The nurse is providing care to a pediatric patient who is experiencing separation anxiety as a result of hospitalization. Which data indicate that the patient is experiencing the 'despair' stage?

Questions 56

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PN Pediatric Nursing Online Practice 2023 B Questions

Question 1 of 9

The nurse is providing care to a pediatric patient who is experiencing separation anxiety as a result of hospitalization. Which data indicate that the patient is experiencing the 'despair' stage?

Correct Answer: A

Rationale: The despair stage of separation anxiety involves withdrawal and quietness , unlike protest or detachment . B supports despair but is less specific.

Question 2 of 9

A 6-year-old boy appears with pubic hair and enlarged testes. Labs reveal elevated testosterone and normal LH/FSH. Most likely diagnosis is:

Correct Answer: B

Rationale: Testicular tumor causes precocious puberty with high testosterone and normal gonadotropins, per AAP (doc p149, Q575).

Question 3 of 9

Which of the following are considered signs of respiratory distress in the newborn?

Correct Answer: B

Rationale: Nasal flaring B is a sign of respiratory distress, per document p5, 2.

Question 4 of 9

The nurse is preparing to draw up a Phytonadione injection for the newborn. The length of the needle should be:

Correct Answer: C

Rationale: 5/8 inch C is appropriate for IM injection in a newborn, per document 4.

Question 5 of 9

Criteria for selecting a drug for a 6-year-old with pneumonia is likely

Correct Answer: D

Rationale: Sensitivity D ensures effective treatment, per document p11, .

Question 6 of 9

A 2-month-old infant is expected to

Correct Answer: B

Rationale: Raising hand to chest B is a 2-month milestone, per document p14, 9.

Question 7 of 9

The following statement is not true about lung function abnormalities in asthma:

Correct Answer: A

Rationale: Choice A is false; asthma typically shows >20% peak flow variation (ATS). B-E are true asthma features.

Question 8 of 9

A child with a history of cystic fibrosis is diagnosed to have pneumonia. The sputum culture reveals Burkholderia cepacia. The next step in management is:

Correct Answer: C

Rationale: IV antibiotics are required for Burkholderia cepacia pneumonia in cystic fibrosis, per CFF, due to resistance. A, B, D, E are inadequate.

Question 9 of 9

Most common cause of anaphylaxis noted in emergency department is:

Correct Answer: C

Rationale: Food allergies , like peanuts, are the leading cause of anaphylaxis in ED visits, per AAAAI. A, D-E are less frequent.

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