The nurse knows which congenital cardiac defect is characterized by a mixing of well-oxygenated blood with poorly oxygenated blood.

Hypoplastic heart syndrome

Atrioventricular canal defect

Tetralogy of Fallot

Coarctation of the aorta

Answer and Explanation

The Correct Answer is B

A. Hypoplastic heart syndrome: Characterized by underdevelopment of the left side of the heart, not mixing of blood.
B. Atrioventricular canal defect: An atrioventricular canal defect allows oxygenated and deoxygenated blood to mix due to the presence of a common atrioventricular valve and defects in the atrial and ventricular septa. This defect results in a mixture of oxygenated and deoxygenated blood, which can cause varying levels of oxygenation in the blood delivered to the body.
C. Tetralogy of Fallot: Involves a ventricular septal defect leading to right-to-left shunting, but not a direct mixing of oxygenated and deoxygenated blood.
D. Coarctation of the aorta: Involves narrowing of the aorta, not mixing of oxygenated and deoxygenated blood.

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Free Nursing Study Resources

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

Explanation

A. Substance use. Parents or caregivers who use substances are more likely to abuse children due to impaired judgment and increased stress levels.
B. Extreme stress. High levels of stress in the family can increase the risk of child abuse as it can lead to frustration and inappropriate coping mechanisms.
C. High socioeconomic background. This is not typically associated with increased risk of child abuse; abuse can occur across all socioeconomic levels, but certain stressors are more prevalent in lower socioeconomic contexts.
D. Strong support system. A strong support system typically acts as a protective factor against child abuse by providing resources and emotional support to caregivers.
E. Prematurity. Premature infants often have increased care needs, which can lead to parental stress and potential abuse.
F. Chronic illness. Children with chronic illnesses may require more care, leading to caregiver stress and higher risk of abuse.

A. Call the child abuse hotline B. Educate the mother on safety C. Inform the mother to call the nurse for all diaper changes D. Complete the Morse Fall Scale

Correct Answer is A

Explanation

A. Call the child abuse hotline. A spiral fracture, especially in a non-ambulatory infant, is highly suspicious for non-accidental trauma (child abuse). Reporting suspected abuse is mandatory to protect the child from further harm.
B. Educate the mother on safety. While important for prevention, addressing potential abuse takes precedence.
C. Inform the mother to call the nurse for all diaper changes. This does not address the immediate concern of suspected child abuse.
D. Complete the Morse Fall Scale. This is irrelevant in the context of suspected child abuse.

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The nurse knows which congenital cardiac defect is characterized by a mixing of well-oxygenated blood with poorly oxygenated blood.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following factors would the nurse identify as risk factors for abuse in children? (Select All that Apply.)

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

Explanation

A newborn is admitted with a diagnosis of a spiral fracture of the right femur. The mother states the child received the injury when the baby fell off the changing table. Which would be the priority nursing intervention?

Correct Answer is A

Explanation

A nurse is assessing a newborn who has Trisomy 21 (Down's Syndrome). Which of the following are common characteristics? (Select All that Apply.)

A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a circumcision with a Plastibell technique. Which of the following client statements indicates an understanding of her son's circumcision care? (Select All that Apply.)

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A nurse is caring for a client having a biophysical profile. The client asks what the test is for. What should the nurse include in the response? (Select All that Apply.)

A nurse manager is providing staff education about working with clients who have a history of anger and aggression. Which of the following Information should the nurse manager include in the teaching? (Select all that apply.)

A 2-month-old is brought into the emergency room. Which factor leads the RN to suspect abusive head trauma?

A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?

A nurse is caring for a client diagnosed with anorexia nervosa and over exercises to avoid gaining weight. Which of the following should be the appropriate action by the nurse?