A 7 year old boy came to OPD with history of difficulty in rising up from sitting position. Examination reveals hypertrophy of calf muscles with trendelenburg gait. The most likely diagnosis is:

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Certified Pediatric Nurse Exam Practice Questions Questions

Question 1 of 5

A 7 year old boy came to OPD with history of difficulty in rising up from sitting position. Examination reveals hypertrophy of calf muscles with trendelenburg gait. The most likely diagnosis is:

Correct Answer: B

Rationale: Duchenne muscular dystrophy typically presents in early childhood with difficulty rising from a seated position (Gower's sign), calf muscle hypertrophy, and Trendelenburg gait.

Question 2 of 5

Which of the following data would be included in a health history? (Select all that apply.)

Correct Answer: A

Rationale: A health history is a comprehensive compilation of information about a patient's health status, medical conditions, and pertinent background information. The selected data that would be included in a health history includes:

Question 3 of 5

An adolescent has been diagnosed with lactose maldigestion intolerance. The nurse teaches the adolescent about lactose maldigestion intolerance and notes the teen needs further teaching if which statement is made?

Correct Answer: B

Rationale: This statement is incorrect because drinking milk alone without other foods is not necessary for someone with lactose maldigestion intolerance. Mixing milk with other foods or consuming dairy products alongside other foods can sometimes help to reduce symptoms. Therefore, the adolescent does not need further teaching if they make this statement. The other statements are all appropriate for managing lactose maldigestion intolerance.

Question 4 of 5

A nurse is assessing a preterm newborn for the possibility of necrotizing enterocolitis (NEC). Which assessment findings should the nurse expect to find if NEC is confirmed? (Select all that apply.)

Correct Answer: B

Rationale: Abdominal distention: NEC is characterized by abdominal distention due to gas and fluid accumulation in the intestines, leading to a bloated appearance of the abdomen.

Question 5 of 5

A 6-year-old male child presented with a cerebellar mass; after undergoing complete surgical resection of the mass, the histology of the mass reveals pilocytic astrocytoma. Of the following, the MOST appropriate next step in the management is

Correct Answer: C

Rationale: Pilocytic astrocytomas are generally low-grade tumors, and observation is often sufficient after complete resection.

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