Nokea
The following conditions may present with microcephaly:
- A. Dandy-Walker malformation
- B. Congenital rubella
- C. Rett syndrome
- D. Edward's syndrome
Correct Answer: B
Rationale: Congenital rubella syndrome is associated with microcephaly due to intrauterine infection affecting brain development.
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An overweight, young adult made who was recently diagnosed with type 2 diabetes mellitus is admitted for a hernia repair. He tells the nurse that he is feeling very weak and jittery. Which actions should the nurse implement? (Select all that apply.)
- A. Check his fingerstick glucose level
- B. Assess his skin temperature and moisture
- C. Measure his pulse and blood pressure
- D. Document anxiety on the surgical checklist
Correct Answer: C
Rationale: These actions help assess for hypoglycemia, a common issue in diabetic patients, and ensure appropriate intervention.
The following statements are true of bronchiolitis:
- A. Up to 50% of patients continue to wheeze after recovery
- B. The typical pathogen is para-influenza virus
- C. Corticosteroid therapy is beneficial
- D. Tachypnoea is invariable
Correct Answer: A
Rationale: Wheezing after bronchiolitis is common. The typical pathogen is respiratory syncytial virus, not para-influenza. Corticosteroids are not routinely beneficial, and tachypnoea is common but not invariable.
The nurse is caring for a child with Kawasaki disease (KD). A student nurse asks if there are medications to treat this disease. The nurse's response is:
- A. Immunoglobulin G and aspirin
- B. Immunoglobulin G and ACE inhibitors
- C. Immunoglobulin E and heparin
- D. Immunoglobulin E and ibuprofen
Correct Answer: A
Rationale: High-dose IV immunoglobulin G along with high-dose aspirin (salicylate therapy) is the current treatment for KD.
A male client tells the clinic nurse that he is experiencing burning on urination, and assessment reveals that he had sexual intercourse four days ago with a woman he casually met. Which action should the nurse implement?
- A. Observe the perineal area for a chancroid-like lesion
- B. Obtain a specimen of urethral drainage for culture
- C. Assess for perineal itching, erythema and excoriation
- D. Identify all sexual partners in the last four days
Correct Answer: B
Rationale: A culture of urethral drainage is necessary to diagnose a potential sexually transmitted infection (STI).
Closure of ductus will worsen following conditions
- A. Coarctation of Aorta
- B. TGA without VSD
- C. Pulmonary Atresia
- D. Hypoplastic left heart
Correct Answer: C
Rationale: Closure of the ductus arteriosus worsens pulmonary atresia by cutting off pulmonary blood flow.