Nokea
A child has a brain tumor. Which of the following findings should the nurse expect?
- A. Decreased head circumference
- B. Frequent headaches
- C. Increased appetite
- D. Increased blood pressure
Correct Answer: B
Rationale: Children with brain tumors commonly experience frequent headaches due to increased intracranial pressure. This pressure can result in pain and discomfort, leading to headaches as a common symptom. Other symptoms may include nausea, vomiting, changes in vision, and behavioral changes, but headaches are a prominent feature in children with brain tumors.
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What is the best action for a 6-year-old boy with school refusal?
- A. Refer to a pediatric psychologist
- B. Start selective serotonin reuptake inhibitor
- C. Assess the home environment
- D. Give the child special attention from the teacher
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Atelectasis due to foreign body inhalation is characterized by each of the following EXCEPT:
- A. Mediastinum is pulled towards the affected side
- B. Intercostal spaces on the affected side may be narrowed
- C. Percussion note is usually normal
- D. Breath sounds are reduced
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. How should the nurse interpret this finding?
- A. Normal finding
- B. Abnormal finding, so child needs referral to ophthalmologist
- C. Sign of possible visual defect, so child needs vision screening
- D. Sign of small hemorrhages, which will usually resolve spontaneously
Correct Answer: A
Rationale: A brilliant, uniform red reflex during a funduscopic examination is considered a normal finding. The red reflex is caused by the reflection of light off the retina, specifically the blood vessels in the retina. A uniform red reflex indicates that the light is reflecting evenly from both eyes, suggesting symmetrical and clear lenses and corneas. This finding is typically seen in healthy individuals and is a reassuring sign of normal eye health.
Although children with Wilms tumor have a favorable prognosis, there are some adverse prognostic factors in children with Wilms tumor EXCEPT
- A. large tumors
- B. anaplastic histology
- C. loss of heterozygosity at chromosome 1p and 16q
- D. young age at diagnosis
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 3-year-old is hospitalized for an ASD repair. The parents plan to leave briefly. The child asks when his parents will return. The nurse's best response is:
- A. They will be back after your nap.
- B. They will be back at 6:00 p.m.
- C. They will be back later this evening.
- D. They will be back when your mommy finishes a short errand, just like when you wait for bedtime.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.