To avoid false-negative skin test results in atopic hosts, most sedating antihistamines should be withheld for 3-4 days, and non-sedating antihistamines for 5-7 days while montelukast should be withheld for

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Pediatric NCLEX Practice Quiz Questions

Question 1 of 5

To avoid false-negative skin test results in atopic hosts, most sedating antihistamines should be withheld for 3-4 days, and non-sedating antihistamines for 5-7 days while montelukast should be withheld for

Correct Answer: C

Rationale: Montelukast should be withheld for at least 5 days before allergy testing to avoid interference with results, ensuring accurate identification of allergic sensitivities.

Question 2 of 5

The appropriate cuff width for measuring arterial blood pressure in a child with a mid-arm circumference of 15 cm is:

Correct Answer: C

Rationale: The correct blood pressure cuff width should be about 40% of the arm circumference. For a mid-arm circumference of 15 cm, a 6 cm cuff width is appropriate.

Question 3 of 5

Iron deficiency anemia is characterized by all the following Except:

Correct Answer: D

Rationale: All listed features are characteristic of iron deficiency anemia, making 'None of the above' the correct answer.

Question 4 of 5

A 5-year-old underwent a tonsillectomy and an adenoidectomy under general anesthesia. The parents tell you that the anesthesiologist said that she “fought the mask and cried a lot” on induction. You are the pediatrician for this child, and 8 days after surgery, the parents call to report that the child, who previously slept well at night, now awakens nightly screaming with bad dreams. She is more irritable and cranky than before surgery and has angry outbursts. She is more “clingy” and wants her parents to cuddle her frequently. She reports that in her dreams, she can’t move, there is a tube in her throat, and she feels the surgeon cutting her throat. A review of her anesthetic record suggests an uneventful intraoperative course, with stable vital signs. All of the following statements about this situation are true EXCEPT

Correct Answer: A

Rationale: The described reaction, while distressing, is not necessarily indicative of severe psychiatric illness but rather a response to traumatic anesthesia induction.

Question 5 of 5

Obsessive compulsive disorder may be associated with all of the following EXCEPT

Correct Answer: D

Rationale: Increased metabolic activity in the corpus callosum is not a hallmark feature of OCD; other listed factors, including streptococcal infections (PANDAS), are relevant.

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