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PNCB 2 – Questions & Complete Solutions (Rated A+)
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PNCB 2 – Questions & Complete Solutions (Rated A+)
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PNCB 2 – Questions & Complete Solutions (Rated A+)Following resection of a medulloblastoma, a school aged child is noted as
having irritability, a weight gain of 1.5kg in the absence of edema, UOP
of .4ml/kg/hour and the following laboratory results. The most likely
diagnosis is:
A) adrenal insufficiency
B) Cerebral salt wasting
C) Diabetes insipidus
D) syndrome if inappropriate antidiuretic hormone
Sodium 128 mEg/L
Potassium 4.0 mEq/L
Chloride 103 mEq/L
Bicarbonate 26 mEq/L
BUN 10mg/dL
Creatinine 0.2mg/dL
Glucose 102 mg/dL
Calcium 7.8 mg/dL
Magnesium 1.8 mg/dL
Phosphorus 2.9 mg/dL Right Ans - D. Syndrome of inappropriate
antidiuretic hormone
An interprofessional team is developing an algorithm to guide the ordering of
diagnostic tests for children seen in their sub-specialty clinic. The team will
review and grade relevant literature and determine studies applicable to their
clinical setting. This approach promotes:
A) Clinical research
B) Evidenced based practice
C) Quality improvement
D) Work models Right Ans - B) Evidenced based practice
Which of the following physical assessment findings is consistent with a
diagnosis of coarctation of the aorta in an asymptomatic school aged child?
A) Continuous murmur at the left upper sternal boarder and bounding pedal
pulses
,B) right upper extremity hypertension and weak femoral pulses
C) papilledema and severe headache
D) central cyanosis and hypoxia Right Ans - B) right upper extremity
hypertension and weak femoral pulses
Following initial stabilization of a child with approximately 50% TBSA burns,
a consult with which service is MOST essential to initial treatment?
A) infectious disease
B) nutrition
C) rehabilitation
D) social work Right Ans - B) nutrition
The administration of succinycholine is CONTRAINDICATED for a male
toddler with a family history of:
A) diabetes mellitus
B) Duchenne muscular dystrophy
C) sudden cardiac death
D) tachyarrhythmia Right Ans - B) Duchenne muscular dystrophy
Which method provides the BEST estimate of energy requirements for enteral
feeding of a school-age child who is mechanically ventilated for respiratory
failure?
A) Holliday Segar Method
B) Indirect Calorimetry Measurement
C) Schofield Equation
D) World Health Organization Equation Right Ans - B) Indirect Calorimetry
Measurement
An adolescent with a chronic illness is preparing to transition from pediatric
healthcare providers to adult care. Which of the following would MOST likely
promote a successful transition?
A) expect adult care providers to educate adolescent about self-care
management
B) readiness assessment should begin a year prior to the planned transfer
C) allow the adolescent and family to lead the coordination effort
, D) care coordination is initiated by the pediatric practice Right Ans - D)
care coordination is initiated by the pediatric practice
Which of the following is the MOST likely presentation of behavioral and
psychiatric disorders in a preschooler?
A) fear of the dark
B) issues with identity formation
C) learning disabilities
D) temper tantrums Right Ans - D) temper tantrums
Which of the following characterizes "privileging" for a new nurse practitioner
(NP)?
A) The State Board of Nursing grants the ability to practice after the NP meets
state defined criteria for safe practice.
B) A hospital grants the NP the ability to practice in the institution after
confirming education, certification, and licensure.
C) A hospital permits the NP to place arterial lines after successfully
demonstrating competence as determined by the institution.
D) A certification board certified the NP after successfully passing the
certification exam following validation of educational and clinical
requirements. Right Ans - C) A hospital permits the NP to place arterial
lines after successfully demonstrating competence as determined by the
institution.
After a recent occurrence of nephrolithiasis, education provided to an
adolescent and family about long-term prevention of this condition includes:
A) taking a citrate supplement
B) adhering to a low sodium diet
C) taking a daily diuretic medication
D) ensuring at least 2 liters of fluid intake daily Right Ans - D) ensuring at
least 2 liters of fluid intake daily
A toddler is being evaluated after failing to meet developmental milestones.
Assessment reveals lack of protective reflexes, increased deep tendon
reflexes, peripheral hypertonia, weakness, and cognitive impairment. The
MOST likely diagnosis is:
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