The nurse is providing care to a 4-month-old infant in the emergency department. Upon assessment, the infant is noted to be experiencing tachypnea, wheezing, retractions, and nasal flaring. The infant has large amounts of nasal drainage. The infant is irritable, and the pulse ox reading is currently at 85% on room air. The parents state the symptoms have been consistent for about two days, but they brought the child in due to concerns for dehydration with decreased milk intake. Which diagnosis does the nurse anticipate for this infant?

Pneumonia

Active pulmonary tuberculosis

RSV

Croup

Answer and Explanation

The Correct Answer is C

Choice A reason: Pneumonia could present with these symptoms, but it is less likely in this case due to the specific combination of symptoms described.
Choice B reason: Active pulmonary tuberculosis is less common in infants and does not typically present with these acute symptoms.
Choice C reason: This is the correct choice. The symptoms described are characteristic of Respiratory Syncytial Virus (RSV), especially in infants.
Choice D reason: Croup could cause some of these symptoms, but it is more commonly associated with a distinctive barking cough and stridor.

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Correct Answer is C

Explanation

Choice A reason: While drug overdose is a concern, it is not the leading cause of death among adolescents.
Choice B reason: Water safety and drowning are important, but they do not lead in causing deaths in this age group.
Choice C reason: This is the correct choice. Motor vehicle accidents are the leading cause of death among adolescents.
Choice D reason: Depression and suicide are significant issues, but they do not surpass motor vehicle accidents as the leading cause of death.

A. "The baby's 18-month-old brother was trying to pull the baby out of the crib and dropped the baby on the floor." B. "I placed the baby in the infant swing. His 6-year-old brother was running through the house and tripped over the swing, causing it to fall." C. "I was walking up the steps and slipped on the ice, falling while carrying my baby." D. "I did not realize that my baby was able to roll over yet, and I was just gone a minute to check on dinner when the baby rolled off of the couch and onto our tile floor."

Correct Answer is D

Explanation

Choice A reason: This choice might not arouse suspicion as it could be a plausible accident involving siblings.

Choice B reason: This choice also might not arouse suspicion as accidents can happen when children are playing and not being watched closely.

Choice C reason: This choice is less likely to arouse suspicion as slipping on ice is a common accident.

Choice D reason: This is the correct choice. The statement may arouse suspicion because it suggests negligence, as the caregiver left the baby unattended in a potentially dangerous situation.

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Naxlex Comprehensive Predictor Exams

The nurse is giving a health promotion class to adolescents. The nurse will be sure to include information regarding the leading cause of death in adolescents aged 15 and up.

Correct Answer is C

Explanation

A child is admitted to the hospital unit with physical injuries. The nurse is taking the child's history. Which statement by the parent would arouse suspicion of abuse?

Correct Answer is D

Explanation

What notable sign most likely indicates increased intracranial pressure in an infant?

A mother brings her two-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?

When assessing a newborn with suspected developmental dysplasia of the hip (DDH), which of the following would you expect to find?

A patient with chronic syndrome of inappropriate anti-diuretic hormone (SIADH) reports to the nurse that they feel constantly thirsty. Which action should the nurse take?

A four-year-old patient has been diagnosed with leukemia. The patient's parents, who follow the Jehovah's Witness faith, inform the physician that they will not approve any type of blood transfusions. The pediatric nurse is aware that:

Which statement by the nurse would best help alleviate parental guilt about their child, George, who has been recently diagnosed with autism?

What clinical manifestation in a newborn would cause a nurse to suspect the diagnosis of tracheoesophageal fistula (TEF)?

Which of the following best describes hypopituitarism?