1

Correct Answers:

14 gtt/min

Rationale :

✏️ Time in minutes: 12 hours × 60 minutes = 720 minutes.

✏️ Formula: Volume × drop factor ÷ time in minutes = gtt/min.

✏️ Substitution: 1,000 mL × 10 gtt/mL ÷ 720 minutes.

✏️ Calculation: 10,000 ÷ 720 = 13.89 gtt/min.

✏️ Rounded to the nearest whole drop: 14 gtt/min.

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Answer 2

Correct Answers:

Secondary sex characteristics usually develop during the adolescent years.

Rationale :

♦️ Adolescence is characterized by puberty and the development of secondary sex characteristics.

♦️ Girls commonly develop breasts, pubic hair, wider hips, and begin menstruation during this period.

♦️ Boys commonly develop facial and pubic hair, a deeper voice, increased muscle mass, and enlargement of the genitalia.

♦️ These changes result primarily from increased production of estrogen, progesterone, and testosterone.

♦️ The timing and progression vary among individuals, making reassurance about normal variation an important nursing responsibility.

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Answer 3

Correct Answers:

Preschoolers have vivid and active imaginations

Rationale :

🖍️ Preschool-aged children commonly have vivid imaginations and frequently engage in fantasy play.

🖍️ They may invent imaginary friends, assign personalities to toys, and create elaborate pretend situations.

🖍️ Magical thinking can cause preschoolers to believe their thoughts or actions influence unrelated events.

🖍️ Imaginative play supports language development, creativity, emotional expression, and social learning.

🖍️ Parents should encourage safe pretend play while gently helping the child distinguish fantasy from reality when necessary.

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Answer 4

Correct Answers:

The ability to engage in imaginary play with peers.

Rationale :

🌹 Preschoolers are in Piaget’s preoperational stage of cognitive development.

🌹 During this stage, children use symbols, language, imitation, and imagination to represent objects and experiences.

🌹 Imaginary play allows them to act out roles, explore emotions, and practice social interactions with peers.

🌹 Their thinking remains egocentric and is not yet consistently logical or capable of considering multiple perspectives.

🌹 Participation in pretend play is therefore an expected and important cognitive milestone during the preschool years.

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Answer 5

Correct Answers:

Management of tantrums
How to encourage cooperative play
Dental care

Rationale :

Management of tantrums

✍️ Preschoolers may continue to have temper tantrums when frustrated, tired, overstimulated, or unable to communicate their needs.

✍️ Caregivers should remain calm, ensure safety, and avoid reinforcing the behavior by giving in to unreasonable demands.

✍️ Consistent limits and predictable consequences help the child learn emotional control.

✍️ Offering simple choices can give the child an appropriate sense of independence and reduce power struggles.

✍️ Frequent, severe, prolonged, or self-injurious tantrums should be discussed with the child’s healthcare provider.

How to encourage cooperative play

✍️ Preschoolers progress from associative play toward cooperative play with shared goals and assigned roles.

✍️ Caregivers can encourage this development through group games, pretend play, building activities, and simple household tasks.

✍️ Cooperative play helps children learn sharing, turn-taking, communication, negotiation, and conflict resolution.

✍️ Adult supervision may be needed because preschoolers are still developing impulse control and social problem-solving abilities.

✍️ Positive reinforcement should be used when the child shares, waits for a turn, or resolves disagreements appropriately.

Dental care

✍️ Preschool health promotion should include consistent oral hygiene and preventive dental care.

✍️ Teeth should be brushed twice daily with an age-appropriate amount of fluoride toothpaste and adult supervision.

✍️ Sugary drinks, frequent sweets, and prolonged exposure to juice should be limited to reduce dental caries.

✍️ Regular dental appointments allow early identification of cavities, malocclusion, and oral health problems.

✍️ Caregivers should model good dental habits because preschoolers learn effectively through observation and repetition.

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Answer 6

Correct Answers:

School-aged

Rationale :

👉 School-aged children have the motor coordination, balance, strength, and endurance needed to participate in kickball.

👉 They understand rules, take turns, cooperate with teammates, and compete toward a shared goal.

👉 Organized games support industry, teamwork, skill development, and peer relationships.

👉 School-aged children often enjoy activities that allow them to compare their abilities with those of their peers.

👉 The nurse should promote participation while emphasizing safety, inclusion, hydration, and fair play.

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Answer 7

Correct Answers:

Animism

Rationale :

✳️ Animism is the belief that inanimate objects have thoughts, emotions, intentions, or lifelike qualities.

✳️ A preschooler may believe that a doll feels lonely, a stuffed animal is frightened, or a toy is angry.

✳️ This behavior is common during Piaget’s preoperational stage of cognitive development.

✳️ Animism reflects the child’s imaginative and symbolic thinking rather than a psychological disturbance.

✳️ Caregivers can support development by participating in pretend play while gradually reinforcing the difference between living and nonliving things.

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Answer 8

Correct Answers:

Bullying and improving social skills.

Rationale :

⚽ Bullying prevention and social-skills education directly address aggression, conflict, intimidation, and interpersonal violence among school-aged children.

⚽ Children should learn respectful communication, empathy, anger management, problem-solving, and nonviolent conflict resolution.

⚽ Teaching students how to report threats and seek help can prevent escalation of dangerous situations.

⚽ School-wide anti-bullying policies and supportive peer environments reduce tolerance for aggressive behavior.

⚽ These interventions support Healthy People 2030 goals related to reducing youth violence, injury, and homicide.

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Answer 9

Correct Answers:

"I should discourage my child from having an imaginary friend."

Rationale :

🧿 Imaginary friends are a common and developmentally appropriate feature of the preschool years.

🧿 They allow children to practice language, express emotions, explore relationships, and manage fears through pretend play.

🧿 Caregivers should generally accept the imaginary companion without teasing the child or insisting that the friend is real.

🧿 Concern is warranted only when the imaginary friend prevents normal interaction, causes severe distress, or directs dangerous behavior.

🧿 Discouraging harmless imaginative play may create shame and unnecessarily interfere with normal cognitive and emotional development.

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Answer 10

Correct Answers:

3 years

Rationale :

🍊 At approximately 3 years of age, a child can descend stairs while holding the railing and placing both feet on each step.

🍊 The child usually leads with one foot and brings the other foot onto the same step before continuing downward.

🍊 Descending stairs requires greater balance and coordination than climbing upward.

🍊 As gross motor skills improve, the child gradually learns to alternate feet while going up and down stairs.

🍊 This stair pattern is therefore an expected gross motor milestone for a 3-year-old child.

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QLexNursing

1 :
A nurse is preparing to administer dextrose 5% in water (D5W) 1,000 mL intravenous (IV) to infuse over 12 hours. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

2 :
A nurse is comparing physical growth patterns between school-aged children and adolescents. Which principle should the nurse consider?

3 :
A nurse is providing education to the parent of a preschooler about expected development. Which information about preschoolers should be included in the teaching?

4 :
A nurse is assessing the cognitive changes in a preschooler. Which standard will the nurse use to determine normal?

5 :
A nurse is providing health promotion education to the caregivers of a preschool-aged child. Which information should the nurse include in the education?(Select all that apply.)

6 :
A school nurse is encouraging children to play a game of kickball. Which age group of children is the nurse most likely addressing?

7 :
Preschoolers treating dolls or stuffed animals as if they have thoughts and feelings is an example of which type of behavior?

8 :
A school nurse proposes to address community violence within the neighborhood using Healthy People 2030 to guide the work on homicide. About which topic should the school nurse focus efforts when teaching school-age children?

9 :
A community health nurse is providing anticipatory guidance to the mother of a preschooler. Which statement by the mother indicates to the nurse a need for further education?

10 :
A nurse is assessing a child that is descending stairs by placing both feet on each step and holding on to the railing. The nurse should understand that these actions are developmentally appropriate at which age?

QLexNursing

1 : A nurse is preparing to administer dextrose 5% in water (D5W) 1,000 mL intravenous (IV) to infuse over 12 hours. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

2 : A nurse is comparing physical growth patterns between school-aged children and adolescents. Which principle should the nurse consider?

3 : A nurse is providing education to the parent of a preschooler about expected development. Which information about preschoolers should be included in the teaching?

4 : A nurse is assessing the cognitive changes in a preschooler. Which standard will the nurse use to determine normal?

5 : A nurse is providing health promotion education to the caregivers of a preschool-aged child. Which information should the nurse include in the education?(Select all that apply.)

6 : A school nurse is encouraging children to play a game of kickball. Which age group of children is the nurse most likely addressing?

7 : Preschoolers treating dolls or stuffed animals as if they have thoughts and feelings is an example of which type of behavior?

8 : A school nurse proposes to address community violence within the neighborhood using Healthy People 2030 to guide the work on homicide. About which topic should the school nurse focus efforts when teaching school-age children?

9 : A community health nurse is providing anticipatory guidance to the mother of a preschooler. Which statement by the mother indicates to the nurse a need for further education?

10 : A nurse is assessing a child that is descending stairs by placing both feet on each step and holding on to the railing. The nurse should understand that these actions are developmentally appropriate at which age?

1 :
A nurse is preparing to administer dextrose 5% in water (D5W) 1,000 mL intravenous (IV) to infuse over 12 hours. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

2 :
A nurse is comparing physical growth patterns between school-aged children and adolescents. Which principle should the nurse consider?

3 :
A nurse is providing education to the parent of a preschooler about expected development. Which information about preschoolers should be included in the teaching?

4 :
A nurse is assessing the cognitive changes in a preschooler. Which standard will the nurse use to determine normal?

5 :
A nurse is providing health promotion education to the caregivers of a preschool-aged child. Which information should the nurse include in the education?(Select all that apply.)

6 :
A school nurse is encouraging children to play a game of kickball. Which age group of children is the nurse most likely addressing?

7 :
Preschoolers treating dolls or stuffed animals as if they have thoughts and feelings is an example of which type of behavior?

8 :
A school nurse proposes to address community violence within the neighborhood using Healthy People 2030 to guide the work on homicide. About which topic should the school nurse focus efforts when teaching school-age children?

9 :
A community health nurse is providing anticipatory guidance to the mother of a preschooler. Which statement by the mother indicates to the nurse a need for further education?

10 :
A nurse is assessing a child that is descending stairs by placing both feet on each step and holding on to the railing. The nurse should understand that these actions are developmentally appropriate at which age?