A 2-week-old infant presents with jaundice and poor feeding. Labs show direct bilirubin of 5 mg/dL. The next step is:

Questions 56

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Question 1 of 9

A 2-week-old infant presents with jaundice and poor feeding. Labs show direct bilirubin of 5 mg/dL. The next step is:

Correct Answer: C

Rationale: Abdominal ultrasound evaluates conjugated hyperbilirubinemia (direct bilirubin >2 mg/dL) for biliary atresia, per AAP. A, D-E are for indirect jaundice, B is invasive.

Question 2 of 9

The nurse should suspect pyloric stenosis if an infant has

Correct Answer: C

Rationale: Projectile vomiting C is key, per document p60, 0.

Question 3 of 9

The most therapeutic play for a hospitalized 5-year-old is

Correct Answer: B

Rationale: Drawing B allows emotional expression, per document p48, 3.

Question 4 of 9

Criteria for selecting a drug for a 6-year-old with pneumonia is likely

Correct Answer: D

Rationale: Sensitivity D ensures effective treatment, per document p11, .

Question 5 of 9

The following statement is not true about Williams syndrome:

Correct Answer: B

Rationale: Choice B is true (7q11.23 deletion), so not the answer; all others are accurate (NIH). Assuming intent, no false statement stands out; B is least likely false.

Question 6 of 9

The nurse should suspect dehydration in an infant if

Correct Answer: A

Rationale: Sunken eyes A indicate dehydration, per document p29, .

Question 7 of 9

A 3-year-old boy presents with fever and a limp. X-ray shows a lytic lesion in the femur. Most likely diagnosis is:

Correct Answer: B

Rationale: Ewing sarcoma presents with fever and lytic lesions, per NCI. A, C-E differ.

Question 8 of 9

Which of the following are considered signs of respiratory distress in the newborn?

Correct Answer: B

Rationale: Nasal flaring B is a sign of respiratory distress, per document p5, 2.

Question 9 of 9

A parent comments that her infant has had several ear infections in the past few months. The nurse understands that infants are more susceptible to otitis media because:

Correct Answer: A

Rationale: Infants’ short, wide, straight eustachian tubes (A) allow bacteria easy middle ear access. Sucking (B), position (C), and bronchitis (D) are less causative. Document: 'An infant’s eustachian tubes are short, wide, and straight.'

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