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: Forming clay vases requires fine motor skills but may lack the complexity to engage an 8-year-old’s cognitive and creative abilities. A model plane offers a challenging, age-appropriate task, making this less stimulating and incorrect for the developmental needs of an 8-year-old in the playroom.

Choice B reason: Stacking blocks is too simplistic for an 8-year-old, better suited for younger children developing basic motor skills. A model plane engages advanced dexterity and problem-solving, making this insufficiently challenging and incorrect for the cognitive level of an 8-year-old in the hospital.

Choice C reason: Assembling a model plane suits an 8-year-old’s fine motor skills, concentration, and interest in complex tasks. This project aligns with developmental stages for school-aged children, promoting engagement and skill-building, making it the best choice for the playroom activity for the child.

Choice D reason: Building a sandcastle is creative but less structured than a model plane, which challenges an 8-year-old’s dexterity and focus. Sandcastles may be less engaging for hospitalized children, making this incorrect compared to the structured, skill-based task of model plane assembly in the playroom.

A. Have the caregiver sign a permission form acknowledging that the girl has been given the drug without pregnancy testing. B. Speak with the teen alone to ask her if she is sexually active. If she says she is not sexually active, let the provider know that it is okay to write the prescription. C. Acknowledge the caregiver’s discomfort about the pregnancy testing but encourage her to allow the daughter to have the testing so that she can use the medication. D. Arrange for the daughter to have the pregnancy testing without the caregiver’s knowledge.

Correct Answer is C

Explanation

Choice A reason: Signing a form to bypass pregnancy testing violates isotretinoin safety protocols, risking fetal harm due to teratogenicity. Encouraging testing ensures compliance, making this unsafe and incorrect compared to addressing the caregiver’s concerns while prioritizing the teen’s safety for acne treatment.

Choice B reason: Speaking to the teen alone respects privacy but doesn’t address the caregiver’s refusal or ensure testing compliance, required for isotretinoin. Encouraging testing with the caregiver’s consent is safer, making this inadequate and incorrect compared to securing agreement for mandatory pregnancy testing.

Choice C reason: Acknowledging the caregiver’s discomfort builds trust while emphasizing the necessity of pregnancy testing for isotretinoin’s safe use, preventing fetal harm. This aligns with pediatric medication safety protocols, making it the best action to ensure the 16-year-old can safely receive acne treatment.

Choice D reason: Testing without caregiver knowledge violates consent and trust, risking legal and ethical issues. Encouraging open discussion ensures compliance, making this unethical and incorrect compared to the nurse’s role in facilitating agreement for required pregnancy testing for the teen’s isotretinoin therapy.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a variety of projects for the pediatric clients on the unit to work on in the playroom. In deciding on projects, the nurse determines the 8-year-old will be best suited to work on which activity?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

The pediatric nurse recognizes that what statement is true regarding medications administered via the intravenous route?

The nurse is collecting data from a caregiver, and the caregiver states that the child has had a “strawberry-colored tongue.” The nurse recognizes this as a manifestation of which disorder?

The nursing instructor is conducting a class on the development of an infant. The instructor determines the class is successful when the students correctly illustrate which as the proximodistal development in an infant?

The nurse is preparing to teach a class to a group of young parents with infants the basics of introducing solid foods into the diet. Which factor about the food should the nurse point out the infants respond to best when introducing solid foods into the diet?

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

The nurse is preparing a presentation for a health fair illustrating the major milestones of infants as they grow and develop. Which fact should the nurse point out when illustrating an infant’s teeth?

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?