One of the following presentations is a non-IgE-mediated food allergy

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Pediatric NCLEX Practice Quiz Questions

Question 1 of 5

One of the following presentations is a non-IgE-mediated food allergy

Correct Answer: A

Rationale: Heiner syndrome, a rare non-IgE-mediated food allergy, presents with pulmonary symptoms in response to cow's milk protein.

Question 2 of 5

Prior to extubation, and in order to reduce airway narrowing, it is advised to use:

Correct Answer: C

Rationale: Inhaled corticosteroids like budesonide can effectively reduce airway narrowing and inflammation after extubation, minimizing the risk of post-extubation stridor.

Question 3 of 5

A 5-year-old underwent a tonsillectomy and an adenoidectomy under general anesthesia. The parents tell you that the anesthesiologist said that she “fought the mask and cried a lot” on induction. You are the pediatrician for this child, and 8 days after surgery, the parents call to report that the child, who previously slept well at night, now awakens nightly screaming with bad dreams. She is more irritable and cranky than before surgery and has angry outbursts. She is more “clingy” and wants her parents to cuddle her frequently. She reports that in her dreams, she can’t move, there is a tube in her throat, and she feels the surgeon cutting her throat. A review of her anesthetic record suggests an uneventful intraoperative course, with stable vital signs. All of the following statements about this situation are true EXCEPT

Correct Answer: A

Rationale: The described reaction, while distressing, is not necessarily indicative of severe psychiatric illness but rather a response to traumatic anesthesia induction.

Question 4 of 5

False positive tuberculin test may be present in:

Correct Answer: C

Rationale: Exposure to non-TB mycobacteria can cause cross-reactivity, leading to a false-positive tuberculin skin test.

Question 5 of 5

Nebulized adrenaline is indicated in which of the following conditions:

Correct Answer: D

Rationale: Nebulized adrenaline is commonly used to treat croup by reducing airway swelling and improving breathing.

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