The responsibility of a mandatory reporter is to:
- A. Report actual abuse to legal authorities
- B. Provide evidence of suspected child abuse to legal authorities
- C. Report actual or suspected abuse to legal authorities
- D. Investigate suspected child abuse
Correct Answer: C
Rationale: Mandatory reporters (e.g., nurses) must report actual or suspected abuse to authorities, as per legal and ethical standards. Reporting only actual abuse misses suspicion, providing evidence exceeds their role, and investigating is for authorities, not reporters.
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In fetal circulation, the pressure is greatest in the
- A. Left ventricle
- B. Right atrium
- C. Pulmonary artery
- D. Aorta
Correct Answer: B
Rationale: Right atrium B has the highest pressure in fetal circulation due to venous return, per document 3.
A 2-year-old boy presents with fever and a stiff neck. CSF analysis shows gram-positive cocci. Most likely diagnosis is:
- A. Viral meningitis
- B. Streptococcus pneumoniae meningitis
- C. Haemophilus influenzae meningitis
- D. Neisseria meningitidis meningitis
Correct Answer: B
Rationale: S. pneumoniae meningitis is a common cause of bacterial meningitis with gram-positive cocci in CSF, per AAP. A, C-E differ in etiology or CSF findings.
A 3-month-old infant presents with poor feeding and lethargy. Labs show hypoglycemia and ketosis. Most likely diagnosis is:
- A. Sepsis
- B. Glycogen storage disease
- C. Galactosemia
- D. Fatty acid oxidation disorder
Correct Answer: D
Rationale: FAOD causes hypoglycemia and ketosis, per NORD. A-C, E differ.
A physician should be informed if a 7-year-old with a fractured femur in a cast shows
- A. Cast damp and warm after 24 hours
- B. Increased urinary output
- C. Inability to move toes
- D. Pedal pulse of 90 bpm
Correct Answer: C
Rationale: Inability to move toes C suggests circulation issues, per document p11, .
A nurse is caring for a child following surgical removal of a brain tumor. The nurse is monitoring the child and notes that the pulse rate has increased and the blood pressure has dropped significantly. Bloody drainage is also noted on the posterior dressing. The initial nursing action is to:
- A. Recheck the vital signs in 1 hour
- B. Place the child in Trendelenburg's position
- C. Document the findings
- D. Notify the registered nurse (RN)
Correct Answer: D
Rationale: Increased pulse, low BP, and bloody drainage suggest hemorrhage or ICP; notify RN (D) immediately. Waiting (A), Trendelenburg (B), or documenting only (C) delays care. Document: 'Most tumors create increased ICP… [requiring] immediate action.'