Nokea
Which drug will you prepare for a child with convulsions in the ER?
- A. Ampicillin
- B. Chloroquine
- C. Hydrocortisone
- D. Phenobarbital
Correct Answer: D
Rationale: Phenobarbital D is the anticonvulsant for seizures, per document 6.
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A 14-year-old boy appears with tall stature, long limbs, and a heart murmur. Echocardiogram reveals aortic root dilation. Most likely diagnosis is:
- A. Klinefelter syndrome
- B. Marfan syndrome
- C. Growth hormone excess
- D. Hyperthyroidism
Correct Answer: B
Rationale: Marfan syndrome fits tall stature, long limbs, and aortic dilation, per AAP (doc p151, Q606).
Prenatal diagnosis of affected male fetus with adrenoleukodystrophy is made by:
- A. Elevated MCFA levels in cultured amniocytes
- B. Decreased MCFA levels in chorionic villus cells
- C. Prenatal ultrasonography performed by an expert
- D. Fetal hyperactivity in utero
Correct Answer: A
Rationale: Elevated VLCFA in cultured amniocytes diagnoses adrenoleukodystrophy prenatally (NORD). B-E are not diagnostic.
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.
When a parent asks the nurse to describe what is meant by a 'learning disability,' the nurse's most helpful response would be:
- A. It is characterized by inattention, impulsiveness, and hyperactivity'
- B. A child may have difficulty with perception, language, comprehension, or memory'
- C. The child's intellectual ability limits his learning'
- D. The child has difficulty learning because of brain damage'
Correct Answer: B
Rationale: A learning disability (B) involves challenges in perception, language, or comprehension despite normal intelligence. A describes ADHD, C implies low IQ, and D suggests injury, not typical. Document: 'Children with learning disabilities may have… difficulties in perception, language, comprehension.'
A 2-year-old with croup requires
- A. Antibiotics
- B. Cool mist
- C. Hot steam
- D. Oxygen therapy
Correct Answer: B
Rationale: Cool mist B relieves croup symptoms, per document p22, 4.