The nurse is explaining to a 17-year-old female the actions to prevent urinary tract infection. The nurse determines the adolescent understands the information when she says a good drink to keep urine acidic is:
- A. Milk
- B. Grape juice
- C. Apple juice
- D. Orange juice
Correct Answer: C
Rationale: Apple juice (C) acidifies urine, deterring UTIs. Milk (A) is neutral, grape (B) less effective, and orange (D) is acidic but less cited. Document: 'Juices such as apple or cranberry help maintain acidity of urine.'
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A newborn girl appears with ambiguous genitalia and a 46,XX karyotype. Labs reveal elevated 17-hydroxyprogesterone. Most likely diagnosis is:
- A. Congenital adrenal hyperplasia
- B. Androgen insensitivity syndrome
- C. Gonadal dysgenesis
- D. 5-alpha reductase deficiency
Correct Answer: A
Rationale: CAH fits XX karyotype and elevated 17-OHP, per AAP (doc p149, Q574).
A 2-year-old boy presents with fever and a vesicular rash in the mouth. Most likely diagnosis is:
- A. Measles
- B. Herpangina
- C. Hand-foot-mouth disease
- D. Chickenpox
Correct Answer: C
Rationale: HFMD features fever and oral vesicles, per CDC. A, B, D, E differ in distribution.
The nurse prepares a child to receive oxygen via a tent delivery system by allowing the child to place a teddy bear in and out of the tent and then rewarding the child with a sticker. Which practice is the nurse using?
- A. Therapeutic play
- B. Therapeutic rewards
- C. Therapeutic interventions
- D. Therapeutic communication
Correct Answer: A
Rationale: Using a teddy bear to familiarize the child with the oxygen tent is therapeutic play, reducing fear through familiar objects.
Most common endocrine abnormality in patients with cystic fibrosis is:
- A. Hypothyroidism
- B. Diabetes mellitus
- C. Adrenal insufficiency
- D. Hyperthyroidism
Correct Answer: B
Rationale: Cystic fibrosis-related diabetes is the most common endocrine issue, from pancreatic damage, per CFF. A, C-E are less frequent.
A child with nephrotic syndrome requires
- A. High-protein diet
- B. Low-salt diet
- C. Steroids
- D. All of the above
Correct Answer: D
Rationale: All D manage nephrotic syndrome, per document p60, 3.
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