The nurse is assisting with a physical exam on a child who has been admitted with a diagnosis of possible child abuse (child maltreatment). Which finding might alert the nurse to this possibility that the child may have been abused?

The child has a fractured bone.

The child is hyperactive and angry.

The child has bruises on the knees and elbows.

The child has a burn that has not been treated.

Answer and Explanation

The Correct Answer is D

Choice A reason: A fractured bone can occur from accidents or abuse, but alone, it is not specific to maltreatment without inconsistent history or pattern. An untreated burn is more suggestive of neglect or abuse, as it indicates failure to seek care, making this less definitive and incorrect compared to a clear neglect indicator.

Choice B reason: Hyperactivity and anger are behavioral responses that may occur in abused children but are nonspecific and common in other conditions. An untreated burn is a clearer physical sign of potential neglect or abuse, making this behavioral finding less indicative and incorrect for alerting to possible child maltreatment.

Choice C reason: Bruises on knees and elbows are typical in active children from play, not necessarily indicative of abuse. An untreated burn raises stronger suspicion of neglect or intentional injury, making this common finding less concerning and incorrect for identifying potential child maltreatment in a clinical setting.

Choice D reason: An untreated burn is highly suggestive of child abuse or neglect, as it indicates failure to seek medical care for a serious injury. This finding, especially if unexplained or inconsistent with history, aligns with child maltreatment indicators, making it the most alerting sign for the nurse to investigate further.

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Correct Answer is C

Explanation

Choice A reason: Bone marrow transplant is reserved for high-risk or relapsed ALL, not routine across treatment phases. Complete remission is the goal periodically assessed, making this incorrect, as it’s not a standard periodic occurrence in the child’s treatment for acute lymphoblastic leukemia.

Choice B reason: Relapse is a complication, not an expected periodic outcome in ALL treatment phases. Complete remission is regularly evaluated, making this incorrect, as it represents a failure rather than the anticipated progress in the child’s ongoing leukemia treatment protocol.

Choice C reason: Complete remission, marked by no detectable leukemia cells, is the goal periodically assessed during ALL treatment phases. This aligns with pediatric oncology protocols, making it the correct outcome most likely seen as the child progresses through treatment for acute lymphoblastic leukemia.

Choice D reason: Methotrexate injections into cerebrospinal fluid are specific to central nervous system prophylaxis, not periodic across all phases. Complete remission is routinely monitored, making this incorrect, as it’s not a universal periodic event in the child’s ALL treatment process.

A. “The sebaceous and sweat glands are fully functional in the infant.” B. “The integumentary system is not in place until after the child is born and then takes many years to mature.” C. “The largest organ of the body helps regulate body temperature.” D. “One role of the integumentary system is to distribute oxygen to the body cells.”

Correct Answer is C

Explanation

Choice A reason: Infant sebaceous and sweat glands are not fully functional, developing postnatally. The skin’s role in temperature regulation is accurate, making this incorrect, as it misstates infant integumentary function in the instructor’s presentation to student nurses on the system’s role.

Choice B reason: The integumentary system is present at birth, though maturing over time, not absent until after birth. Temperature regulation is a key function, making this incorrect, as it exaggerates the system’s developmental timeline in the instructor’s presentation on the integumentary system.

Choice C reason: The skin, the body’s largest organ, regulates temperature through sweating and vasodilation, a primary integumentary function. This aligns with physiological principles, making it the most accurate statement for the instructor to present to student nurses about the integumentary system’s role.

Choice D reason: Oxygen distribution is a respiratory and circulatory function, not integumentary. The skin’s temperature regulation is correct, making this incorrect, as it misattributes a role to the integumentary system in the instructor’s presentation to student nurses on its physiological functions.

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The nurse is assisting with a physical exam on a child who has been admitted with a diagnosis of possible child abuse (child maltreatment). Which finding might alert the nurse to this possibility that the child may have been abused?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse admits a child with a diagnosis of acute lymphoblastic leukemia (ALL). During each phase of treatment, which would most likely be seen periodically?

Correct Answer is C

Explanation

The nurse instructor is reviewing the integumentary system during a presentation to a group of student nurses. Which statement made by the instructor is the most accurate regarding the integumentary system?

Correct Answer is C

Explanation

The nurse is preparing to teach a class to a group of young parents with infants the basics of introducing solid foods into the diet. Which factor about the food should the nurse point out the infants respond to best when introducing solid foods into the diet?

The nurse is preparing a presentation for a health fair illustrating the major milestones of infants as they grow and develop. Which fact should the nurse point out when illustrating an infant’s teeth?

The school nurse is discussing obesity with a group of caregivers of school-aged children. Which statement by the caregivers best illustrates that they are prepared to help their child prevent obesity?

The nurse is developing a care plan for several clients who were seen in the clinic that day. Which situation will the nurse conclude is most likely to experience challenges in the growth and development of the children?

A toddler is hospitalized and the nurse wants to make the transition from home to hospital as easy as possible for him. Which action by the nurse would be most beneficial to assist the toddler in adapting to the hospital?

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