A 1-year-old girl presents with recurrent pneumonia and failure to thrive. Sweat chloride test is positive. Most likely diagnosis is:

Questions 56

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Question 1 of 9

A 1-year-old girl presents with recurrent pneumonia and failure to thrive. Sweat chloride test is positive. Most likely diagnosis is:

Correct Answer: C

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

Question 2 of 9

Before administering a tube feeding to an infant, the nurse should

Correct Answer: C

Rationale: A pacifier C soothes the infant during feeding, per document 1.

Question 3 of 9

The following treatment in spinal cord injury improves the motor outcome:

Correct Answer: A

Rationale: High-dose methylprednisolone within 8 hours of spinal cord injury improves motor recovery, per NASCIS trials. Other options (B-E) lack comparable evidence.

Question 4 of 9

A 5-year-old girl presents with fever and conjunctivitis. Exam shows a polymorphous rash. Most likely diagnosis is:

Correct Answer: B

Rationale: Kawasaki disease includes fever, conjunctivitis, and rash, per AHA. A, C-E differ.

Question 5 of 9

A 5-year-old girl presents with polyuria and weight loss. Labs show blood glucose of 300 mg/dL and ketonuria. Most likely diagnosis is:

Correct Answer: B

Rationale: Type 1 diabetes fits polyuria and ketonuria, per ADA. A, C-E differ.

Question 6 of 9

Immediate priority in nursing care for a 6-year-old with pneumonia is

Correct Answer: D

Rationale: Rest D reduces respiratory demand in pneumonia, per document p9, 7.

Question 7 of 9

A 5-year-old boy presents with fever and neck stiffness. CSF analysis shows pleocytosis and low glucose. Most likely diagnosis is:

Correct Answer: B

Rationale: Bacterial meningitis features fever, neck stiffness, and CSF with pleocytosis and low glucose, per AAP. A, C-E differ in CSF findings.

Question 8 of 9

A 1-year-old girl presents with fever and a bulging fontanelle. CSF shows gram-negative coccobacilli. Most likely diagnosis is:

Correct Answer: B

Rationale: H. influenzae meningitis fits gram-negative coccobacilli, per AAP. A, C-E differ.

Question 9 of 9

The most common cause of diarrhea in children is

Correct Answer: D

Rationale: Viral infection D is most common, per document p59, 8.

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