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ATI LPN · Pediatrics Nursing · Pediatrics Communicable Diseases NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 9-month-old boy has been referred to you for the evaluation of an enlarged abdomen. Imaging studies show a large liver mass(PRETEXT III). Alfa-fetoprotein is 98 ng/mL, and a CT scan of the lungs show bilateral lung metastases. A needle biopsy is performed, and you are planning to review the specimen with the pathologist. Which of the following diagnoses are you suspecting?

A. Pure fetal histology hepatoblastoma
B. Embryonal sarcoma of the liver
C. Fibrolamellar hepatocellular carcinoma
D. Small cell undifferentiated hepatoblastoma

Expert Explanatory Rationale

Correct Answer: Small cell undifferentiated hepatoblastoma

Question 2 of 5

The nurse teaches the mother of a young child with Duchenne's muscular dystrophy about the disease and its management. Which of the following statements by the mother indicates successful teaching?

A. my son will probably be unable to walk independently by the time he is 9 to 11 years old
B. muscle relaxants are effective for some children; I hope they can help my son
C. when my son is a little bit older, he can have surgery to improve his ability to walk
D. I need to help my son be as active as possible to prevent progression of the disease

Expert Explanatory Rationale

Correct Answer: my son will probably be unable to walk independently by the time he is 9 to 11 years old

Question 3 of 5

Which exercise would the nurse suggest as most helpful to maintain mobility in a child with juvenile idiopathic arthritis?

A. Jogging every other day
B. Using a treadmill
C. Swimming
D. Playing basketball

Expert Explanatory Rationale

Correct Answer: Swimming

Question 4 of 5

This statement is NOT true about infective endocarditis:

A. In 90% of cases, the causative agent is recovered from the first 2 blood cultures
B. Timing of phlebotomy is important because bacteremia occurs only during the febrile state
C. Antimicrobial pretreatment of the patients reduces the yield of blood cultures to 50-60%
D. Laboratory should be notified that endocarditis is suspected so that the blood can be cultured on enriched media for more than 7 days

Expert Explanatory Rationale

Correct Answer: Timing of phlebotomy is important because bacteremia occurs only during the febrile state

Question 5 of 5

Initial examination of a full term infant weighing less than 2500 g (5 lb, 8 oz) shows edema over the dorsum of her hands and feet. Which of the following findings would support a diagnosis of Turner's syndrome?

A. A liver palpable to 2 cm below the costal margin
B. Tremulous movements and ankle clonus
C. Redundant skin folds at the nape of the neck
D. A transient, longitudinal division of the body into a red half and a pale half

Expert Explanatory Rationale

Correct Answer: Redundant skin folds at the nape of the neck

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