The teacher reports to the nurse that, despite adequate intelligence, a child is not performing well in school. The nurse’s initial assessments would include:

Observing the child in the classroom to see interactions between the child and others

Determine if there is conflict between the child and the teacher

Conducting a vision and hearing screening

Talking with the child to determine if there are family stressors such as divorce, interfering with the child's performance

Answer and Explanation

The Correct Answer is C

a) Observing the child in the classroom to see interactions between the child and others: Useful for gathering information but not an initial assessment that might directly relate to the child's performance issues.

b) Determine if there is conflict between the child and the teacher: Conflict might contribute, but initial assessments should focus on other potential factors.

c) Conducting a vision and hearing screening: Sensory impairments can significantly impact a child's academic performance and are important to rule out initially.

d) Talking with the child to determine if there are family stressors such as divorce interfering with the child's performance: Valuable but might not be the first step in assessing academic performance issues.

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Correct Answer is B

Explanation

a) Immediately packing the nares with cotton with neo-synephrine: Packing the nose immediately is not usually recommended as a first aid measure and should be done by a healthcare professional.

b) Tilting the child’s head forward, squeezing below the nasal bone, and applying ice to the nose: Correct first aid for epistaxis involves tilting the head forward to prevent swallowing of blood, applying pressure below the nasal bone, and using ice to constrict blood vessels.

c) Tilting the child’s head back, squeezing the bridge of the nose, and applying a warm pack to the nose: Tilting the head back can cause blood to flow down the throat and potentially lead to swallowing or choking on blood.

d) Lying the child down and applying a warm pack: Lying down may increase the risk of swallowing blood and should be avoided during a nosebleed.

A. Carrots and green leafy vegetables B. Spaghetti and meat sauce, breadsticks C. Hamburger on a bun, cherry gelatin D. Chips, cold cuts, and canned foods

Correct Answer is D

Explanation

a) Carrots and green leafy vegetables: These are generally low in potassium and would be considered safer options for someone with hyperkalemia.

b) Spaghetti and meat sauce, breadsticks: These typically don't contain high potassium levels compared to other choices.

c) Hamburger on a bun, cherry gelatin: Unlikely to be high in potassium.

d) Chips, cold cuts, and canned foods: These can be high in added salts and preservatives, leading to higher potassium content. Therefore, they should be avoided by individuals managing hyperkalemia due to renal failure.

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The teacher reports to the nurse that, despite adequate intelligence, a child is not performing well in school. The nurse’s initial assessments would include:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child has epistaxis while at school. Which intervention by the school nurse is appropriate?

Correct Answer is B

Explanation

A child in renal failure is diagnosed with hyperkalemia. Which food choices will the nurse teach the parents and child to avoid? Fruits and vegetables low in potassium

Correct Answer is D

Explanation

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