A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing Evaluation?

A toddler who is 18 months old and has unintelligible speech

An infant who is 8 months old and is not yet making babbling sounds

A preschooler who is 4 years old and prefers playing with others rather than alone.

An infant who is 3 months old and has an exaggerated startle response

Answer and Explanation

The Correct Answer is B

A. Unintelligible speech is common at 18 months and typically resolves with age. However, a hearing screening may still be appropriate to rule out any issues.

B. By 6 months of age, infants should begin making babbling sounds. The absence of babbling at 8 months suggests a potential hearing impairment and warrants further evaluation.

C. Preferring to play with others is typical behavior for a 4-year-old and does not indicate a hearing impairment.

D. An exaggerated startle response at 3 months is a normal developmental milestone and does not indicate a hearing problem.

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Correct Answer is D

Explanation

A. Palliative care can begin at any stage of a serious illness, not just when a prognosis of 6 months or less is given.

B. Palliative care addresses not only physical and mental needs but also social, emotional, and spiritual needs to improve the overall quality of life.

C. While the child's preferences are important, palliative care decisions are often made collaboratively with the family and healthcare team, rather than the child having the final say.

D. The primary goal of palliative care is to improve the quality of life for children and their families by managing symptoms and providing support.

A. Measure weight and height. B. Insert an indwelling urinary catheter. C. Initiate IV access. D. Maintain ECG monitoring.

Correct Answer is C

Explanation

A. Measuring weight and height is not an immediate priority in the management of shock.

B. Inserting an indwelling urinary catheter is not a priority in the early management of shock.

C. Initiating IV access is crucial for fluid resuscitation and medication administration in a child with shock.

D. While ECG monitoring is important, it is not as immediately necessary as establishing IV access for shock management.

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A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing Evaluation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the parents of a school-age child about palliative care. Which of the following statements should the nurse include?

Correct Answer is D

Explanation

A nurse is assessing an 8-year-old child who has early indications of shock. After establishing and stabilizing the child's respirations, which of the following actions should the nurse take next?

Correct Answer is C

Explanation

The parents of a 7-year-old child bring her to the emergency department. They tell the nurse that she awoke with a tympanic temperature of 39.2 (102.2°), an extremely sore throat, drooling, and difficulty swallowing. Which of the following actions is the nurse's priority?

Exhibits The nurse reviews the client’s medical record from admission to 1930 hrs. Click to indicate whether the assessment finding has improved or not changed.

A nurse is caring for a toddler. Which of the following statements should the nurse use when preparing to obtain the child's vital signs?

A school nurse is taking care of an adolescent who presents with multiple burns in various stages of healing. which of the following behaviors should the nurse identify as a suggestive of possible physical abuse?

A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect?

A nurse is caring for three toddlers and one preschooler. Which represents the major stressor of hospitalization for these four patients?

A nurse is educating caregivers about dietary management for a child who has burn injuries. Which of the following recommendations should the nurse provide?