A nurse cares for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says, "I don't understand why my child is so upset. I've never seen my child act this way around others before." Which of the following statements should the nurse make?

"This is a typical reaction for a child who is sick."

"This is a response to an overstimulating environment."

"This is a normal, expected reaction for a child of this age."

"This is a common reaction to an overexposure to caregivers."

Answer and Explanation

The Correct Answer is C

A. "This is a typical reaction for a child who is sick.” While illness may heighten distress, the behavior described—crying when the parent leaves—is more related to developmental stage than to acute illness, and should not be solely attributed to sickness.

B. "This is a response to an overstimulating environment." Overstimulation can cause fussiness or irritability, but separation anxiety, not overstimulation, best explains the infant’s reaction to the parent leaving.

C. "This is a normal, expected reaction for a child of this age." Separation anxiety typically emerges around 6–8 months of age as infants begin to understand object permanence. The child’s distress upon separation is a developmentally appropriate behavior.

D. "This is a common reaction to an overexposure to caregivers." Overexposure does not lead to distress when a caregiver leaves. Rather, strong attachment bonds cause infants to become upset when their primary caregiver is not present.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Puberty might be delayed if scrotal changes have not occurred by the age of 11 years:
Scrotal changes, such as thinning, reddening, and enlargement, are among the first signs of puberty in boys. If these changes have not started by age 11, it may indicate delayed puberty, warranting further assessment.

B. Changes in the voice signal the beginning of puberty: Voice changes usually occur later in puberty, after the onset of testicular and scrotal development. They are a secondary sexual characteristic, not an initial sign.

C. Growth spurts in height occur toward the end of midpuberty: Growth spurts typically happen during early to midpuberty, not toward the end. Height velocity peaks around Tanner stages 3 to 4, before puberty concludes.

D. Gynecomastia commonly occurs during late puberty: Gynecomastia tends to occur during early to midpuberty due to hormonal fluctuations and usually resolves spontaneously. It is less common to develop or persist into late puberty.

A. "The fever is causing an increase in your baby's heart rate." B. "This is within the expected range for your baby." C. "Your baby's heart is beating fast in an attempt to cool down his body." D. "As your baby begins to fall asleep, his heart rate will decrease."

Correct Answer is A

Explanation

A. "The fever is causing an increase in your baby's heart rate." Fever increases metabolic demand, which commonly leads to tachycardia in infants as the body attempts to regulate temperature and support circulation. This explanation directly addresses the physiological cause and is appropriate.

B. "This is within the expected range for your baby." A heart rate of 190/min in a 2-month-old is elevated, especially in the presence of a fever. While infants have higher baseline heart rates (120-160 b/min), this value is elevated and requires clinical interpretation, not reassurance.

C. "Your baby's heart is beating fast in an attempt to cool down his body.": While increased cardiac output may help distribute heat, the primary cause of tachycardia is metabolic demand from fever—not a direct mechanism to cool the body.

D. "As your baby begins to fall asleep, his heart rate will decrease." Although heart rate may decrease with sleep, this does not address the father's concern about the elevated rate now, and it downplays the need to monitor the infant in the context of high fever

View Question and Answer

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

A nurse cares for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says, "I don't understand why my child is so upset. I've never seen my child act this way around others before." Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a health program for the parents of school-age boys. Which of the following information about pubescent changes should the nurse include in the program?

Correct Answer is A

Explanation

A nurse is obtaining vital signs from the 2-month-old infant. The infant's heart rate is 190/min, and his temperature is 40° C (104° F). The father asks the nurse why the infant's heart is beating so fast. Which of the following responses by the nurse is appropriate?

Correct Answer is A

Explanation

A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following developmental tasks should the nurse include as being expected of a preschooler?

A pediatric patient weighing 22 kg is prescribed amoxicillin 50 mg/kg/day in divided doses every 8 hours. The medication is available as a suspension containing 125 mg/5 mL. How many mL of the suspension should the nurse administer for each dose?

A nurse is caring for a newborn who is experiencing hyperbilirubinemia and is receiving phototherapy. Which of the following findings indicate that the phototherapy is effective?

A nurse teaches the parents of a 10-month-old infant about home safety. Which of the following information should the nurse include in the teaching? (Select all that apply.)

A nurse is teaching an assistive personnel to measure a newborn's respiratory rate. Which of the following statements indicates an understanding of why the respiratory rate should be counted for a complete minute?

A nurse is caring for a toddler with difficulty sleeping during hospitalization. Which of the following actions should the nurse take to promote sleep?

A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse?