A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse?

Abrasions on the knees

Front deciduous teeth missing

Weight in 45th percentile

Bruising around the wrists

Answer and Explanation

The Correct Answer is D

A)   Abrasions on the knees could result from normal childhood activities and may not indicate physical abuse.
B)   Front deciduous teeth missing could be due to normal tooth loss.
C)   Weight in the 45th percentile is within a normal range and does not necessarily indicate physical abuse.
D)   Bruising around the wrists is concerning for physical abuse, especially in a pattern consistent with restraining or gripping.

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Correct Answer is A

Explanation

A) Tachypnea is a sign of respiratory distress and may indicate hypoxia, dehydration, or increased work of breathing. The nurse should report this finding to the provider and monitor the infant's oxygen saturation, heart rate, and respiratory rate.
B) Coughing is a common symptom of RSV and may not require immediate reporting unless severe.
C) Rhinorrhea (runny nose) is a common symptom of RSV and may not require immediate reporting unless severe.
D) Pharyngitis (sore throat) is a common symptom of RSV but is not as urgent as tachypnea.

A. A preschool-age child who has pediculosis capitis B. A school-age child who has viral conjunctivitis C. A toddler who has seasonal influenza D. An adolescent who has hepatitis A

Correct Answer is C

Explanation

A. Pediculosis capitis (head lice) does not require droplet precautions.
B. Viral conjunctivitis (pink eye) is typically spread through direct contact or contact with contaminated surfaces, not droplets.
C. Seasonal influenza is a respiratory illness that can spread through droplets when the infected person coughs or sneezes, necessitating droplet precautions.
D. Hepatitis A is primarily spread through the fecal-oral route and does not require droplet precautions.

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A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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