Which of the following is a first-line treatment for systemic lupus erythematosus?

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Pediatric Nursing Certification Practice Questions Questions

Question 1 of 5

Which of the following is a first-line treatment for systemic lupus erythematosus?

Correct Answer: D

Rationale: Hydroxychloroquine is often used as a first-line treatment to control mild to moderate lupus symptoms.

Question 2 of 5

A 12-month-old receives the MMR vaccine and suddenly develops flushing, tachycardia, and weak peripheral pulses. What is the likely explanation?

Correct Answer: D

Rationale: Anaphylactic shock is a severe allergic reaction characterized by vasodilation, airway swelling, and circulatory collapse, requiring immediate epinephrine administration.

Question 3 of 5

A 5-year-old is noted by the parents to snore at night. The child has also had problems staying awake in preschool and has had behavioral problems. The father also snores. Physical examination of the child reveals large, pink, nonexudative tonsils. The most appropriate next step is

Correct Answer: B

Rationale: Polysomnography is essential for diagnosing obstructive sleep apnea, especially given the child's symptoms of snoring, daytime sleepiness, and enlarged tonsils.

Question 4 of 5

All the following are features of in vivo skin testing for allergen-specific IgE EXCEPT

Correct Answer: D

Rationale: Antihistamines can suppress skin test results by blocking histamine release, reducing the test's effectiveness.

Question 5 of 5

A term neonate with poor feeding, lethargy, and hypothermia should be evaluated for:

Correct Answer: A

Rationale: Neonatal sepsis presents with non-specific symptoms such as poor feeding, lethargy, temperature instability, and respiratory distress. Early diagnosis and antibiotic treatment are critical to prevent serious complications.

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