A 3-day-old newborn develops jaundice with dark urine and pale stools. What is the most concerning diagnosis?

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Pediatric Nursing Test Bank Questions

Question 1 of 5

A 3-day-old newborn develops jaundice with dark urine and pale stools. What is the most concerning diagnosis?

Correct Answer: C

Rationale: Biliary atresia is a progressive obstruction of the bile ducts, leading to jaundice, dark urine, and pale stools. It requires early diagnosis and surgical intervention (Kasai procedure) to prevent liver failure.

Question 2 of 5

In pediatric shock, which of the following is an early sign?

Correct Answer: D

Rationale: Tachycardia is often the earliest sign of shock in children due to increased sympathetic response in compensation for decreased perfusion.

Question 3 of 5

Advanced life support includes the following Except:

Correct Answer: D

Rationale: Treatment of life-threatening arrhythmias is part of ACLS, but it is not a universal requirement for every resuscitation case.

Question 4 of 5

A 3-day-old full-term baby delivered to a mother with gestational diabetes by C-section developed respiratory distress. The BEST mode for mechanical ventilation is:

Correct Answer: D

Rationale: Pressure-regulated volume control (PRVC) is ideal for neonates with respiratory distress as it adjusts for pressure and volume, providing optimal support while minimizing lung injury.

Question 5 of 5

In renal tubular acidosis, acidosis is associated with which of the following?

Correct Answer: A

Rationale: Renal tubular acidosis causes normal anion gap metabolic acidosis with hyperchloremia due to impaired bicarbonate reabsorption or acid secretion.

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