The physician noted pink to dark brown staining in diapers during a routine newborn physical examination. Most likely diagnosis is:

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Pediatric Nursing Practice Test Questions Questions

Question 1 of 5

The physician noted pink to dark brown staining in diapers during a routine newborn physical examination. Most likely diagnosis is:

Correct Answer: C

Rationale: CEP causes porphyrin excretion, staining diapers pink to brown (NORD). PKU and homocystinuria affect amino acids, jaundice causes yellowing, and nephrotic syndrome involves protein loss.

Question 2 of 5

Mode of inheritance in adrenoleukodystrophy is:

Correct Answer: B

Rationale: Adrenoleukodystrophy is X-linked , due to ABCD1 gene mutations (NORD). A, C-E don’t apply.

Question 3 of 5

Most nosocomial infections in neonatal intensive care unit (NICU) is associated with:

Correct Answer: A

Rationale: Intravascular catheters are the top source of NICU nosocomial infections due to bloodstream entry (CDC). B-E are less common.

Question 4 of 5

The greatest risk factor for NEC is:

Correct Answer: D

Rationale: Prematurity is the greatest NEC risk factor, due to immature gut (AAP). A, C, E contribute, B is protective.

Question 5 of 5

A mother refuses all medications except albuterol inhaler for her 5-year-old son with moderate persistent asthma. The boy appears with wheezing and shortness of breath every night for the past week despite albuterol use. The next step in management is:

Correct Answer: B

Rationale: Educating the mother about asthma severity and need for controllers is key, per AAP, as albuterol alone is insufficient for persistent asthma. A, C-E don’t address the root issue.

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