Expiratory grunting is a sign of:

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Pediatric Nursing Study Guide Questions

Question 1 of 9

Expiratory grunting is a sign of:

Correct Answer: B

Rationale: Expiratory grunting occurs due to alveolar collapse and impaired gas exchange, commonly seen in bacterial pneumonia. It is a compensatory mechanism to maintain lung volume and oxygenation.

Question 2 of 9

Regarding physical abuse, the physical signs in abused children (as bite marks) may be found in up to

Correct Answer: A

Rationale: Bite marks are relatively rare, occurring in only about 5% of physically abused children. Higher percentages would include broader categories of abuse indicators.

Question 3 of 9

What is the true description of a 7-year-old child expressing fear of being injured by a car?

Correct Answer: C

Rationale: Separation anxiety involves excessive fear or worry about being away from home or caregivers. A child fearing injury by a car could indicate separation anxiety if they associate leaving with potential harm.

Question 4 of 9

The combination of medications and cognitive-behavioral therapy (CBT) has shown the best treatment for patients with obsessive-compulsive disorder (OCD). Of the following, the BEST initial treatment for children with OCD is

Correct Answer: A

Rationale: Fluoxetine is an SSRI that effectively reduces OCD symptoms in children, making it a first-line pharmacological treatment.

Question 5 of 9

One of the following is not a criterion of pediatric Hodgkin's lymphoma:

Correct Answer: C

Rationale: Bone marrow infiltration is rare in Hodgkin's lymphoma but common in Non-Hodgkin's lymphoma.

Question 6 of 9

When a 7-year-old child fails to cooperate with care in the hospital, one should suspect

Correct Answer: C

Rationale: Negativism, or oppositional behavior, is common in younger children due to developmental stages or frustration. Immaturity or fearfulness might also play a role, but negativism best fits the context.

Question 7 of 9

One of the following is not recommended for treatment of Amanita poisoning

Correct Answer: B

Rationale: Forced diuresis is not recommended; silibinin and penicillin G are standard treatments for Amanita poisoning.

Question 8 of 9

The best choice of antibiotic in treating localized impetiginous lesions in patients with atopic dermatitis is

Correct Answer: C

Rationale: Topical mupirocin is effective against Staphylococcus aureus a common pathogen in impetigo.

Question 9 of 9

One of the following is not a criterion of pediatric Hodgkin's lymphoma:

Correct Answer: C

Rationale: Bone marrow infiltration is rare in Hodgkin's lymphoma but common in Non-Hodgkin's lymphoma.

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