The parent of an school-aged child tells the practical nurse (PN) that the child fell out of a tree and hurt the child's arm and shoulder. Which assessment finding should the PN note as the most significant indicator of possible child abuse?
The parent's version of the injury is different from the child's version.
The child has several abrasions on the chest and legs.
The child looks at the floor when answering the nurse's questions.
The parent refuses to answer questions about family history.
The Correct Answer is A
A. The parent's version of the injury is different from the child's version: Inconsistent histories are a red flag for abuse and require further investigation.
B. The child has several abrasions on the chest and legs: Abrasions alone can occur with falls; they are not specific to abuse without suspicious patterns or locations.
C. The child looks at the floor when answering the nurse's questions: Avoidance may be due to shyness or fear but is not conclusive for abuse.
D. The parent refuses to answer questions about family history: While uncooperative behavior may be concerning, it is less direct than inconsistent injury accounts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Apply the cream to the sterile dressings using a sterile tongue blade:
Silver sulfadiazine is applied directly to the burn, not to the dressing.
B. Remove the previous layer of medication using sterile normal saline:
Old cream must be removed to ensure medication effectiveness and prevent debris accumulation.
C. Open all the supplies before donning sterile gloves:
Helps maintain sterile field but is not the most important step before application.
D. Evaluate the client's response to the medications:
Pain relief should be assessed, but cleansing is the critical preparation step before new application.
Correct Answer is B
Explanation
A. Limit play with the stuffed toy when out of tent: Doesn’t address infection control inside tent.
B. Allow the child to have the stuffed toy in the tent: Familiar items reduce anxiety; mist tent moisture doesn’t require toy exclusion if clean.
C. Ask the mother to wash the toy daily: Not necessary unless visibly soiled; overburdens family.
D. Spray toy with disinfectant before placing in tent: Disinfectant residue may be harmful to child.
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