Which child requires urgent care?

An 18-month-old who has high fever, coughs hard, and has a runny nose.

A one-year-old who has a slight fever, a rash, and green secretions.

Answer and Explanation

The Correct Answer is A

Choice A rationale

An 18-month-old who has a high fever, coughs hard, and has a runny nose requires urgent care. High fever in a child can be a sign of a serious infection or other medical condition. The hard coughing could indicate a respiratory issue such as bronchitis or pneumonia, which can be serious in young children. The runny nose is another symptom of a possible respiratory infection.

Choice B rationale

A one-year-old who has a slight fever, a rash, and green secretions may not require urgent care but should still be seen by a healthcare provider. A slight fever can be a sign of a minor infection, which may resolve on its own or with over-the-counter remedies. However, a rash

and green secretions could indicate a bacterial infection, which may require antibiotic treatment.

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Correct Answer is D

Explanation

Choice A rationale

Restlessness, bilateral wheezes, and poor feeding are concerning symptoms in a child. Restlessness can indicate discomfort or distress. Bilateral wheezes can suggest an airway obstruction or inflammation, often seen in conditions like asthma. Poor feeding can be a sign of general illness or specific conditions like gastrointestinal disorders. However, these symptoms, while concerning, are not as immediately threatening as the symptoms described in choice D12.

Choice B rationale

Sitting up, coarse breath sounds, coughing, and restlessness are also concerning symptoms. Coarse breath sounds and coughing can indicate a respiratory infection or other lung condition. Restlessness can again indicate discomfort or distress. However, these symptoms are not as immediately threatening as the symptoms described in choice D12.

Choice C rationale

Not eating well and increased respiratory effort are signs of potential illness. Not eating well can lead to malnutrition and weakened immunity, making the child more susceptible to infections and slowing recovery. Increased respiratory effort can be a sign of respiratory distress, which could be due to conditions like pneumonia or asthma. However, these symptoms are not as immediately threatening as the symptoms described in choice D12.

Choice D rationale

A toddler in the tripod position (sitting up and leaning forward, using the arms to support the upper body), with diminished breath sounds and grunting, is showing signs of severe respiratory distress. The tripod position is often used instinctively to maximize airway patency and ease breathing. Diminished breath sounds can indicate significant airway obstruction or lung disease. Grunting is a sign of increased work of breathing and is often seen in conditions like pneumonia or severe asthma. These symptoms together suggest that the child may be in respiratory failure, which is a life-threatening emergency requiring immediate medical attention.

A. Adding a school breakfast program. B. Reducing saturated fat in the school lunch offering. C. Calorically sweetened beverages. D. Making fruits or vegetables available with all meals. E. Offering after school physical fitness activities.

Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale

Adding a school breakfast program is a crucial step in promoting health and wellness in schools. It ensures that all students, regardless of their socioeconomic status, start their day with a nutritious meal. This can improve their concentration, cognitive function, and academic performance.

Choice B rationale

Reducing saturated fat in the school lunch offering is another important measure. High intake of saturated fats is associated with increased risk of heart disease and obesity. By offering meals low in saturated fats, schools can help instill healthy eating habits in students.

Choice C rationale

Calorically sweetened beverages are not recommended for inclusion in school health and wellness programs. These beverages are high in sugar and can contribute to obesity, tooth decay, and other health problems.

Choice D rationale

Making fruits or vegetables available with all meals is a key part of a balanced diet. They provide essential vitamins, minerals, and dietary fiber, and their consumption can help prevent chronic diseases.

Choice E rationale

Offering after-school physical fitness activities can help students meet the recommended levels of physical activity, improve their physical fitness, and reduce the risk of obesity. These activities also provide opportunities for social interaction and skill development.

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Which child requires urgent care?

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Naxlex Comprehensive Predictor Exams

A child is admitted to the hospital.Which of the following findings is of greatest concern?

Correct Answer is D

Explanation

The school-based nurse is working with the local school district to promote health and wellness in a school with a large proportion of minority and underprivileged students.Which of the following will be included in the planning? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is preparing to administer benzathine penicillin G IM to a school-aged child. Which anglewill the nurse use for injection into the child’s vastus lateralis muscle?

A nurse is caring for a child with asthma who is prescribed to use an albuterol inhaler with a spacer. The parents ask how albuterol helps the child’s breathing.Which of the following responses will the nurse include? Select all that apply.

The nurse recognizes that a 4-year-old hospitalized child is exhibiting which characteristic of cognitive development, when the child tells the nurse it’s sad to be at home alone?

The nurse is caring for a 9-month-old child.The nurse assesses the baby and finds all of the following data.Which finding is of MOST concern and leads the nurse to consider a possible referral to Early intervention for developmental delay?

The mother of an infant who has been treated for recurrent respiratory infections asks the nurse why infants are at increased risk for respiratory infections.Which of the following is the best response by the nurse?

The parents of a 7-year-old recently diagnosed with cystic fibrosis have received discharge instructions for chest physiotherapy (CPT), use of a flutter valve, and a cough assist machine.Which of the following statements made by the parents indicates an understanding of the discharge instructions?

The nurse is educating the parents of an 18-month-old toddler about safety and injury prevention. Which action by the parents best demonstrates their understanding of the child’s safety needs?

A nurse is caring for an infant with a tracheoesophageal fistula who is scheduled for surgery.What actions should the nurse anticipate taking in the pre-operative and intra-operative period? (Select all that apply)