Of all the physical findings noticed on a child, which is most likely to indicate abuse?

A scald burn on his chest with various zones of burn depth

A maculopapular rash on the buttocks

A tall, thin appearance in a child

Linear abrasions on his ankles and wrists

Answer and Explanation

The Correct Answer is D

A. While scald burns can be suspicious, especially if they have clear lines or are immersion-type burns, variations in depth alone may also occur accidentally and need further investigation before confirming abuse.
B. A maculopapular rash is commonly associated with viral infections or allergic reactions, not abuse.
C. A tall, thin appearance may suggest a constitutional body type or a medical condition, but it is not a specific indicator of abuse.
D. Linear abrasions on the ankles and wrists may suggest restraints or bindings, which are highly suspicious for physical abuse, especially if not explained by a medical procedure or accident. These marks are considered red flags and should prompt further investigation.

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Correct Answer is D

Explanation

A. 90 bpm is too low for an 8-month-old infant and not the standard threshold for withholding digoxin in this age group.
B. 60 bpm is the cutoff for adults, not infants.
C. 120 bpm is normal for an infant and does not warrant holding digoxin.
D. Correct. For infants, digoxin should be withheld and the provider notified if the apical heart rate is less than 100 beats per minute, due to the risk of bradycardia and digoxin toxicity.

A. Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value. B. Daytime symptoms occur more than twice a week. C. Nighttime symptoms occur approximately twice a month. D. Minor limitations occur with normal activity E. Symptoms are continuous throughout the day

Correct Answer is ["A","B","D"]

Explanation

A. In mild persistent asthma, PEF is typically ≥80% of the predicted value, indicating relatively good lung function.

B. Daytime symptoms occur more than twice a week but not daily in mild persistent asthma.

C. Nighttime symptoms in mild persistent asthma occur more than twice a month (often 3–4 times per month), not just twice a month.

D. There are minor limitations in normal activity with mild persistent asthma.

E. Continuous symptoms throughout the day characterize moderate or severe persistent asthma, not mild persistent asthma.

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Of all the physical findings noticed on a child, which is most likely to indicate abuse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An 8-month-old infant is receiving Digoxin. The nurse should notify the practitioner and withhold the medication if the apical pulse is less than which of the following?

Correct Answer is D

Explanation

A nurse cares for a school-age child with mild, persistent asthma. Which of the following is an expected finding? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

A nurse cares for a 4-year-old child with croup who wets the bed overnight. When the parents visit the next day, the nurse explains the situation, and one of the parents says, "She never wets the bed at home. I am so embarrassed." Which of the following responses should the nurse make?

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A nurse is caring for a 6-month-old infant who is postoperative following a myringotomy. Which of the following pain scales should the nurse use to determine the infant's pain level?

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Probably the most important criterion on which to base the decision to report suspected child abuse is which of the following?