When preparing to assist in a scoliosis screening clinic, the practical nurse (PN) should identify which age group will be included in the examinations?

Late adolescent boys.

Preschoolers of both genders.

Early adolescent girls.

Seven to ten-year-old boys.

Answer and Explanation

The Correct Answer is C

Scoliosis screening is typically performed on early adolescent girls, as this is the age group that is most commonly aﬀected by the condition. Early detection and intervention can help prevent the progression of scoliosis and improve outcomes.

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Correct Answer is A

Explanation

The screening test that should be scheduled for a client who is gravida 4 para 3 at 16-weeks gestation is **Maternal serum alpha-feto protein (MSAFP)**. Second trimester prenatal screening may include several blood tests, called multiple markers. These markers provide information about a woman's risk of having a baby with certain genetic conditions or birth defects. Screening is usually done by taking a sample of the mother's blood between the 15th and 20th weeks of pregnancy (16th to 18th is ideal)².

A. Hypothyroidism. B. Patent ductus arteriosus. C. Hyperinsulinemia. D. Ventral septal defect.

Correct Answer is B

Explanation

The practical nurse (PN) should recognize that a newborn whose mother has poorly controlled type 1 diabetes mellitus and is exhibiting grunting with mild sternal retractions is exhibiting signs of patent ductus arteriosus. Patent ductus arteriosus is a condition in which the ductus arteriosus, a blood vessel that connects the pulmonary artery to the aorta, fails to close after birth. This can result in abnormal blood ﬂow between the aorta and pulmonary artery, leading to respiratory distress.

Hypothyroidism (Option A) and hyperinsulinemia (Option C) are conditions that can occur in newborns, but they do not typically present with grunting and sternal retractions.

Ventral septal defect (Option D) is a congenital heart defect that can cause respiratory distress, but it is not specifically associated with maternal diabetes.

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When preparing to assist in a scoliosis screening clinic, the practical nurse (PN) should identify which age group will be included in the examinations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Following the prenatal clinic's screening protocol, the practical nurse (PN) is preparing laboratory prescriptions for clients who are scheduled to be seen today. Which screening test should be scheduled for a client who is gravida 4 para 3 at 16-weeks gestation?

Correct Answer is A

Explanation

The practical nurse (PN) is caring for a newborn whose mother has poorly controlled type 1 diabetes mellitus and observes the newborn is grunting with mild sternal retractions. The PN should recognize the newborn is exhibiting signs of which condition?

Correct Answer is B

Explanation

A client with a major depressive disorder is admitted to the inpatient psychiatric unit. Which intervention should the practical nurse (PN) use to demonstrate support of the client?

An older client is admitted to the psychiatric unit for assessment of a recent onset of dementia. The practical nurse (PN) notes that in the evening this client often becomes restless, confused, and agitated. Which intervention should the PN implement?

A 6-year-old female client who was recently diagnosed with type 1 diabetes mellitus (DM) comes to the clinic with anorexia, drowsiness, and polydipsia. Her parents report frequent urination and bedwetting episodes almost nightly. Which action should the practical nurse (PN) take?

The practical nurse (PN) is planning care for a child with heart failure. Which intervention should the PN give the greatest priority?

The practical nurse (PN) is contributing to the plan of care for a toddler with failure to thrive due to inadequate caloric intake. Which observation should the PN monitor to best help develop interventions?

An adolescent female client with acute leukemia reports that she is experiencing an unusually heavy menstrual ﬂow. Which laboratory data should the practical nurse (PN) review in response to this statement?

A 4-year-old girl is brought to the emergency room with a fractured arm. Which information should be a basis for the practical nurse (PN) to suspect child abuse?

The practical nurse (PN) enters an examination room to gather routine health information for a teenage female client who is accompanied by her mother. Which action by the PN is likely to facilitate accurate responses to personal and social history questions?