Nokea
Body mass index (BMI) should be calculated starting at age:
- A. 6 months
- B. 1 year
- C. 2 years
- D. 3 years
Correct Answer: C
Rationale: BMI screening starts at age 2 , per AAP, as it aligns with standardized growth charts. Earlier ages (A, B) use weight-for-length, and later starts (D, E) delay assessment.
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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).
The nurse is explaining to a 17-year-old female the actions to prevent urinary tract infection. The nurse determines the adolescent understands the information when she says a good drink to keep urine acidic is:
- A. Milk
- B. Grape juice
- C. Apple juice
- D. Orange juice
Correct Answer: C
Rationale: Apple juice (C) acidifies urine, deterring UTIs. Milk (A) is neutral, grape (B) less effective, and orange (D) is acidic but less cited. Document: 'Juices such as apple or cranberry help maintain acidity of urine.'
A nurse is caring for a child following surgical removal of a brain tumor. The nurse is monitoring the child and notes that the pulse rate has increased and the blood pressure has dropped significantly. Bloody drainage is also noted on the posterior dressing. The initial nursing action is to:
- A. Recheck the vital signs in 1 hour
- B. Place the child in Trendelenburg's position
- C. Document the findings
- D. Notify the registered nurse (RN)
Correct Answer: D
Rationale: Increased pulse, low BP, and bloody drainage suggest hemorrhage or ICP; notify RN (D) immediately. Waiting (A), Trendelenburg (B), or documenting only (C) delays care. Document: 'Most tumors create increased ICP… [requiring] immediate action.'
Vitamin B1 deficiency causes
- A. Beriberi
- B. Mumps
- C. Pellagra
- D. Scurvy
Correct Answer: A
Rationale: Beriberi A results from B1 deficiency, per document p14, 8.
The responsibility of a mandatory reporter is to:
- A. Report actual abuse to legal authorities
- B. Provide evidence of suspected child abuse to legal authorities
- C. Report actual or suspected abuse to legal authorities
- D. Investigate suspected child abuse
Correct Answer: C
Rationale: Mandatory reporters (e.g., nurses) must report actual or suspected abuse to authorities, as per legal and ethical standards. Reporting only actual abuse misses suspicion, providing evidence exceeds their role, and investigating is for authorities, not reporters.