An apical mid diastolic rumble is NOT heard in one of the following structural heart diseases:

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Pediatric Nursing Test Bank Questions

Question 1 of 5

An apical mid diastolic rumble is NOT heard in one of the following structural heart diseases:

Correct Answer: A

Rationale: A large ASD typically does not produce an apical mid-diastolic rumble, as blood flow is not directed through the mitral valve in a manner that would cause turbulence.

Question 2 of 5

The predominant cause of low-birthweight births in America is

Correct Answer: B

Rationale: Prematurity is the leading cause of low birthweight in the United States

Question 3 of 5

A 4-year-old boy presents with failure to thrive, irritability, bloating, and a symmetrical rash on his elbows and knees. Transglutaminase IgA antibodies are positive. What is the most likely diagnosis?

Correct Answer: A

Rationale: Dermatitis herpetiformis is a cutaneous manifestation of celiac disease and is associated with positive transglutaminase IgA antibodies.

Question 4 of 5

The most likely diagnosis for the condition described in Question 3 is

Correct Answer: D

Rationale: The symptoms described (urticaria, difficulty swallowing, hoarse voice, hypotension) are classic signs of anaphylaxis.

Question 5 of 5

Allergic shiners represent

Correct Answer: C

Rationale: Allergic shiners are dark circles under the eyes caused by venous congestion due to chronic nasal obstruction, a hallmark sign of allergic rhinitis.

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