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Which clean-catch urinalysis finding should raise the most concern for a child admitted to an urgent care center to rule out a urinary tract infection?
- A. 2+ white blood cells
- B. 1+ red blood cells
- C. Urine appearance: cloudy
- D. Specific gravity: 1.009
Correct Answer: D
Rationale: A specific gravity of 1.009 is low, indicating diluted urine, which can be concerning in the context of a urinary tract infection. Diluted urine may suggest inadequate concentration due to increased fluid intake or impaired kidney function, which are important considerations in the assessment of a possible UTI.
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Tumor lysis syndrome is a common complication during treatment of pediatric malignancies. Which malignancy is more likely to manifest such complication?
- A. acute myelogenous leukemia (AML)
- B. nephroblastoma
- C. neuroblastoma
- D. Burkitt lymphoma
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 7-year-old boy exhibits separation anxiety, temper issues, and withdrawal from activities after his parents' divorce. What is the most likely diagnosis?
- A. Attention deficit hyperactivity disorder
- B. Conduct disorder
- C. Major depressive disorder
- D. Separation anxiety disorder
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A six-month-old infant develops cardiac arrest following severe pneumonia. Which is the ideal airway opening maneuver?
- A. Jaw thrust
- B. Head tilt-chin lift to neutral position
- C. Head tilt-chin lift to sniffing position
- D. Look, Listen & Feel
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is teaching a patient with cancer about a new prescription for a fentanyl patch, 25mcg/hr. for chronic back pain. Which statement is the most appropriate to include in the teaching plan.
- A. You will need to change this patch every day, regardless of your pain level.
- B. This type of pain medication is not as likely to cause breathing problems.
- C. With the first patch, it will take about 24hrs before you feel the full effects.
- D. Use your heating pad for the back pain. It will also improve the patch’s effectiveness.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Child sexual abuse is the involvement of children in sexual activities that violates societal taboos. Most perpetrators are adults or adolescents who are known to the child and who have real or perceived power over the child. Of the following, perpetrators who are LESS often involved in child sexual abuse are
- A. fathers
- B. mothers
- C. teachers
- D. family friends
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.