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: Notifying a religious leader may provide spiritual support but is secondary to facilitating the family’s immediate grieving by viewing the deceased. Cleaning the body allows closure, making this less urgent and incorrect for the initial nursing action to support the family’s grief in the ER.

Choice B reason: Arranging funeral home transfer is logistical and less immediate than helping the family process loss through viewing the deceased. Preparing the body supports emotional closure, making this secondary and incorrect for the initial action to aid the family’s grieving process in the ER.

Choice C reason: Cleaning and presenting the deceased allows the family to view their loved one, facilitating closure and beginning the grieving process. This aligns with trauma nursing principles for supporting bereaved families, making it the best initial action in this tragic car accident scenario.

Choice D reason: Presenting personal belongings is meaningful but less critical than allowing the family to see the deceased, which supports immediate grief processing. Body preparation takes precedence for closure, making this less impactful and incorrect for the initial grieving support action in the ER.

A. A bone marrow transplant. B. A relapse. C. A complete remission. D. Methotrexate injection into cerebrospinal fluid.

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.

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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?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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 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?

During a well-child checkup, a child shares being embarrassed when she is seen with her 7-year-old sister who wears an arm prosthesis after the limb was amputated. Which statement by the nurse most appropriately addresses the child’s concerns?

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?

The nurse is reviewing the diet of an 8-month-old infant with the mother who reveals she has been using evaporated milk to make the formula. Which additional ingredient should the nurse ensure she is including in the formula?

The nurse is preparing a variety of projects for the pediatric clients on the unit to work on in the playroom. In deciding on projects, the nurse determines the 8-year-old will be best suited to work on which activity?

The nurse asks the parents of a child about the family health history. The father asks the nurse why she needs this information. The nurse would explain that the family health history is gathered for what reason?

The nurse is assessing a 4-year-old on a routine well-child visit. When assessing the gross motor skills of this preschooler, which activity will the nurse predict the child to be able to successfully accomplish?