ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 1 of 84
ERCP with SOD manometry is performed and pancreatic ductal hypertension is found. Which endoscopic option has the highest success rate in reducing episodes of pancreatitis?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 2 of 84
A nurse is assessing a child with hydrocephalus. Which symptom suggests shunt malfunction?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 3 of 84
Which of the following causes bronchiolitis?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 4 of 84
MAP plus ifosfamide and etoposide(MAPIE)
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 5 of 84
Skin infection resembling large pimples that eventually fill with pus, come to a head, break and drain. They most commonly appear on the face, neck, buttocks and upper back.
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 6 of 84
Which statement is true about cow's milk protein allergy (CMPA)?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 7 of 84
A nurse is caring for a 12-year-old girl with a severe peanut allergy. The girl's parents are upset because the school does not permit her to carry her EpiPen with her. It must remain in the school's office per school regulations. Which response by the nurse would be most appropriate?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 8 of 84
What is NOT part of the therapy plan for a 2-month-old boy diagnosed with bronchiolitis?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 9 of 84
Infliximab is a very effective treatment for all of the following, except:
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 10 of 84
Which of the following does NOT RESULT from a vesicoureteral reflux?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 11 of 84
Most common pathogen of pneumonia in children 5 yrs and older is-
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 12 of 84
When the patient is in coma, its intracranial pressure is most often:
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 13 of 84
An infant is admitted to the unit with tetralogy of Fallot. The nurse would anticipate an order for which medication.
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 14 of 84
A nurse is collecting data from an 8-month-old infant who has increased intracranial pressure(ICP). Which of the following manifestations should the nurse expect?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 15 of 84
Which is an effective preventive intervention for children under-5?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 16 of 84
A 1-month-old baby presents with slow feeds and poor weight gain. She is small and has dysmorphic features suggestive of 22q11.2 deletion syndrome. She has an oxygen saturation of 91% in air. She has prominent systolic and diastolic murmurs and a large liver. Her chest x-ray demonstrates marked cardiomegaly and plethora. What is the most likely diagnosis for this infant?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 17 of 84
Because of the risks associated with administration of factor VIII concentrate, the nurse would report which of the following?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 18 of 84
You have been asked to see a 15-year-old girl who is being referred for evaluation of an ovarian mass. Her history is also significant for secondary amenorrhea, and physical examination shows signs of virilization. As you review her family history, what syndrome will you consider?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 19 of 84
A 3-year-old with a history of recurrent croup is brought to the emergency department with sudden onset of drooling, difficulty swallowing, and inspiratory stridor. What is the nurse's first action?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 20 of 84
The ability to manipulate small objects with the pincer grasp is usually noted at what age?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 21 of 84
A 13-year-old boy presents with a large femur mass and no evidence of additional masses elsewhere by imaging. Histology reveals a homogeneous proliferation of small round cells with finely stippled nuclei. Presuming that this tumor is primary to the bone, we could also see all of the following features except:
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 22 of 84
An 18-year-old senior tells the nurse. 'Everyone does it, so it's all right,' to justify rule-breaking behavior. The nurse realizes this is an example of which level or stage of moral reasoning development as described by Kohlberg?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 23 of 84
Braguda asks you about Vitamin A supplementation. You responded that giving Vitamin A starts when the infant reaches 6 months and the first dose is
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 24 of 84
A 4-year-old child presents with a pathologic fracture of the femur. Imaging reveals multiple distinct bone lesions as well as a large adrenal-based mass. On histology the tumor is comprised of small round blue cells. What is the most likely diagnosis?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 25 of 84
Which symptom is most characteristic of left-sided heart failure?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 26 of 84
What action should the nurse teach parents to perform when a hypercyanotic spell occurs in a child with cyanotic heart defects?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 27 of 84
Hypervolemic hypernatremia with serum sodium cation concentration above $170 \mathrm{mmol} / \mathrm{L}$ may be encountered in:
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 28 of 84
An 11 year old Tanner stage 2 female developed epigastric pain. 8 hours later there was fever, nausea, and vomiting. She passed 2 soft bowel movements. In the clinic, she limps and abdominal palpation showed generalized guarding. Most likely, she has:
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 29 of 84
Which is common with minimal change disease?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 30 of 84
Which symptom is NOT a sign of ketoacidosis in a child with diabetes mellitus and cold symptoms?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 31 of 84
Which of the following characteristics are similar with respect to Factor VIII and von Willebrand factor (vWF)?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 32 of 84
How do you classify a 10-month-old child with pus from the left ear for 16 days, axillary temperature of 38.1°C, no tender swelling?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 33 of 84
Of the variables listed below, what is the most important factor for survival after relapse of acute lymphoblastic leukemia?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 34 of 84
A client with hemophilia has a very swollen knee after falling from bicycle riding. Which of the following is the first nursing action?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 35 of 84
Ultrasound performed on a woman with polyhydramnios reveals a fetal upper lung lobe mass comprised of a dominant large cyst with several smaller associated cysts. This imaging finding is most consistent with which type of CCAM?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 36 of 84
A 7-year-old Hispanic male is referred to the hematology consult service by his pediatrician because of concern for hemoglobinopathy. In his records, you find a hemoglobin electrophoresis performed last year which shows hemoglobin A 78% and hemoglobin F 22%. His complete blood count is normal, and he has normal growth and development. Which of the following is true for this patient?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 37 of 84
A nurse is assessing a child with cystic fibrosis who presents with clubbing and a barrel chest. What complication does this finding indicate?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 38 of 84
A child who is admitted to the hospital with anemia is anxious, fearful, and hyperventilating. The nurse anticipates the child developing which acid base imbalance?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 39 of 84
You are in your office late one cold winter evening, seeing a pair of siblings who have a cold and cough. The mother and paternal grandmother are there. The grandmother notes that the best way to prevent the spread of colds is by wearing a wool hat at all times. What should you say?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 40 of 84
What makes keeping diabetes in control in an adolescent difficult?(Select all that apply.)
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 41 of 84
Elisa, a 14-month-old, is admitted to the hospital with laryngotracheobronchitis (croup). On assessment, the nurse would expect to find:
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 42 of 84
Which statement made by a 7-year-old child with type 1 diabetes mellitus indicates a need for more teaching?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 43 of 84
Inadequately increased insulin secretion for body needs leads to:
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 44 of 84
Which disease can present with life-threatening hypoglycaemia?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 45 of 84
An infant with respiratory synctial virus (RSV) is on (Virazole) therapy. The nurse would be correct to explain that:
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 46 of 84
Which physical findings would be of most concern in an infant with respiratory distress?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 47 of 84
Although the child with type 1 diabetes had her prescribed insulin at 7:30 AM, the child is complaining of hunger and thirst and is drowsy at 10:30 AM. What should the nurse do first?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 48 of 84
A 15-year-old male presents with a 2 cm femur tumor centered in the diaphysis. Imaging shows a radiolucent nidus surrounded by a sclerotic rim. Gross inspection reveals a red, granular region corresponding with the nidus identified on imaging. Histology shows anastomosing trabecula of woven bone with osteoblastic rimming with capillary proliferations between trabecula. This tumor is:
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 49 of 84
The mother of a 3 year old with esophageal reflux asks the nurse what she can do to lessen the baby's reflux. The nurse should tell the mother to:
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 50 of 84
A toddler is brought to the clinic, and the parent reports concerns about separation anxiety. At what age is this behavior expected to peak?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 51 of 84
A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his earlobe for the past 12 hours. The child's oral temperature is 101.2 F. Which intervention should the nurse implement?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 52 of 84
A pediatric fellow is planning a project intended to decrease the incidence of acute chest syndrome among patients with sickle cell disease who are already admitted to the hospital for other reasons. The fellow discussed with her mentor whether the project proposal should be submitted for review by the Institutional Review Board (IRB). The mentor explains that, at their institution, quality improvement activities do not require IRB review but research projects must be submitted to the IRB. Which of the following is NOT a relevant consideration in determining whether the project is research or quality improvement?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 53 of 84
A 10-year-old girl is a long-term survivor of type II pleuropulmonary blastoma (PPB). You suspect she has a cancer predisposition syndrome and perform genetic testing, which confirms she has DICER1 syndrome. Which other cancer is she predisposed to?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 54 of 84
A group of nursing students are reviewing information about humoral and cellular immunity. The students demonstrate understanding of this material when they identify what as being involved in cellular immunity?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 55 of 84
Which is typical for vitamin D dependent rickets?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 56 of 84
Which sample should you send for analysis, and which gene is most likely implicated?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 57 of 84
A 5-year-old boy with leukemia is receiving chemotherapy through a peripherally inserted central catheter (PICC). Twenty minutes after the infusion is begun, the child feels dizzy and complains of itching. Which intervention should the nurse implement first?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 58 of 84
How do you classify an 18-month-old child with cough for 5 days, no general danger signs, respiratory rate of 30 breaths/minute, no stridor, no chest indrawing?
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Question 59 of 84
What diagnostic assessment is used to diagnose phenylketonuria(PKU)?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 60 of 84
The immediate nursing intervention for cyanosis of Agata is:
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Question 61 of 84
A 7-year-old receiving chemotherapy for leukemia complains of oral pain. What intervention is most appropriate?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 62 of 84
In the diarrhoea associated hemolytic uremic syndrome, one of the following has no beneficial role-
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 63 of 84
An adolescent patient is preparing for colostomy surgery. Which statement by the patient indicates a need for further teaching?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 64 of 84
A 10-month old child has a temperature of 39-40'C for 4 days without other signs. On the 4th day, a maculopapular rash appears, and the temperature returns to normal. The most likely diagnosis is:
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 65 of 84
Which of the following is characterized the rate of growth during this period?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 66 of 84
A 4-year-old girl with a history of relapsed pre-B-cell acute lymphoblastic leukemia is being admitted for unrelated donor bone marrow transplantation with cyclophosphamide and total body irradiation conditioning. Pretransplant workup shows the following: Recipient CMV IgG: negative CMV IgM: negative HSV I/II antibody: negative Varicella IgG: positive(vaccinated) Hepatitis B surface antigen: negative Hepatitis B core antibody: negative Hepatitis C antibody: negative Donor CMV IgG: negative CMV IgM: negative HSV I/II antibody: positive Varicella IgG: positive Hepatitis B surface antigen: negative Hepatitis B core antibody: negative Hepatitis C antibody: negative How should the patient be managed during the admission with respect to infection prophylaxis?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 67 of 84
Radiological features of Scurvy are similar to that of-
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 68 of 84
Which statement is true about systemic JIA?
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Question 69 of 84
Failure of the Foramen Ovale to close will cause what Congenital Heart Disease?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 70 of 84
An 18-year old male patient with acute lymphoblastic leukemia recently started maintenance therapy and is complaining of increased hip pain. The pain increases during weight-bearing activity; however, it occasionally hurts at night as well. His CBCd is normal. Which of the following risk factors is most commonly associated with this process?
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Question 71 of 84
Which urinary diversion procedure is the least damaging to the body image of the adolescent?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 72 of 84
A 13-year-old boy presents to the emergency department with complaints of headache and visual changes. History reveals progressive dyspnea on exertion, generalized fatigue, and increased bruising. His labs are significant for a WBC of 350,000/mcL, of which 80% are reported to be blasts and appear to be myeloblasts without the presence of Auer rods. His hemoglobin is 7.2 g/dL, and his platelets are 18,000/mcL. A CT scan of the head shows a small intracerebral hemorrhage. His coags are normal. Which of the following is the most appropriate therapy?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 73 of 84
Nurse explains that a child with athetoid cerebral palsy most will demonstrate.
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 74 of 84
Which of the following chest radiographic findings can be found in mild ventricular septal defect?
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ATI LPN · NCLEX Pediatric Common Childhood Illness Question and Answer
Question 75 of 84
Intrauterine growth retardation can be caused by all of the following agents except-
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Question 76 of 84
A mother brings her 2-year-old child to the clinic because of her concerns about the child's nutritional status. 'For the last week, he has refused to eat anything except crackers and peanut butter.' Which of the following measures would be most appropriate for the nurse to suggest?
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Question 77 of 84
Thyrotoxicosis may be due to:
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Question 78 of 84
Neonatal circulation is NOT characterized by:
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Question 79 of 84
A baby is delivered urgently because of fetal tachycardia during labour. She is well at birth, but has a rapid and irregular heart rate. Her ECG is shown. The rhythm proves unresponsive to repeated doses of intravenous adenosine. What treatment is most appropriate to achieve reversion to sinus rhythm?
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Question 80 of 84
The parents of a child with hemophilia ask how to recognize signs of internal bleeding. Which symptom should the nurse emphasize?
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Question 81 of 84
Which of the following parameters would the nurse monitor to evaluate the effectiveness of thickened feedings for an infant with gastroesophageal reflux (GER)?
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Question 82 of 84
Assuming that adherence has been excellent, which of the following should have returned to normal 6 weeks following appropriate oral iron treatment for a child with severe dietary iron deficiency?
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Question 83 of 84
The parents of a 7-year-old with hemophilia ask about safe activities. Which sport is appropriate?
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Question 84 of 84
The nurse is providing information to parents of a child born with bilateral cryptorchidism. What information is accurate to include?
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