All of the following are anterior joints involved in juvenile idiopathic arthritis (JIA) EXCEPT

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

All of the following are anterior joints involved in juvenile idiopathic arthritis (JIA) EXCEPT

Correct Answer: D

Rationale: Metatarsal involvement is more characteristic of polyarticular JIA.

Question 2 of 5

Infants at risk for hyperinsulinemic hypoglycemia include all of the following EXCEPT

Correct Answer: C

Rationale: Galactosemia does not typically cause hyperinsulinemic hypoglycemia

Question 3 of 5

A -week-old infant is brought to the emergency room in coma with retinal hemorrhages and severe pallor He was born at home and was first seen by a physician at days of age and placed on amoxicillin for otitis media His diet is breast milk Diagnostic tests should include all of the following EXCEPT

Correct Answer: D

Rationale: Lumbar puncture is contraindicated in cases of severe coagulopathy or intracranial hemorrhage, as it could worsen the condition

Question 4 of 5

A child is teased by some of his new schoolmates as 'weak.' Of the following, the MOST likely diagnosis is

Correct Answer: C

Rationale: Bullying involves repeated aggressive behavior by peers, which fits the scenario where the child is being teased. School phobia and anxiety disorders might result from bullying but are secondary conditions. Hypothyroidism is unrelated to this social context.

Question 5 of 5

On the second day of life, the patient in Questions and experiences bradycardia and hypotension with cyanosis and a metabolic acidosis Likely diagnoses include (may choose more than one)

Correct Answer: D

Rationale: Preterm infants have limited glycogen stores and are at risk of hypoglycemia, which can lead to bradycardia, hypotension, and metabolic acidosis.

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