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) A high hemoglobin: Tricuspid atresia typically leads to decreased pulmonary blood flow, causing cyanosis and chronic hypoxemia, which can result in increased hemoglobin levels as the body compensates for low oxygen.

b) A prolonged PTT: While not typically associated with tricuspid atresia specifically.

c) A low hematocrit: Hematocrit levels might be normal or elevated due to chronic hypoxemia.

d) A low platelet count: Platelet count might not be directly affected by tricuspid atresia.

A. Focusing exclusively on the reported illness B. Asking the mother to leave the room after obtaining their history C. Obtaining a comprehensive history, including socio-economic data D. Reviewing health promotion and maintenance activities

Correct Answer is C

Explanation

a) Focusing exclusively on the reported illness: Given the regular visits and the gap since the last well-child visit, it's essential to consider a broader perspective beyond the reported illness.

b) Asking the mother to leave the room after obtaining their history: This situation doesn't suggest the need to exclude the mother from the discussion.

c) Obtaining a comprehensive history, including socio-economic data: This approach considers the child's health within a broader context, taking into account any changes or potential factors influencing the child's health.

d) Reviewing health promotion and maintenance activities: While important, this situation requires a broader assessment due to the gap between visits and a sick visit.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has admitted a child with tricuspid atresia. The nurse would expect which initial lab result?

Correct Answer is A

Explanation

A mother brings her 2-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?

Correct Answer is C

Explanation

A teenager has recently been diagnosed with systemic lupus erythematosus (SLE). In teaching about the disease, the nurse explains that the teenager needs to avoid which typical teenage activity?

Which of the following immunoglobulins cross the placenta?

You are caring for a 14-year-old patient in the ER following a motor vehicle accident. The patient is exhibiting moderate respiratory distress, with decreasing LOC and becoming hypotensive. On chest X:ray, there is air in the pleural space with tracheal deviation. You suspect which condition?

The telephone triage nurse at a pediatric clinic knows each call is important. Which call would require attentiveness from the nurse because of an increased risk for mortality?

Parents of a child who experienced a moderately severe allergic reaction after eating peanuts ask the nurse what they can do to help if it happens again. Which response by the nurse is the most appropriate?

A nurse is planning care for a child with human immunodeficiency virus (HIV). Which nursing diagnosis is the highest priority for this child?

An infant has been born with an esophageal atresia and tracheoesophageal fistula. What is the priority preoperative nursing diagnosis?

In the pediatric well-child clinical, the nurse explains the reason for an immunization series to the child’s mother. This action represents which term?