A patient with Apgar scores of and at and 5 minutes, respectively, appears hyperalert and has hyperactive deep tendon reflexes and mydriasis The most likely diagnosis is

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Pediatric NCLEX Practice Quiz Questions

Question 1 of 5

A patient with Apgar scores of and at and 5 minutes, respectively, appears hyperalert and has hyperactive deep tendon reflexes and mydriasis The most likely diagnosis is

Correct Answer: A

Rationale: Stage I hypoxic ischemic encephalopathy presents with hyperalertness, hyperreflexia, and mydriasis

Question 2 of 5

A family history of allergic disease is often present in atopic patients. If one parent has allergies, the risk that a child will develop an allergic disease is

Correct Answer: D

Rationale: If one parent has allergies, the child's risk of developing an allergic disease is approximately 50% due to genetic predisposition.

Question 3 of 5

One of the following is a bad prognostic criterion of acute lymphoblastic leukemia:

Correct Answer: D

Rationale: Male sex is associated with a worse prognosis in acute lymphoblastic leukemia due to a higher likelihood of relapse, particularly in testicular involvement.

Question 4 of 5

Obstructive shock is characterized by which of the following:

Correct Answer: A

Rationale: Obstructive shock occurs due to mechanical barriers to blood flow, such as cardiac tamponade or pulmonary embolism.

Question 5 of 5

Which one of the following is the most common cause of shock among Egyptian children?

Correct Answer: B

Rationale: Diarrhea is a leading cause of shock in children due to dehydration and electrolyte imbalances, leading to hypovolemic shock. In resource-limited settings, diarrheal diseases remain a major cause of pediatric mortality.

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