NCLEX Test Questions Pediatrics Infectious Disease · NurseQuizzes

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ATI LPN · NCLEX Test Questions Pediatrics Infectious Disease

Question 1 of 84

A 2-month-old infant is brought to your clinic with an extensive scaly rash on the scalp, which has been biopsied and shown to be Langerhans cell histiocytosis(LCH). You want to determine whether this patient has skin-only LCH or involvement of any of the 'high-risk' organs. The child has a normal CBC; normal liver enzymes and bilirubin; and a normal skeletal survey, skull films, and chest X ray. What other screening test will be important for finding involvement of a high-risk organ?

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ATI LPN · NCLEX Test Questions Pediatrics Infectious Disease

Question 13 of 84

An otherwise healthy 18-year-old female is diagnosed with high-risk neuroblastoma after presenting with fatigue and bony pain. Imaging findings demonstrate a left adrenal mass with multiple osseous metastases. She successfully completes standard therapy for high-risk neuroblastoma, but experiences several episodes of disease recurrence and ultimately dies of her disease 10 years after her initial diagnosis. During her treatment, her tumor was sent for molecular analysis. Of the following, what molecular aberration was most likely to have been detected?

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ATI LPN · NCLEX Test Questions Pediatrics Infectious Disease

Question 25 of 84

A 10-year-old girl who has had type 1 diabetes mellitus (DM) for the past two years tells the nurse that she would like to use a pump instead of insulin injections to manage her diabetes. Which assessment of the girl is most important for the nurse to obtain?

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ATI LPN · NCLEX Test Questions Pediatrics Infectious Disease

Question 46 of 84

You are called after hours by the mother of a 14-year-old girl with well-controlled type 1 diabetes, who has been recently started on insulin pump therapy. The mother states that she has recorded a capillary blood glucose level of 20.2 mmol/L, and ketones of 1.2 mmol/L [< 0.5]. Earlier in the day her blood glucose level was normal at 6.5 mmol/L, and she had been correctly given insulin with her dinner meal through the insulin pump. Her mother reports that apart from feeling thirsty, her daughter is well, with no nausea or vomiting. With respect to her hyperglycaemia, what is the best advice you should give?

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ATI LPN · NCLEX Test Questions Pediatrics Infectious Disease

Question 50 of 84

What course of treatment is most likely to result in the best outcome for a 13-year-old girl with AML, normal karyotype, negative FISH, and negative molecular testing who achieves MRD negativity after two courses of induction therapy but has no HLA-matched siblings?

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ATI LPN · NCLEX Test Questions Pediatrics Infectious Disease

Question 68 of 84

A 3-year-old nonsyndromic, well-appearing male with no significant past medical history presents with an abdominal mass palpated by his mother when giving him a bath. CT imaging reveals a 9-cm right renal mass without involvement of the inferior vena cava (IVC) and no evidence of tumor thrombus by ultrasound. The left kidney appears normal, and there is no imaging evidence of tumor rupture or adherence to surrounding organs. There are diffuse, bilateral pulmonary metastases from which he is asymptomatic with a normal respiratory rate and no supplemental oxygen requirement. Following the National Wilms Tumor Study Group (NWTS)/Children's Oncology Group (COG) approach to pediatric renal tumors, which of the following are appropriate next steps?

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ATI LPN · NCLEX Test Questions Pediatrics Infectious Disease

Question 82 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 Test Questions Pediatrics Infectious Disease

Question 84 of 84

A 15-year-old female presents with 1 month of fatigue and 3 days of chest pain and shortness of breath. Her physical exam is unremarkable. A chest x-ray shows a large mediastinal mass that is greater than 33% of the diameter of her chest cavity. A biopsy shows nodular sclerosing, classic Hodgkin lymphoma (cHL). Metastatic workup at diagnosis, including CT scan of neck, chest, abdomen, and pelvis and PET scan, shows no other site of disease. According to the Ann Arbor staging system, the patient has which stage of cHL?

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