Which of the following is the best indicator of brain function in a child with a moderate brain injury?

Level of consciousness

Gross motor skill function

Pupil response

Vital signs

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. The level of consciousness is the most direct and immediate indicator of brain function following an injury.
Choice B reason: Gross motor skill function is important but may not be the best immediate indicator of brain function.
Choice C reason: Pupil response is a good indicator of brain function but is part of a broader neurological assessment that includes the level of consciousness.
Choice D reason: Vital signs are important to monitor but do not directly indicate brain function like the level of consciousness does.

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Correct Answer is C

Explanation

Choice A reason: A 7-year-old child may have some difficulty with separation but is typically able to understand the reason for hospitalization better than younger children.
Choice B reason: A 5-month-old infant may show signs of distress but does not have the same understanding of separation as an older child.
Choice C reason: This is the correct choice. A 4-year-old child is at a developmental stage where separation from family can cause significant distress and difficulty.
Choice D reason: A 15-month-old toddler may experience separation anxiety, but it is generally more intense in preschool-aged children.

A. Risk for Altered Tissue Perfusion B. Impaired Physical Mobility C. Risk for Altered Nutrition: Less than Body Requirements D. Risk for Fluid Imbalance

Correct Answer is A

Explanation

Choice A reason: A third-degree circumferential burn can compromise blood flow, posing an immediate risk for altered tissue perfusion, which can lead to tissue necrosis and limb loss.

Choice B reason: While impaired physical mobility is a concern, it is not as immediately life-threatening as altered tissue perfusion.

Choice C reason: Nutritional needs are important for healing, but the immediate threat to life from a third-degree burn is the risk for altered tissue perfusion.

Choice D reason: Fluid imbalance is a significant concern due to the potential for burn-induced edema and dehydration; however, the most immediate life-threatening issue is altered tissue perfusion.

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Which of the following is the best indicator of brain function in a child with a moderate brain injury?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In planning care, the nurse recognizes that which child should have the most difficulty with separation from family during hospitalization?

Correct Answer is C

Explanation

What is the highest priority nursing diagnosis for a pediatric client with a third-degree circumferential burn of the right arm?

Correct Answer is A

Explanation

The nurse in a school clinic is caring for a 7-year-old girl who comes in for epistaxis. The nurse will initiate which of the following interventions? (Select the 2 responses that apply)

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What clinical manifestation associated with a Wilms tumor is the reason most children are initially brought in to be seen by a provider?

Which is an expected physical assessment finding for an adolescent with a diagnosis of Hodgkin’s disease?

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