Timing of an innocent murmur is usually:

Questions 230

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Pediatric Nursing Test Bank Questions

Question 1 of 9

Timing of an innocent murmur is usually:

Correct Answer: A

Rationale: Innocent murmurs are typically ejection systolic murmurs due to normal blood flow turbulence in a structurally normal heart. They are soft, vibratory, and heard best over the left sternal border, increasing with fever or excitement.

Question 2 of 9

Panic disorder is usually associated with some psychiatric comorbidities; however, there is a high incidence of panic attacks with some medical conditions. Of the following, the medical condition that is associated with a high incidence of panic attacks is

Correct Answer: A

Rationale: Asthma is associated with panic attacks due to the sensation of breathlessness, which can trigger anxiety.

Question 3 of 9

An apical mid diastolic rumble is NOT heard in one of the following structural heart diseases:

Correct Answer: A

Rationale: A large ASD typically does not produce an apical mid-diastolic rumble, as blood flow is not directed through the mitral valve in a manner that would cause turbulence.

Question 4 of 9

A 4-year-old girl recently diagnosed with persistent oligoarticular juvenile idiopathic arthritis (JIA); she has 3 involved joints including left elbow; right knee, right ankle. Antinuclear antigen (ANA) is significantly positive. The MOST important regular examination of locomotor system step in the management this girl is

Correct Answer: A

Rationale: Slit-lamp examination is crucial as ANA-positive patients are at risk for asymptomatic uveitis.

Question 5 of 9

Dilutional hyponatremia is present in:

Correct Answer: A

Rationale: Dilutional hyponatremia occurs in heart failure due to excessive water retention, leading to low sodium concentration. The body's compensatory mechanisms, including ADH release, exacerbate this condition.

Question 6 of 9

Symptoms of somatoform disorders are variable during childhood. Of the following, the symptom that is often present during early childhood is

Correct Answer: A

Rationale: Recurrent abdominal pain is one of the most common somatic complaints in early childhood, often linked to stress or anxiety.

Question 7 of 9

After receiving normal saline pushes, the patient in Question 36 remains unconscious. A lumbar puncture reveals 3 WBC, 10 RBC, a protein of 30 mg/dL, and a glucose of 75 mg/dL. After the lumbar puncture, he is noted to be bleeding at venipuncture sites. The most likely diagnosis is

Correct Answer: B

Rationale: Meningococcemia can cause disseminated intravascular coagulation (DIC), leading to bleeding at venipuncture sites and shock.

Question 8 of 9

Although understanding risk factors for violence is crucial for developing prevention strategies, the risk factors do not predict whether a particular individual will become violent. For children who begin their violence early in life, the strongest risk factor for violence is

Correct Answer: D

Rationale: Antisocial behavior is a strong predictor of future violence, especially when it manifests early in life, indicating a persistent pattern of deviance.

Question 9 of 9

One of the following is not among causes of normocytic normochromic anemia:

Correct Answer: A

Rationale: Iron deficiency anemia typically presents as microcytic hypochromic anemia due to reduced hemoglobin production. Normocytic normochromic anemia is seen in conditions like aplastic anemia and hemorrhagic anemia.

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