A 14-year-old boy develops a youth violence that has been started 6 months ago. The parents are asking about the factors that may increase the risks for serious violence. Of the following, the MOST important risk factor for development of serious youth violence in this boy is

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Pediatric Nursing Certification Practice Questions Questions

Question 1 of 5

A 14-year-old boy develops a youth violence that has been started 6 months ago. The parents are asking about the factors that may increase the risks for serious violence. Of the following, the MOST important risk factor for development of serious youth violence in this boy is

Correct Answer: C

Rationale: Association with antisocial delinquent friends can significantly increase the risk of serious violence by reinforcing aggressive behaviors and norms.

Question 2 of 5

The serum total bilirubin of the patient in Question is mg/dL with a direct of mg/dL The hematocrit is %, the reticulocyte count is 5, and the smear reveals poikilocytosis and anisocytosis The Coombs test result is negative The next step in the management of the child's condition is

Correct Answer: C

Rationale: Phototherapy is effective for unconjugated hyperbilirubinemia, which is present here

Question 3 of 5

Which of the following is NOT a risk factor for sudden infant death syndrome (SIDS)?

Correct Answer: C

Rationale: Breastfeeding actually reduces the risk of sudden infant death syndrome (SIDS), while sleeping on the stomach, smoking, overheating, and prematurity increase the risk.

Question 4 of 5

Features suggestive of minor manifestation of acute rheumatic fever include:

Correct Answer: D

Rationale: Arthralgia without objective evidence (swelling, redness) is a minor criterion in acute rheumatic fever. Other minor criteria include fever, elevated acute-phase reactants (ESR, CRP), and prolonged PR interval. The major criteria include carditis, polyarthritis, chorea, erythema marginatum, and subcutaneous nodules.

Question 5 of 5

Early sign of shock is:

Correct Answer: D

Rationale: Tachycardia is an early compensatory response in shock to maintain perfusion, whereas hypotension and altered consciousness occur in later stages.

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