The nurse is assessing a child who is lying quietly on the bed. Which action should the nurse take?
Pick up the child from the environment.
Leave the child in a flexed position on the bed.
Check the child’s level of consciousness and pain scale.
Assume the child is quietly sleeping on the parent’s lap.
The Correct Answer is C
Choice A reason: Picking up the child without assessment risks disrupting a potentially critical condition, as quiet lying may indicate pain or altered consciousness. Checking consciousness and pain ensures safety, making this premature and incorrect compared to prioritizing a thorough evaluation of the child’s quiet state.
Choice B reason: Leaving the child in a flexed position assumes no issue without assessing consciousness or pain, which quiet behavior may mask. Evaluating the child’s status is critical, making this passive and incorrect compared to actively checking for underlying issues in the child’s quiet presentation on the bed.
Choice C reason: Checking the level of consciousness and pain scale determines if the child’s quietness indicates distress, pain, or neurological issues, ensuring appropriate care. This aligns with pediatric assessment protocols, making it the correct action to address the child’s condition lying quietly on the bed.
Choice D reason: Assuming the child is sleeping on the parent’s lap is incorrect, as the child is on the bed, and quietness may indicate distress. Assessing consciousness and pain is essential, making this inaccurate and incorrect compared to evaluating the child’s true condition in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Consistent rules help toddlers understand expectations, fostering predictable behavior and security. This aligns with pediatric developmental discipline strategies, making it a correct point to teach parents, as it supports effective toddler behavior management and reduces confusion during disciplinary interactions.
Choice B reason: Scolding with labels like “naughty” shames toddlers, hindering self-esteem and learning. Consistency and boundaries teach effectively without negativity, making this incorrect, as it promotes ineffective discipline that may emotionally harm toddlers rather than guide their behavior constructively in the class.
Choice C reason: Toddlers begin learning self-control around 2, not 3-4 years, through guidance and boundaries. Consistency supports this, making this incorrect, as it underestimates toddlers’ capacity for early self-regulation when provided with appropriate disciplinary structures in a parenting education setting.
Choice D reason: Immediate addressing of behavior is ideal but not always necessary; delayed correction can still teach toddlers. Consistency and boundaries are more foundational, making this partially correct but incorrect for prioritization compared to the broader principles of discipline taught in the class.
Choice E reason: Boundaries provide toddlers with structure, promoting safety and behavioral learning even at a young age. This aligns with pediatric discipline principles, making it a correct point to emphasize, as it helps parents establish a framework for effective toddler behavior management in daily interactions.
Correct Answer is C
Explanation
Choice A reason: Forming clay vases requires fine motor skills but may lack the complexity to engage an 8-year-old’s cognitive and creative abilities. A model plane offers a challenging, age-appropriate task, making this less stimulating and incorrect for the developmental needs of an 8-year-old in the playroom.
Choice B reason: Stacking blocks is too simplistic for an 8-year-old, better suited for younger children developing basic motor skills. A model plane engages advanced dexterity and problem-solving, making this insufficiently challenging and incorrect for the cognitive level of an 8-year-old in the hospital.
Choice C reason: Assembling a model plane suits an 8-year-old’s fine motor skills, concentration, and interest in complex tasks. This project aligns with developmental stages for school-aged children, promoting engagement and skill-building, making it the best choice for the playroom activity for the child.
Choice D reason: Building a sandcastle is creative but less structured than a model plane, which challenges an 8-year-old’s dexterity and focus. Sandcastles may be less engaging for hospitalized children, making this incorrect compared to the structured, skill-based task of model plane assembly in the playroom.
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