A school nurse is examining the family history of a school-age child who has fractured their ulna for the second time. Which of the following findings place the child at risk for child abuse? (Select all that apply.)

One of the child’s parents appears frightened of the other parent.

One of the child’s parents has a history of alcohol use disorder.

The child spends the weekends with their grandparents.

Neither of the child’s parents are financially stable.

The child’s family has an indoor cat that sleeps with the child.

Answer and Explanation

Correct Answer : A,B,D

Choice A rationale

If one parent appears frightened of the other, it could indicate a situation of domestic violence or abuse in the home. Children living in such environments are at increased risk of abuse.

Choice B rationale

A parent’s history of alcohol use disorder can increase the risk of child abuse. Substance abuse can impair a parent’s judgment and ability to care for a child, leading to neglect or abuse.

Choice C rationale

The fact that a child spends weekends with their grandparents does not inherently place them at risk for child abuse.

Choice D rationale

Financial instability can create stress and frustration, which can increase the risk of child abuse.

Choice E rationale

Having an indoor cat that sleeps with the child does not inherently place them at risk for child abuse.

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Correct Answer is B

Explanation

Choice A rationale

Storing used syringes in a biohazard bag before discarding is not the recommended method for disposal of insulin syringes. Used needles and other sharps are considered medical waste and should be placed in FDA-cleared sharps disposal containers.

Choice B rationale

This is the correct answer. Used syringes should be discarded in a hard, plastic container, such as a detergent bottle or a sharps container. These containers prevent needle-stick injuries during the disposal process.

Choice C rationale

Taking containers of used syringes to the local recycling center is not a safe or recommended method for disposal of insulin syringes. Used needles and other sharps are considered medical waste and should not be recycled.

Choice D rationale

While wearing gloves can provide an extra layer of protection when handling used syringes, it is not a sufficient method for safe disposal. Used syringes should be immediately placed in a hard, plastic container after use.

A. Client who is ambulatory and exhibits manic behavior B. Client who has a rigid abdomen with manifestations of shock C. Client who has superficial partial thickness burn injuries over 5% of his body D. Client who has a femur fracture with a 2+ pedal pulse

Correct Answer is B

Explanation

Choice A rationale

While manic behavior can be disruptive and may require intervention, it is not typically life- threatening. Therefore, this client would not be the highest priority in a triage situation following a bombing incident.

Choice B rationale

A rigid abdomen with manifestations of shock could indicate serious internal injuries, such as bleeding or organ damage. This client would be a high priority for treatment due to the potential for rapid deterioration and life-threatening complications.

Choice C rationale

Superficial partial thickness burn injuries over 5% of the body, while painful and requiring treatment, are not typically immediately life-threatening. This client would be a lower priority compared to a client with signs of shock and potential internal injuries.

Choice D rationale

A femur fracture with a 2+ pedal pulse indicates that the client has a serious injury, but it is not immediately life-threatening. The presence of a 2+ pedal pulse suggests that circulation to the foot is still intact. This client would be a lower priority compared to a client with signs of shock and potential internal injuries.

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A school nurse is examining the family history of a school-age child who has fractured their ulna for the second time. Which of the following findings place the child at risk for child abuse? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is instructing a client with diabetes mellitus on the correct disposal of insulin syringes. Which statement by the client indicates they have understood the teaching?

Correct Answer is B

Explanation

A first-response team is working at the location of a bombing incident.A nurse triaging a group of clients should give treatment priority to which client?

Correct Answer is B

Explanation

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A school nurse is examining the family history of a school-age child who has fractured their ulna for the second time. Which of the following findings place the child at risk for child abuse? (Select all that apply.)

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