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A 9-year-old patient has been complaining of headache, coughing, and an aching chest. The care provider makes a diagnosis of a viral infection. The child’s mother tells the nurse that when she first said she had a headache, the child’s father gave her half of an adult aspirin. The mother has heard of Reye syndrome and asks the nurse if her child could get this. Which statement would be the best response by the nurse?

“This might or might not be a problem. Watch your daughter for signs of lethargy, unusual irritability, stupor, or vomiting. If you notice any of these, bring her to the emergency room immediately so she can be checked for Reye syndrome.”

“This might or might not be a problem. Watch your daughter for signs of nasal discharge, sneezing, itching of the nose, or dark circles under the eyes. If you notice any of these, bring her to the emergency room immediately so she can be checked for Reye syndrome.”

“This is a serious problem. Aspirin is likely to cause Reye syndrome, and she should be admitted to the hospital for observation as a precaution.”

“This is unlikely to be a problem. Half an aspirin is not enough to cause harm. Reye syndrome generally only develops from prolonged use of aspirin in connection with a virus.”

Answer and Explanation

The Correct Answer is A

Choice A reason: Half an aspirin with a viral infection poses a small Reye syndrome risk, warranting monitoring for symptoms like lethargy or vomiting. This aligns with pediatric safety guidelines, making it the best response to inform the mother while ensuring vigilance for the 9-year-old’s health.

Choice B reason: Nasal discharge and sneezing are unrelated to Reye syndrome, which involves neurological symptoms like stupor. Monitoring for lethargy or vomiting is correct, making this incorrect, as it lists irrelevant symptoms for the mother’s concern about Reye syndrome in her child.

Choice C reason: Admitting for observation overstates the risk, as a single half aspirin rarely causes Reye syndrome. Monitoring for specific symptoms is sufficient, making this alarmist and incorrect compared to the nurse’s balanced response to the mother’s concern about the viral infection.

Choice D reason: Downplaying the risk as unlikely ignores the potential, though rare, link between aspirin and Reye syndrome in viral infections. Monitoring for symptoms is prudent, making this dismissive and incorrect compared to advising vigilance for the 9-year-old’s safety post-aspirin use.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Choice A reason: A complete fracture occurs when bone fragments are fully separated, disrupting the bone’s continuity. This aligns with orthopedic definitions, as separation indicates a break through the entire bone, requiring intervention. The nurse’s explanation matches this, making it the correct term for separated fracture fragments in children, consistent with pediatric trauma care.

Choice B reason: An incomplete fracture involves a partial break, with fragments not fully separated, common in children’s flexible bones. The question specifies separated fragments, which does not fit this definition. This choice is incorrect, as it contradicts the description of a complete separation of bone fragments in the context of fracture classification.

Choice C reason: A spiral fracture is caused by twisting, with a helical break pattern, but separation of fragments is not its defining feature. Complete fractures specifically describe separated fragments, making this incorrect, as spiral refers to shape, not the extent of fragment separation in fractures, per orthopedic terminology.

Choice D reason: A greenstick fracture is an incomplete break where one side bends and the other cracks, typical in children. Separated fragments indicate a complete fracture, not a greenstick, making this incorrect, as greenstick fractures do not involve full separation of bone fragments as described in the nurse’s explanation.

A. Offer small portions of 1 to 2 teaspoons to the child. B. Do not use sweets as a reward for cleaning their plate. C. Feed the toddler before the rest of the family. D. Food jags need to be addressed and not given in to. E. Mealtime for a toddler should not exceed 20 minutes.

Correct Answer is ["A","B","E"]

Explanation

Choice A reason: Offering small portions (1-2 teaspoons) reduces overwhelm for a picky eater, encouraging trying new foods without pressure. This aligns with pediatric nutrition strategies for toddlers, minimizing mealtime stress, making it a correct pointer for the father to implement effectively for his 2-year-old.

Choice B reason: Avoiding sweets as rewards prevents reinforcing unhealthy eating habits and reduces mealtime battles. This promotes intrinsic motivation for eating, aligning with pediatric feeding guidelines, making it a correct strategy to minimize stress for a 2-year-old picky eater during meals with the family.

Choice C reason: Feeding the toddler before the family may disrupt social eating and does not address picky eating directly. Small portions and avoiding rewards are more effective, making this incorrect, as it does not minimize stress or encourage healthy mealtime behaviors in toddlers in a family setting.

Choice D reason: Food jags (preferring one food) are normal in toddlers and should be accommodated, not resisted, to avoid stress. Forcing variety escalates conflicts, making this incorrect compared to strategies like small portions that reduce mealtime tension for picky eaters in early childhood.

Choice E reason: Limiting mealtime to 20 minutes prevents prolonged battles, reducing stress for a picky eater. Short meals respect the toddler’s attention span, aligning with pediatric feeding recommendations, making it a correct pointer to help the father manage mealtime effectively for his 2-year-old child.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is working with a group of caregivers of school-aged children discussing fractures. The nurse explains that if the fragments of fractured bone are separated, the fracture is said to be:

Correct Answer is A

Explanation

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)

Correct Answer is ["A","B","E"]

Explanation

The nurse has an order to administer a rectal suppository to a 3-month-old child. In addition to lubricating the suppository, which intervention will help assure appropriate administration of the medication?

The parent of an adolescent has called to talk to the pediatric nurse over concern that her daughter is not getting proper nutrition now that she has started following a vegetarian diet. Which response should the nurse prioritize for this parent?

The parents and their child with a chronic illness have been seen by the nurse in the pediatrician’s office since birth. Which situation is appropriate for instruction by the nurse?

The nurse is collecting data on a 4-month-old child brought to the clinic by the caregiver. The nurse observes the child’s mouth and notes a white coating that looks like milk curds. Which of the following questions would be most important for the nurse to ask the caregiver?

What information is most correct regarding the nervous system of the child?

The pediatric nurse recognizes that what statement is true regarding medications administered via the intravenous route?

The school nurse is presenting information to a group of high school students who are asking about vegetarian diets. The nurse determines that the group needs more information when they identify which foods as being included in a vegan diet?

A 3-year-old who has been attending preschool has been diagnosed with leukemia. The caregivers of this child ask the nurse what they can do to help their child feel secure. Which recommendation could the nurse make to these caregivers that would be helpful in making the child feel secure?