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NCLEX-PN Exam - Topic 2 Question 17 Discussion

A 10-month-old child is brought to the Emergency Department because he is difficult to awaken. The nurse notes bruises on both upper arms. These findings are most consistent with:
B) the child being shaken.
A) wearing clothing that is too small for the child.
C) falling while learning to walk.
D) parents trying to awaken the child.

NCLEX-PN Exam - Topic 2 Question 17 Discussion

Actual exam question for NCLEX's NCLEX-PN exam
Question #: 17
Topic #: 2
[All NCLEX-PN Questions]

A 10-month-old child is brought to the Emergency Department because he is difficult to awaken. The nurse notes bruises on both upper arms. These findings are most consistent with:

Show Suggested Answer Hide Answer
Suggested Answer: B

Children who are shaken are frequently grasped by both upper arms. Symptoms of brain injury associated

with shaking include decreased level of consciousness.Psychosocial Integrity


by Sina at Apr 11, 2026, 05:39 AM

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Bambi
2 hours ago
This is a tough one. The bruises are concerning.
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Georgeanna
5 days ago
Wait, could it really be from clothing? That seems odd.
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Franklyn
10 days ago
I agree, B seems most likely.
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Pamella
16 days ago
Bruises on the arms? That’s concerning.
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Iraida
2 months ago
Definitely not just a fall.
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Jaclyn
2 months ago
Sounds like shaken baby syndrome to me.
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Ayesha
3 months ago
I’m torn between B and C. I know kids can get bruises from learning to walk, but the lethargy makes me lean towards something more concerning like shaking.
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Fatima
3 months ago
I feel like we had a practice question similar to this one, and it emphasized the importance of considering non-accidental injuries in young children.
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Darrel
3 months ago
I’m not entirely sure, but I think option B about the child being shaken sounds plausible, especially with the difficulty in waking up.
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Renea
3 months ago
I remember discussing child abuse signs in class, and bruises on the arms could indicate something more serious than just falling.
upvoted 0 times
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