When asked about her activities, a 10-year-old girl responded, 'I like school. I play the flute in the school band, and I take tennis lessons.' The nurse knows these activities will help this child develop a sense of:

Correct Answer: B

Rationale: Industry (B), per Erikson, develops in school-age kids through activities like school and sports. Initiative (A) is preschool, identity (C) adolescence, intimacy (D) later. Document: 'The school-age period is… the stage of industry.'

Correct Answer: A

Rationale: Congenital hepatic fibrosis (CHF) is strongly associated with autosomal recessive polycystic kidney disease (ARPKD) (Choice A), a ciliopathy causing renal cysts and hepatic fibrosis, often presenting together in childhood. Horseshoe kidney (Choice B) is a fusion anomaly unrelated to CHF. Multicystic dysplastic kidney (Choice C) is a unilateral developmental disorder, not linked to hepatic fibrosis. Nephronophthisis (Choice D) causes renal failure but lacks a consistent CHF association. ARPKD’s genetic and clinical overlap with CHF makes it the most common association.

Correct Answer: B

Rationale: Crohn disease and ulcerative colitis are inflammatory bowel diseases. Granulomata (Choice B) are non-caseating granulomas, specific to Crohn’s, reflecting transmural inflammation, unlike ulcerative colitis’s mucosal involvement. Crypt abscesses (Choice A) occur in both, less specific. Lymphocytic infiltrate (Choice C) is nonspecific. Paneth cells (Choice D) are normal or metaplastic, not diagnostic. Granulomata distinguish Crohn’s.

Correct Answer: A

Rationale: Abetalipoproteinemia, a rare lipid disorder, first presents with loss of deep tendon reflexes due to vitamin E deficiency affecting nerves (NORD). Vision loss follows later, and C-E are not early signs.

Correct Answer: C

Rationale: C. trachomatis is the top cause of cervicitis in adolescents, per CDC, due to sexual transmission. HSV and others (B, D, E) are less common.