A 5-month-old is admitted to the hospital. Which of the following assessment information would be concerning?
rounded abdomen
heart rate 115 beats/min
retractions of the sternum with breathing
lower legs appear bowed
The Correct Answer is C
A. Rounded abdomen is normal in infants due to their developing musculature and posture.
B. Heart rate 115 beats/min is within the normal range for a 5-month-old infant (typically 90–160 beats/min).
C. Retractions of the sternum with breathing is concerning because it indicates increased work of breathing and possible respiratory distress.
D. Lower legs appear bowed is a common normal variation in infants and toddlers and typically resolves with growth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Repression involves unconsciously blocking unpleasant feelings or memories.
B. Rationalization is justifying behaviors with logical reasons rather than the true emotions.
C. Regression is reverting to earlier behaviors (such as thumb sucking) as a coping mechanism in response to stress or trauma.
D. Fantasy involves escaping reality by imagining things that are not real. Regression best explains the thumb-sucking behavior.
Correct Answer is B
Explanation
A. Pulling the pinna up and back is appropriate for adults and children over 3 years old.
B. For children under 3 years old, including a 2-year-old, the pinna should be pulled down and back to straighten the ear canal for accurate administration of ear drops.
C. Up and forward is not a correct technique for any age group.
D. Down and forward is incorrect and would not properly straighten the ear canal.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.