A 3-year-old child from a suburban community presents with vomiting, diarrhea, and blurred vision. Physical examination reveals an afebrile child with pinpoint pupils, salivation, and muscular fasciculations. The child's lawn was treated yesterday for insects. Which of the following tests will establish the correct diagnosis?

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Question 1 of 5

A 3-year-old child from a suburban community presents with vomiting, diarrhea, and blurred vision. Physical examination reveals an afebrile child with pinpoint pupils, salivation, and muscular fasciculations. The child's lawn was treated yesterday for insects. Which of the following tests will establish the correct diagnosis?

A. Blood-lead level B. 24-hour urine mercury level C. Plasma cholinesterase level D. Urine malathion level

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

HIV antibody testing procedures using a finger stick or venipuncture to obtain whole blood, plasma, or serum, and tests using oral fluid were approved. All the following regarding this test are true EXCEPT

A. they are simple and accurate as to render the likelihood of an erroneous result by the user negligible B. a positive result does not need confirmation by Western blot analysis or immunofluorescence assay C. they allow women who have not been tested or are unaware of their HIV status to reduce the risk of mother-to-child transmission of antiretroviral therapy implementation D. they significantly reduce the risk of mother-to-child transmission

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

Between 2-6 months of life, all are true about infant sleep EXCEPT

A. total sleep hours are about 14-16 hr/24 hr B. sleeps about 9-10 hr concentrated at night C. sleeps 2 naps/day D. the sleep cycle time is similar to that of adults

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A 5 months child is brought for routine care. During auscultation of heart you find a short systolic murmur at left upper sternal border with soft 2nd heart sound. The most likely diagnosis is?

A. Ventricular septal defect B. Atrial septal defect C. Patent ductus arteriosus D. Pulmonary stenosis

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

The nurse is using the FLACC scale to rate the pain level in a 9-month-old. Which is the nurse's best response to the father's question of what the FLACC scale is?

A. It estimates a child's level of pain utilizing vital sign information. B. It estimates a child's level of pain based on parents' perception. C. It estimates a child's level of pain utilizing behavioral and physical responses. D. It estimates a child's level of pain utilizing a numeric scale from 0 to 5.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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