A school nurse is assisting with health screenings for school-age children during a health fair. The nurse should identify that which of the following findings indicates scoliosis?
The neck flexing when bending forward at the waist
Shoulders that are uneven when standing erect
Toes that point inward when bending forward at the waist
Knees that bow outward when standing erect
The Correct Answer is B
A. Neck flexion when bending forward is not a typical indicator of scoliosis. Scoliosis is identified by abnormal curvature of the spine, not by the neck.
B. Uneven shoulders when standing erect are a key indicator of scoliosis. This asymmetry can be identified when the child bends forward at the waist, which is a standard test for scoliosis during a physical examination.
C. Toes that point inward when bending forward is not a sign of scoliosis. This could be indicative of a different musculoskeletal issue such as hip or leg alignment problems, but it is not related to scoliosis.
D. Knees that bow outward when standing erect indicate bow-leggedness (genu varum), not scoliosis. Scoliosis specifically affects the spine's curvature.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The new onset of lethargy in a child with endocarditis is a significant concern, as it can indicate worsening infection or complications such as embolism. This child requires urgent assessment to prevent further deterioration.
B. Erythema of the lips in a child with Kawasaki disease is concerning, but this symptom is expected as part of the disease process. However, other signs like fever and conjunctivitis would be more concerning.
C. An increased erythrocyte sedimentation rate (ESR) in a child with rheumatic fever suggests inflammation, but it is not an immediate life-threatening concern like the lethargy in endocarditis.
D. Weak pedal pulses in a toddler with coarctation of the aorta indicate circulatory compromise, but this child may not be in immediate danger as the condition is often diagnosed and managed with interventions like surgery or medication.
Correct Answer is C
Explanation
A. Grapes pose a choking hazard to toddlers due to their size and shape, and should be cut into small pieces or avoided for safety reasons.
B. Raw carrots are also a choking hazard and should not be recommended as a snack for toddlers. They should be cooked or cut into small pieces to make them safer.
C. A hard-boiled egg is a good snack for a toddler as it is nutritious and easy to eat when cut into small pieces. It provides protein and is safe to consume without choking risks.
D. Popcorn can be a choking hazard for toddlers and should not be recommended. It is difficult for toddlers to chew and digest properly.
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