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Question 1 of 23
1. Question
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Hint: Think about receptive language and simple one-step commands typical for a toddler around 18 months—how they respond to familiar verbal instructions without complex concepts or prolonged attention.
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Question 2 of 23
2. Question
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Hint: Think about the valve between the left atrium and left ventricle and recall the term that describes a valve with two leaflets (cusps).
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Question 3 of 23
3. Question
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Hint: At around 6 months, introduce iron-rich single-grain cereals first while continuing breastfeeding, rather than stopping breast milk or beginning with meats/complex solids immediately.
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Question 4 of 23
4. Question
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Hint: Ask the patient to explain or demonstrate the self-care steps back to you in their own words—this verifies comprehension better than just testing knowledge or watching a single skill once.
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Question 5 of 23
5. Question
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Hint: Consider the nutrient that is found almost exclusively in animal-derived foods, requires intrinsic factor for absorption, and whose deficiency causes neurologic symptoms and megaloblastic anemia—particularly a risk for strict lifelong vegans.
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Question 6 of 23
6. Question
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Hint: Focus on tasks requiring precise control of the hands and fingers—small, coordinated movements used in self-care and grooming are classic examples of fine motor skills.
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Question 7 of 23
7. Question
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Hint: Establish a baseline fasting blood glucose before giving any glucose load so the test results are accurate and not influenced by recent food intake.
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Question 8 of 23
8. Question
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Hint: Consider the timing and cephalocaudal pattern—jaundice appearing after 24 hours and limited to the head and trunk suggests physiologic neonatal jaundice, so observe and inform the provider rather than initiate immediate invasive treatment.
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Question 9 of 23
9. Question
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Hint: Sarcopenia refers to age-related changes in the musculoskeletal system—think about what happens to skeletal muscle size and strength as people age.
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Question 10 of 23
10. Question
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Hint: Consider where the heart’s primary pacemaker sits—at the junction of the superior vena cava and the right-sided atrial wall near the crista terminalis; this anatomical position explains its role in initiating impulses for the cardiac cycle.
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Question 11 of 23
11. Question
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Hint: Mild fever is a common, self-limited reaction to vaccines and can be managed symptomatically—use age-appropriate acetaminophen per dosing guidelines if a fever occurs.
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Question 12 of 23
12. Question
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Hint: Think about measures that prevent urinary stasis and promote complete bladder emptying—regular, scheduled voiding helps reduce bacterial growth, whereas poor perineal hygiene and inadequate fluid intake increase UTI risk.
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Question 13 of 23
13. Question
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Hint: Consider how heating methods can create hot spots that may scald an infant; use safer warming techniques and always check the bottle temperature on your wrist before feeding.
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Question 14 of 23
14. Question
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Hint: Use a patient-centered approach by assessing readiness and offering resources or information rather than taking actions for them or lecturing about risks.
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Question 15 of 23
15. Question
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Hint: Use developmentally appropriate communication—children cope better when procedures are explained simply and honestly to reduce fear and increase cooperation.
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Question 16 of 23
16. Question
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Hint: Recall the standard anatomical position: the body is erect with feet parallel and toes pointing forward — think “neutral, forward-facing stance” rather than turned in or out.
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Question 17 of 23
17. Question
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Hint: Focus on signs of increased work of breathing—look for use of accessory muscles and visible chest wall retractions rather than isolated color changes or a respiratory rate within the normal newborn range.
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Question 18 of 23
18. Question
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Hint: Think about how regular aerobic activity strengthens respiratory muscles and improves cardiopulmonary efficiency, reducing the effort required to breathe during rest and exertion.
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Question 19 of 23
19. Question
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Hint: “Apical” means you listen at the heart’s apex with a stethoscope rather than palpating a peripheral pulse — focus on actually counting the heartbeats to determine the rate.
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Question 20 of 23
20. Question
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Hint: When taking a pulse, document the numerical rate and describe its characteristics such as strength (quality) and fullness/volume—note that rhythm (regularity) is a separate observation.
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Question 21 of 23
21. Question
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Hint: Think of the general term for the midlife reproductive transition and decline in sexual functioning used for both men and women—it’s broader than the female-specific “menopause.”
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Question 22 of 23
22. Question
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Hint: Consider the term that describes age-related, sensorineural loss of hearing (often high-frequency) in older adults—different from terms for dry mouth or refractive vision changes.
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Question 23 of 23
23. Question
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Hint: Think about changes that affect a person’s social roles, relationships, and emotional adjustments across life stages rather than their moral values, self-worth, or physical skills.
