The least common late neurologic sequelae that may be encountered post craniospinal irradiation in a 9-year-old child with medulloblastoma is

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Question 1 of 5

The least common late neurologic sequelae that may be encountered post craniospinal irradiation in a 9-year-old child with medulloblastoma is

Correct Answer: D

Rationale: Second malignancy is a rare late effect compared to cognitive and learning impairments.

Question 2 of 5

A nurse is preparing to administer routine immunizations to a 4-month-old infant. The infant is currently up to date on all previously recommended immunizations. Which immunizations will the nurse prepare to administer? (Select all that apply.)

Correct Answer: B

Rationale: A 4-month-old infant who is up to date on routine immunizations would not need the Measles, mumps, and rubella (MMR), Varicella, or Haemophilus influenzae type b (HIB) vaccines at this time. These vaccines are typically administered at older ages based on the recommended immunization schedule.

Question 3 of 5

Which of the following is not a criterion for a valid informed consent that a nurse should identify?

Correct Answer: B

Rationale: Coercion should not be involved in obtaining informed consent as it undermines the voluntary nature of the decision-making process. Informed consent should be freely given by the patient without any form of pressure or manipulation. The other criteria for valid informed consent that a nurse should identify include that it is freely given, includes an explanation of procedures, and describes the alternatives available to the patient.

Question 4 of 5

A child is brought to your clinic for a routine exam. She can dress with help, can ride a tricycle, knows her own age, and can speak in short sentences. She had difficulty in copying a square. The age of this child is most likely:

Correct Answer: C

Rationale: At 3 years, children typically have the ability to dress with assistance, ride a tricycle, know their age, and speak in short sentences. Copying a square usually occurs later, around 4 years of age.

Question 5 of 5

The BEST statement describing the implication of a 6-month-old boy 'transferring object to hand' is

Correct Answer: A

Rationale: Transferring objects between hands indicates developing visuomotor coordination.

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