A 12-year-old girl who has not yet reached menarche comes to the pediatrician’s office for her annual well-child check. As the nurse is weighing and measuring her, the child says emphatically that she does not want to get her period. Which response would be most appropriate for the nurse to make to this child?

“Are you afraid of getting pregnant?”

“Do you think it will hurt?”

“But it’s a good thing, having a period is a part of growing up.”

“What have you heard about it that makes you worried?”

Answer and Explanation

The Correct Answer is D

Choice A reason: Assuming fear of pregnancy may misinterpret the 12-year-old’s concerns, potentially shutting down dialogue. Asking about worries invites her to share specific fears, making this presumptive and incorrect compared to the nurse’s role in exploring the child’s feelings about menstruation openly.

Choice B reason: Suggesting fear of pain narrows the conversation, missing other possible concerns like embarrassment or myths. Asking about worries allows broader exploration, making this limiting and incorrect compared to the nurse’s approach to understanding the girl’s specific fears about getting her period.

Choice C reason: Dismissing the child’s fear by calling periods “good” may invalidate her feelings, discouraging openness. Asking about worries validates concerns, making this dismissive and incorrect compared to the nurse’s role in fostering a supportive dialogue about menstruation with the 12-year-old.

Choice D reason: Asking what the child has heard about periods encourages her to express specific worries, facilitating education and reassurance. This aligns with pediatric nursing communication principles, making it the most appropriate response to address the 12-year-old’s concerns about menarche during the check.

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Correct Answer is C

Explanation

Choice A reason: Fluoride is safe from 6 months in appropriate amounts, not delayed until 4-5 years. The first tooth’s eruption at 6 months is a key milestone, making this incorrect, as it misstates fluoride use in the context of infant dental development for the health fair.

Choice B reason: Swollen or inflamed gums are normal during teething, not a serious concern. The first tooth erupting at 6 months is a standard milestone, making this incorrect, as it misrepresents a common teething symptom as problematic in the nurse’s health fair presentation.

Choice C reason: The first tooth typically erupts by 6 months, marking the start of dental growth, a significant infant milestone. This aligns with pediatric dental guidelines, making it the correct fact for the nurse to highlight in the health fair presentation on infant developmental milestones.

Choice D reason: Lower central incisors, not upper, are usually the first to erupt in infants. The 6-month eruption timeline is accurate, making this incorrect, as it misidentifies the typical first teeth in the nurse’s presentation on infant dental development milestones at the health fair.

A. Calories from protein. B. Saturated fat. C. Iodized salt. D. Pancreatic enzymes.

Correct Answer is D

Explanation

Choice A reason: Increasing protein calories doesn’t address malabsorption causing constipation and diarrhea in cystic fibrosis. Pancreatic enzymes improve nutrient absorption, making this irrelevant and incorrect compared to the need to correct digestive issues due to enzyme deficiency in the child’s dietary management.

Choice B reason: Saturated fat doesn’t resolve malabsorption-related constipation and diarrhea in cystic fibrosis and may worsen symptoms. Pancreatic enzymes correct enzyme deficiency, making this inappropriate and incorrect compared to the dietary adjustment needed to manage the child’s gastrointestinal symptoms effectively.

Choice C reason: Iodized salt supports hydration in cystic fibrosis but doesn’t address malabsorption causing diarrhea and constipation. Pancreatic enzymes target digestive issues, making this incorrect, as it fails to correct the underlying enzyme deficiency responsible for the child’s gastrointestinal symptoms.

Choice D reason: Pancreatic enzymes improve fat and nutrient absorption in cystic fibrosis, reducing constipation and diarrhea due to malabsorption. This aligns with pediatric cystic fibrosis management, making it the correct substance to increase in the child’s diet to address the reported gastrointestinal symptoms.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a presentation for a health fair illustrating the major milestones of infants as they grow and develop. Which fact should the nurse point out when illustrating an infant’s teeth?

Correct Answer is C

Explanation

Correct Answer is D

Explanation

Tess is a 5-year-old client who must receive an IV infusion of antibiotics. She is anxious, resistant, and wiggly. To keep her safe during the time the IV is in place, the nurse would choose which method to restrain her?

The caregiver of a child with sickle cell disease asks the nurse how much fluid her child should have each day after the child goes home. In response to the caregiver’s question, the nurse would explain that for the child with sickle cell disease, it is best that the child have:

The nurse is presenting an in-service training to a group of pediatric nurses on the topic of play. The nurse determines the session is successful when the group correctly chooses which example as best displaying toddlers playing?

The nurse instructor is reviewing the integumentary system during a presentation to a group of student nurses. Which statement made by the instructor is the most accurate regarding the integumentary system?

The nurse is developing a care plan for several clients who were seen in the clinic that day. Which situation will the nurse conclude is most likely to experience challenges in the growth and development of the children?

A 2-year-old child is reported to be a “picky eater” by his father. What pointers could the nurse provide the parent to help minimize stress related to mealtime? (Select all that apply)

The nurse is discussing types of treatment used when working with children who have orthopedic disorders. Which form of treatment covers the lower part of the body, usually from the waist down, and either one or both legs while leaving the feet open?

A group of nurses is reviewing the cardiovascular system and its function. Which statement by one of the nurses demonstrates an understanding of a child’s cardiovascular system?