A charge nurse is teaching a newly-licensed nurse about age-appropriate guidelines to prepare a school-age child for a procedure. Which of the following statements indicates that the newly-hired nurse understands the teaching?

"I will explain the procedure using simple diagrams."

"I will explain the long-term consequences of the procedure."

"I will start preparing the child 2 days prior to the procedure."

"I will plan for a 30-minute teaching session."

Answer and Explanation

The Correct Answer is A

A. Using simple diagrams to explain the procedure to a school-age child is an effective way to help them understand. Visual aids are appropriate for this age group.

B. School-age children are not developmentally ready to understand long-term consequences of medical procedures in detail.

C. Preparing a school-age child 2 days prior to the procedure is generally appropriate for procedures, but not too far in advance.

D. A 30-minute session may be too long for a school-age child, who may have limited attention span; shorter sessions are typically more effective.

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Correct Answer is B

Explanation

A. A platelet count of 98,000/mm3 is below the normal range, indicating thrombocytopenia, which is common in leukemia but not indicative of therapeutic response.

B. A WBC count of 15,000/mm3 (normal range 5,000 to 10,000/mm3) suggests that the child’s immune system is responding to the treatment and may be recovering from leukopenia, a common result of chemotherapy for acute lymphoblastic leukemia.

C. A normal RBC count (5/mm3) would not be therapeutic for leukemia, which typically leads to anemia.

D. A hemoglobin level of 6.8 g/dL is low, indicating anemia, which is common in leukemia and its treatment but is not an indication of therapeutic effect.

A. Positive Babinski reflex B. Presence of tears when crying C. Doll's eye reflex intact D. No head lag when pulled to a sitting position

Correct Answer is D

Explanation

A. The Babinski reflex is normal in infants up to 12-18 months and does not require intervention.

B. The presence of tears when crying is a normal finding and does not indicate a concern.

C. The Doll's eye reflex (in which the eyes remain fixed when the head is turned) is normal in infants and does not require intervention.

D. At 4 months of age, infants should still have head lag when pulled to a sitting position. If there is no head lag, this may indicate a neurological issue or developmental delay.

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A charge nurse is teaching a newly-licensed nurse about age-appropriate guidelines to prepare a school-age child for a procedure. Which of the following statements indicates that the newly-hired nurse understands the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?

Correct Answer is B

Explanation

A nurse is assessing a 4-month-old infant during a well-baby visit. For which of the following findings should the nurse notify the provider?

Correct Answer is D

Explanation

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