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

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Standing 6 feet away is too far for a whisper test, which is typically done at 1–2 feet. Whispering words for repetition is the standard method, so this is incorrect for hearing assessment.

Choice B reason: Occluding one ear tests unilateral hearing but isn’t the primary voice test method. Whispering random words and checking repetition directly assesses hearing, so this is not the best action.

Choice C reason: Whispering random numbers, words, or letters at 1–2 feet and asking the patient to repeat them is the standard voice test for hearing. This method is effective, making it the correct choice.

Choice D reason: Shielding lips muffles sound unnecessarily and prevents lip-reading, which isn’t the goal. Clear whispering and repetition test auditory function, so this is incorrect for the voice test.

A. A mole that is symmetric B. Irregular edges of the mole C. Mole diameter less than 6 mm D. Consistent color of the mole

Correct Answer is B

Explanation

hoice A reason: Symmetry is a benign mole feature; asymmetry is concerning for melanoma. Burning and bleeding with irregular edges raise cancer risk, so symmetry is not the concerning finding here.

Choice B reason: Irregular edges, combined with burning and bleeding, are concerning for melanoma, per the ABCDE criteria (Asymmetry, Border irregularity). This suggests malignancy, making it the correct additional finding to worry about.

Choice C reason: Diameter less than 6 mm is less concerning; melanomas are often >6 mm. Irregular edges with symptoms are more indicative of cancer, so this is not the priority finding.

Choice D reason: Consistent color is benign; variegated colors suggest malignancy. Irregular edges with burning/bleeding are more alarming, so consistent color is incorrect for the concerning finding.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is examining a 3-year-old child. Which bruise, if found, would be of most concern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In performing a voice test to assess hearing, which of these actions would the nurse perform?

Correct Answer is C

Explanation

A patient tells the nurse that he has noticed that one of his moles has started to burn and bleed. The nurse should be concerned with which additional finding?

Correct Answer is B

Explanation

A patient is being assessed for range-of-joint movement. The nurse asks him to move his arm in toward the center of his body. What is this movement called?

Of the 33 vertebrae in the spinal column, which is correct?

During the assessment, the nurse notices areas of the throat that are raw and inflamed. Which technique should the nurse use to assess further?

A nurse assesses a 70-year-old patient’s recent memory. Which would the nurse ask the patient to recall?

A 29-year-old woman tells the nurse that she has “excruciating pain” in her back. Which would be an appropriate response by the nurse to the woman’s statement?

The nurse is caring for several patients on a pediatric unit. Which patient should the nurse be most concerned about possible abuse?

The nurse finds that a patient’s skin tents when assessing skin turgor. How would the nurse interpret this finding?

Which is the best statement by the nurse to ensure that a patient is performing breast self-examination correctly?