The teacher reports to the nurse that, despite adequate intelligence, a child is not performing well in school. The nurse’s initial assessments would include:

Observing the child in the classroom to see interactions between the child and others

Determine if there is conflict between the child and the teacher

Conducting a vision and hearing screening

Talking with the child to determine if there are family stressors such as divorce, interfering with the child's performance

Answer and Explanation

The Correct Answer is C

a) Observing the child in the classroom to see interactions between the child and others: Useful for gathering information but not an initial assessment that might directly relate to the child's performance issues.

b) Determine if there is conflict between the child and the teacher: Conflict might contribute, but initial assessments should focus on other potential factors.

c) Conducting a vision and hearing screening: Sensory impairments can significantly impact a child's academic performance and are important to rule out initially.

d) Talking with the child to determine if there are family stressors such as divorce interfering with the child's performance: Valuable but might not be the first step in assessing academic performance issues.

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Correct Answer is A

Explanation

a) Promoting healthy mental-health outcomes: The primary focus should be on the client's emotional well-being and helping them cope with the feelings of loneliness and adjustment to a new environment.
b) Helping the school-age client register the value of soccer: While beneficial, it's secondary to addressing the client's emotional state.
c) Stressing the importance of remaining in close parent-child relationships: Important, but not the immediate priority in this situation.
d) Acknowledging the fact that it might take several months to make new friends at this school: Valid, but addressing the immediate emotional distress is more crucial.

A. Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy B. Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy C. Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy D. Aortic stenosis, ventricular septal defect, overriding aorta, life ventricular hypertrophy

Correct Answer is C

Explanation

a) Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy: Does not describe the specific combination seen in tetralogy of Fallot.

b) Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy: Incorrect combination of defects for tetralogy of Fallot.

c) Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy: Accurately describes the four structural defects characterizing tetralogy of Fallot.

d) Aortic stenosis, ventricular septal defect, overriding aorta, left ventricular hypertrophy: Left ventricular hypertrophy is not typically part of tetralogy of Fallot.

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The teacher reports to the nurse that, despite adequate intelligence, a child is not performing well in school. The nurse’s initial assessments would include:

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Which of the following structural defects constitute tetralogy of Fallot?

Correct Answer is C

Explanation

The parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. The nurse’s reply should include which of the following?

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Which of the following are characteristics seen in bronchiolitis and RSV? (Select All That Apply . )

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