A 9mo-old infant develops a left adrenal mass; histological examination with genetic characteristics confirms neuroblastoma. Which of the following carries a better outcome?
- A. amplification of the MYCN (N-myc) proto-oncogene
- B. hyperdiploidy
- C. loss of heterozygosity of 17q chromosome
- D. loss of 1p chromosome
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A 9-year-old girl builds a clubhouse in her backyard and hangs a sign reading 'No boys allowed.' What should the school nurse tell the parents?
- A. Her behavior is concerning and should be addressed.
- B. Her behavior is common among school-age children.
- C. Her feelings about boys will subside within a year.
- D. They should have her speak with a school counselor.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In Langerhans cell histiocytosis (LCH), which organ is LEAST likely affected?
- A. skin
- B. ear
- C. bone
- D. middle nodes
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Parents are speaking with the urologist about their son's undescended testicle. Which statement by the child's father causes the nurse to determine he understands the information presented?
- A. An undescended testicle can reduce fertility.
- B. The testicle usually descends spontaneously during the first month of life.
- C. Surgical correction reduces the risk for testicular tumors.
- D. The optimal time to surgically correct the condition is at diagnosis.
Correct Answer: A
Rationale: The correct answer is A because an undescended testicle can reduce fertility. Even after surgical correction (orchiopexy), fertility rates may be reduced, especially when one testis remains undescended. The statement in choice B is incorrect as the testicle should have descended into the scrotum by the time the infant is 4-6 months old. While choice C is true that surgical correction can reduce the risk of testicular tumors, the question focuses on the father's understanding of the information presented, which is better reflected in choice A. Choice D is incorrect because the optimal time for surgical correction of an undescended testicle is typically around 6-18 months of age, not necessarily at the time of diagnosis.
The child who imitates a bridge of 3 cubes, copies a circle, makes a tower of 10 cubes, and imitates a cross is
- A. 24 mo old
- B. 30 mo old
- C. 36 mo old
- D. 42 mo old
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During an assessment, an infant is suspected to have intussusception. Which of the following findings should the nurse expect?
- A. Currant jelly stools
- B. Projectile vomiting
- C. Scaphoid abdomen
- D. Frequent stools
Correct Answer: A
Rationale: Intussusception is a condition where one segment of the intestine telescopes into another, causing obstruction. The classic presentation includes currant jelly stools, which are a mixture of blood and mucus due to the sloughing of the intestinal mucosa. This finding is a result of the compromised blood supply to the affected area and is a key characteristic associated with intussusception.