Pediatricians are likely to experience unique problems in managing childhood victims of biologic or chemical attacks. The very rapid onset of neuromuscular symptoms after an exposure should lead the clinician to consider

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Pediatric Nursing Exam Preparation Questions

Question 1 of 5

Pediatricians are likely to experience unique problems in managing childhood victims of biologic or chemical attacks. The very rapid onset of neuromuscular symptoms after an exposure should lead the clinician to consider

Correct Answer: B

Rationale: Nerve agents cause rapid neuromuscular symptoms due to acetylcholinesterase inhibition.

Question 2 of 5

Rheumatoid factor (RF)-positive polyarthritis usually accounts for <10% of all juvenile idiopathic arthritis (JIA) cases. The articular manifestation pattern is characterized by involvement of 25 joints in both upper and lower extremities. Of the following, the LEAST effective drug to induce remission for this subtype of JIA is

Correct Answer: A

Rationale: NSAIDs provide symptomatic relief but are not effective in inducing remission in severe polyarticular JIA.

Question 3 of 5

Expiratory grunting is a sign of:

Correct Answer: B

Rationale: Expiratory grunting indicates difficulty in oxygenation and is often a compensatory mechanism in pneumonia, where alveolar collapse or consolidation reduces oxygen exchange.

Question 4 of 5

The most common congenital cyanotic heart disease in newborn is:

Correct Answer: C

Rationale: D-Transposition of the great arteries is the most common congenital cyanotic heart defect in neonates. It presents with severe cyanosis and requires early intervention to establish adequate mixing of oxygenated and deoxygenated blood.

Question 5 of 5

Which of the following peripheral manifestations is a painful lesion in infective endocarditis?

Correct Answer: D

Rationale: Osler's nodes are painful, tender nodules found on fingers and toes, caused by immune complex deposition in infective endocarditis.

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