A nurse is assessing a young child and suspects coarctation of the aorta based on which finding?

Hypotension

Unequal upper and lower extremity pulses

Excessive crying

Diastolic murmur

Answer and Explanation

The Correct Answer is B

A. Hypotension is not typically associated with coarctation of the aorta; it more often leads to hypertension in the upper body.

B. Unequal pulses in the upper and lower extremities are a classic sign of coarctation of the aorta, as the obstruction typically affects blood flow to the lower body.

C. Excessive crying is not a specific indicator of coarctation of the aorta and can occur due to various reasons.

D. A diastolic murmur is not a primary indicator of coarctation of the aorta; it is more associated with other cardiac conditions.

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

Explanation

A. Nighttime symptoms occurring twice a month is more characteristic of intermittent asthma rather than mild persistent asthma, which might present with nighttime symptoms more frequently.

B. In mild persistent asthma, the peak expiratory flow (PEF) is typically greater than or equal to 80% of the predicted value, indicating relatively good control of asthma symptoms.

C. Continuous symptoms throughout the day are not typical for mild persistent asthma; symptoms usually occur intermittently.

D. Minor limitations with normal activity are expected in mild persistent asthma, as the condition can cause some restrictions in daily activities but not severe impairments.

E. Daytime symptoms occur more than twice a week. This is a key feature of mild persistent asthma. Intermittent asthma = ≤2 days/week. Daily symptoms would indicate moderate persistent.

A. Developing autonomy B. An anxiety reaction C. Resentment toward the mother D. Regression

Correct Answer is D

Explanation

A. Developing autonomy is typically associated with increased independence and exploring new skills, not behaviors seen in a distressed or hospitalized child.

B. While anxiety may be present, the behavior of turning away and thumb-sucking more strongly suggests regression.

C. Resentment toward the mother would not typically result in the described behavior of thumb-sucking and turning away from the nurse.

D. Regression is when a child reverts to earlier behaviors, such as thumb-sucking, as a coping mechanism in response to stress or separation from the primary caregiver.

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A nurse is assessing a young child and suspects coarctation of the aorta based on which finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)

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

Explanation

Correct Answer is D

Explanation

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