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?

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Question 1 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?

Correct Answer: B

Rationale: Atrial septal defect (ASD) often presents with a systolic ejection murmur at the left upper sternal border and a fixed split second heart sound.

Question 2 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?

Correct Answer: C

Rationale: The FLACC scale uses observable behavioral and physical responses (facial expression, leg movement, activity, cry, and consolability) to estimate pain.

Question 3 of 5

The nurse is interviewing a client about his past medical history. Which preexisting condition may lead the nurse to suspect that a client has colorectal cancer?

Correct Answer: D

Rationale: The presence of polyps in the colon is a significant risk factor for developing colorectal cancer. Polyps are abnormal growths in the inner lining of the colon or rectum that can potentially become cancerous over time if left untreated. Therefore, if a client has a history of polyps, the nurse may suspect the possibility of colorectal cancer and should closely monitor the client for any signs or symptoms. While the other conditions listed may sometimes be associated with colorectal cancer, having a history of polyps is the most concerning in this context.

Question 4 of 5

The laboratory results of a patient with disseminated intravascular coagulation are likely to include:

Correct Answer: D

Rationale: DIC leads to prolonged clotting times due to consumption of clotting factors and platelets.

Question 5 of 5

Which food choice contains the highest kilocalorie?

Correct Answer: C

Rationale: Bacon contains the highest kilocalories among the food choices provided. Bacon is high in fat, with approximately 42 kilocalories per slice (8 grams) compared to other options like an apple (52 kilocalories), chicken (231 kilocalories), and bread (79 kilocalories). The high fat content in bacon contributes to its higher caloric value compared to the other choices listed. As such, bacon is the food choice with the highest kilocalorie content in this selection.

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