Granulocytic sarcoma masses are commonly seen in which type of the following malignancies?
- A. neuroblastoma
- B. rhabdomyosarcoma
- C. soft tissue sarcoma
- D. AML
Correct Answer: D
Rationale: Granulocytic sarcoma is most commonly associated with acute myeloid leukemia (AML).
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By the age of 7 months, the infant is able to do all the following EXCEPT
- A. transfer object from hand to hand
- B. actively bounces
- C. uses radial palm grasp
- D. cruises
Correct Answer: D
Rationale: Cruising typically occurs later, around 9-10 months.
Dr. Jones prescribes corticosteroids for a child with nephritic syndrome. What is the primary purpose of administering corticosteroids to this child?
- A. To increase blood pressure
- B. To reduce inflammation
- C. To decrease proteinuria
- D. To prevent infection
Correct Answer: B
Rationale: Corticosteroids are commonly used to reduce inflammation in various conditions, including nephritic syndrome. In nephritic syndrome, there is inflammation in the glomeruli of the kidneys, leading to symptoms such as proteinuria, hematuria, and reduced kidney function. Corticosteroids work by suppressing this inflammatory response, which helps alleviate the symptoms and improve kidney function in patients with nephritic syndrome. Administering corticosteroids to this child aims to reduce the inflammation in the kidneys, thereby improving their condition.
The LEAST important advice for a 2-month-old baby with excessive crying is
- A. master the situation in relaxed manner
- B. adhere to precry cues
- C. change milk formula
- D. avoid sensory overstimulation
Correct Answer: C
Rationale: Changing formula is less critical if the baby is gaining weight adequately.
Which strategies should the school nurse recommend implementing in the classroom for a child with attention deficit hyperactive disorder (ADHD)? (Select all that apply.)
- A. Schedule heavier subjects to be taught in the afternoon.
- B. Accompany verbal instructions by written format.
- C. Limit number of breaks taken during instructional periods.
- D. Allow more time for testing.
Correct Answer: B
Rationale: Accompany verbal instructions by written format: Children with ADHD may have difficulty retaining verbal instructions due to their distractibility and impulsivity. Providing written instructions alongside verbal ones can help reinforce the information and improve comprehension.
Which of the ff. subjective data questions would assist the nurse in assessing the patient's eye health?
- A. "Have you had any recent upper respiratory infections?"
- B. "Have you ridden in a car recently?"
- C. "Have you been scuba diving lately?"
- D. "Have you seen halos around lights?"
Correct Answer: D
Rationale: This question specifically pertains to visual disturbances and can provide valuable information about the patient's eye health. Seeing halos around lights can indicate increased intraocular pressure, which could be a sign of conditions such as glaucoma. Therefore, this subjective data question would assist the nurse in assessing the patient's eye health. On the other hand, choices A, B, and C are not directly related to eye health and would not provide relevant information in assessing the patient's eyes.