The mother of a 4-year-old boy tells the nurse that her son occasionally wets his pants during the day. How should the nurse respond?

"Tell me about the circumstances when this occurs."

"Is there a family history of diabetes?"

"Suddenly having accidents can be a sign of diabetes."

"That's normal: don't worry about it."

Answer and Explanation

The Correct Answer is A

A. "Tell me about the circumstances when this occurs.": This response allows the nurse to gather more information about the child's toileting habits and potential triggers for the accidents.

Understanding the context can help identify possible underlying causes and guide appropriate interventions.

B. "Is there a family history of diabetes?": While diabetes can be a cause of increased urination, asking about a family history of diabetes is premature and may unnecessarily alarm the parent before further assessment.

C. "Suddenly having accidents can be a sign of diabetes.": Jumping to conclusions about a serious medical condition like diabetes without further assessment or evidence can cause unnecessary anxiety for the parent. It's important to gather more information and consider other potential causes before suggesting a diagnosis.

D. "That's normal: don't worry about it.": While occasional daytime wetting accidents can be common in young children, dismissing the concern without further assessment may overlook potential underlying issues that could benefit from intervention or support.

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Correct Answer is A

Explanation

A. “The preschooler is developing a conscience": This response acknowledges the ongoing development of morality in preschoolers. During the preschool years, children begin to

internalize rules and develop a sense of right and wrong, guided by their emerging conscience. They may start to show guilt or remorse when they do something wrong and may seek approval from adults.

B. "The preschooler's morals are his or her own, right or wrong": While preschoolers are

beginning to form their own sense of morality, it is not accurate to suggest that their morals are inherently right or wrong. Rather, they are in the process of learning and developing moral understanding.

C. "The preschooler sees morality as internal to self": This statement highlights the emerging understanding of morality as an internal guide for behavior. Preschoolers begin to recognize that certain actions are considered right or wrong, although their understanding may still be somewhat egocentric.

D. “The preschooler has no sense of right and wrong": This statement is incorrect. Preschoolers do start to develop a sense of right and wrong, although their understanding may be limited and influenced by their stage of cognitive and moral development.

A. Auscultation B. Deep palpation C. Inspection D. Superficial palpation

Correct Answer is C,A,D,B

Explanation

Correct Answer:C, A, D, B.

C. Inspection:The initial step in an abdominal assessment is to inspect the abdomen visually. This allows the nurse to observe for any abnormalities in skin color, shape, and

movement without causing discomfort or altering findings that could be affected by palpation or auscultation.

A. Auscultation:Following inspection, auscultation is performed before any palpation. This is because palpation can stimulate bowel sounds, which may alter the nurse's ability to accurately assess the bowel activity and vascular sounds.

D. Superficial palpation:After auscultation, superficial palpation is done to detect tenderness, distension, or superficial masses. It is gentle and less likely to cause discomfort or alter deeper structures.

B. Deep palpation: The final step is deep palpation, which is used to examine the organs and structures that are deeper within the abdominal cavity. It is performed last to prevent any potential discomfort or alteration in the patient's condition that could interfere with the earlier steps of the assessment.

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The mother of a 4-year-old boy tells the nurse that her son occasionally wets his pants during the day. How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The parents of a 4-year-old ask the nurse when their child will be able to differentiate right from wrong and develop morals. What would be the best response of the nurse?

Correct Answer is A

Explanation

A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Correct Answer is C,A,D,B

Explanation

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