A child is admitted in a pediatric intensive care unit (PICU) after a motor vehicle accident. The mother is acting very hostile towards the PICU staff. The appropriate way to handle the situation is:

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Question 1 of 5

A child is admitted in a pediatric intensive care unit (PICU) after a motor vehicle accident. The mother is acting very hostile towards the PICU staff. The appropriate way to handle the situation is:

Correct Answer: D

Rationale: Counseling addresses the mother’s distress, improving cooperation while prioritizing care (AAP). Options A-D avoid or worsen the situation.

Question 2 of 5

Best method used to reduce nosocomial infection in NICU is:

Correct Answer: A

Rationale: Handwashing is the most effective way to reduce NICU infections (CDC). B-E are adjunctive.

Question 3 of 5

A preterm infant was diagnosed with NEC. Blood culture was obtained. Ampicillin and gentamicin were started. In most patients with NEC, blood culture usually yields:

Correct Answer: A

Rationale: Most NEC cases yield no pathogen in blood cultures, as it’s primarily ischemic, not septic (AAP). B-E are less common.

Question 4 of 5

A child with a history of asthma suddenly develops unilateral wheezing and respiratory distress following choking while eating peanuts. Most likely diagnosis is:

Correct Answer: B

Rationale: Foreign body aspiration fits sudden unilateral wheezing post-choking, per AAP. Asthma is bilateral, and C-E are less acute.

Question 5 of 5

A 6-month-old girl with a history of wheezing following an upper respiratory infection appears with fever and respiratory distress. She failed to improve after nebulized albuterol therapy. Most likely diagnosis is:

Correct Answer: D

Rationale: Bronchiolitis fits a 6-month-old with URI-triggered wheezing unresponsive to albuterol, per AAP, as it’s viral-driven. A-C, E don’t align.

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