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CEN PEDIATRICS FINAL EXAM 2024 ACTUAL EXAM COMPLETE 124 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+
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CEN PEDIATRICS FINAL EXAM 2024 ACTUAL EXAMCOMPLETE 124 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
For which disorder are you likely to palpate an olive-shaped mass in a pediatric
patient's abdomen? - ANSWER..Pyloric stenosis
Pyloric stenosis produces a palpable olive-shaped mass in the abdomen and acute
vomiting after feeding.
Intussusception causes currant-jelly stools.
Findings in testicular torsion include acute pain and scrotal edema.
Appendicitis typically causes acute abdominal pain and possibly signs of
dehydration.
In a pediatric patient with sickle cell disease, which intervention is appropriate
for managing acute pain during an abrupt onset of vaso-occlusive crisis?
A. Provide comfort measures, such as ice pack application to the axilla.
B. Expect to administer opioid analgesics.
C. Restrict analgesics to oral nonsteroidal anti-inflammatory drugs.
D. Administer hydroxyurea (Hydrea), as prescribed. - ANSWER..During a vaso-
occlusive crisis, the patient usually experiences severe, acute pain, which is best
managed by administering opioid analgesics.
Ice packs foster further constriction, leading to more pain and possibly greater
ischemia.
Nonsteroidal anti-inflammatory drugs can be given after the acute pain has
resolved.
Hydroxyurea (Hydrea) is not prescribed for acute pain.
,For a pediatric patient with impetigo on the upper lip, the nurse teaches the patient
and caregivers not to touch the wound. Which other instruction is appropriate?
Rinse daily with a 10 percent chlorine bleach solution.
B. Apply topical antibiotic ointment.
C. Restrict the child from school or daycare until all the lesions have resolved.
D. Expect to administer hydroxyurea (Hydrea) while the lesions are present. -
ANSWER..For localized impetigo infections, the nurse should teach the pediatric
patient and caregivers to
apply topical antibiotics.
The patient should be restricted from school for the first 24 hours of therapy, not
until all the lesions have resolved.
Rinsing with a chlorine bleach solution and administering hydroxyurea (Hydrea)
are not appropriate interventions for impetigo.
For a patient with testicular torsion that occurred 5 hours ago, which intervention
is the priority?
A. Discharge home with an appointment for expert consultation.
B. Administer antibiotics, as prescribed.
C. Transport the patient for a computed tomography scan.
D. Prepare the patient for immediate surgery. - ANSWER..Testicular torsion is a
surgical emergency, and patients with a suspected testicular torsion should receive
a high triage priority.
Testicular function can be salvaged in 90 percent of patients when ischemia has
been present for less than 6 hours.
Antibiotics are not the priority at this time.
The diagnosis can usually be made clinically, but Doppler ultrasound flow studies
(not computed tomography) may also be used. This patient requires immediate
treatment by an urologist.
, In addition to sinus tachycardia, what is the most common rhythm disturbance in
pediatric patients? - ANSWER..Supraventricular tachycardia
Sinus tachycardia and supraventricular tachycardia are the two major rhythm
disturbances in pediatric patients.
Bradycardia is an ominous sign in a pediatric patient.
Junctional and idioventricular rhythms are usually terminal rhythms.
Ventricular fibrillation is an uncommon rhythm disturbance in pediatric patients.
For an asymptomatic pediatric patient who is suspected of having tuberculosis,
which diagnostic study is performed first? - ANSWER..Purified protein
derivative (PPD) test
The purified protein derivative (PPD) test (tuberculin skin test) is usually
performed first to confirm tuberculosis.
Although a sputum tuberculosis culture detects acid-fast bacilli and should be
obtained as soon as possible, initial test results take at least 24 hours.
Chest radiography confirms the extent of tuberculosis and pulmonary damage.
Currently, no blood test is available to diagnose tuberculosis.
A neonate is brought to the emergency department with a heart rate of 160 beats
per minute, respiratory rate of 50 breaths per minute, systolic blood pressure of
45 mm Hg, and weight of 3 kg. Based on these findings, which measurement is
abnormal?
A. Heart rate B. Respirations C. Systolic blood pressure D. Weight -
ANSWER..In this neonate, the systolic blood pressure is low.
Normal vital signs for a neonate are a
heart rate of 90 to 170 beats per minute,
respiratory rate of 40 to 60 breaths per minute,
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