A nurse is conducting developmental assessments on several children in the day-care setting. Which two children does the nurse identify as having developmental delays?

A 5-year-old who is unable to zip his own jacket.

A 2-year-old who cannot recite her phone number.

A 6-year-old who is unable to sit still for a short story.

A 2-year-old who is unable to cut with scissors.

An 18-month-old toddler who is unable to phrase sentences.

Answer and Explanation

The Correct Answer is C

Choice A reason: This choice is incorrect. It is not unusual for a 5-year-old to have difficulty with zippers.
Choice B reason: This choice is incorrect. Reciting a phone number is not expected of a 2-year-old.
Choice C reason: This is one of the correct choices. A 6-year-old should be able to sit still for a short story, and difficulty doing so may indicate a developmental delay.
Choice D reason: This choice is incorrect. A 2-year-old typically does not have the fine motor skills to cut with scissors.
Choice E reason: This is one of the correct choices. An 18-month-old should be starting to phrase simple sentences, and the inability to do so may indicate a developmental delay.

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Correct Answer is ["B","E"]

Explanation

Choice A reason: Tripod positioning is a more severe sign, indicating increased work of breathing.
Choice B reason: This is one of the correct choices. Nasal flaring is a mild symptom of respiratory distress, indicating increased effort to breathe.
Choice C reason: Confusion is a more severe symptom, suggesting hypoxia affecting brain function.
Choice D reason: Cyanosis is a severe sign of respiratory distress, indicating poor oxygenation.
Choice E reason: This is one of the correct choices. Tachypnea, or rapid breathing, is a mild symptom of respiratory distress.

A. Lift and clear drainage from the chest tube. B. Inspect the tube insertion site for leaking. C. Continue to monitor the drainage system. D. Auscultate lungs for unequal breath sounds.

Correct Answer is C

Explanation

Choice A reason: Lifting and clearing drainage from the chest tube is not necessary unless there is a blockage, which is not indicated by the water level changes.
Choice B reason: Inspecting the tube insertion site for leaking is important but not related to the observation of water level changes in the water-seal chamber.
Choice C reason: This is the correct choice. The water level rising during inspiration and falling during expiration is a normal finding that indicates the chest tube is functioning properly.
Choice D reason: Auscultating lungs for unequal breath sounds is part of the assessment but does not address the observed water level changes in the water-seal chamber.

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A nurse is conducting developmental assessments on several children in the day-care setting. Which two children does the nurse identify as having developmental delays?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following are mild symptoms of respiratory distress? (Select the two responses that apply)

Correct Answer is ["B","E"]

Explanation

Correct Answer is C

Explanation

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