The nurse is examining a 3-year-old child. Which bruise, if found, would be of most concern?
Bruise on the elbow
Bruise on the forehead
Bruising on the abdomen
Bruise on the lower leg
The Correct Answer is C
Choice A reason: Bruises on the elbow are common in active children due to play or minor falls. They are typically not concerning unless accompanied by other suspicious signs. Abdominal bruising, however, is less common and may indicate trauma or abuse, making this less concerning.
Choice B reason: Forehead bruises are frequent in toddlers learning to walk, often from bumping into objects. While concerning if severe, they are less alarming than abdominal bruising, which is less typical and may suggest internal injury or abuse, so this is not the most concerning.
Choice C reason: Abdominal bruising in a 3-year-old is highly concerning, as it is uncommon in normal play and may indicate significant trauma, abuse, or internal injury. This location raises red flags for non-accidental injury, requiring urgent investigation, making it the most concerning bruise.
Choice D reason: Lower leg bruises are common in active children from running or minor injuries. They are less concerning than abdominal bruising, which is atypical and may signal serious trauma or abuse, so this is not the most concerning finding in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: Cranial Nerve VII (facial nerve) controls facial expression muscles. Asking the patient to smile tests the nerve’s motor function, specifically the zygomaticus muscles, which elevate the mouth corners, making this a correct assessment task for this nerve.
Choice B reason: Closing eyes tightly assesses Cranial Nerve VII’s motor function, specifically the orbicularis oculi muscle, which closes the eyelids. Weakness or asymmetry indicates potential facial nerve dysfunction, making this a correct task for evaluating this nerve.
Choice C reason: Shrugging shoulders tests Cranial Nerve XI (spinal accessory nerve), which innervates the trapezius and sternocleidomastoid muscles. This action is unrelated to Cranial Nerve VII’s facial motor functions, making it an incorrect choice for this assessment.
Choice D reason: Frowning assesses Cranial Nerve VII’s control over the corrugator supercilii and procerus muscles, which wrinkle the brow and depress the mouth. This task evaluates facial nerve function, making it a correct choice for the assessment.
Choice E reason: Smelling a flower tests Cranial Nerve I (olfactory nerve), responsible for smell sensation. This is unrelated to Cranial Nerve VII’s motor functions for facial expressions, making it an incorrect task for assessing this nerve.
Correct Answer is D
Explanation
Choice A reason: A social group sharing traits like location or language describes ethnicity or community, not race. Race is primarily based on physical characteristics, not geographic or linguistic ties, making this an incorrect definition.
Choice B reason: The process of acquiring norms and beliefs refers to socialization or culture, not race. Race is defined by physical traits, not learned behaviors or cultural practices, making this an incorrect description.
Choice C reason: Shared attitudes, values, and roles define culture or ethnicity, not race. Race focuses on inherited physical characteristics, like skin color or facial features, not behavioral or social patterns, making this incorrect.
Choice D reason: Race is defined as a group sharing similar physical characteristics, such as skin color, facial features, or other genetic traits. This aligns with biological and anthropological definitions, making it the correct description of race.
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