The nurse is doing a routine assessment on a 19-month-old infant and notes that the anterior fontanel is closed. This should be interpreted as:

An abnormal finding-indicates the need for developmental assessment.

A normal finding.

An abnormal finding-indicates the need for immediate referral to a practitioner

A questionable finding-the infant should be rechecked in 1 month.

Answer and Explanation

The Correct Answer is B

A. An abnormal finding-indicates the need for developmental assessment.

This is not accurate. The closure of the anterior fontanel within the expected age range does not indicate an abnormal finding or the need for additional developmental assessment.

B. A normal finding.

This is the correct interpretation. The anterior fontanel normally closes between 12 to 18 months, and closure by 19 months is within the expected developmental range.

C. An abnormal finding-indicates the need for immediate referral to a practitioner.

This is not necessary based on the information provided. The closure of the anterior fontanel within the expected timeframe is a normal finding.

D. A questionable finding-the infant should be rechecked in 1 month.

There's no need for rechecking in 1 month. The closure of the anterior fontanel at 19 months is considered normal.

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Correct Answer is D

Explanation

A. Productive cough, rales

A productive cough with rales (crackling or bubbling sounds in the lungs) is more indicative of conditions like pneumonia or bronchitis, not necessarily asthma.

B. Fever, general malaise

Fever and general malaise are more consistent with infections and not specific to asthma.

C. Stridor, suprasternal retractions

Stridor (high-pitched sound during breathing) and suprasternal retractions (visible sinking of the area just above the breastbone during inhalation) can be associated with upper airway obstruction but are not typical findings in asthma.

D. Nonproductive cough, wheezing

Asthma often presents with a nonproductive cough and wheezing. Wheezing is a common characteristic of asthma due to narrowed airways.

A. Allow the child to hold the thermometer in their mouth until it beeps. B. If the child protests tell them you will come back later. C. Have the parents wait outside the room. D. Ask the child if it is ok to take their temperature.

Correct Answer is ["A","D"]

Explanation

A. Allow the child to hold the thermometer in their mouth until it beeps:

Allowing the child to hold the thermometer can provide a sense of control and involvement in the process. It may help reduce anxiety and make the experience less intimidating for the child. The beeping sound indicates when the temperature measurement is complete.

B. If the child protests, tell them you will come back later:

This choice is not recommended because it ignores the child's immediate needs and concerns. It may increase anxiety or fear, and delaying the process may not be in the best interest of the child's well-being.

C. Have the parents wait outside the room:

While it's common to have parents present during medical procedures for emotional support, in this case, involving the parents may not directly address the child's need for control during the temperature measurement.

D. Ask the child if it is ok to take their temperature:

Asking the child for permission respects their autonomy and involves them in the decision-making process. It promotes a sense of control and may reduce any potential resistance or fear the child might have.

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The nurse is doing a routine assessment on a 19-month-old infant and notes that the anterior fontanel is closed. This should be interpreted as:

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Naxlex Comprehensive Predictor Exams

A child is admitted to the hospital with asthma. Which assessment findings support this diagnosis?

Correct Answer is D

Explanation

A nurse is caring for a 5 year old and needs to measure their temperature using an electronic oral thermometer. Which intervention will provide the child with an increased sense of control?

Correct Answer is ["A","D"]

Explanation

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