The nurse is assessing a 4-year-old on a routine well-child visit. When assessing the gross motor skills of this preschooler, which activity will the nurse predict the child to be able to successfully accomplish?

Walk backwards with heel to toe

Hop on one foot

Ride a bicycle

Jump rope

Answer and Explanation

The Correct Answer is B

Choice A reason: Walking backwards heel-to-toe requires advanced balance typically mastered closer to age 5 or 6. A 4-year-old can hop on one foot, a gross motor skill achievable by this age, making this too complex and incorrect for the preschooler’s developmental stage during the assessment.

Choice B reason: Hopping on one foot is a gross motor skill typically mastered by age 4, reflecting balance and coordination development. This aligns with pediatric developmental milestones, making it the correct activity a 4-year-old preschooler can successfully accomplish during a well-child gross motor assessment.

Choice C reason: Riding a bicycle, especially without training wheels, is typically achieved around age 5-6, requiring advanced coordination. A 4-year-old can hop on one foot, making this too advanced and incorrect for the gross motor skills expected at this age in a well-child visit.

Choice D reason: Jumping rope demands complex coordination and strength, typically mastered after age 6. A 4-year-old can hop on one foot, a simpler skill, making this incorrect, as jump rope is beyond the gross motor capabilities of a preschooler at this developmental stage.

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Correct Answer is A

Explanation

Choice A reason: A complete fracture occurs when bone fragments are fully separated, disrupting the bone’s continuity. This aligns with orthopedic definitions, as separation indicates a break through the entire bone, requiring intervention. The nurse’s explanation matches this, making it the correct term for separated fracture fragments in children, consistent with pediatric trauma care.

Choice B reason: An incomplete fracture involves a partial break, with fragments not fully separated, common in children’s flexible bones. The question specifies separated fragments, which does not fit this definition. This choice is incorrect, as it contradicts the description of a complete separation of bone fragments in the context of fracture classification.

Choice C reason: A spiral fracture is caused by twisting, with a helical break pattern, but separation of fragments is not its defining feature. Complete fractures specifically describe separated fragments, making this incorrect, as spiral refers to shape, not the extent of fragment separation in fractures, per orthopedic terminology.

Choice D reason: A greenstick fracture is an incomplete break where one side bends and the other cracks, typical in children. Separated fragments indicate a complete fracture, not a greenstick, making this incorrect, as greenstick fractures do not involve full separation of bone fragments as described in the nurse’s explanation.

A. Notifying the family’s religious leader of the tragedy. B. Calling the funeral home to make arrangements for the body transfer. C. Cleaning and making the deceased presentable to the family. D. Presenting the family with the deceased’s personal belongings.

Correct Answer is C

Explanation

Choice A reason: Notifying a religious leader may provide spiritual support but is secondary to facilitating the family’s immediate grieving by viewing the deceased. Cleaning the body allows closure, making this less urgent and incorrect for the initial nursing action to support the family’s grief in the ER.

Choice B reason: Arranging funeral home transfer is logistical and less immediate than helping the family process loss through viewing the deceased. Preparing the body supports emotional closure, making this secondary and incorrect for the initial action to aid the family’s grieving process in the ER.

Choice C reason: Cleaning and presenting the deceased allows the family to view their loved one, facilitating closure and beginning the grieving process. This aligns with trauma nursing principles for supporting bereaved families, making it the best initial action in this tragic car accident scenario.

Choice D reason: Presenting personal belongings is meaningful but less critical than allowing the family to see the deceased, which supports immediate grief processing. Body preparation takes precedence for closure, making this less impactful and incorrect for the initial grieving support action in the ER.

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The nurse is assessing a 4-year-old on a routine well-child visit. When assessing the gross motor skills of this preschooler, which activity will the nurse predict the child to be able to successfully accomplish?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is working with a group of caregivers of school-aged children discussing fractures. The nurse explains that if the fragments of fractured bone are separated, the fracture is said to be:

Correct Answer is A

Explanation

The emergency room nurse is caring for a family who lost an adolescent in a violent car accident. Which initial nursing action best helps the family’s grieving process?

Correct Answer is C

Explanation

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