A physician should be informed if a 7-year-old with a fractured femur in a cast shows
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Question 2 of 56
A 6-month-old infant presents with wheezing and tachypnea. Chest x-ray shows perihilar infiltrates. Most likely diagnosis is:
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Question 3 of 56
A 4-year-old boy presents with fever, limp, and hip pain. Hip x-ray is normal, but ESR is elevated. Most likely diagnosis is:
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Question 4 of 56
Body mass index (BMI) should be calculated starting at age:
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Question 5 of 56
When a parent asks the nurse to describe what is meant by a 'learning disability,' the nurse's most helpful response would be:
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Question 6 of 56
A child with sickle cell disease should avoid
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Question 7 of 56
Most common cause of Cushing syndrome in children is:
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Question 8 of 56
Vitamin B1 deficiency causes
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Question 9 of 56
A child is diagnosed with hypoalbuminemia. Her total serum calcium level is normal. Most likely associated finding that may be missed is:
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Question 10 of 56
The best growth chart indicator in patients with acute malnutrition is:
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Question 11 of 56
A newborn appears with abdominal distension and bilious vomiting. Abdominal x-ray reveals a double bubble sign. Most likely diagnosis is:
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Question 12 of 56
A 2-year-old boy presents with fever and a vesicular rash in the mouth. Most likely diagnosis is:
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Question 13 of 56
Most common complication of untreated congenital adrenal hyperplasia is:
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Question 14 of 56
A child with a history of cystic fibrosis suddenly develops right-sided chest pain and shortness of breath. Physical examination reveals decreased breath sounds on the right side and mediastinal shift to the left side. Most likely diagnosis is:
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Question 15 of 56
Prenatal diagnosis of affected male fetus with adrenoleukodystrophy is made by:
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Question 16 of 56
A nurse is providing parental instruction for a 24-hour urine collection for a hospitalized child. Which of the following statements by the child's parent needs further instruction?
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Question 17 of 56
In administering vitamin K to the infant shortly after birth, the nurse understands that vitamin K is
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Question 18 of 56
A newborn girl appears with ambiguous genitalia and a 46,XX karyotype. Labs reveal elevated 17-hydroxyprogesterone. Most likely diagnosis is:
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Question 19 of 56
Infants in whom cephalhematomas develop are at increased risk for
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Question 20 of 56
What type of diet is recommended for the menopausal woman?
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Question 21 of 56
A child with leukemia is prone to
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Question 22 of 56
The most common site for temperature in a 2-year-old is
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Question 23 of 56
A child with a cast should be taught to report
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Question 24 of 56
A 3-month-old infant presents with poor feeding and lethargy. Labs show hypoglycemia and ketosis. Most likely diagnosis is:
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Question 25 of 56
In fetal circulation, the pressure is greatest in the
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Question 26 of 56
A 2-year-old with croup requires
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Question 27 of 56
What is the risk the fetus will be affected?
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Question 28 of 56
A 2-year-old girl presents with a seizure and fever of 102°F. No focal neurologic signs are noted. Most likely diagnosis is:
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Question 29 of 56
The nurse prepares a child to receive oxygen via a tent delivery system by allowing the child to place a teddy bear in and out of the tent and then rewarding the child with a sticker. Which practice is the nurse using?
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Question 30 of 56
An adolescent who is brought to the emergency department (ED) by his parents has the following symptoms: periumbilical pain that peaks at 4-hour intervals followed by right lower quadrant pain, which is followed by vomiting. Based on these data, which condition does the nurse suspect?
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Question 31 of 56
A one-year-old girl with dysentery is discharged. The most important information for the mother is
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Question 32 of 56
Immediate priority for a 6-year-old with pneumonia is
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Question 33 of 56
A 3-year-old girl presents with recurrent ear infections and speech delay. Audiometry shows conductive hearing loss. Most likely diagnosis is:
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Question 34 of 56
The responsibility of a mandatory reporter is to:
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Question 35 of 56
Most common endocrine abnormality in patients with cystic fibrosis is:
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Question 36 of 56
A nurse is caring for a child following surgical removal of a brain tumor. The nurse is monitoring the child and notes that the pulse rate has increased and the blood pressure has dropped significantly. Bloody drainage is also noted on the posterior dressing. The initial nursing action is to:
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Question 37 of 56
A 3-year-old girl presents with recurrent ear infections and hearing loss. Tympanometry shows flat curves. Most likely diagnosis is:
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Question 38 of 56
A 2-year-old boy presents with fever and a stiff neck. CSF analysis shows gram-positive cocci. Most likely diagnosis is:
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Question 39 of 56
A child with nephrotic syndrome requires
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Question 40 of 56
A 6-month-old infant presents with wheezing and retractions. Chest x-ray shows hyperinflation. Most likely diagnosis is:
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Question 41 of 56
A 3-month-old infant presents with poor feeding and hypotonia. MRI shows periventricular leukomalacia. Most likely diagnosis is:
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Question 42 of 56
A 5-year-old girl presents with hematuria and hypertension. Ultrasound shows a renal mass. Most likely diagnosis is:
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Question 43 of 56
A 4-year-old girl presents with fever and conjunctivitis. Exam shows a rash and swollen hands. Most likely diagnosis is:
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Question 44 of 56
A 3-year-old with a burn should avoid
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Question 45 of 56
A 3-month-old infant presents with poor feeding and lethargy. Labs show hypoglycemia and lactic acidosis. Most likely diagnosis is:
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Question 46 of 56
A 14-year-old boy appears with tall stature, long limbs, and a heart murmur. Echocardiogram reveals aortic root dilation. Most likely diagnosis is:
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Question 47 of 56
The nurse is caring for a child with suspected diabetes insipidus. Which clinical manifestations would she expect to observe?
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Question 48 of 56
A 3-month-old infant presents with tachypnea and poor feeding. Chest x-ray shows cardiomegaly and pulmonary edema. Most likely diagnosis is:
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Question 49 of 56
The nurse is explaining to a 17-year-old female the actions to prevent urinary tract infection. The nurse determines the adolescent understands the information when she says a good drink to keep urine acidic is:
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Question 50 of 56
A 19-year-old pregnant mother likes all-night dance parties. She took methylenedioxymetamphetamine (MDMA 'X', Ecstasy) routinely before and during pregnancy. The most likely fetal defect is:
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Question 51 of 56
Biological causes of mild mental retardation includes all of the following except:
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Question 52 of 56
A child with diabetes should be taught to recognize
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Question 53 of 56
What is the most likely cause of her pancreatitis?
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Question 54 of 56
Which drug will you prepare for a child with convulsions in the ER?
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Question 55 of 56
A 3-year-old with a head injury should be monitored for
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Question 56 of 56
A 5-year-old girl presents with abdominal pain and vomiting. CT shows a twisted mesentery. Most likely diagnosis is:
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