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?

Signs of scoliosis.

Vision and hearing.

Nutritional needs.

Review immunization records.

Answer and Explanation

The Correct Answer is B

Choice A reason: Scoliosis screening is typically prioritized in older children (10-14 years), as curvature often appears during puberty. Vision and hearing screenings are critical for 6-8-year-olds to support learning, making this less urgent and incorrect for the prioritized screening in this elementary school age group.

Choice B reason: Vision and hearing screenings are critical for 6-8-year-olds, as deficits can impair academic performance and development. Early detection ensures timely intervention, aligning with pediatric school health guidelines, making this the prioritized screening for elementary students to support their educational and health needs.

Choice C reason: Assessing nutritional needs is important but less standardized as a routine screening compared to vision and hearing, which directly impact learning. These screenings take precedence, making this less critical and incorrect for the nurse’s priority in routine health checks for 6-8-year-olds.

Choice D reason: Reviewing immunization records ensures compliance but is administrative, not a health screening like vision and hearing, which detect active issues. These screenings are more urgent, making this incorrect compared to prioritizing assessments that directly affect the health of 6-8-year-old students.

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Correct Answer is C

Explanation

Choice A reason: Bone marrow transplant is reserved for high-risk or relapsed ALL, not routine across treatment phases. Complete remission is the goal periodically assessed, making this incorrect, as it’s not a standard periodic occurrence in the child’s treatment for acute lymphoblastic leukemia.

Choice B reason: Relapse is a complication, not an expected periodic outcome in ALL treatment phases. Complete remission is regularly evaluated, making this incorrect, as it represents a failure rather than the anticipated progress in the child’s ongoing leukemia treatment protocol.

Choice C reason: Complete remission, marked by no detectable leukemia cells, is the goal periodically assessed during ALL treatment phases. This aligns with pediatric oncology protocols, making it the correct outcome most likely seen as the child progresses through treatment for acute lymphoblastic leukemia.

Choice D reason: Methotrexate injections into cerebrospinal fluid are specific to central nervous system prophylaxis, not periodic across all phases. Complete remission is routinely monitored, making this incorrect, as it’s not a universal periodic event in the child’s ALL treatment process.

A. Lung and spleen damage sustained in a car accident. B. A rash suspected of being measles. C. Broken bones sustained in a fall. D. Burns sustained in a fireworks accident.

Correct Answer is A

Explanation

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse admits a child with a diagnosis of acute lymphoblastic leukemia (ALL). During each phase of treatment, which would most likely be seen periodically?

Correct Answer is C

Explanation

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?

Correct Answer is A

Explanation

A new client arrives for a first visit to the pediatric clinic. The nurse will prioritize which step in this appointment?

A group of nurses is reviewing the cardiovascular system and its function. Which statement by one of the nurses demonstrates an understanding of a child’s cardiovascular system?

The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with Kwashiorkor. The nurses in the group make the following statements. Which statement is most accurate related to the diagnosis of Kwashiorkor?

The nurse is admitting a 10-year-old for surgery. What action should the nurse prioritize when caring for this child?

The nurse instructor is reviewing the integumentary system during a presentation to a group of student nurses. Which statement made by the instructor is the most accurate regarding the integumentary system?

The parents of a 16-year-old male are worried about recent changes in his behavior, ignoring his schoolwork and sports, and spending almost all of his free time interacting with his girlfriend. Which suggestion should the nurse point out would best address this situation?

Tess is a 5-year-old client who must receive an IV infusion of antibiotics. She is anxious, resistant, and wiggly. To keep her safe during the time the IV is in place, the nurse would choose which method to restrain her?