Nokea
What is the most common clinical manifestation of coarctation of the aorta?
- A. Clubbing of the digits
- B. Upper extremity hypertension
- C. Pedal edema and portal congestion
- D. Loud systolic ejection murmur
Correct Answer: B
Rationale: Coarctation of the aorta results in hypertension in the upper extremities. The pressure in the arms is typically 20 mm Hg higher than in the legs.
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The nurse reassures the anxious mother of a child with pyloric stenosis who is to have surgery that the surgical procedure, called a
Correct Answer: pyloromyotomy
Rationale: When the muscle is cut, the obstruction is immediately relieved and the child who is hungry will begin to eat and keep food down.
The nurse is recording a history for a child who has been diagnosed with recurrent abdominal pain (RAP). What is a finding that is characteristic of this disorder?
- A. Morning headaches
- B. Pain for 3 consecutive months
- C. Febrile episodes in the late afternoon
- D. Diaphoresis when attacks occur
Correct Answer: B
Rationale: Recurrent abdominal pain occurring consecutively for 3 months supports a diagnosis of RAP once other causes have been ruled out.
What is the hallmark sign of intussusception?
- A. Mucus-like stools
- B. Currant jelly-like stools
- C. Tarry, black stools
- D. Green, soft stools
Correct Answer: B
Rationale: The hallmark sign of intussusception is currant jelly stools.
A child has developed a diaper rash, and the parents are using zinc oxide to treat it. What does the nurse suggest to aid in the removal of the zinc oxide?
- A. Mild soap and water
- B. A cotton ball
- C. Mineral oil
- D. Alcohol swabs
Correct Answer: C
Rationale: To completely remove ointment, especially zinc oxide, mineral oil should be used.
What is the best time to administer pancreatic enzyme replacement?
- A. Before meals and snacks
- B. Before bedtime
- C. Early in the morning
- D. After meals and snacks
Correct Answer: A
Rationale: Pancreatic enzymes are administered before meals and snacks to digest carbohydrates, fats, and proteins.