The first sign noted in patients with abetalipoproteinemia is:

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Pediatric Cardiac Nclex Practice Questions Questions

Question 1 of 5

The first sign noted in patients with abetalipoproteinemia is:

Correct Answer: A

Rationale: Abetalipoproteinemia, a rare lipid disorder, first presents with loss of deep tendon reflexes due to vitamin E deficiency affecting nerves (NORD). Vision loss follows later, and C-E are not early signs.

Question 2 of 5

Most common cause of hypernatremia in hospitalized patients is:

Correct Answer: A

Rationale: Iatrogenic causes , like excessive saline, are the top source of hypernatremia in hospitalized kids (AAP). B-E are rarer.

Question 3 of 5

Best single drug of choice for an uncomplicated listeria infection is:

Correct Answer: A

Rationale: Ampicillin is the preferred single agent for uncomplicated Listeria infections (IDSA). B-E are less optimal alone.

Question 4 of 5

A 15-year-old boy recently immigrated into America. He has an outgoing 'cocktail party' personality but also seems nervous. He appears with an elongated face, full cheeks, and thicker lips but a decrease in both the periorbital fullness. Most likely diagnosis is:

Correct Answer: B

Rationale: Williams syndrome fits the 'cocktail party' personality, facial features, and anxiety (NIH). A, C-E don’t match this profile.

Question 5 of 5

A 9-year-old boy was treated in the ER (emergency room) for an anaphylactic reaction secondary to insect sting. He improved significantly within 1 hour. His mother wants to take him home as soon as possible. The child should be observed in the ER for at least how many hours:

Correct Answer: D

Rationale: 4 hours is the minimum observation time post-anaphylaxis to monitor for biphasic reactions (AAAAI). A-C are too short, E is excessive.

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