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 D

Explanation

Choice A reason: Assuming fear of pregnancy may misinterpret the 12-year-old’s concerns, potentially shutting down dialogue. Asking about worries invites her to share specific fears, making this presumptive and incorrect compared to the nurse’s role in exploring the child’s feelings about menstruation openly.

Choice B reason: Suggesting fear of pain narrows the conversation, missing other possible concerns like embarrassment or myths. Asking about worries allows broader exploration, making this limiting and incorrect compared to the nurse’s approach to understanding the girl’s specific fears about getting her period.

Choice C reason: Dismissing the child’s fear by calling periods “good” may invalidate her feelings, discouraging openness. Asking about worries validates concerns, making this dismissive and incorrect compared to the nurse’s role in fostering a supportive dialogue about menstruation with the 12-year-old.

Choice D reason: Asking what the child has heard about periods encourages her to express specific worries, facilitating education and reassurance. This aligns with pediatric nursing communication principles, making it the most appropriate response to address the 12-year-old’s concerns about menarche during the check.

A. Playing apart from others without being part of a group. B. Playing in an organized group with each other. C. Acting out a troubling situation. D. Observing without participating.

Correct Answer is D

Explanation

Choice A reason: Playing apart without group involvement describes solitary play, not onlooker play, which involves watching others without joining. Observing without participating is the defining feature, making this incorrect, as it misidentifies the type of play in the instructor’s illustration of pediatric play types.

Choice B reason: Organized group play is cooperative play, not onlooker play, which entails passive observation. Students identifying observing without participating show understanding, making this incorrect, as it represents a different play type unrelated to the onlooker behavior described in the class.

Choice C reason: Acting out a troubling situation is dramatic play, not onlooker play, which focuses on watching without engagement. Observing without participating is the correct example, making this incorrect, as it does not match the passive nature of onlooker play in the instructor’s lesson.

Choice D reason: Onlooker play involves observing others’ play without participating, typical in young children assessing social situations. Students choosing this example demonstrate understanding, aligning with pediatric developmental play theories, making it the correct choice for a successful class on types of play.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The nursing instructor is illustrating the various types of play. The instructor determines the class is successful when the students correctly choose which example as best representing onlooker play?

Correct Answer is D

Explanation

The nurse is doing discharge teaching for a child who has had a tonsillectomy. The nurse tells the client and family that the child should have plenty of fluids. In addition, the nurse would explain to the child’s caregiver that the child may:

The nurse is caring for a group of children on the pediatric unit. The nurse should collect further data and explore the possibility of child abuse (child mistreatment) in which situation?

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?

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The nurse administering the preoperative medications to the child going to surgery would anticipate which of the following related to giving preoperative medications?

The nurse is preparing a safety presentation for a health fair for families. Which instruction should the nurse prioritize when illustrating car safety and the family?

The caregiver of an infant keeps removing the pulse oximetry sensor claiming it’s too tight on the baby. Which response should the nurse prioritize in addressing this situation?