The MOST reliable diagnostic modality for detection of venom-specific IgE is

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Pediatric Nursing Exam Preparation Questions

Question 1 of 9

The MOST reliable diagnostic modality for detection of venom-specific IgE is

Correct Answer: B

Rationale: Skin testing remains the most reliable method for detecting venom-specific IgE, as it directly assesses cutaneous hypersensitivity responses and is more sensitive than in vitro assays.

Question 2 of 9

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 3 of 9

Which of the following is a feature of early (compensated) shock:

Correct Answer: B

Rationale: Tachycardia is an early compensatory mechanism in shock before hypotension or altered consciousness occurs.

Question 4 of 9

A chest radiograph should be performed with the first episode of asthma. Repeat chest radiographs are not needed unless there is

Correct Answer: C

Rationale: A high-grade fever in an asthma patient may suggest pneumonia or another underlying infection, warranting further investigation.

Question 5 of 9

In pediatric basic life support, the rescuer resuscitates the collapsed child by:

Correct Answer: A

Rationale: Immediate activation of basic life support is crucial for increasing survival chances in pediatric emergencies.

Question 6 of 9

A -week-old, A-positive, African-American former -week’s-gestational-age infant was born to an O-positive mother and experienced hyperbilirubinemia requiring days of phototherapy on the newborn nursery after birth The infant appears apathetic and demonstrates pallor, a grade /6 systolic ejection murmur, and a heart rate of 7 The most likely diagnosis is

Correct Answer: D

Rationale: Continued hemolysis due to ABO incompatibility can lead to anemia, jaundice, and cardiac symptoms

Question 7 of 9

Primary malignancies with the highest cumulative incidence of a second neoplasm are

Correct Answer: C

Rationale: Hodgkin disease survivors have the highest cumulative incidence of second malignancies due to chemotherapy and radiation exposure.

Question 8 of 9

Intracranial calcification may be a feature of one of the following transplacental infections

Correct Answer: D

Rationale: Rubella is strongly associated with intracranial calcifications in affected infants. Other infections like cytomegalovirus and syphilis may also cause calcifications but are less characteristic.

Question 9 of 9

A patient receiving a transfusion of packed RBC complain of chest and back pain. How do you respond?

Correct Answer: specifically a hemolytic reaction. A hemolytic reaction occurs when there is a serious incompatibility between the patient's blood type and the transfused blood

Rationale: leading to the destruction of red blood cells. This can result in chest pain

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