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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Infants typically achieve head control around 4 months of age, not 3 months.
B. The posterior fontanelle usually closes by 2 to 3 months of age, not 1 month.
C. Lymph nodes in infants are usually small and non-tender, and enlarged nodes may indicate infection.
D. The anterior fontanelle generally closes between 12 and 24 months of age.
Correct Answer is C
Explanation
A. Occasional difficulty with turn-taking is common in 4-year-olds but should be monitored for improvement with social interaction.
B. Sharing an event is appropriate for a 4-year-old and indicates developing communication skills.
C. By age 4, a child should be speaking in complete sentences of at least 4 to 5 words. Speaking only two words in a sentence suggests delayed language development.
D. Engaging in imaginative play is expected and demonstrates cognitive and social development.
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