Nokea
A child with leukemia is prone to
- A. Bleeding
- B. Infection
- C. Anemia
- D. All of the above
Correct Answer: D
Rationale: All D result from leukemia, per document p57, 7.
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A one-year-old girl with dysentery is discharged. The most important information for the mother is
- A. Place child on NPO for 8 hours if diarrhea occurs
- B. Don’t wait long before bringing child to hospital
- C. Observe good hygiene to reduce faeco-oral spread
- D. Start anti-diarrhea meds before hospital
Correct Answer: C
Rationale: Hygiene C prevents reinfection, critical in dysentery, per document 0.
Most common complication of untreated congenital adrenal hyperplasia is:
- A. Adrenal crisis
- B. Sexual infantilism
- C. Hirsutism
- D. Precocious puberty
Correct Answer: A
Rationale: Adrenal crisis is the most serious complication of untreated CAH due to cortisol deficiency, per AAP (doc p148, Q558).
Biological causes of mild mental retardation includes all of the following except:
- A. Excessive fetal movements
- B. Maternal drug use
- C. Perinatal insults
- D. Sex chromosomal abnormalities
Correct Answer: A
Rationale: Excessive fetal movements aren’t a recognized cause of mild mental retardation; they’re nonspecific. B-E are established contributors (CDC).
In fetal circulation, the pressure is greatest in the
- A. Left ventricle
- B. Right atrium
- C. Pulmonary artery
- D. Aorta
Correct Answer: B
Rationale: Right atrium B has the highest pressure in fetal circulation due to venous return, per document 3.
A nurse is providing parental instruction for a 24-hour urine collection for a hospitalized child. Which of the following statements by the child's parent needs further instruction?
- A. This test is to evaluate kidney function.'
- B. This test is timed with the first urine collection.'
- C. This container can be kept in the unit refrigerator.'
- D. The container comes from the laboratory.'
Correct Answer: C
Rationale: Urine collection containers should be kept cool but not in a shared refrigerator due to contamination risks; a specific cooler is used, indicating a need for clarification.