In planning care, the nurse recognizes that which child should have the most difficulty with separation from family during hospitalization?

A 7-year-old child

A 5-month-old infant

A 4-year-old child

A 15-month-old toddler

Answer and Explanation

The Correct Answer is C

Choice A reason: A 7-year-old child may have some difficulty with separation but is typically able to understand the reason for hospitalization better than younger children.
Choice B reason: A 5-month-old infant may show signs of distress but does not have the same understanding of separation as an older child.
Choice C reason: This is the correct choice. A 4-year-old child is at a developmental stage where separation from family can cause significant distress and difficulty.
Choice D reason: A 15-month-old toddler may experience separation anxiety, but it is generally more intense in preschool-aged children.

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Correct Answer is B

Explanation

Choice A reason: Clubbed fingers are a sign of chronic hypoxia and may be seen in older children with cystic fibrosis, but they are not typically present at birth.
Choice B reason: This is the correct choice. Meconium ileus is a blockage of the intestines that occurs shortly after birth and is often the first sign of cystic fibrosis.
Choice C reason: A barrel chest is associated with chronic respiratory conditions and would not be present in a newborn.
Choice D reason: Steatorrheic stools, or fatty stools, may occur in cystic fibrosis but are not a primary indicator in a newborn.

A. The 1-month-old infant who has developed colic and is crying. B. The 14-year-old adolescent whose mother suspects her child is sexually active. C. The 2-year-old toddler who was bitten by another child at the day-care center. D. The 6-year-old school-aged child who was hit by a car while riding a bicycle.

Correct Answer is D

Explanation

Choice A reason: While colic can be distressing, it is not life-threatening and does not require immediate assessment over more critical conditions.
Choice B reason: Suspicions of sexual activity in an adolescent are a concern but do not constitute an emergency that requires immediate assessment.
Choice C reason: A bite from another child, although potentially serious, is less urgent than a trauma case and can be assessed after more critical patients.
Choice D reason: This is the correct choice. A child hit by a car may have life-threatening injuries and requires immediate assessment and intervention.

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In planning care, the nurse recognizes that which child should have the most difficulty with separation from family during hospitalization?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newborn is suspected of having cystic fibrosis. As the child is being prepared for transfer to a pediatric hospital, the mother asks the nurse which symptoms made the practitioner suspect cystic fibrosis. Which response by the nurse is the most appropriate?

Correct Answer is B

Explanation

In the pediatric emergency department, the nurse must prioritize patient care. Which patient should the nurse assess first?

Correct Answer is D

Explanation

According to developmental theories, which important event is essential in the development of the toddler?

Which foods would the nurse recommend to the mother of a 2-year-old with anemia?

Which statement by the parent indicates a need for further teaching regarding clubfoot?

A client with an arterial ischemic leg ulcer is being discharged from the hospital. Which instruction is most important for the nurse to include in this client's discharge teaching plan?

The nurse is teaching a child experiencing chronic renal failure about his diet. The nurse should discuss which of the following dietary recommendations?

What clinical manifestation associated with a Wilms tumor is the reason most children are initially brought in to be seen by a provider?

Which nursing intervention is most developmentally appropriate for a toddler with a birth injury of a torn brachial plexus that resulted in muscle atrophy and weakness of the right arm?

The nurse observes that a client with Parkinson’s disease (PD) has a mask-like face. Which follow-up assessment is most important for the nurse to implement?