Pediatric Communicable Disease NCLEX Questions

ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 1 of 85

The mother of a 5-year-old child taking prednisone for nephrotic syndrome tells the nurse he needs to get immunizations to enter kindergarten. What does the nurse clarify about receiving immunizations while on prednisone?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 2 of 85

Broncho Pulmonary dysplasia-an accepted definition- Postnatal Oxygen requirement for-

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 3 of 85

A 6-year-old is undergoing a wellness exam. Which activity demonstrates appropriate cognitive development for this age?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 4 of 85

A newborn infant develops jaundice on day of life 2. Labs are drawn, and she has a hemoglobin of 7.4 g/dL with a reticulocyte count of 8%. Upon peripheral blood smear review, she is found to have bizarre red cell forms with significant poikilocytosis. Although her parents have normal blood counts, on review of their peripheral blood smears, they both have a moderate number of ovalocytes. Which of the following is the most likely cause of the infant's red cell findings?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 5 of 85

Which of the following is not associated with esophageal webs?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 6 of 85

A 2 year old previously well child had intermittent crying episodes and projectile vomiting 12 hours ago. There was gassy abdominal distention and passage of maroon-colored stools. You would:

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 7 of 85

Dandy Walker malformation is characterized by following except-

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 8 of 85

Infratemporal fossa

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 9 of 85

A child with Hodgkin's lymphoma has swollen, painless lymph nodes. Which additional finding is most concerning?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 10 of 85

During a follow up clinical visit a mother tells the nurse that her 5-month-old son who had surgical correction for tetralogy of fallot has rapid breathing, often takes a long time to eat, and requires frequent rest periods. The infant is not crying while being held and his growth is in the expected range. Which intervention should the nurse implement?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 11 of 85

The main side effects of Methotrexate are all, except

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 12 of 85

Mannitol is a drug for treatment of:

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 13 of 85

Agata was scheduled for a palliative surgery, which creates anastomosis of the subclavian artery to the pulmonary artery. This procedure is:

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 14 of 85

Which statement is true about Crohn's disease?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 15 of 85

Which comment made by a school-age child indicates that he needs more teaching about diabetes mellitus and exercise?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 16 of 85

The parents of a child with a VP shunt ask how to recognize complications. What should the nurse emphasize?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 17 of 85

A school-aged male is brought to the school nurse after he was thrown off his bicycle into the trunk of a pine tree. The child's face and arms are speckled with embedded pine bark. He has copious tearing and complains that 'there is stuff in my eyes.' Which action should the nurse implement?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 18 of 85

A 19-year old male patient with a history of acute lymphoblastic leukemia, currently 13 years from completion of therapy, presents for a fertility consultation. He is interested in his risk for infertility. Which of the following statements is true?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 19 of 85

A client and her husband are positive for the sickle cell trait. The client asks the nurse about chances of her children having sickle cell disease. Which of the following is appropriate response by the nurse?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 20 of 85

The triad of microangiopathic hemolytic anemia, renal failure, and thrombocytopenia is characteristic of which one of the following?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 21 of 85

Hyponatremia in diabetic ketoacidosis is due to:

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 22 of 85

You are asked to evaluate a 2-day-old boy in the newborn nursery with petechiae who has a platelet count of 8,000/mcL. On further questioning, you learn that he had a maternal uncle who died of intracerebral hemorrhage as a toddler. There is no eczema on physical examination. Review of the smear shows anisocytosis; poikilocytosis; normal white blood cell morphology; and small, infrequent platelets. The neonatologists have sent human platelet antigen (HPA)-la testing from both parents, which is pending. Which of the following is the most likely diagnosis?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 23 of 85

A 19-year-old male has a large abdominal mass with nests of small round to spindled blue cells set in a prominent desmoplastic stroma. Given the histologic picture, tumor location, and the patient's age and gender you immediately suspect desmoplastic small round cell tumor. Which additional test result would help to seal the deal?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 24 of 85

The mother of a child with hemophilia asks the nurse which over the counter medication is suitable for her child's discomfort.

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 25 of 85

There may be no symptoms, or there may be itchiness around the anus or vagina.

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 26 of 85

The mother of a toddler reports to the nurse working in the pediatric clinic that her child has had a fever and sore throat for the past two days. The nurse observes several swollen red spots in the child's body, a few of which are fluid filled blisters. Which action should the nurse implement?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 27 of 85

A 12-year-old boy who is at the 90th percentile for weight complains of slight pain in the right thigh and knee for about a month. His complaints are made worse by physical activity and he has a mild limp. He has no history of recent infections or trauma. Physical examination reveals a slight decrease in internal rotation of the right hip. There is mild right-sided metaphyseal osteopenia on radiograph. Of the following, which would be the MOST likely diagnosis in this boy?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 28 of 85

A 4-year-old girl with a history of recurrent epistaxis and easy bruising is referred to you for evaluation. She is found to have a prolonged PTT and a factor VIII level that is less than 1%. Both parents have a history of excessive bleeding. She is admitted with a severe episode of epistaxis, and your colleague orders 40 IU/kg of recombinant factor VIII. Her epistaxis resolves initially but within an hour starts again at the same severity as before. What is the best next step?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 29 of 85

What is the preliminary diagnosis for a 12-year-old boy with elevated blood pressure of 140/90 mmHg, obesity, and family history of hypertension?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 30 of 85

Thyroid hormone level in thyrotoxic patients may be increased due to:

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 31 of 85

When teaching the mother of an infant who has undergone surgical repair of a cleft lip how to care for the suture line, the nurse demonstrates how to remove formula and drainage. Which of the following solutions would the nurse use?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 32 of 85

Immediately after the first oral feeding after correcting pyloric stenosis, a 4-month-old infant becomes fussy and restless. Which of the following actions is considered appropriate?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 33 of 85

An adolescent male is admitted to the ED with severe acute scrotal pain. When documenting medical history the nurse notes cryptorchidism at birth. What diagnosis does the nurse expect?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 34 of 85

A 3-year-old boy is referred to you for evaluation of right leukocoria. Funduscopic examination under anesthesia reveals a large amelanotic mass occupying more than two-thirds of the vitreous space in his right eye, with massive retinal detachment, consistent with group E retinoblastoma. The left eye is normal. An MRI confirms the funduscopic findings and shows no extraocular disease. What is the most appropriate next step in the management of this child's disease?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 35 of 85

A nurse is reviewing labs for a child with leukemia. Which result is expected during chemotherapy?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 36 of 85

A 4-year-old is brought to the emergency department for wheezing and severe dyspnea after exposure to a known allergen. The child has already received a dose of albuterol without relief. What is the nurse's next action?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 37 of 85

Why are children NOT more prone to insulin reactions compared to adults?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 38 of 85

Which key question should be asked of the mother of a child with diarrhoea?

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Question 39 of 85

A 12-year-old southeast Asian boy with a past history of a small ventricular septal defect presents in heart failure. He is afebrile. He is thin, has a bulging praecordium and a prominent apical impulse. He is not cyanosed or clubbed. He has a pansystolic murmur and a high-pitched early diastolic murmur at the left sternal edge. His chest x-ray shows cardiomegaly without plethora. His blood count and inflammatory markers are normal. What complication of his original lesion best explains his heart failure?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 40 of 85

In assessing Raphael's growth and development, the nurse is guided by principles of growth and development. Which is not included?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 41 of 85

What is the most common type of birth injury?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 42 of 85

Which of the following methods would the nurse use to feed an infant after surgical repair of cleft lip?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 43 of 85

Which general dietary measure should the nurse include in a teaching plan for the child with type 1 diabetes mellitus?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 44 of 85

In choosing an appropriate toy for a 9-year-old asthmatic child the nurse would choose:

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 45 of 85

A four-year-old is experiencing an acute asthma attack. Why should the nurse avoid chest percussion with this child?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 46 of 85

When reviewing the chemistry panel of a newly diagnosed patient with acute lymphoblastic leukemia who is lethargic, complaining of flank pain, and experiencing nausea and vomiting, which of the following would you expect to see?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 47 of 85

A nurse is collecting data from a child who is postoperative following a tonsillectomy. Which of the following is a clinical manifestation of a hemorrhage?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 48 of 85

When the intracranial pressure is increased, the brain damage is due to:

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 49 of 85

The most common renal neoplasm in newborn babies is:

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 50 of 85

On admission for heart surgery to repair tetralogy of Fallot. The nurse observes that a 6-year-old child is cyanotic. The nurse judges that the parents understand this disorder when they explain that one of the underlying causes of their child's cyanosis is related to which of the following?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 51 of 85

A mother brought her child to the clinic with nose bleeding. The nurse showed the mother the most appropriate position for the child which is:

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 52 of 85

A child with diabetes mellitus is observed to have cold symptoms. What signs and symptoms will alert parents of the possibility of ketoacidosis?(Select all that apply.)

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 53 of 85

Which is true for hypoparathyroidism?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 54 of 85

The most convenient way to confirm a diagnosis of Pellagra in children is-

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Question 55 of 85

The patient is a 6-year-old boy referred to a hematologist for thrombocytopenia. He has no bleeding history or family history of bleeding. His only other past medical history is mild high-frequency hearing loss. What gene is responsible for these findings?

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Question 56 of 85

Which intervention should the nurse initiate for an 18-month-old child returning from cardiac catheterization with a cannulated femoral artery site?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 57 of 85

As part of CARI program, assessment of the child is your main responsibility. You could ask the following question to the mother except:

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Question 58 of 85

Which diagnostic tool is essential for confirming bronchial asthma in childhood?

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Question 59 of 85

Meconium aspiration in utero is explained by:

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 60 of 85

Which case describes an enthesitis-related arthritis?

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Question 61 of 85

An 8-year-old girl presents with National Cancer Institute(NCI) Standard Risk acute pre-B-cell acute lymphoblastic leukemia. Her family history is significant for her mother having been diagnosed with breast cancer at age 34 years and a maternal uncle who developed osteosarcoma as a teenager. What cytogenetic abnormality is most likely to be detected in this patient?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 62 of 85

Which respiratory parameter determines the maximal volume of air that can be inhaled above the tidal volume?

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Question 63 of 85

Which of the following interventions should be included in the care of a school-aged child with ADHD?

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Question 64 of 85

Which tumor is this patient most at risk of developing?

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Question 65 of 85

A 12 year old boy with chronic pancreatitis due to PRSS mutation (hereditary pancreatitis) has had multiple episodes of pancreatitis and has been hospitalized 5 times in the last year. He has failed endoscopic treatments and is on chronic pain medications and has missed 25% of the school days in the last year. In considering surgical options of this boy, which statement is true.

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Question 66 of 85

A 12-year-old girl with macroscopic hematuria and low C3 after pharyngitis most likely has:

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Question 67 of 85

Which of the following is the chemoprophylactic antimicrobial given to intimate contacts of a 7-year old with meningococcal meningitis?

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Question 68 of 85

What would you tell the surgeon about a patient with a large localized Ewing sarcoma of the soft tissues of the arm?

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Question 69 of 85

A 7 year old boy with reduced weight and height for last one year is likely to have which of the following condition-

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 70 of 85

The clinical manifestation of large VSD in neonatal patients does not include:

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Question 71 of 85

The main symptom for central paralysis is:

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Question 72 of 85

A 15-year-old male presents with a radiolucent, scalloped cortical defect of the femur centered on the metaphysis. Histology demonstrates spindle cells arranged in storiform patterns with frequent mitotic figures and admixed benign giant cells. This tumor is:

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Question 73 of 85

A developmentally normal child who is able to run, build a tower of two cubes, pretend play with a doll and speak in two-word sentences is what age?

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Question 74 of 85

A child diagnosed with respiratory syncytial virus(RSV) is placed on oxygen therapy. What position should the nurse recommend to optimize respiratory function?

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Question 75 of 85

The nurse is caring for a newborn whose mother is HIV positive. The nurse would expect to administer a 6-week course of which medication?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 76 of 85

Which symptom would a health care professional expect in a child recently diagnosed with leukemia?

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Question 77 of 85

A nurse is preparing a plan of care for a child with a primary immunodeficiency. Which nursing diagnosis is the priority?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 78 of 85

What is the most probable diagnosis for a 5-year-old boy with cough, shortness of breath, and diffuse expiratory wheezes after upper respiratory symptoms?

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ATI LPN · Pediatric Communicable Disease NCLEX Questions

Question 79 of 85

An adolescent with a history of surgical repair for undescended testes comes to the clinic for a sport physical. Anticipatory guidance for the parents and adolescent would focus on which of the following as most important?

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Question 80 of 85

In a child with suspected coarctation of the aorta, the nurse would expect to find

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Question 81 of 85

Which main symptom should always be assessed in a sick child age 2 months up to 5 years according to IMCI?

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Question 82 of 85

Which of the following alters the function of thrombin from a procoagulant protein to one that downregulates the formation of fibrinogen?

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Question 83 of 85

A parent asks the nurse how it will be determined if their child has respiratory syncytial virus(RSV). Which is the nurse's best response?

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Question 84 of 85

Which children should be checked for malnutrition and anaemia at an outpatient clinic?

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Question 85 of 85

The nurse is reviewing the chart of a child with leukemia. Which finding indicates a need for intervention?

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