A nurse is caring for a school-age child who has a systemic disorder and is
receiving antibiotics, immunosuppressants, and corticosteroids. Both of the child's parents have a smoking history.
The child reports soreness in his mouth and refuses to eat.
Inspection of his mouth reveals a white, milky plaque that does not come oﬀ with
rubbing.
The nurse should suspect which of the following conditions?

Dermatitis

Candidiasis

Herpes simplex

Squamous cell carcinoma.

Answer and Explanation

The Correct Answer is B

The nurse should suspect candidiasis, also known as oral thrush.
Candidiasis is a fungal infection that can occur in the mouth and is characterized by the presence of a white, milky plaque that does not come oﬀ with rubbing.
The child’s use of antibiotics, immunosuppressants, and corticosteroids can increase the risk of developing candidiasis.
Choice A is incorrect because dermatitis is an inﬂammation of the skin and
would not present as a white plaque in the mouth.
Choice C is incorrect because herpes simplex typically presents as painful blisters or sores in the mouth.
Choice D is incorrect because squamous cell carcinoma typically presents as a ﬁrm, painless growth, or ulcer in the mouth.

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Free Nursing Study Resources

Correct Answer is A

Explanation

The nurse should place the client on a low-sodium, ﬂuid-restricted diet.
Acute glomerulonephritis is a kidney disease that can cause ﬂuid retention and edema.
A low-sodium diet can help reduce ﬂuid retention and swelling.
Fluid restriction can also help manage ﬂuid balance and prevent further complications.
Choice B is not the best answer because a regular diet with no added salt may still contain high levels of sodium.
Choice C is not the best answer because a low-protein, low-potassium diet may not address the client’s ﬂuid retention and edema.
Choice D is not the best answer because a low-carbohydrate, low-protein diet may not provide adequate nutrition for the client.

A. History of substance abuse. B. Previous suicide attempt. C. Loss of a parent. D. Active psychiatric disorder.

Correct Answer is B

Explanation

According to the CDC, one of the individual risk factors for suicide is a previous suicide attempt.
Choice A is not the answer because while substance abuse is a risk factor for suicide, it is not the priority risk factor for suicide completion in this case.
Choice C is not the answer because while loss of relationships can contribute to
suicide risk, it is not the priority risk factor for suicide completion in this case.
Choice D is not the answer because while a history of mental illness is a risk factor for suicide, it is not the priority risk factor for suicide completion in this case.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should place the client on which of the following diets?

Correct Answer is A

Explanation

A nurse in an emergency department is caring for an adolescent following a suicide attempt. After reviewing the client's history, the nurse should determine which of the following is the priority risk factor for suicide completion.

Correct Answer is B

Explanation

A nurse is preparing to teach a parent how to care for a child who has impetigo contagiosa. Which of the following information should the nurse plan to include in the teaching?

A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?

A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Which of the following adverse eﬀects should the nurse instruct the client is the priority to report to the provider?

A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8-hour period. The child weighs 33 lb. Which of the following actions should the nurse take?

A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following interventions should the nurse include in the plan of care?

A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. When determining that the traction is appropriately assembled, the nurse should observe which of the following?

A nurse is collecting data from an adolescent. Which of the following should the nurse identify as the greatest risk for suicide?