Nokea
Building a tower by a 22-month-old child requires
- A. visual-motor coordination
- B. uses objects and actions in combination
- C. gross motor to solve problems
- D. fine motor and symbolic thought
Correct Answer: D
Rationale: At this age, building a tower involves fine motor skills and symbolic thinking.
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The most common buffer system in the body is the:
- A. Plasma protein buffer system
- B. Phosphate buffer system
- C. Hemoglobin buffer system
- D. Bicarbonate-carbonic system
Correct Answer: D
Rationale: The most common buffer system in the body is the bicarbonate-carbonic system. This system plays a crucial role in maintaining the pH balance in the blood. The bicarbonate ion (HCO3-) acts as a weak base, while carbonic acid (H2CO3) acts as a weak acid. The balance between these two components helps to regulate the pH of the blood.
You are meeting with parents of a 12-year-old girl who recently diagnosed with papillary thyroid carcinoma (PTC). The statement that should be included in your discussion is
- A. PTC has a grim overall prognosis
- B. FTC do not require radioactive iodine therapy
- C. supraphysiologic levothyroxine therapy is required during long-term follow-up
- D. calcitonin/carcinogenic antigen monitoring is required during the course of treatment
Correct Answer: C
Rationale: Levothyroxine suppression therapy is standard in differentiated thyroid cancer.
What is a common initial reaction of parents to illness or injury and hospitalization in their child?
- A. Anger
- B. Fear
- C. Depression
- D. Helplessness
Correct Answer: B
Rationale: A common initial reaction of parents to illness or injury and hospitalization in their child is fear. When a parent receives news that their child is unwell or requires hospitalization, it can trigger feelings of fear about the child's well-being, the seriousness of the situation, the treatment process, and the overall outcome. Fear of the unknown, concern for their child's pain and suffering, and worries about the future can all contribute to this initial reaction. It is a natural response for parents to be fearful in such situations as they navigate through the uncertainty and challenges associated with their child's illness or injury.
A parent asks the nurse "when will my infant start to teethe?" The nurse responds that the earliest age at which an infant begins teething with eruption of lower central incisors is _____ months.
- A. 4
- B. 6
- C. 8
- D. 12
Correct Answer: B
Rationale: The earliest age at which an infant typically begins teething with the eruption of their lower central incisors is around 6 months old. Teething typically starts around this age, but it can vary from one infant to another. It is important to note that while 6 months is a common age for teething to begin, some infants may start teething a little earlier or later. It's essential for parents to monitor their baby's development and seek guidance from healthcare professionals if needed.
The parents overhear that their child's tumor is stage III. They ask what that means. Which is the best response?
- A. The tumor is confined to the abdomen but has spread to lymph nodes or peritoneum; the prognosis is poor.
- B. The tumor is confined to the abdomen with spread to nearby lymph nodes or peritoneum; however, the prognosis remains very good.
- C. The tumor has spread to three other organs; the prognosis is good.
- D. The tumor has spread to other organs; the prognosis is poor.
Correct Answer: B
Rationale: Stage III indicates local spread (e.g., to lymph nodes or peritoneum) but still carries a very good prognosis with appropriate treatment.