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CPN Practice Questions (101-150) WITH CORRECT SOLUTIONS ALREADY GRADED A+
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CPN Practice Questions (101-150) WITH CORRECT SOLUTIONS ALREADY GRADED A+
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CPN Practice Questions (101-150) WITHCORRECT SOLUTIONS ALREADY
GRADED A+
Hemolytic .uremic .syndrome .(HUS) .is .a .post-infectious .disorder .causing .nephropathy,
hemolytic .anemia, .and .thrombocytopenia. .It .is .seen .following .upper .respiratory .illnesses .and
following .GI .infections .after .eating .meat .contaminated .with .bacteria. .What .enteric .bacteria
have .been .linked .to .HUS?
A. .Escherichia .coli .O157:H7.
B. .Clostridium .difficile.
C. .Rotavirus.
D. .Vibrio .cholera. .- .correct .answers .✔✔ .-
A: .E. .coli .O157:H7 .from .contaminated .ground .meat .is .the .most .common .bacterial .cause .of .HUS .alth
ough .other .bacteria, .such .as .Shigella .dysenteriae, .may .also .cause .HUS.
Hypertension .can .be .seen .in .the .pediatric .population. .What .is .the .most .common .cause .of
secondary .hypertension .in .children?
A. .Coarctation .of .the .aorta.
B. .Renal .disease.
C. .Neuroblastomas.
D. .Drug .toxicity. .- .correct .answers .✔✔ .-
B: .Renal .disease .is .the .most .common .cause .of .secondary .hypertension .in .the .pediatric .population. .
Coarctation .of .the .aorta, .neuroblastoma, .and .drug .toxicity .are .less .common .causes .of .secondary .hy
,pertension. .Primary .hypertension .is .also .on .the .rise, .related .to .obesity, .lack .of .exercise, .and .poor .n
utrition
A .16-year-old .female .is .brought .into .the .ED .with .an .intentional .overdose .of .acetaminophen.
In .order .to .prevent .liver .toxicity .what .medication .can .be .given?
A. .N-Acetylcysteine .(Mucomyst).
B. .Activated .charcoal.
C. .Ipecac .syrup.
D. .Naloxone .(Narcan). .- .correct .answers .✔✔ .-A: .N-Acetylcysteine .
(Mucomyst) .is .the .medication .used .for .acetaminophen .overdoses. .Toxicity .occurs .with .dosage .>140 .
mg/kg .in .one .dose .or .>7.5g .in .24 .hours. .The .72-hour .N- .acetylcysteine .
(NAC) .protocol .includes .140 .mg/kg .initially .and .70 .mg/kg .every .4 .hours .for .17 .more .doses .(orally .or
.IV). .Naloxone .is .used .for .opiate .overdoses, .and .activated .charcoal .is .used .for .numerous .other .medi
cation .overdoses.
Following .a .severe .motor .vehicle .accident, .a .10-year-old .male .has .a .hemisection .of .the
spinal .cord .with .associated .ipsilateral .weakness .and .loss .of .proprioception .and .contralateral
loss .of .pain .and .temperature .sensation. .What .is .this .spinal .cord .syndrome .called?
A. .Anterior .cord .syndrome
B. .Complete .cord .injury
C. .Brown-Sequard .syndrome
D. .Posterior .cord .syndrome .- .correct .answers .✔✔ .-
C: .Hemisection .of .the .spinal .cord, .severing .it .on .one .side .only, .and .its .associated .symptoms .are .ref
erred .to .as .Brown-
Sequard .syndrome. .Anterior .cord .syndrome .results .in .loss .of .motor .abilities .and .some .sensations .
(temperature, .pain, .vibration) .below .injury. .Posterior .cord .syndrome .retains .motor .functions .but .so
me .sensation .is .lost .below .injury. .Complete .cord .injury .results .in .bilateral .paralysis .and .lack .of .sens
ation .below .injury.
A .2-year-old .male .inadvertently .ingests .some .opiates .from .his .parent's .prescription
medication. .Which .of .the .following .would .NOT .be .a .likely .physical .finding?
A. .Decreased .respiratory .rate.
B. .Lethargy.
, C. .Decreased .bowel .sounds.
D. .Pupillary .dilation. .- .correct .answers .✔✔ .-
D: .Pupillary .constriction, .not .dilation, .is .a .hallmark .of .opiate .overdose. .Decreased .respiratory .rate, .l
ethargy, .and .decreased .bowel .sounds .are .common .physical .symptoms .of .opiate .overdose.
A .10-year-old .child .is .to .have .a .venipuncture .done .at .the .femoral .site. .Which .of .the
following .anatomic .structures .is .most .medial .in .the .inguinal .area?
A. .Femoral .vein.
B. .Femoral .artery.
C. .Femoral .nerve.
D. .Anterior .superior .iliac .crest. .- .correct .answers .✔✔ .-
A: .The .femoral .vein .is .the .most .medial .structure .in .the .inguinal .canal, .so .venipuncture .should .be .a
ttempted .medially .to .where .the .femoral .artery .is .palpated .at .the .femoral .triangle.
An .early-adolescent .female .is .described .by .her .mother .as .having .no .interest .in .participating
in .any .activities .with .her .parents. .What .aspect .of .psychosocial .development .does .this .reflect?
A. .Identity.
B. .Peer .pressure.
C. .Body .Image.
D. .Independence. .- .correct .answers .✔✔ .-
D: .Decreased .interest .in .parental .activities .is .consistent .with .independence .activities .in .which .the .ad
olescent .begins .to .move .away .from .the .dependence .of .childhood .to .establish .her .own .identity. .This
.period .is .often .characterized .by .rebellion .and .withdrawal .from .the .family.
A .16-year-old .female .presents .to .the .clinic .asking .for .oral .contraceptive .pills. .Which .of .the
following .medical .problems .in .the .past .would .contraindicate .the .use .of .oral .contraceptives?
A. .Migraine .headaches.
B. .Depression.
C. .Deep .vein .thrombosis.
D. .Pneumonia. .- .correct .answers .✔✔ .-
C: .A .history .of .thromboembolic .disease, .such .as .deep .vein .thrombosis, .is .a .contraindication .to .the .u
se .of .oral .contraceptive .pills, .as .this .is .a .side .effect .of .the .drugs.
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