Which of the following is an index of poor outcome in fulminant hepatitis

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Question 1 of 5

Which of the following is an index of poor outcome in fulminant hepatitis

Correct Answer: B

Rationale: A prolonged prothrombin time unresponsive to vitamin K suggests severe hepatic synthetic dysfunction and is a poor prognostic indicator in fulminant hepatitis.

Question 2 of 5

A 6-year-old boy with hereditary spherocytosis developed transient aplastic crisis following a recent viral infection. The most probable incriminated viral infection is:

Correct Answer: D

Rationale: Parvovirus B19 infects erythroid progenitor cells, temporarily halting erythropoiesis. In hereditary spherocytosis, this leads to severe anemia, as the lifespan of spherocytes is already reduced.

Question 3 of 5

Hyperkalemia with a normal total body potassium can be caused by:

Correct Answer: C

Rationale: In major trauma, cell lysis releases intracellular potassium into the blood, leading to hyperkalemia without an actual increase in total body potassium.

Question 4 of 5

Which of the following can cause distributive shock

Correct Answer: A

Rationale: Distributive shock is characterized by severe vasodilation and reduced systemic vascular resistance. Early sepsis leads to endotoxin-induced vasodilation, making it the most common cause of distributive shock.

Question 5 of 5

Acute ingestion of inorganic mercury salts (typically secondary to ingestion of a button battery) can manifest in a few hours as

Correct Answer: D

Rationale: Corrosive gastroenteritis results from the direct toxic effects of mercury salts on the gastrointestinal lining.

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