A 1-year-old boy presents with recurrent pneumonia and steatorrhea. Sweat chloride test is positive. Most likely diagnosis is:

Questions 56

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PN Pediatric Nursing 2023 Proctored Exam Questions

Question 1 of 9

A 1-year-old boy presents with recurrent pneumonia and steatorrhea. Sweat chloride test is positive. Most likely diagnosis is:

Correct Answer: C

Rationale: Cystic fibrosis fits pneumonia and positive sweat test, per CFF. A, B, D, E differ.

Question 2 of 9

The nurse should suspect dehydration if an infant has

Correct Answer: A

Rationale: Sunken eyes A indicate dehydration, per document p60, 6.

Question 3 of 9

Most common organism causing cervicitis is:

Correct Answer: C

Rationale: C. trachomatis is the top cause of cervicitis in adolescents, per CDC, due to sexual transmission. HSV and others (B, D, E) are less common.

Question 4 of 9

A 4-year-old girl presents with pallor and lethargy. Labs show hemoglobin of 6 g/dL and spherocytes. Most likely diagnosis is:

Correct Answer: C

Rationale: Hereditary spherocytosis shows spherocytes, per ASH. A, B, D, E differ.

Question 5 of 9

A client was inquiring to his nurse about ways that could help him stop smoking and pain control. Identify the correct one:

Correct Answer: C

Rationale: Hypnotherapy (C) uses a hypnotic state for suggestions aiding smoking cessation and pain control. Guided imagery (A) aids relaxation, hydrotherapy (B) uses water for therapy, and biofeedback (D) manages stress via physiological feedback. Document: 'Smoking cessation and pain control have been successfully achieved using [hypnotherapy].'

Question 6 of 9

A newborn appears with ambiguous genitalia and a 46,XX karyotype. Maternal history reveals virilization during pregnancy. Most likely diagnosis is:

Correct Answer: A

Rationale: CAH fits XX karyotype and maternal virilization, per AAP (doc p148, Q561).

Question 7 of 9

Most common cause of diabetes mellitus in children is:

Correct Answer: A

Rationale: Type 1 diabetes is the most common form in children, per AAP (doc p150, Q593).

Question 8 of 9

A 4-year-old girl presents with fever and a sore throat. Exam shows palatal petechiae. Most likely diagnosis is:

Correct Answer: C

Rationale: Mononucleosis features petechiae, per CDC. A, B, D, E differ.

Question 9 of 9

A 4-year-old with a head injury should have

Correct Answer: D

Rationale: All D assess head injury, per document p54, 1.

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