Spirometry is a helpful objective measure of airflow limitation; it depends on the patient's ability to properly perform a full, forceful, and prolonged expiratory maneuver. Spirometry is usually feasible in children

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Pediatric NCLEX Practice Quiz Questions

Question 1 of 9

Spirometry is a helpful objective measure of airflow limitation; it depends on the patient's ability to properly perform a full, forceful, and prolonged expiratory maneuver. Spirometry is usually feasible in children

Correct Answer: D

Rationale: Spirometry is typically feasible in children aged 6 years and older, as younger children may struggle to perform the required expiratory maneuvers accurately.

Question 2 of 9

Early ultrasonographic signs of hydrops include

Correct Answer: A

Rationale: The double-bowel wall sign is an early ultrasonographic sign of hydrops. The other findings are also associated with hydrops but may appear later.

Question 3 of 9

Advanced life support includes the following Except:

Correct Answer: D

Rationale: Advanced life support (ALS) includes airway management, vascular access, fluid resuscitation, and defibrillation, but does not specifically focus on treating arrhythmias, which is a specialized intervention.

Question 4 of 9

The appropriate cuff width for measuring arterial blood pressure in a child with a mid-arm circumference of 15 cm is:

Correct Answer: C

Rationale: The correct blood pressure cuff width should be about 40% of the arm circumference. For a mid-arm circumference of 15 cm, a 6 cm cuff width is appropriate.

Question 5 of 9

A family history of allergic disease is often present in atopic patients. If one parent has allergies, the risk that a child will develop an allergic disease is

Correct Answer: D

Rationale: If one parent has allergies, the child's risk of developing an allergic disease is approximately 50% due to genetic predisposition.

Question 6 of 9

The minimum required duration for diagnosis of chronic hepatitis in a child with persistent elevation of transaminases is

Correct Answer: D

Rationale: Chronic hepatitis is defined as persistent inflammation of the liver lasting 6 months or more, confirmed by elevated transaminases and histological findings.

Question 7 of 9

When screening for intraventricular hemorrhage (IVH), the best time to perform an ultrasound is

Correct Answer: C

Rationale: The third day of life is the optimal time for screening IVH, as this allows sufficient time for hemorrhage to develop while still being early enough for timely intervention.

Question 8 of 9

The dose of adrenaline IV for cardiac arrest is

Correct Answer: A

Rationale: The recommended IV dose of adrenaline in pediatric cardiac arrest is 10 mcg/kg (0.01 mg/kg). This helps improve coronary perfusion pressure and return of spontaneous circulation during resuscitation.

Question 9 of 9

Regarding CPAP, the following are true EXCEPT

Correct Answer: B

Rationale: CPAP is indicated when oxygen saturation cannot be maintained at lower levels, not necessarily >95%. The other statements are true regarding CPAP.

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