NCLEX Practice Test

Which client demonstrates signs of abuse that may need reporting?

1. 1 year old with dyspnea, drooling, and a swollen tongue after eating part of a houseplant

2. 2 year old who is crying and has a large forehead hematoma after falling out of a chair

3. 3 year old with second degree burns after pulling hot tea off the table

4. 5 year old whose x-ray reveals 2 humerus fractures after falling from a tree

The correct answer is: 1 year old with dyspnea, drooling, and a swollen tongue after eating part of a houseplant

Option A involves a 1 year old who is showing physical signs of possible poisoning after ingesting part of a toxic houseplant. This is a serious situation that could potentially be life-threatening and will need to be reported to the appropriate authorities. Options B, C, and D may also indicate that the child has suffered some kind of injury, but they do not involve potential abuse, which is why they are incorrect. While these situations may require some level of medical attention and evaluation, they do not appear to involve abuse or neglect that would require mandated reporting. Therefore, option A is the best choice for identifying a client who may need reporting due to potential abuse.