During a routine school visit to a physical education class, a nurse receives multiple reports of shortness of breath, coughing, and nausea. Which of the following actions should the nurse take first?

Contact the local health department.

Establish a triage area.

Administer oxygen therapy.

Notify the parents of the students.

Answer and Explanation

The Correct Answer is B

Choice A reason: This statement is not the first action, as it does not address the immediate needs of the students. Contacting the local health department may be necessary to report a potential outbreak or environmental hazard, but it is not a priority.

Choice B reason: This statement is the first action, as it addresses the immediate needs of the students. Establishing a triage area can help the nurse assess the severity of the symptoms, identify the possible cause, and provide appropriate interventions.

Choice C reason: This statement is not the first action, as it may not be appropriate for all students. Administering oxygen therapy may be necessary for some students who have severe respiratory distress, but it is not a universal intervention.

Choice D reason: This statement is not the first action, as it does not address the immediate needs of the students. Notifying the parents of the students may be necessary to inform them of the situation and obtain consent for treatment, but it is not a priority.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: Understanding the client's living situation is crucial for planning appropriate care post-discharge. The environment must accommodate the special bed and provide a safe space for recovery.

Choice B reason: While applying moisture barrier ointment is important for skin protection, it is not the first action to take when planning discharge. The immediate environment must first be assessed for suitability.

Choice C reason: Assistance with the cost of supplies is valuable, but it is secondary to ensuring the client's living conditions are conducive to recovery and proper care.

Choice D reason: Nutrition is essential for healing, but the initial focus should be on the client's living arrangements to ensure they support the required care and equipment.

A. The child has recent onset of urinary incontinence. B. The child receives free lunches at school. C. The child has bruises on both knees. D. The child reports having a toothache.

Correct Answer is A

Explanation

Choice A reason: The child has recent onset of urinary incontinence is a possible sign of maltreatment, as it may indicate sexual abuse, emotional trauma, or neglect. The school nurse should report this finding to the child protective services and follow up with the child and the family¹².

Choice B reason: The child receives free lunches at school is not a sign of maltreatment, but rather a socioeconomic indicator. The school nurse should not assume that the child is maltreated based on this factor alone, but rather assess the child for other signs and symptoms of abuse or neglect³.

Choice C reason: The child has bruises on both knees is not a sign of maltreatment, but rather a common injury among children who are active and playful. The school nurse should not report this finding unless there are other suspicious circumstances, such as inconsistent explanations, unusual locations, or patterns of bruises⁴.

Choice D reason: The child reports having a toothache is not a sign of maltreatment, but rather a health issue that may require dental care. The school nurse should not report this finding unless there are other signs of neglect, such as poor oral hygiene, lack of access to health care, or failure to follow up on referrals⁵.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

During a routine school visit to a physical education class, a nurse receives multiple reports of shortness of breath, coughing, and nausea. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first?

Correct Answer is A

Explanation

A teacher suspects a child is being maltreated at home and takes them to the school nurse. Which of the following findings should the nurse report as an indication of possible maltreatment?

Correct Answer is A

Explanation

A community health nurse is planning to use web-based information resources in the care of a client who is undergoing dialysis. Which of the following criteria should the nurse consider when selecting appropriate resources for the client?

community health nurse notes that six new cases of diabetes mellitus have been reported in the past 3 months. In the previous year, five cases were reported. The population of the community is 15,000 people. Which of the following is the prevalence proportion for the community?

During a routine school visit to a physical education class, a nurse receives multiple reports of shortness of breath, coughing, and nausea. Which of the following actions should the nurse take first?

A community health nurse is providing teaching to a client who speaks a different language. Which of the following findings should the nurse document as an indication that the client understands the teaching?

A hospice nurse is planning care for a client who is near death. Which of the following actions should the nurse include in the client's plan of care to promote the client's comfort?

A public health nurse is assisting in emergency response following a natural disaster in a community. Which of the following situations observed by the nurse indicates the community is in the recovery phase of the disaster?

A home health nurse is providing teaching to a client who has diabetes mellitus about the proper disposal of insulin syringes. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is working for a hospice organization. The nurse should identify that which of the following criteria must be met for a client to qualify for hospice care?