The pediatric nurse advises a father how to best convey the circumstances surrounding the sudden death of his infant son to his four-year-old daughter. The nurse anticipates that the daughter:

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Question 1 of 5

The pediatric nurse advises a father how to best convey the circumstances surrounding the sudden death of his infant son to his four-year-old daughter. The nurse anticipates that the daughter:

Correct Answer: A

Rationale: Four-year-olds (Piaget’s preoperational stage) have a limited grasp of death’s permanence and may feel guilty, believing their thoughts or actions caused it. Option B (mistrust) requires deception, not typical here. Option C is incorrect; they don’t fully understand finality. No fourth option exists, but A aligns with developmental norms.

Question 2 of 5

A pediatric nurse is caring for a patient who received chemotherapy 10 days ago. Which laboratory value requires the nurse’s intervention?

Correct Answer: C

Rationale: Chemotherapy causes thrombocytopenia; 18,000/µL platelets (normal: 150,000–450,000) is critically low, risking bleeding and requiring intervention (e.g., transfusion). Options A and D are normal. Option B is low but less urgent.

Question 3 of 5

The nurse answers a call bell and finds a frightened mother whose child is having a seizure. Which of these actions should the nurse take?

Correct Answer: D

Rationale: During a seizure, safety is priority: clear hazards and position the child (e.g., on side) to protect airway and prevent injury. Option A risks harm. Option B (restraint) can injure. Option C delays immediate action.

Question 4 of 5

Treatment plan for child with sickle cell anemia will include:

Correct Answer: D

Rationale: Sickle cell anemia requires IV fluids to prevent vaso-occlusion, narcotics for pain crises, and transfusions for severe anemia. All (A, B, C) are standard, making D correct.

Question 5 of 5

One of the essential reflexes is blinking reflex, it arouses when the baby is subjected to:

Correct Answer: A

Rationale: The blinking reflex protects the eyes, triggered by bright light or sudden objects near the face. Oxygen supply (B) is unrelated. Options C and D are missing.

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