After days of phototherapy, the bilirubin level of the patient in Question 5 declines below mg/dL One day off phototherapy, the level of bilirubin remains less than mg/dL The patient is discharged home and grows well while breast-feeding At month of age, he returns with significant pallor, tachycardia, and a new heart murmur The most likely problem at this time is

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Pediatric Nursing Study Guide Questions

Question 1 of 5

After days of phototherapy, the bilirubin level of the patient in Question 5 declines below mg/dL One day off phototherapy, the level of bilirubin remains less than mg/dL The patient is discharged home and grows well while breast-feeding At month of age, he returns with significant pallor, tachycardia, and a new heart murmur The most likely problem at this time is

Correct Answer: B

Rationale: Ductal-dependent congenital heart disease may manifest after ductus arteriosus closure

Question 2 of 5

Which does the radioallergosorbent test (RAST) determine?

Correct Answer: D

Rationale: RAST measures antigen-specific serum IgE concentrations to identify allergens.

Question 3 of 5

Dating violence and date rape are common. Adolescent women experience higher rates of sexual assault than any other age group. Substance abuse during the sexual assault is common. Which of the following substance is commonly used in the episode of sexual assault?

Correct Answer: A

Rationale: Alcohol is the most commonly used substance in episodes of sexual assault, as it impairs judgment and reduces resistance in victims.

Question 4 of 5

Which of the following signs is characteristic of poliomyelitis paralysis?

Correct Answer: D

Rationale: Poliomyelitis causes asymmetric, flaccid motor paralysis without sensory loss, as it primarily affects anterior horn cells.

Question 5 of 5

Sixteen-year-old boy arrives at the emergency department not breathing. The size of the endotracheal tube needed is

Correct Answer: B

Rationale: Endotracheal tube size for an adolescent (16 years) is typically 8.0 mm. A rough estimate is (Age/4) + 3.5 for uncuffed and (Age/4) + 3 for cuffed tubes.

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