A head-injured 4-year-old patient opens eyes to painful stimulus, is confused, and withdraws from pain. His Glasgow Coma Score is:

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Pediatric NCLEX Practice Quiz Questions

Question 1 of 5

A head-injured 4-year-old patient opens eyes to painful stimulus, is confused, and withdraws from pain. His Glasgow Coma Score is:

Correct Answer: B

Rationale: GCS is calculated as Eye Opening (2) + Verbal Response (4) + Motor Response (4) = 10, indicating moderate brain injury.

Question 2 of 5

Which of the following is a cause of tender hepatomegaly

Correct Answer: A

Rationale: Right-sided heart failure leads to hepatic congestion and tender hepatomegaly due to increased central venous pressure.

Question 3 of 5

Reticulocyte count is expected to be low in one of the following conditions:

Correct Answer: B

Rationale: Aplastic anemia leads to bone marrow failure, causing a decreased reticulocyte count due to impaired red blood cell production.

Question 4 of 5

Adrenal production of androgen with development of underarm odor and faint genital hair (adrenarche) may occur as early as

Correct Answer: D

Rationale: Adrenarche typically begins around age 8, characterized by increased adrenal androgen production leading to body odor and pubic hair growth.

Question 5 of 5

Shock associated with decreased central venous pressure includes the following Except:

Correct Answer: A

Rationale: Cardiogenic shock typically presents with increased central venous pressure due to impaired cardiac output.

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