The mother of a 6-year-old child who has recently had surgery for removal of his tonsils and adenoids complains that they have begun sucking their thumb again. The nurse caring for the child should assure the mother that this is a normal response for a child who has undergone surgery, and that is a coping mechanism that children sometimes use called:

Rationalization

Regression

Repression

Fantasy

Answer and Explanation

The Correct Answer is B

a) Rationalization: Involves creating logical explanations to justify behaviors or situations, not necessarily linked to thumb-sucking after surgery.

b) Regression: This is a defense mechanism where individuals revert to an earlier stage of development when faced with stress or discomfort, such as thumb-sucking, bed-wetting, or clinging behavior.

c) Repression: Involves unconsciously blocking disturbing thoughts or feelings, not typically exhibited through thumb-sucking post-surgery.

d) Fantasy: Involves the use of imagination or daydreaming, not directly related to the observed behavior of thumb-sucking after surgery.

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Correct Answer is A

Explanation

a) The younger child’s airways are smaller and more easily occluded: Children, especially infants, have smaller airways, making them more susceptible to blockage during infections.

b) You are incorrect in your assessment: This response dismisses the mother's concern without providing information.

c) Air passages are more likely to become blocked with mucus due to increased mucus production in young children: While increased mucus production can be a factor, the size of airways is a more critical consideration.

d) Infants are not able to breathe deeply: Not an accurate statement; infants have a different breathing pattern but can breathe adequately.

A. Make her lie down and rest quietly B. Examine her oral pharynx and report to the physician C. Auscultate her lungs and prepare for placement in a warm mist tent D. Defer an oral assessment and be prepared to assist with a tracheostomy or intubation

Correct Answer is D

Explanation

a) Make her lie down and rest quietly: Inappropriate as the symptoms suggest potential airway obstruction.

b) Examine her oral pharynx and report to the physician: Important action, but immediate airway management is the priority.

c) Auscultate her lungs and prepare for placement in a warm mist tent: Less critical than ensuring an open airway.

d) Defer an oral assessment and be prepared to assist with a tracheostomy or intubation: The child's symptoms (stridor, agitation, drooling) indicate potential upper airway obstruction, and immediate readiness for airway intervention is essential.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An infant has had recurrent respiratory infections. The mother of the child expresses concern that the infant seems to be at increased risk for complications from respiratory infections in comparison with her older children. Which response by the nurse would be most appropriate?

Correct Answer is A

Explanation

A 4-year-old girl is brought to the emergency department. She has a ‘frog-like’ croaking sound on inspiration, is agitated, and drooling. She insists on sitting upright. The nurse should do which of the following?

Correct Answer is D

Explanation

A 3-year-old with bacterial pneumonia is crying and says it hurts when he coughs. The nurse would teach the child to do which of the following?

A parent questions how her toddler plays with other toddlers. Which response by the nurse displays the best description of the differences in play between the toddler and the preschool-age child?

A nurse delegates the task of neonatal vital sign assessment to a nurse technician. Which instruction will the nurse give to the technician prior to assigning care?

A nurse is discussing health promotion activities with parents of a 4-year-old child. What health promotion activity is most appropriate for this family?

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

The nurse is performing the initial assessment of a child newly diagnosed with Kawasaki disease. Which symptom would the nurse expect to assess with this child?

Which of the following conditions is most likely to lead to prenatal renal failure?