Nokea
A nurse is caring for a child with a diagnosis of Kawasaki disease. Which of the following is a common complication of this disease?
- A. Pulmonary hypertension
- B. Aneurysms of the coronary arteries
- C. Diabetes mellitus
- D. Ventricular arrhythmias
Correct Answer: B
Rationale: Aneurysms of the coronary arteries are a common and serious complication of Kawasaki disease.
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Deafness can develop due to:
- A. Unconjugated hyperbilirubinaemia in the newborn
- B. Pneumococcal meningitis
- C. Alport syndrome
- D. Cleft palate
Correct Answer: B
Rationale: Pneumococcal meningitis is a known cause of sensorineural hearing loss due to inflammation and damage to the cochlea.
In urgent situations of supraventricular tachycardia (SVT) when symptoms of severe heart failure have already occurred, the initial management is
- A. adenosine by rapid intravenous push
- B. DC cardioversion
- C. verapamil
- D. digoxin
Correct Answer: B
Rationale: DC cardioversion is the preferred initial management in hemodynamically unstable SVT.
Biochemical abnormalities in a chronic carrier of hepatitis B are:
- A. Raised AST
- B. Low serum albumin
- C. Raised gamma GT
- D. Raised transferrin
Correct Answer: A
Rationale: The correct answer is A because chronic hepatitis B carriers often have raised AST (aspartate aminotransferase) due to liver inflammation. The other options are less specific or not typically associated with chronic hepatitis B.
A client with unstable asthma had an emergent cardiac catheterization. Which complication should the nurse monitor for in the initial 24 hours after the procedure?
- A. Thrombus formation
- B. Infection
- C. Bronchospasm
- D. Heart failure
Correct Answer: A
Rationale: After a cardiac catheterization, the nurse must monitor for thrombus formation as it is a common complication in the first 24 hours.
The most common cause for testicular pain in boys in 2-10 years of age is
- A. Testicular torsion
- B. Torsion of appendix testis
- C. Epididymitis
- D. Congenital varicocele
Correct Answer: B
Rationale: Torsion of the appendix testis is the most common cause of testicular pain in boys aged 2-10 years, as it involves the twisting of a small vestigial remnant.