A 14-year-old obese boy appears with polyuria and fatigue. Labs reveal blood glucose of 200 mg/dL and no ketonuria. Most likely diagnosis is:

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PN Pediatric Nursing Online Practice B Questions

Question 1 of 5

A 14-year-old obese boy appears with polyuria and fatigue. Labs reveal blood glucose of 200 mg/dL and no ketonuria. Most likely diagnosis is:

Correct Answer: B

Rationale: Type 2 diabetes fits obesity, hyperglycemia, and no ketonuria, per AAP (doc p151, Q600).

Question 2 of 5

A 5-year-old girl presents with fever and a red, swollen elbow. Aspiration yields gram-positive cocci. Most likely diagnosis is:

Correct Answer: A

Rationale: Septic arthritis fits fever and gram-positive cocci, per AAP. B-E lack infection.

Question 3 of 5

A 2-year-old boy presents with a high fever and rash. Exam shows conjunctivitis and lymphadenopathy. Most likely diagnosis is:

Correct Answer: B

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

Question 4 of 5

A 2-month-old infant presents with jaundice and acholic stools. Ultrasound shows no gallbladder. Most likely diagnosis is:

Correct Answer: B

Rationale: Biliary atresia features jaundice and absent gallbladder, per AAP. A, C-E differ.

Question 5 of 5

A 6-year-old girl presents with fatigue and jaundice. Labs show elevated indirect bilirubin and reticulocytosis. Most likely diagnosis is:

Correct Answer: D

Rationale: Hemolytic anemia features jaundice and reticulocytosis, per ASH. A-C, E differ.

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