After interacting for several days with a dying child, the nurse realizes that the child has not mentioned death. There are some dead flowers in a vase on the child’s windowsill. The child looks at the flowers and says, “Did they die?” Which statement would be most appropriate for the nurse to make to give the child an opportunity to open up and talk about dying?

“These flowers don’t seem to be alive anymore. I’ll take them away.”

“These flowers are dead now. What do you think it would be like to die?”

“Well, these flowers aren’t very cheerful anymore. I’ll get rid of them.”

“I’m going to throw these flowers in the trash, okay?”

Answer and Explanation

The Correct Answer is B

Choice A reason: Saying the flowers aren’t alive and removing them avoids the child’s question, missing a chance to discuss death. Asking about dying opens dialogue, making this evasive and incorrect compared to the nurse’s opportunity to engage the dying child in a meaningful conversation.

Choice B reason: Acknowledging the flowers’ death and asking what dying is like invites the child to share thoughts, facilitating discussion about their own mortality. This aligns with pediatric palliative care communication, making it the most appropriate response to encourage the child to open up about dying.

Choice C reason: Calling the flowers uncheerful and removing them dismisses the child’s observation, closing off discussion about death. Asking about dying fosters dialogue, making this superficial and incorrect compared to the nurse’s role in supporting the dying child’s emotional expression and exploration.

Choice D reason: Offering to trash the flowers ignores the child’s reference to death, missing a chance to explore their thoughts. Asking about dying encourages openness, making this abrupt and incorrect compared to the nurse’s opportunity to facilitate a conversation about death with the child.

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Correct Answer is C

Explanation

Choice A reason: Airborne transmission involves pathogens spread through respiratory droplets, not insects. Insect-borne pathogens are vector transmission, making this incorrect, as it misidentifies the mechanism for diseases like malaria spread by mosquitoes in the nurse’s presentation on pathogen spread.

Choice B reason: Vehicle transmission involves contaminated objects or food, not insects. Pathogens spread by insects are via vector transmission, making this incorrect, as it does not describe the role of insects in pathogen spread in the nurse’s presentation on transmission mechanisms.

Choice C reason: Vector transmission occurs when insects like mosquitoes carry pathogens between hosts, a key mechanism for diseases like dengue. This aligns with infectious disease principles, making it the correct term for the nurse to illustrate in the presentation on how pathogens are spread.

Choice D reason: Contact transmission involves direct touch or surfaces, not insects. Vector transmission correctly describes insect-borne spread, making this incorrect, as it does not apply to the role of insects in pathogen transmission in the nurse’s educational presentation.

A. 300 to 800 ml of fluid per day. B. 1500 to 2,000 ml of fluid per day. C. 2,500 to 3,200 ml of fluid per day. D. 1,000 to 1,200 ml of fluid per day.

Correct Answer is B

Explanation

Choice A reason: 300-800 ml/day is too low for a child with sickle cell disease, risking dehydration and sickling crises. 1500-2000 ml maintains hydration, making this insufficient and incorrect compared to the adequate fluid intake needed to prevent complications in the child’s home care.

Choice B reason: 1500-2000 ml/day ensures adequate hydration for a child with sickle cell disease, reducing blood viscosity and sickling risk. This aligns with pediatric hematology guidelines for preventing crises, making it the correct fluid intake recommendation for the caregiver to support the child’s health at home.

Choice C reason: 2500-3200 ml/day exceeds typical needs for a child, risking fluid overload without added sickle cell benefit. 1500-2000 ml is optimal, making this excessive and incorrect compared to the recommended fluid range for managing sickle cell disease effectively at home.

Choice D reason: 1000-1200 ml/day is below the optimal range for a child with sickle cell disease, increasing dehydration and crisis risk. 1500-2000 ml better supports hydration, making this inadequate and incorrect compared to the fluid intake needed to prevent sickle cell complications.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a presentation depicting the various ways pathogens are spread around. The nurse will illustrate that pathogens passed around via insects is referred to as which mechanism?

Correct Answer is C

Explanation

The caregiver of a child with sickle cell disease asks the nurse how much fluid her child should have each day after the child goes home. In response to the caregiver’s question, the nurse would explain that for the child with sickle cell disease, it is best that the child have:

Correct Answer is B

Explanation

The nurse is discussing types of treatment used when working with children who have orthopedic disorders. Which form of treatment covers the lower part of the body, usually from the waist down, and either one or both legs while leaving the feet open?

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:

The caregiver of a child being treated at home for acute glomerulonephritis calls the nurse reporting that her daughter has just had a convulsion. The child is resting comfortably but the caregiver would like to know what to do. The nurse would instruct the caregiver to take which action?

A group of nurses is reviewing the cardiovascular system and its function. Which statement by one of the nurses demonstrates an understanding of a child’s cardiovascular system?

A 10-year-old boy who had an appendectomy had expressed worry that following the procedure he would have lots of pain. Two days after the procedure the child is claiming he is having no pain. Which nursing intervention should the nurse prioritize when assessing this child?

In understanding the physiology of the musculoskeletal system, the nurse recognizes that which of the following are stored in the bones?