Probably the most important criterion on which to base the decision to report suspected child abuse is which of the following?
Inappropriate parental concern for the degree of injury
Incompatibility between the history and injury observed
Inappropriate response of the child
Absence of parents for questioning about the child's injuries
The Correct Answer is B
A. While inappropriate parental concern can raise suspicion, it is subjective and not as reliable or definitive as physical evidence and history.
B. The most important and objective red flag for suspected child abuse is when the injury does not match the explanation given. This incompatibility strongly suggests that the injury may have been caused intentionally or through neglect, and it warrants immediate reporting.
C. A child’s response can be influenced by fear, trauma, or developmental stage and is not always a clear indicator of abuse.
D. Absence of parents may be suspicious, but it does not confirm abuse and is not sufficient alone to report without supportive findings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Obtaining a throat culture is contraindicated in suspected epiglottitis because it can cause laryngospasm and complete airway obstruction.
B. Placing the child in an upright position (such as the tripod position) helps to maximize airway patency and ease respiratory distress. This is a safe and supportive measure while preparing for definitive care.
C. While a lateral neck x-ray may be helpful in diagnosis, transporting the child can worsen distress, and airway stabilization takes priority before any diagnostic procedures.
D. Never attempt to visualize the epiglottis with a tongue depressor in suspected cases—this can trigger airway obstruction and is only done in a controlled setting like the OR with emergency airway support available.
Correct Answer is D
Explanation
A. Cromolyn sodium is a mast cell stabilizer, not a corticosteroid. It is used for preventing asthma symptoms, but it is not a corticosteroid and is less commonly used now.
B. Levalbuterol is a short-acting beta-agonist (SABA) and used as a rescue medication, not for long-term prevention.
C. Terbutaline is a beta-2 agonist and may be used for rescue or emergency use, especially in status asthmaticus, but not a corticosteroid or daily controller.
D. Budesonide (Pulmicort) is an inhaled corticosteroid used regularly as a controller medication to prevent asthma attacks by reducing airway inflammation. It is not used for acute relief, but rather for long-term management of asthma.
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