A nurse is assessing a 4-month-old infant during a well-baby visit. For which of the following findings should the nurse notify the provider?

No head lag when pulled to a sitting position

Doll's eye reflex intact

Presence of tears when crying

Positive Babinski reflex

Answer and Explanation

The Correct Answer is B

A.   No head lag when pulled to a sitting position is a normal finding at 4 months of age and does not require notification of the provider.
B.   The Doll's eye reflex (also known as oculocephalic reflex) should be absent by 4 months of age. Its persistence could indicate neurological abnormalities and warrants further evaluation by the provider.
C.   Presence of tears when crying is a normal physiological response and does not require notification of the provider.
D.   Positive Babinski reflex is normal in infants under 2 years old and typically disappears by 12 to 24 months of age. It does not require immediate notification of the provider.

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 C

Explanation

A. Amphotericin B is an antifungal medication and is not indicated for impetigo, which is a bacterial skin infection.
B. Lidocaine ointment is a local anesthetic and is not indicated for the treatment of impetigo.
C. Impetigo is highly contagious, and contact isolation precautions should be initiated to prevent its spread within the hospital setting.
D. Reporting the disease to the state health department may be necessary for surveillance purposes, but the immediate priority is to implement infection control measures.

A. The child's throat pain increases. B. The child refuses clear liquids. C. The child cries often. D. The child swallows frequently.

Correct Answer is D

Explanation

A. The child's throat pain increasing is expected post-tonsillectomy and can be managed with pain medication. While important to address, it is not the priority in this situation.
B. The child refusing clear liquids may indicate discomfort or difficulty swallowing, but it is not as immediately concerning as other assessment findings.
C. The child crying often may be a response to pain or discomfort but does not indicate a physiological problem requiring immediate attention.
D. The child swallowing frequently is a priority finding because it could indicate bleeding, which is a significant complication after tonsillectomy and requires immediate intervention to prevent further complications or deterioration in the child's condition.

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 is assessing a 4-month-old infant during a well-baby visit. For which of the following findings should the nurse notify the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?

Correct Answer is D

Explanation

A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?

A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?

A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription for prednisone. Which of the following statements should the nurse include in the teaching?

A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?

A nurse in the emergency departments is caring for a toddler Exhibits Complete the following sentence by using the list of options. The nurse should first dropdown followed by dropdown.

A nurse in the emergency department is preparing to discharge a 3-year-old child. Exhibits Which of the following statements should the nurse plan to include in the discharge instructions for the child’s guardian? Select all that apply.

A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?

A nurse is caring for a school-age child who has cystic fibrosis. Exhibits A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child’s home medication list? Select all that apply.