A nurse is performing an annual wellness exam on an 8-year-old child whose last exam was one year ago. Which of the following findings should the nurse report to the provider?
Drinks 3 cups of 1% milk per day
Weight has increased by 5 kg (11 lb)
Height has increased by 3.8 cm (1.5 in)
Consumes three meals and two snacks per day
The Correct Answer is C
Rationale:
A. Drinks 3 cups of 1% milk per day: This intake is appropriate for an 8-year-old child. It supports bone development by providing sufficient calcium and vitamin D, aligning with dietary guidelines for school-age children.
B. Weight has increased by 5 kg (11 lb): A weight gain of about 2–3 kg (4.4–6.6 lb) per year is typical for children between ages 6 and 12. A 5 kg increase over one year is within normal limits and does not require provider notification unless accompanied by other concerns.
C. Height has increased by 3.8 cm (1.5 in): This is below the expected annual growth rate for an 8-year-old, which is typically 5 to 6.5 cm (2 to 2.5 in) per year. Slowed linear growth can indicate underlying medical or nutritional issues and should be reported for evaluation.
D. Consumes three meals and two snacks per day: This is a healthy and age-appropriate eating pattern for a school-age child, promoting stable energy levels and supporting growth and development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Use a loud tone of voice when speaking with the client: Clients with visual impairments do not necessarily have hearing loss. Speaking loudly is unnecessary and may be perceived as disrespectful or startling. Clear, calm, and descriptive communication is more appropriate.
B. Rearrange client’s bedside table items frequently: Frequently moving personal items creates confusion and increases the risk of accidents or frustration for a visually impaired client. Consistent item placement enhances safety and independence.
C. Guide the client by walking parallel with them: Walking parallel without physical or verbal guidance may not be helpful. It’s more effective to offer the client your arm so they can follow your movement and safely navigate their surroundings.
D. Remove objects from client's path to the bathroom: Clearing obstacles from the client's walking path reduces the risk of tripping and falls. This is a key safety intervention for clients with reduced visual sensory perception and promotes independent, safe mobility.
Correct Answer is D
Explanation
Rationale:
A. "Perform aerobic activities three times per week.": While exercise can be beneficial, excessive aerobic activity may worsen fatigue in clients with MS. Low-impact and well-paced exercise is more appropriate.
B. "Soak in a hot bath.": Heat can exacerbate symptoms in clients with MS by increasing nerve conduction issues, potentially leading to worsening fatigue or vision changes.
C. "Have your partner complete activities of daily living for you.": Encouraging dependence can contribute to decreased function and self-esteem. Clients should be supported to remain as independent as possible within their limits.
D. "Schedule rest periods during the day.": Fatigue is a common symptom of MS. Rest periods help conserve energy and prevent exacerbation of symptoms, promoting better overall functioning.
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