By the time a child is 3 years old, they are expected to:
distinguish between real and make believe.
cooperate with other children.
take turns when playing games.
prefer playing with others rather than alone.
The Correct Answer is A
Rationale:
A. By age 3, children typically begin to distinguish between reality and make-believe, showing emerging imaginative play and understanding of fantasy versus real events.
B. Cooperation with other children develops gradually and is more consistently observed around ages 4–5.
C. Taking turns when playing structured games generally emerges closer to 4–5 years of age as social and cognitive skills mature.
D. Preferring to play with others rather than alone is more characteristic of children around 4 years old; 3-year-olds often engage in parallel play, playing alongside rather than directly with peers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Most children do not achieve spontaneous resolution of enuresis by age 4; it is more common for spontaneous resolution to occur gradually over time, often by age 6–7 years.
B. Bedwetting alarms and behavioral therapy are effective first-line interventions for enuresis, helping children recognize bladder fullness and establish bladder control.
C. Nighttime (nocturnal) enuresis is more common than daytime (diurnal) enuresis in children.
D. Enuresis is usually a normal developmental variation and does not typically indicate an underlying disease in otherwise healthy children; extensive urological workup is not routinely required unless other concerning symptoms are present.
Correct Answer is A
Explanation
Rationale:
A. Intercostal retractions occur when the skin between the ribs is pulled inward during inspiration, indicating increased work of breathing and possible respiratory distress.
B. Subcostal retractions are seen when the skin just below the ribcage is drawn inward.
C. Substernal retractions involve inward movement below the sternum.
D. Supraclavicular retractions involve inward movement above the clavicles, often indicating severe respiratory distress.
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