Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason
for the nurse's action.
Which of the following responses by the nurse is appropriate?
A. "The provider will be coming to explain the situation.".
Choice A is not an answer because it does not address the parent’s concern and instead defers responsibility to the provider.
B. "As a nurse, I am required by law to report suspected child abuse.".
This response is appropriate because it informs the parent that the nurse has a legal obligation to report any suspected child abuse.
C. "I am unable to discuss this, but I can contact my supervisor to speak with you.".
Choice C is not an answer because it does not provide any information to the parent and instead suggests contacting a supervisor.
D. "I reported the incident to my supervisor who decided to contact the authorities.".
Choice D is not an answer because it implies that the decision to report the incident was made by the supervisor and not the nurse.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom SP23 N23 N240 Proctored Exam 3 Ch 11 24 32 43 44. Take the full exam now
Full Explanation
This response is appropriate because it informs the parent that the nurse has a legal obligation to report any suspected child abuse.
Choice A is not an answer because it does not address the parent’s concern and instead defers responsibility to the provider.
Choice C is not an answer because it does not provide any information to the parent and instead suggests contacting a supervisor.
Choice D is not an answer because it implies that the decision to report the incident was made by the supervisor and not the nurse.
Similar Questions
A nurse is assessing a toddler who has suspected lead poisoning.
Which of the following findings should the nurse expect the client to manifest with acute lead poisoning?
A. Increased urinary output.
Choice A, increased urinary output, is not the correct answer because lead poisoning can cause a decrease in urinary output due to the effect of lead on the kidneys.
B. Anorexia.
Acute lead poisoning in toddlers can cause anorexia, as well as vomiting, abdominal pain, and constipation. These symptoms can progress to seizures, coma, and even death if not treated promptly.
C. Diarrhea.
Choice C, diarrhea, is not the correct answer because lead poisoning is more likely to cause constipation than diarrhea.
D. Jaundice.
Choice D, jaundice, is not the correct answer because jaundice is not a common finding in lead poisoning. Jaundice is a yellowing of the skin and whites of the eyes caused by an excess of bilirubin in the blood, which is not directly related to lead poisoning.
E. Jaundice.
Full Explanation
Acute lead poisoning in toddlers can cause anorexia, as well as vomiting, abdominal pain, and constipation.
These symptoms can progress to seizures, coma, and even death if not treated promptly.
Choice A, increased urinary output, is not the correct answer because lead poisoning can cause a decrease in urinary output due to the effect of lead on the kidneys.
Choice C, diarrhea, is not the correct answer because lead poisoning is more likely to cause constipation than diarrhea.
Choice D, jaundice, is not the correct answer because jaundice is not a common finding in lead poisoning.
Jaundice is a yellowing of the skin and whites of the eyes caused by an excess of bilirubin in the blood, which is not directly related to lead poisoning.
A nurse is providing care to a mother immediately following a stillbirth delivery.
Which of the following actions should the nurse take first?
A. Contact the health care facility's clergy.
Choice A is not an answer because contacting clergy is not the first action the nurse should take.
B. Assist the client with transferring to the gynecology unit.
Choice B is not an answer because transferring the client to another unit is not the first action the nurse should take.
C. Administer alprazolam 0.5 mg PO.
Choice C is not an answer because administering medication is not the first action the nurse should take.
D. Offer mother private time with the newborn.
The nurse should first offer the mother's private time with the newborn to allow her to grieve and say goodbye. This can be an important part of the healing process for the mother.
Full Explanation
The nurse should first offer the mother's private time with the newborn to allow her to grieve and say goodbye.
This can be an important part of the healing process for the mother.
Choice A is not an answer because contacting clergy is not the first action the nurse should take.
Choice B is not an answer because transferring the client to another unit is not the first action the nurse should take.
Choice C is not an answer because administering medication is not the first action the nurse should take.
A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?
A. "SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines.".
Choice A is not an answer because there is no direct correlation between SIDS and diphtheria, tetanus, and pertussis vaccines
B. "Sleep apnea is the main cause of SIDS.".
C. "Placing your child on her back when sleeping will decrease the risk of SIDS.".
The American Academy of Pediatrics recommends that infants be placed on their backs to sleep to reduce the risk of SIDS1.
D. "SIDS rates have been rising over the last 10 years.".
Full Explanation
The American Academy of Pediatrics recommends that infants be placed on their backs to sleep to reduce the risk of SIDS1.
Choice A is not an answer because there is no direct correlation between SIDS and diphtheria, tetanus, and pertussis vaccines