A young child has been admitted with a diagnosis of enterobiasis (pinworm infection). This child will most likely have a history of:

Perianal itching.

Malnutrition.

Bedwetting.

Restlessness.

Answer and Explanation

The Correct Answer is A

Choice A reason: Perianal itching is the hallmark symptom of enterobiasis, caused by pinworms laying eggs at night, irritating the skin. This aligns with pediatric infectious disease evidence, making it the most likely history in a child admitted with pinworm infection, accurately reflecting the condition’s presentation.

Choice B reason: Malnutrition is not typically associated with pinworms, which cause localized irritation rather than systemic nutrient loss. Perianal itching is the primary symptom, making this incorrect, as it does not reflect the usual clinical history of a child with enterobiasis in a hospital setting.

Choice C reason: Bedwetting is unrelated to pinworm infection, which primarily causes perianal itching due to nocturnal egg-laying. Itching is the expected history, making this incorrect, as bedwetting does not correlate with the typical presentation of enterobiasis in a young admitted child.

Choice D reason: Restlessness may occur due to itching but is less specific than perianal itching, the defining symptom of pinworms. Itching directly ties to the diagnosis, making this less precise and incorrect compared to the primary history expected in a child with enterobiasis infection.

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Correct Answer is B

Explanation

Choice A reason: Frequent bladder urges relate to bladder size and neurological maturation, not kidney location. Children’s higher kidney position increases trauma risk, making this unrelated and incorrect for the anatomical difference in kidney placement between children and adults in the context of injury risk.

Choice B reason: Children’s kidneys are proportionally larger and higher (near T12-L3) with less protective fat, increasing trauma risk from blunt injury. This anatomical difference aligns with pediatric urology evidence, making it the correct fact related to kidney location in children compared to adults.

Choice C reason: Fluid retention is a physiological process, not directly tied to kidney location. Children’s higher kidney placement increases trauma susceptibility, making this irrelevant and incorrect for the anatomical comparison of kidney position between children and adults in terms of health risks.

Choice D reason: Adults may have less fat, but children’s kidneys are less protected due to higher positioning and thinner fat layers. Trauma risk is the primary concern, making this partially correct but incorrect compared to the direct consequence of kidney trauma in children due to location.

A. Find a Little League team that encourages participation of kids at all disability levels. B. Modify family activities so they are more sedentary for the child. C. Find an art class that will allow the child to participate without physical exertion. D. Teach the child at home so that the child does not feel overly different.

Correct Answer is C

Explanation

Choice A reason: Little League may be too physically demanding for an 8-year-old with muscular dystrophy, risking fatigue or injury. An art class supports engagement without exertion, making this impractical and incorrect compared to the nurse’s suggestion for a low-physical activity suitable for the child.

Choice B reason: Sedentary family activities limit social and creative stimulation, potentially isolating the child with muscular dystrophy. An art class encourages participation, making this overly restrictive and incorrect compared to the nurse’s recommendation for an engaging, low-exertion activity for the 8-year-old.

Choice C reason: An art class allows the 8-year-old with muscular dystrophy to engage socially and creatively without physical exertion, supporting well-being. This aligns with pediatric chronic illness activity planning, making it the correct suggestion for the caregivers to promote the child’s participation and development.

Choice D reason: Homeschooling may reduce social interaction, increasing feelings of difference for the child with muscular dystrophy. An art class fosters inclusion, making this isolating and incorrect compared to the nurse’s suggestion for an activity that supports social engagement without physical demands.

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A young child has been admitted with a diagnosis of enterobiasis (pinworm infection). This child will most likely have a history of:

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Naxlex Comprehensive Predictor Exams

The location of the kidneys in the child in relationship to the location of the kidneys in the adult makes which fact a greater likelihood in the child?

Correct Answer is B

Explanation

The caregivers of an 8-year-old child diagnosed with muscular dystrophy are discussing appropriate activities for their child. The nurse might suggest to these caregivers that they take which action in regard to their child’s activities?

Correct Answer is C

Explanation

The nurse is doing discharge teaching for a child who has had a tonsillectomy. The nurse tells the client and family that the child should have plenty of fluids. In addition, the nurse would explain to the child’s caregiver that the child may:

A nurse is discussing post-procedure interventions with new pediatric nurses. Which statement addresses the most immediate safety action required?

The school nurse is presenting information to a group of high school students who are asking about vegetarian diets. The nurse determines that the group needs more information when they identify which foods as being included in a vegan diet?

In discussing the causes of iron-deficiency anemia in children with a group of nurses, the following statements are made. Which of these statements is a misconception related to iron-deficiency anemia?

The caregiver of an infant keeps removing the pulse oximetry sensor claiming it is too tight and hurting the baby. Which response should the nurse prioritize in addressing this situation?