Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions - Part 57

1. An 8-year-old Asian child is being examined during a school screening. The nurse notices small bruises on the anterior and posterior ribs. The nurse should ask the child:

A) if the family practices coining.
B) who hit him.
C) if the child has fallen.
D) how long the abuse has been occurring.

2. Incidences of child abuse apperar to be higher in the African-American community and might be explained by:

A) the increased number of African Americans viewing violence on television.
B) more single-parent households in African- American communities.
C) stricter child-rearing practices in African- American households.
D) a higher occurrence of rage in African Americans.

3. When teaching parents how their children learn sex role identification, the nurse should include which of the following statements?

A) Sex role identification begins in infancy.
B) Sex role identification begins in the preschool years.
C) Sex role identification begins during the school-age years.
D) Sex role identification begins during early adolescence.

4. When working with multicultural populations, the nurse should consider all of the following when planning care for a client with an altered sexuality pattern except:

A) some members of the Hispanic and Native- American cultures are very open when discussing sexuality.
B) some cultures view the postpartum period as a state of impurity.
C) some women in the African-American culture view childbearing as a validation of their femaleness.
D) some Native-American women believe monthly menstruation maintains physical well-being and harmony.

5. Which of the following client groups should the nurse recognize as the fastest-growing segment of the homeless population?

A) single, adult men
B) single mothers with 2 or 3 children
C) runaway adolescents
D) single, adult women

1. Right Answer: A
Explanation: The nurse must be aware of cultural practices that resemble child abuse. These practices include coining, cupping, and fallen fontanella. Coining and cupping are thought to draw infections from the body. Coining involves rubbing a heated coin on the chest and torso and might cause bruising. Cupping uses heated glasses that can produce erythematous and ecchymotic rounded lesions or linear streaks on the body from the suction. Fallen fontanella involves turning a child upside down to correct a depressed fontanelle; it can cause vomiting, diarrhea, and dehydration in infants. Retinal hemorrhages can also occur, and sometimes Shaken-Baby Syndrome is erroneously diagnosed. Psychosocial Integrity

2. Right Answer: B
Explanation: Child abuse is higher in households with lower socioeconomic status and single parents. The increased incidence might be due to increased stress and fewer support systems. Psychosocial Integrity

3. Right Answer: A
Explanation: Sex role identification begins during infancy. Infants can identify body parts by the end of the first year. Preschoolers frequently engage in masturbation and sex play with peers. School-age children continue to gain awareness of their sexual identity. During this time they might continue to masturbate and engage in sex play. They might add behaviors such as hugging and kissing members of the opposite sex. Adolescent sex role identification is largely influenced by sexual maturation and trying out or assuming a sex role. Health Promotion and Maintenance

4. Right Answer: A
Explanation: Many cultures (including the Hispanic and Native-American cultures) are sometimes hesitant to discuss sexuality. Some Navajos, Hispanics, and Orthodox Jews view the postpartum period as a state of impurity and might seclude women as long as they are bleeding. The seclusion is usually ended with a ritual bath. Many white teenage girls approve of the prevention of pregnancy, and many African-American teenage girls value pregnancy. Many Native-American women believe in the importance of monthly menstruation to maintain physical wellbeing and harmony. Health Promotion and Maintenance

5. Right Answer: B
Explanation: Single mothers with two or three children are the fastest-growing segment of the homeless population. The majority of the children are under the age of five, and the total number of children who are homeless account for more than one-third of the homeless population in the United States. In the past, single adults were the largest group in the homeless population, with more men than women being homeless. Runaway adolescents account for another group of homeless children.Many are victims of abuse or long-term family or school problems. HealthPromotion and Maintenance

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