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Exam NCLEX-PN topic 6 question 157 discussion

Actual exam question from Test Prep's NCLEX-PN
Question #: 157
Topic #: 6
[All NCLEX-PN Questions]

A nurse working in a pediatric clinic observes bruises on the body of a four year-old boy. The parents report the boy fell riding his bike. The bruises are located on his posterior chest wall and gluteal region. The nurse should:

  • A. Suggest a script for counseling for the family to the doctor on duty.
  • B. Recommend a warm bath for the boy to decrease healing time.
  • C. Notify the case manager in the clinic about possible child abuse concerns.
  • D. Recommend ROM to the patient’s spine to decrease healing time.
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Suggested Answer: C 🗳️
The patients safety should have the highest priority.

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