Although melanoma is relatively rare in children, some risk factors may increase its incidence. All the following are risk factors for development of melanoma EXCEPT

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Pediatric CCRN Practice Questions Questions

Question 1 of 5

Although melanoma is relatively rare in children, some risk factors may increase its incidence. All the following are risk factors for development of melanoma EXCEPT

Correct Answer: B

Rationale: Dark-skinned individuals have a lower risk of melanoma.

Question 2 of 5

Clinical manifestations of failure to thrive caused by behavioral problems resulting in inadequate intake of calories include:

Correct Answer: C

Rationale: Clinical manifestations of failure to thrive caused by behavioral problems resulting in inadequate intake of calories may include weight that falls below the 15th percentile on growth charts. Weight falling below the 15th percentile may indicate poor nutrition intake leading to inadequate growth and development. Other signs such as avoidance of eye contact, an associated malabsorption defect, and normal achievement of developmental landmarks may not be specific indicators of failure to thrive due to behavioral problems with inadequate calorie intake.

Question 3 of 5

Which of the ff. positions is best for a chest drainage system when the patient is being transported by wheelchair?

Correct Answer: A

Rationale: The best position for a chest drainage system when the patient is being transported by wheelchair is to hang it on the top of the wheelchair backrest (Option A). This ensures that the chest drainage system remains upright and secure during transportation. Placing it on the patient's feet and asking the patient to hold it (Option B) is not ideal as it can cause discomfort and potentially compromise the drainage system. Hanging it on the same pole as the patient's IV (Option C) may lead to entanglement and interference with the IV line. Placing it in the patient's lap (Option D) is also not recommended as it can be cumbersome and may lead to accidental dislodgement of the chest drainage system. Therefore, hanging it on the top of the wheelchair backrest provides stability and ease of transport for the patient.

Question 4 of 5

A 5-year old girl presents to ER with fever, convulsions and unconsciousness of one day duration. On examination she is pale, Glasgow coma scale is 8 and there are no signs of meningial irritation and no focal neurological signs. The most likely diagnosis is:

Correct Answer: D

Rationale: Cerebral malaria can cause fever, seizures, altered consciousness, and normal cerebrospinal fluid findings without focal neurological signs.

Question 5 of 5

the most dangerous complication of untreated hypothyroidism is

Correct Answer: A

Rationale: The most dangerous complication of untreated hypothyroidism is mental retardation, especially in infants and children. Thyroid hormones play a vital role in the brain development of infants and young children. Severe and prolonged hypothyroidism during this critical period can lead to irreversible cognitive impairment, affecting intelligence and neurodevelopment. Therefore, timely diagnosis and treatment of hypothyroidism are essential to prevent this serious complication, particularly in children.

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