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ATI RN · Obstetrics and Pediatrics · Pediatric HEENT Disorders NCLEX Questions

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 1-year-old child presents with increased size of the cornea. Review of systems reveals history of increased tearing and apparent sensitivity to light. The cornea appears cloudy.

A. Retinoblastoma

B. Glaucoma

C. Chorioretinitis

D. Aniridia

Expert Explanatory Rationale

Correct Answer: Glaucoma

Question 2 of 5

The leading reason for physician visits and for use of antibiotics among children is

A. urinary tract infection

B. lower respiratory tract infection

C. otitis media

D. infectious gastroenteritis

Expert Explanatory Rationale

Correct Answer: otitis media

Question 3 of 5

A major physical examination point to differentiate otitis media from otitis externa and mastoiditis is

A. visualization of tympanic membrane

B. pus

C. pain from discharge

D. on manipulation of the auricle

Expert Explanatory Rationale

Correct Answer: on manipulation of the auricle

Question 4 of 5

A 4-year-old child that is new to your clinic has a small pit-like depression anterior to the helix and above the tragus. There are no symptoms. Which is the recommended initial management?

A. Observation only

B. Exploration by probing

C. Computed tomography (CT) or magnetic resonance imaging (MRI) to evaluate for possible branchial cleft cyst

D. Referral for surgical excision

Expert Explanatory Rationale

Correct Answer: Observation only

Question 5 of 5

Which is not true of examination of the tympanic membrane?

A. The normal tympanic membrane has a translucent, ground-glass, or waxed paper appearance

B. A red tympanic membrane can be normal

C. A retracted tympanic membrane usually indicates negative middle-ear pressure

D. Prominent short process and foreshortened long process of the malleus are typical of a bulging tympanic membrane

Expert Explanatory Rationale

Correct Answer: A red tympanic membrane can be normal

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