A 5-year-old girl presents with recurrent UTIs. Voiding cystourethrogram shows grade III reflux. The next step is:

Questions 56

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PN Pediatric Nursing Online Practice 2023 B Questions

Question 1 of 9

A 5-year-old girl presents with recurrent UTIs. Voiding cystourethrogram shows grade III reflux. The next step is:

Correct Answer: B

Rationale: Antibiotic prophylaxis manages grade III VUR, per AAP. A, C-E depend on response.

Question 2 of 9

A 2-year-old boy presents with fever and a bulging tympanic membrane. The best treatment is:

Correct Answer: B

Rationale: Amoxicillin treats AOM, per AAP. A, C-E are less optimal.

Question 3 of 9

A 4-year-old boy presents with abdominal pain and a sausage-shaped mass. Ultrasound shows intussusception. The next step is:

Correct Answer: C

Rationale: Air enema is the first-line treatment for intussusception, per AAP. A, B, D, E are secondary.

Question 4 of 9

The incubation period of whooping cough is

Correct Answer: B

Rationale: 7-21 days B is pertussis incubation, per document p60, 4.

Question 5 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 6 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.'

Question 7 of 9

Most common cause of anaphylaxis noted in emergency department is:

Correct Answer: C

Rationale: Food allergies , like peanuts, are the leading cause of anaphylaxis in ED visits, per AAAAI. A, D-E are less frequent.

Question 8 of 9

A 6-month-old infant presents with wheezing and respiratory distress. Chest x-ray shows hyperinflation. Most likely diagnosis is:

Correct Answer: B

Rationale: Bronchiolitis features wheezing and hyperinflation, per AAP. A, C-E differ.

Question 9 of 9

The following statement is not true about child abuse:

Correct Answer: C

Rationale: Choice C is false; an emergency court order is indicated if parents refuse hospitalization in suspected abuse with safety risks (AAP). All other statements (A, B, D, E) are true per abuse protocols.

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