A nurse is teaching a newly licensed nurse about assessing children's blood pressure. Which of the following statements made by the newly licensed nurse demonstrates an understanding of the teaching?

"Cuffs are recommended to be 6 to 15 cm or 2 to 6 inches for school-aged children."

“The cuff should fit loosely around the child's arm."

"Blood pressure measurement is taken over the brachial artery using a manual blood pressure cuff.”

"Routine blood pressure measurements should begin around 1 year of age."

Answer and Explanation

The Correct Answer is C

A. Cuff size recommendations vary based on the child’s arm circumference, not a specific range for all school-aged children.

B. The cuff should fit snugly around the child's arm, not loosely, to obtain an accurate reading.

C. Blood pressure is typically measured over the brachial artery using a manual or automated cuff.

D. Routine blood pressure screening usually begins at age 3 unless there are specific indications to begin earlier.

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Correct Answer is ["B","F","G"]

Explanation

A. Encopresis is typically associated with constipation and fecal impaction, not frequent loose bowel movements.

B. Abdominal discomfort is common due to fecal retention.

C. Excessive thirst is not a symptom of encopresis.

D. Difficulty concentrating is not directly related to encopresis.

E. Weight gain is not a typical manifestation of encopresis.

F. Flatulence can occur due to retained stool and gas buildup.

G. Soiling is a hallmark feature of encopresis.

H. Frequent urination is not commonly associated with encopresis.

I. Blood in the stool is more indicative of other gastrointestinal conditions.

A. Request a prescription for a whisper test. B. Refer the preschooler for an audiology evaluation. C. Visually inspect the ear for cerumen impaction. D. Ask the parents to keep a log of the hearing difficulty.

Correct Answer is B

Explanation

A. The whisper test is a basic screening tool and not a substitute for a formal evaluation.

B. An audiology evaluation provides a comprehensive assessment of the child’s hearing.

C. While inspecting for cerumen impaction is important, it is not the definitive action in this case.

D. Keeping a log may be helpful, but it is not sufficient as a primary action.

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A nurse is teaching a newly licensed nurse about assessing children's blood pressure. Which of the following statements made by the newly licensed nurse demonstrates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following are common manifestations of encopresis? (Select All that Apply.)

Correct Answer is ["B","F","G"]

Explanation

A nurse is planning care for a preschooler whose parents report that the child has difficulty hearing. Which of the following recommendations should the nurse plan to make?

Correct Answer is B

Explanation

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