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    Hesi lpn exit proctored examQuestion 52
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    Hesi lpn exit proctored exam

    The parent of an school-aged child tells the practical nurse (PN) that the child fell out of a tree and hurt the child's arm and shoulder. Which assessment finding should the PN note as the most significant indicator of possible child abuse?

    Explanation & Rationale

    A. The parent's version of the injury is different from the child's version: Inconsistent histories are a red flag for abuse and require further investigation. B. The child has several abrasions on the chest and legs: Abrasions alone can occur with falls; they are not specific to abuse without suspicious patterns or locations. C. The child looks at the floor when answering the nurse's questions: Avoidance may be due to shyness or fear but is not conclusive for abuse. D. The parent refuses to answer questions about family history: While uncooperative behavior may be concerning, it is less direct than inconsistent injury accounts.

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