The pediatric nurse is caring for a group of 4-year-old clients with various diagnoses. The child being treated for which diagnosis will most need help understanding what is happening to him or her?

Lung and spleen damage sustained in a car accident.

A rash suspected of being measles.

Broken bones sustained in a fall.

Burns sustained in a fireworks accident.

Answer and Explanation

The Correct Answer is A

Choice A reason: Lung and spleen damage is complex and internal, making it hard for a 4-year-old to comprehend compared to visible injuries like rashes or burns. This requires more explanation, aligning with pediatric developmental understanding, making it the correct diagnosis needing the most help for comprehension.

Choice B reason: A measles rash is visible and relatable, easier for a 4-year-old to understand than internal organ damage. Lung and spleen injuries are more abstract, making this less challenging and incorrect compared to the diagnosis requiring the most explanation for the child’s understanding.

Choice C reason: Broken bones from a fall are tangible and can be explained with casts or pain, more understandable for a 4-year-old. Internal organ damage is less concrete, making this simpler and incorrect compared to the complex diagnosis needing more help for the child’s comprehension.

Choice D reason: Burns from fireworks are visible and painful, allowing a 4-year-old to grasp the injury more easily than internal organ damage. Lung and spleen issues are more abstract, making this more concrete and incorrect compared to the diagnosis requiring the most explanation for understanding.

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Correct Answer is C

Explanation

Choice A reason: Little League may be too physically demanding for an 8-year-old with muscular dystrophy, risking fatigue or injury. An art class supports engagement without exertion, making this impractical and incorrect compared to the nurse’s suggestion for a low-physical activity suitable for the child.

Choice B reason: Sedentary family activities limit social and creative stimulation, potentially isolating the child with muscular dystrophy. An art class encourages participation, making this overly restrictive and incorrect compared to the nurse’s recommendation for an engaging, low-exertion activity for the 8-year-old.

Choice C reason: An art class allows the 8-year-old with muscular dystrophy to engage socially and creatively without physical exertion, supporting well-being. This aligns with pediatric chronic illness activity planning, making it the correct suggestion for the caregivers to promote the child’s participation and development.

Choice D reason: Homeschooling may reduce social interaction, increasing feelings of difference for the child with muscular dystrophy. An art class fosters inclusion, making this isolating and incorrect compared to the nurse’s suggestion for an activity that supports social engagement without physical demands.

A. “I always cook foods that are low in fat.” B. “I keep lots of snacks on hand because my child eats all day long.” C. “We eat fast foods only on weekends because we are too busy to cook.” D. “Neither my husband nor I have ever had any concerns with weight.”

Correct Answer is A

Explanation

Choice A reason: Cooking low-fat foods demonstrates a proactive approach to healthy eating, reducing calorie-dense intake and preventing obesity. This aligns with pediatric nutrition guidelines for obesity prevention, making it the best statement indicating caregivers’ preparedness to promote healthy weight in their child during discussions.

Choice B reason: Keeping many snacks encourages frequent eating, potentially high-calorie intake, increasing obesity risk. Low-fat cooking directly addresses dietary quality, making this counterproductive and incorrect compared to a strategy focused on reducing fat content to prevent obesity in school-aged children.

Choice C reason: Limiting fast food to weekends reduces unhealthy intake but does not proactively promote healthy eating like low-fat cooking. Fast food, even occasionally, is high in calories, making this less effective and incorrect for demonstrating optimal preparedness to prevent childhood obesity among caregivers.

Choice D reason: Parental weight history is irrelevant to current actions preventing child obesity. Cooking low-fat foods actively addresses dietary habits, while personal weight concerns do not ensure healthy practices, making this incorrect for illustrating caregivers’ readiness to prevent obesity in their child.

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The pediatric nurse is caring for a group of 4-year-old clients with various diagnoses. The child being treated for which diagnosis will most need help understanding what is happening to him or her?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The caregivers of an 8-year-old child diagnosed with muscular dystrophy are discussing appropriate activities for their child. The nurse might suggest to these caregivers that they take which action in regard to their child’s activities?

Correct Answer is C

Explanation

The school nurse is discussing obesity with a group of caregivers of school-aged children. Which statement by the caregivers best illustrates that they are prepared to help their child prevent obesity?

Correct Answer is A

Explanation

The caregiver of an infant keeps removing the pulse oximetry sensor claiming it’s too tight on the baby. Which response should the nurse prioritize in addressing this situation?

The school nurse is preparing to conduct routine health screenings of the elementary school students. Which screening will the nurse prioritize for students ages 6 to 8?

What information is most correct regarding the nervous system of the child?

The nurse is working with a 12-year-old who is hospitalized with a chronic illness. Which action by the nurse might help the chronically ill preteen thrive while hospitalized?

The emergency room nurse is caring for a family who lost an adolescent in a violent car accident. Which initial nursing action best helps the family’s grieving process?

The nurse is collecting data on a 4-month-old child brought to the clinic by the caregiver. The nurse observes the child’s mouth and notes a white coating that looks like milk curds. Which of the following questions would be most important for the nurse to ask the caregiver?