Nokea
You are examining an infant with multiple cutaneous hemangiomas; you suspect involvement of internal organs. The MOST common site of visceral involvement by hemangiomas is
- A. brain
- B. heart
- C. lung
- D. liver
Correct Answer: D
Rationale: Liver is the most common site of visceral involvement by hemangiomas.
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The age of a child who can imitate construction of gate with 2-4 parts; draws longer lines; and draws a man with 5 cubes is
- A. 24 months
- B. 30 months
- C. 48 months
- D. 54 months
Correct Answer: B
Rationale: These milestones are typically achieved around 30 months.
A patient was rushed to the ER because of difficulty in urination. He was diagnosed then as a cse of benign prostate hyperthropy (BPH) and was advised by the doctor to undego transurethral resection of prostate (TURP). Based on the urgency of the surgery, the nurse classifies this condition as:
- A. emergency
- B. C.urgent
- C. elective
- D. required
Correct Answer: B
Rationale: Transurethral resection of prostate (TURP) is a surgical procedure commonly performed to treat benign prostatic hyperplasia (BPH) that is causing significant symptoms such as difficulty urinating. In this case, the patient was rushed to the ER due to the difficulty in urination, which indicates that the condition is causing acute distress and requires prompt intervention. Since the surgery was advised urgently by the doctor, the nurse classifies this condition as urgent. An urgent procedure is one that is necessary within a relatively short time frame to prevent complications or alleviate acute distress, but it is not an emergency that requires immediate intervention.
the frontal fontanell is protruding when a child suffering from:
- A. meningitis
- B. hydrocepalus
- C. subdural hematoma
- D. all the answers are correct
Correct Answer: D
Rationale: The protrusion of the frontal fontanelle in a child can be a concerning sign and can be seen in various conditions such as meningitis, hydrocephalus, and subdural hematoma. In meningitis, the inflammation of the meninges can lead to increased intracranial pressure, which may cause the fontanelle to bulge. Hydrocephalus, which is the buildup of fluid in the brain, can also result in the fontanelle being more pronounced. Additionally, a subdural hematoma, which is a collection of blood between the brain and its outermost covering, can lead to pressure on the brain and consequent fontanelle protrusion. Therefore, all the provided choices (A, B, C) are correct as they can lead to the protrusion of the frontal fontanelle in a child.
The nurse is talking to a parent of an infant with severe atopic dermatitis (eczema). Which response(s) should the nurse reinforce with the parent? (Select all that apply.)
- A. "You can use warm wet compresses to relieve discomfort."
- B. "You will need to keep your infant's skin well hydrated by using a mild soap in the bath."
- C. "You should bathe your baby in a bubble bath two times a day."
- D. "You will need to prevent your baby from scratching the area by using a mild antihistamine."
Correct Answer: A
Rationale: "You can use warm wet compresses to relieve discomfort." Warm wet compresses can help soothe the affected area and provide relief from itching and discomfort associated with atopic dermatitis.
Which of the ff. would the nurse explain to the patient is the triad of symptoms associated with Meniere's disease?
- A. Hearing loss, vertigo, and tinnitus
- B. Nausea, vomiting and pain
- C. Nystagmus, headache and vomiting
- D. Nystagmus, vomiting and pain
Correct Answer: A
Rationale: Meniere's disease is a disorder of the inner ear characterized by the triad of symptoms including hearing loss, vertigo (a spinning sensation), and tinnitus (ringing in the ear). These symptoms can occur episodically and may be associated with a feeling of fullness in the affected ear. Other symptoms such as nausea and vomiting may sometimes accompany the episodes of vertigo, but the classic triad of Meniere's disease consists of hearing loss, vertigo, and tinnitus. Nystagmus, headache, and pain are not typically part of the classic presentation of Meniere's disease.