Nokea
One-year-old child:
- A. Holds a raisin with a finger and thumb
- B. Drinks with a straw
- C. Tells six words with meaning
- D. Can move around holding onto furniture (cruising)
Correct Answer: D
Rationale: By one year of age, most children can cruise (move around while holding onto furniture), a key milestone in motor development.
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Recognised features in Ehlers-Danlos syndrome include:
- A. Mutation in fibrillin gene
- B. Short stature
- C. Keratoconus
- D. Easy scarring
Correct Answer: D
Rationale: Easy scarring: Ehlers-Danlos syndrome is characterized by hyperelastic skin and joint hypermobility, with easy scarring and tissue fragility being common features.
When providing care for a client following bronchoscopy, which assessment finding should the nurse immediately report to the healthcare provider?
- A. Slight blood-tinged sputum
- B. Dyspnea and dysphagia
- C. Sore throat and hoarseness
- D. No gag reflex after thirty minutes
Correct Answer: D
Rationale: Absence of a gag reflex after bronchoscopy may indicate nerve damage or complications requiring immediate intervention.
Postoperative pulmonary hypertension can be managed with
- A. hyperventilation
- B. catecholamines
- C. nitroprusside
- D. phosphodiesterase inhibitors
Correct Answer: C
Rationale: Inhaled nitric oxide and phosphodiesterase inhibitors are commonly used to manage postoperative pulmonary hypertension.
The nurse reviews the laboratory results for a child with a suspected diagnosis of rheumatic fever. The nurse knows that which laboratory study would assist in confirming the diagnosis?
- A. Immunoglobulin
- B. Red blood cell count
- C. White blood cell count
- D. Anti-streptolysin O titer
Correct Answer: D
Rationale: The Anti-streptolysin O titer is used to confirm a diagnosis of rheumatic fever as it indicates a recent streptococcal infection, which is a precursor to rheumatic fever.
A tuberculosis intradermal skin test to detect tuberculosis infection is given to a high-risk adolescent. How long after the test is administered should the result be evaluated?
- A. Immediately
- B. Within 24 hours
- C. In 48 to 72 hours
- D. After 5 days
Correct Answer: C
Rationale: The tuberculin skin test reaction peaks in 48 to 72 hours, making this the optimal time for evaluation.