A nurse is performing an initial physical examination on a child. The nurse should recognize that which of the following manifestations indicates a possible brain tumor?

Select all that apply.

Bruises easily

Clumsiness

Irritability

Persistent headaches

Vomiting

Answer and Explanation

Correct Answer : B,C,D,E

A. Bruises easily. Easy bruising is more commonly associated with hematologic conditions, not brain tumors.
B. Clumsiness. Clumsiness or difficulty with coordination may indicate motor function impairment caused by a brain tumor.
C. Irritability. Irritability can result from increased intracranial pressure (ICP) or other neurological changes due to a brain tumor.
D. Persistent headaches. Persistent headaches, especially those worse in the morning, are a common sign of increased ICP from a brain tumor.
E. Vomiting. Vomiting, particularly without nausea, can occur due to increased ICP.

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Correct Answer is C

Explanation

A. "I will give lansoprazole 30 minutes after their feeding." Lansoprazole should be administered 30 minutes before feedings to effectively reduce stomach acid.
B. "I will lay my baby on her side after feedings." Side-lying positioning increases the risk of sudden infant death syndrome (SIDS). The infant should be placed on their back.
C. "I will add rice cereal to my baby's feedings." Adding rice cereal can thicken the formula, helping to reduce reflux episodes.
D. "I will use a nipple that has a wide base to feed them." While wide-based nipples can be helpful for latch during breastfeeding, they do not significantly impact GER management.

A. Bounding peripheral pulses B. Cyanotic spells C. Stridor D. Anemia E. heart murmur

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

Explanation

A. "Bounding peripheral pulses." Bounding pulses are not characteristic of Tetralogy of Fallot. Instead, pulses may be normal or diminished, depending on the severity of the defect.
B. "Cyanotic spells." Tetralogy of Fallot causes decreased oxygenation, leading to periodic cyanotic episodes, particularly during crying or feeding ("tet spells").
C. "Stridor." Stridor is associated with upper airway obstructions, not cardiac defects like Tetralogy of Fallot.
D. "Anemia." Anemia is not a primary finding in Tetralogy of Fallot. Polycythemia (increased red blood cells) is more common due to chronic hypoxia.
E. "Heart murmur." A systolic murmur is common due to the pulmonary stenosis and ventricular septal defect associated with Tetralogy of Fallot.

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A nurse is performing an initial physical examination on a child. The nurse should recognize that which of the following manifestations indicates a possible brain tumor? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a pediatric clinic is providing teaching to the parent of an infant who has gastroesophageal reflux (GER). The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is C

Explanation

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

Explanation

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A nurse is performing an initial physical examination on a child. The nurse should recognize that which of the following manifestations indicates a possible brain tumor?

Select all that apply.