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?
A 9-year-old with a compound fracture of the tibia, which the caregiver reports as having been caused when the child attempted a flip on a skateboard.
A 10-year-old with a simple fracture of the femur, which the caregiver reports as having been caused when the child fell down a set of stairs.
A 7-year-old with a spiral fracture of the humerus, which the caregiver reports as having been caused when the child was hit by a bat swung by a Little League teammate.
A 6-year-old with a greenstick fracture of the wrist, which the caregiver reports as having been caused when the child fell while ice-skating.
The Correct Answer is C
Choice A reason: A compound tibia fracture from a skateboard flip is plausible, as high-impact activities can cause such injuries in active 9-year-olds. A spiral fracture with an inconsistent story raises more suspicion, making this less concerning and incorrect for prioritizing abuse investigation in the unit.
Choice B reason: A simple femur fracture from falling down stairs aligns with common childhood accidents, especially in a 10-year-old. The spiral fracture’s implausible bat story is more suspicious, making this less indicative and incorrect compared to the need to investigate potential abuse in another case.
Choice C reason: A spiral humerus fracture suggests twisting force, inconsistent with a bat swing by a peer, raising abuse concerns in a 7-year-old. This warrants further data collection, aligning with child maltreatment protocols, making it the correct situation for exploring possible mistreatment on the pediatric unit.
Choice D reason: A greenstick wrist fracture from ice-skating is typical in a 6-year-old, as falls cause such incomplete breaks in flexible bones. The spiral fracture’s questionable explanation is more concerning, making this plausible and incorrect for prioritizing abuse investigation among the children.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Airborne transmission involves pathogens spread through respiratory droplets, not insects. Insect-borne pathogens are vector transmission, making this incorrect, as it misidentifies the mechanism for diseases like malaria spread by mosquitoes in the nurse’s presentation on pathogen spread.
Choice B reason: Vehicle transmission involves contaminated objects or food, not insects. Pathogens spread by insects are via vector transmission, making this incorrect, as it does not describe the role of insects in pathogen spread in the nurse’s presentation on transmission mechanisms.
Choice C reason: Vector transmission occurs when insects like mosquitoes carry pathogens between hosts, a key mechanism for diseases like dengue. This aligns with infectious disease principles, making it the correct term for the nurse to illustrate in the presentation on how pathogens are spread.
Choice D reason: Contact transmission involves direct touch or surfaces, not insects. Vector transmission correctly describes insect-borne spread, making this incorrect, as it does not apply to the role of insects in pathogen transmission in the nurse’s educational presentation.
Correct Answer is B
Explanation
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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