After performing a physical examination on a 4-year-old patient, the nurse practitioner suspects physical abuse. The nurse practitioner's primary legal responsibility is to:
discuss the physical assessment findings with the caregivers.
report the suspected abuse to child protective services.
refer the family to the appropriate support group.
assist the family in identifying resources and support systems.
The Correct Answer is B
Rationale:
A. Discussing suspected abuse with the caregivers could place the child at further risk and is not the first legal step.
B. Reporting suspected abuse to child protective services (CPS) is the nurse practitioner’s primary legal responsibility. Mandatory reporting laws require healthcare providers to notify authorities when child abuse is suspected, regardless of certainty.
C. Referring the family to support groups may be helpful later but does not fulfill the legal obligation to report.
D. Assisting the family with resources and support is appropriate after reporting, but the immediate priority is to ensure the child’s safety through mandatory reporting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Bone marrow aspiration with biopsy is the definitive method for diagnosing leukemia. It allows direct examination of marrow cellularity, morphology, and the presence of leukemic blasts, confirming the diagnosis.
B. CT scans may detect organ involvement or complications but cannot diagnose leukemia.
C. A complete blood count (CBC) can suggest leukemia through abnormal white blood cell counts, anemia, or thrombocytopenia but cannot confirm the diagnosis.
D. Lumbar puncture with cerebrospinal fluid analysis is used to assess CNS involvement in leukemia but is not sufficient for initial diagnosis.
Correct Answer is D
Explanation
Rationale:
A. A heart rate of 90–110 beats per minute is below the normal range for a newborn and would be considered bradycardia.
B. 115–140 beats per minute falls within the normal resting range for infants, especially when asleep.
C. 150–170 beats per minute can be normal during activity or crying in a newborn.
D. Tachycardia in infants younger than 1 month is defined as a heart rate greater than 180 beats per minute at rest. Persistent tachycardia may indicate underlying conditions such as infection, dehydration, anemia, or cardiac disorders and warrants further evaluation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.