Nokea
Which finding might delay a cardiac catheterization procedure on a 1-year-old?
- A. 30th percentile for weight
- B. Severe diaper rash
- C. Allergy to soy
- D. Oxygen saturation of 91% on room air
Correct Answer: B
Rationale: A severe diaper rash may indicate potential infection, which is a contraindication for the standard groin approach during catheterization.
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Nurse Roy is administering total parental nutrition (TPN) through a peripheral I.V. line to a school-age child. What’s the smallest amount of glucose that’s considered safe and not caustic to small veins, while also providing adequate TPN?
- A. 5% glucose
- B. 10% glucose
- C. 15% glucose
- D. 17% glucose
Correct Answer: B
Rationale: A 10% glucose solution is safe for peripheral veins and provides adequate nutrition without causing irritation or damage.
A client who had a biliopancreatic diversion procedure (BDP) 3 months ago is admitted with severe dehydration. Which assessment finding warrants immediate intervention by the nurse?
- A. Strong foul-smelling flatus
- B. Gastroccult positive emesis
- C. Complaint of poor night vision
- D. Loose bowel movements
Correct Answer: B
Rationale: Gastroccult positive emesis indicates gastrointestinal bleeding, which requires immediate intervention to prevent further complications.
In Asia, the following hepatitis virus appears to be a significant cause of viral myocarditis
- A. hepatitis E virus
- B. hepatitis B virus
- C. hepatitis C virus
- D. hepatitis D virus
Correct Answer: A
Rationale: Hepatitis E virus has been identified as a significant cause of viral myocarditis in Asia.
Benign Rolandic seizures:
- A. Usually occurs at night
- B. Are difficult to control with drugs
- C. Centrotemporal spikes in EEG are a recognised feature
- D. Are more common than petit mal
Correct Answer: C
Rationale: Centrotemporal spikes on EEG are a hallmark feature of benign Rolandic epilepsy, a common childhood epilepsy syndrome.
Recurrent pneumonia is defined in children as having a frequency of episodes more than or equal to
- A. 2 episodes in 6 months
- B. 2 episodes in one year
- C. 3 episodes ever without radiographic clearance
- D. 4 episodes ever with radiographic clearance
Correct Answer: A
Rationale: Recurrent pneumonia in children is defined as having 2 or more episodes in 6 months, indicating a pattern of frequent infections.