Nokea
The MOST common cause of syncope in children is
- A. Wolff-Parkinson-White syndrome
- B. prolonged QT syndrome
- C. atrioventricular block
- D. neurocardiogenic syncope
Correct Answer: D
Rationale: Neurocardiogenic syncope is the most common cause of syncope in children due to autonomic dysfunction.
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Which type of shock is characterized by a hypersensitivity reaction causing massive vasodilation and capillary leaks, which may occur with drug or latex allergy?
- A. Neurogenic
- B. Cardiogenic
- C. Hypovolemic
- D. Anaphylactic
Correct Answer: D
Rationale: Anaphylactic shock results from extreme allergy or hypersensitivity to a foreign substance. Neurogenic shock results from loss of neuronal control, such as the interruption of neuronal transmission that occurs from a spinal cord injury. Cardiogenic shock is decreased cardiac output. Hypovolemic shock is a reduction in the size of the vascular compartment, decreasing blood pressure, and low central venous pressure.
The nurse is assessing a child with acute otitis media. Which finding should the nurse expect?
- A. Bilateral eye discharge and fever
- B. A bulging, red tympanic membrane
- C. Nasal congestion and headache
- D. Persistent cough and sore throat
Correct Answer: B
Rationale: Acute otitis media typically presents with a bulging, red tympanic membrane due to fluid accumulation and infection.
Vigorous exercise should be avoided in
- A. Prolong QT interval
- B. Maladie de Roger deformity
- C. Aortic stenosis
- D. Bicuspid aortic valve
Correct Answer: C
Rationale: Aortic stenosis patients should avoid vigorous exercise due to the risk of syncope or sudden death.
An older female client with long term type 2 diabetes mellitus (DM) is seen in the clinic for a routine health assessment. To determine if the client is experiencing any long-term complication of DM, which assessments should the nurse obtain?
- A. Serum creatinine and blood urea nitrogen (BUN)
- B. Sensation in feet and legs
- C. Skin condition of lower extremities
- D. Visual acuity
Correct Answer: B
Rationale: These assessments are crucial for detecting complications such as neuropathy, nephropathy, and retinopathy.
The following procedures may abort an attack of SVT EXCEPT
- A. placing of the face in ice water
- B. straining
- C. breath holding
- D. standing on head
Correct Answer: D
Rationale: Standing on the head is not a practical or effective method to terminate SVT.