Regarding shock in the child, which of the following is FALSE?

Correct Answer: D

Rationale: Correct Answer: D Rationale: 1. Children have less circulating blood volume than adults, so a smaller volume of blood loss can lead to shock. 2. Pediatric shock can occur with as little as 5-10% blood loss, whereas adults typically require 15-30%. 3. This difference is due to children's smaller body size and lower blood volume compared to adults. 4. Therefore, the statement that the absolute volume of blood loss required to produce shock is the same as in adults is FALSE. Summary of other choices: A: True - Vital signs in children vary with age. B: True - Children have greater physiologic reserves compared to adults. C: True - Tachycardia is a common response to hypervolemia in pediatric shock.

Correct Answer: D

Rationale: The correct answer is D because X-ray of the chest and pelvis are important adjuncts in assessing trauma patients to rule out life-threatening injuries like pneumothorax, hemothorax, pelvic fractures, etc. This patient's mechanism of injury suggests the possibility of pelvic injury (Choice A is incorrect). While blood loss from the lower limbs could contribute to hypotension, other causes like internal bleeding should also be considered (Choice B is incorrect). Spinal cord injury is less likely to be the cause of hypotension in this case compared to hemorrhage or other traumatic injuries (Choice C is incorrect). In summary, obtaining X-rays of the chest and pelvis is crucial in the initial assessment of trauma patients to identify potentially life-threatening injuries.

Correct Answer: B

Rationale: The correct answer is B: Assisted living facilities. Residents in assisted living facilities typically require minimal assistance with daily activities and are more independent compared to those in acute care, subacute care, and hospice facilities. Assisted living facilities provide a level of care that promotes independence while still offering support when needed. Acute care facilities (A) provide medical care for short-term conditions, subacute care facilities (C) offer more intensive care than assisted living, and hospice facilities (D) provide end-of-life care which involves more specialized and intensive support.

Correct Answer: A

Rationale: The correct answer is A because consulting the procedure manual allows the nursing assistant to review the correct steps in a reliable source. This approach ensures accuracy and adheres to professional standards. Choosing option B risks patient safety and violates protocol. Option C may provide inaccurate or unreliable information. Option D is inappropriate as residents are not trained to provide procedural guidance. Therefore, option A is the best response for ensuring correct and safe procedure execution.

Correct Answer: C

Rationale: The correct answer is C because smiling at a new resident is a form of non-verbal communication that conveys warmth, friendliness, and openness. It helps establish a positive rapport and comfort between the nursing assistant and the resident. Non-verbal communication plays a crucial role in creating a supportive environment in healthcare settings. Explanation for why other choices are incorrect: A: Writing a note in a resident's chart involves verbal communication. B: Giving an oral report to a supervisor involves verbal communication. D: Speaking in an encouraging tone of voice involves verbal communication.