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: Picking up the child without assessment risks disrupting a potentially critical condition, as quiet lying may indicate pain or altered consciousness. Checking consciousness and pain ensures safety, making this premature and incorrect compared to prioritizing a thorough evaluation of the child’s quiet state.

Choice B reason: Leaving the child in a flexed position assumes no issue without assessing consciousness or pain, which quiet behavior may mask. Evaluating the child’s status is critical, making this passive and incorrect compared to actively checking for underlying issues in the child’s quiet presentation on the bed.

Choice C reason: Checking the level of consciousness and pain scale determines if the child’s quietness indicates distress, pain, or neurological issues, ensuring appropriate care. This aligns with pediatric assessment protocols, making it the correct action to address the child’s condition lying quietly on the bed.

Choice D reason: Assuming the child is sleeping on the parent’s lap is incorrect, as the child is on the bed, and quietness may indicate distress. Assessing consciousness and pain is essential, making this inaccurate and incorrect compared to evaluating the child’s true condition in this scenario.

A. The enzymes secreted by the child’s liver and pancreas are much greater in amount than in the adult. B. The speed with which food passes through the gastrointestinal tract in the child is much slower than in the adult. C. The child’s gastrointestinal system is fully matured when the child is born. D. The child cannot break down and use complex carbohydrates in the same way the adult can.

Correct Answer is D

Explanation

Choice A reason: Children’s liver and pancreatic enzyme levels are not greater than adults’ but are sufficient for age-specific needs. Complex carbohydrate digestion is limited in children due to immature enzymes, making this inaccurate and incorrect compared to the carbohydrate metabolism difference in pediatric gastroenterology.

Choice B reason: Food passes through a child’s gastrointestinal tract faster, not slower, due to shorter intestines and higher motility. Limited complex carbohydrate digestion is the key difference, making this incorrect, as it misrepresents the speed of pediatric gastrointestinal transit compared to adults.

Choice C reason: The child’s gastrointestinal system is not fully mature at birth; it develops over years, particularly in enzyme function. Inability to digest complex carbohydrates reflects this immaturity, making this incorrect compared to the accurate statement about carbohydrate metabolism limitations in children.

Choice D reason: Children have limited ability to break down complex carbohydrates due to immature digestive enzymes, like amylase, compared to adults. This aligns with pediatric gastroenterology evidence, making it the most correct statement about the child’s gastrointestinal system development and function in digestion.

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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 nurse is assessing a child who is lying quietly on the bed. Which action should the nurse take?

Correct Answer is C

Explanation

Which of the following is most correct regarding the gastrointestinal system of the child?

Correct Answer is D

Explanation

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The nurse is presenting an in-service training to a group of pediatric nurses on the topic of play. The nurse determines the session is successful when the group correctly chooses which example as best displaying toddlers playing?

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