The nurse is performing a physical assessment of a 10-year-old boy. The nurse notes that during last year's check-up, the child weighed 80 lb. According to average growth for this age group, what would be his expected current weight?

87 lb

81 lb

89 lb

85 lb

Answer and Explanation

The Correct Answer is A

A. 87 lb is a reasonable weight for a 10-year-old boy who was 80 lb the previous year, considering the average weight gain is about 10 pounds a year at this age.

B. 81 lb would be a below-average weight gain for a year for a child of this age. C. 89 lb would be an above-average weight gain for a year for a child of this age.

D. 85 lb is within the range but slightly below the average expected weight gain for a year for a child of this age.

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Correct Answer is D

Explanation

A. "It is best to just ignore this and to not respond to his questions.": Ignoring the child's questions about the death of his grandfather may lead to feelings of confusion or abandonment. It is important to address the child's concerns and provide appropriate support and guidance.

B. "He will eventually figure this out on his own.": While children may gradually come to understand the permanence of death as they mature, it is essential to provide support and explanations to help them cope with grief and loss.

C. "You have to keep repeating that his grandfather is never coming back.": Continually

repeating that the grandfather is never coming back may be distressing for the child and does not provide constructive support or help the child understand the concept of death.

D. "This is normal; children his age do not understand the permanence of death.": This response acknowledges the child's age-appropriate understanding of death and provides reassurance to the mother that her son's reaction is typical. It opens the door for the nurse to offer guidance on how to support the child through the grieving process and gradually help him comprehend the permanence of death.

A. The nasal passages are narrower. B. The tongue is smaller. C. There are significantly fewer alveoli. D. The larynx is more funnel shaped. E. The trachea and chest wall are less compliant.

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

Explanation

A. Narrower nasal passages can lead to increased airway resistance and difficulty in breathing, as infants are primarily nasal breathers.

B. A smaller tongue does not directly contribute to respiratory compromise; however, it can pose a risk for airway obstruction if the tongue falls back against the oropharynx.

C. Significantly fewer alveoli mean less surface area for gas exchange, which can impair oxygenation and carbon dioxide elimination.

D. A more funnel-shaped larynx can predispose infants to upper airway obstruction and increase the work of breathing.

E. Less compliant trachea and chest wall make it harder for the infant to expand the lungs, leading to increased work of breathing and potential respiratory distress.

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The nurse is performing a physical assessment of a 10-year-old boy. The nurse notes that during last year's check-up, the child weighed 80 lb. According to average growth for this age group, what would be his expected current weight?

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Naxlex Comprehensive Predictor Exams

The mother of a 5-year-old boy calls the nurse and seeks advice on how to assist the child with the recent death of his paternal grandfather. The boy keeps asking when his grandpa is coming back. How should the nurse respond?

Correct Answer is D

Explanation

The nurse is assessing the respiratory system of a newborn. Which anatomic differences place the infant at risk for respiratory compromise? (Select All that Apply.)

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

Explanation

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