Nokea
Hypergonadotropic hypogonadism may occur under which condition?
- A. Multiple deficiency of pituitary hormones
- B. Kalman's syndrome
- C. Turner syndrome
- D. Radiotherapy of the testicles in boys
Correct Answer: C
Rationale: Turner syndrome causes ovarian failure with high gonadotrophins.
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Parents of a child with leukemia are exploring alternative treatments. What is the nurse's best response?
- A. Alternative therapies are safer than chemotherapy.
- B. Discuss any complementary therapies with your oncologist first.
- C. Discontinue chemotherapy before starting alternative treatments.
- D. Avoid any treatments that involve herbs or supplements.
Correct Answer: B
Rationale: Complementary therapies should always be discussed with the oncologist to avoid harmful interactions.
The nurse is instructing a mother about the nutritional needs of her full-term breastfeeding infant at age 2 months. Which of the following responses show that the mother understands the infant's dietary needs?
- A. We won't start any new foods now.
- B. We'll start any new foods now.
- C. We'll introduce cereal into the diet now.
- D. We should add new fruits to the diet one at a time.
Correct Answer: A
Rationale: The infant is only 2 months old. They can be fed with breastmilk. Solid food can be introduced earliest at 4 months. However, the best time to give solid feeding is at 6 months.
An overweight adolescent male complains of pain in the medial aspect of his knee. He denies trauma, and he has not had a fever. The most likely diagnosis is:
- A. Toxic synovitis
- B. Legg-Calve-Perthes disease
- C. Medial collateral ligament strain
- D. Slipped capital femoral epiphysis
Correct Answer: D
Rationale: Slipped capital femoral epiphysis (SCFE) is common in obese adolescents, with referred knee pain from hip displacement.
A 3-year-old is receiving chemotherapy for a Wilms tumor. The parents ask why radiation is necessary after surgery. What is the nurse's best response?
- A. It reduces the size of the tumor before surgery.
- B. It prevents the spread of cancer cells.
- C. It ensures all cancer cells are eliminated after surgery.
- D. It strengthens the effects of chemotherapy.
Correct Answer: C
Rationale: Postoperative radiation eradicates residual cancer cells, reducing recurrence risk.
A child with hydrocephalus has increased blood pressure, decreased pulse rate, and decreased respirations. What does the nurse suspect these symptoms indicate?
- A. Respiratory infection
- B. Improper positioning
- C. Emotional stress
- D. Increased intracranial pressure
Correct Answer: D
Rationale: Symptoms of increased pressure within the head are an increase in blood pressure and a decrease in pulse rate and respirations.