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A nurse is collecting data from an 18-month-old toddler. Which of the following findings should the nurse report to the provider?

Speaks four words

Builds a tower of three blocks

Has temper tantrums

Jumps in place with both feet

Answer and Explanation

The Correct Answer is A

Choice A reason:

At 18 months, a toddler should typically be saying more than four words. This finding may

indicate a potential delay in speech development, and it should be reported to the provider for further evaluation.

Choice B reason:

Building a tower of three blocks is an appropriate developmental milestone for an 18-month-old and does not warrant reporting.

Choice C reason:

Temper tantrums are a normal behavior for toddlers, as they are still developing emotional regulation skills. This finding does not require reporting unless it is severe or causing harm to the child.

Choice D reason:

Jumping in place with both feet is an appropriate developmental milestone for an 18-month-old and does not warrant reporting.

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Correct Answer is D

Explanation

Choice A reason:

Tinnitus (ringing in the ears) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.

Choice B reason:

Pruritus (itching) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.

Choice C reason:

Polyuria (excessive urination) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.

Choice D reason:

Abdominal pain is a common symptom of a vaso-occlusive crisis in sickle cell anemia. This pain is due to the obstruction of blood flow in the small vessels of the abdomen, leading to tissue

ischemia and pain.

A. "It is not your fault that this happened." B. "You should have told someone about this sooner." C. "This should not have happened to you." D. "I promise I won't tell anyone about this."

Correct Answer is C

Explanation

Choice A reason:

While it's important to reassure the child, stating that it's not their fault is correct, the statement in choice C is a stronger affirmation of the inappropriateness of the situation.

Choice B reason:

This statement may inadvertently place blame on the child, which is not appropriate in this situation.

Choice C reason:

This statement communicates empathy and acknowledges that the child should not have experienced maltreatment.

Choice D reason:

While it's important to maintain the child's trust, the priority is to ensure the child's safety and report any suspected maltreatment to the appropriate authorities.

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A nurse is collecting data from an 18-month-old toddler. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a child who has sickle cell anemia and is experiencing a vaso- occlusive crisis. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is caring for a child and suspects the child has experienced physical maltreatment.Which of the following statements should the nurse make?

Correct Answer is C

Explanation

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