A nurse cares for a school-age child with mild, persistent asthma. Which of the following is an expected finding? (Select all that apply.)

Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value.

Daytime symptoms occur more than twice a week.

Nighttime symptoms occur approximately twice a month.

Minor limitations occur with normal activity

Symptoms are continuous throughout the day

Answer and Explanation

Correct Answer : A,B,D

A. In mild persistent asthma, PEF is typically ≥80% of the predicted value, indicating relatively good lung function.

B. Daytime symptoms occur more than twice a week but not daily in mild persistent asthma.

C. Nighttime symptoms in mild persistent asthma occur more than twice a month (often 3–4 times per month), not just twice a month.

D. There are minor limitations in normal activity with mild persistent asthma.

E. Continuous symptoms throughout the day characterize moderate or severe persistent asthma, not mild persistent asthma.

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Correct Answer is B

Explanation

A. While an erythematous rash (erythema marginatum) is a common finding in rheumatic fever, it is not immediately life-threatening and does not take priority over cardiac assessment.
B. The greatest risk in acute rheumatic fever is carditis, which can lead to valvular heart damage, heart failure, or arrhythmias. Therefore, auscultating heart rate and heart sounds (for murmurs, gallops, friction rubs) is a priority to detect early signs of cardiac involvement.
C. Parental anxiety is important to address, but physiological stability of the child takes precedence during initial admission.
D. Joint pain is common in rheumatic fever, but it is not life-threatening and can be assessed after the cardiac evaluation is complete.

A. "As a nurse, I am required by law to report suspected child abuse." B. I am unable to discuss this, but I can contact my supervisor to speak with you." C. "The provider will be coming to explain the situation." D. "I reported the incident to my supervisor who decided to contact the authorities.

Correct Answer is A

Explanation

A. This response is clear, professional, and factual. Nurses are mandated reporters and are legally obligated to report any suspicion of child abuse, regardless of confirmation. This statement provides an appropriate explanation without placing blame or making accusations.
B. While involving a supervisor can be helpful, avoiding the question may increase tension and does not clarify the nurse’s legal duty.
C. Deflecting to the provider fails to acknowledge the nurse’s role and responsibility in mandated reporting.
D. This response shifts responsibility and may imply blame or avoid accountability, which is not appropriate or professional.

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A nurse cares for a school-age child with mild, persistent asthma. Which of the following is an expected finding? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?

Correct Answer is B

Explanation

A nurse reports an incident of suspected child abuse. One of the child's parents becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

Correct Answer is A

Explanation

Probably the most important criterion on which to base the decision to report suspected child abuse is which of the following?

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