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.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

Choice A reason: Living with grandparents while the mother works two jobs provides potential supervision, reducing developmental risks compared to homelessness. Sleeping in a car disrupts stability and safety, making this less challenging and incorrect for the situation most likely to impact children’s growth and development.

Choice B reason: An empty house after school poses risks but offers a stable home environment, unlike sleeping in a car, which lacks safety and consistency. Latchkey situations are less severe, making this incorrect compared to the extreme instability of homelessness affecting children’s developmental outcomes.

Choice C reason: Sleeping in a car at night indicates homelessness, severely disrupting children’s physical, emotional, and cognitive development due to lack of stable housing, nutrition, and safety. This situation poses the greatest challenge, aligning with pediatric social determinants of health, making it the correct choice.

Choice D reason: Sharing an apartment with another family provides housing stability, unlike sleeping in a car, which severely impacts development. Crowded living is less detrimental than homelessness, making this incorrect for the situation most likely to challenge children’s growth and development in the care plan.

A. Notifying the family’s religious leader of the tragedy. B. Calling the funeral home to make arrangements for the body transfer. C. Cleaning and making the deceased presentable to the family. D. Presenting the family with the deceased’s personal belongings.

Correct Answer is C

Explanation

Choice A reason: Notifying a religious leader may provide spiritual support but is secondary to facilitating the family’s immediate grieving by viewing the deceased. Cleaning the body allows closure, making this less urgent and incorrect for the initial nursing action to support the family’s grief in the ER.

Choice B reason: Arranging funeral home transfer is logistical and less immediate than helping the family process loss through viewing the deceased. Preparing the body supports emotional closure, making this secondary and incorrect for the initial action to aid the family’s grieving process in the ER.

Choice C reason: Cleaning and presenting the deceased allows the family to view their loved one, facilitating closure and beginning the grieving process. This aligns with trauma nursing principles for supporting bereaved families, making it the best initial action in this tragic car accident scenario.

Choice D reason: Presenting personal belongings is meaningful but less critical than allowing the family to see the deceased, which supports immediate grief processing. Body preparation takes precedence for closure, making this less impactful and incorrect for the initial grieving support action in the ER.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

The emergency room nurse is caring for a family who lost an adolescent in a violent car accident. Which initial nursing action best helps the family’s grieving process?

Correct Answer is C

Explanation

The daughter of a divorced couple is hospitalized for injuries received in an automobile accident. The custodial father is at work when the mother arrives extremely agitated and demanding to see her daughter immediately. Which action will be most appropriate for the nurse to take at this time?

The nursing instructor is conducting a class on the development of an infant. The instructor determines the class is successful when the students correctly illustrate which as the proximodistal development in an infant?

The nurse is caring for a group of children on the pediatric unit. The nurse should collect further data and explore the possibility of child abuse (child mistreatment) in which situation?

A young child has been admitted with a diagnosis of enterobiasis (pinworm infection). This child will most likely have a history of:

The nurse is preparing a variety of projects for the pediatric clients on the unit to work on in the playroom. In deciding on projects, the nurse determines the 8-year-old will be best suited to work on which activity?

A toddler is hospitalized and the nurse wants to make the transition from home to hospital as easy as possible for him. Which action by the nurse would be most beneficial to assist the toddler in adapting to the hospital?

The nursing instructor is illustrating the various types of play. The instructor determines the class is successful when the students correctly choose which example as best representing onlooker play?

The nurse is working with a 12-year-old who is hospitalized with a chronic illness. Which action by the nurse might help the chronically ill preteen thrive while hospitalized?