A 15-year-old boy visits his primary care physician's office with fever, headache, and malaise, along with complaints of pain on chewing and pain in the jawline just in front of the ear lobe. The boy asks his mother to leave the exam room for a minute and then tells the nurse that he is also experiencing testicular pain and swelling. The nurse recognizes that this client most likely has which condition?

Infectious mononucleosis

Herpes zoster

Poliomyelitis

Mumps

Answer and Explanation

The Correct Answer is D

A. Infectious mononucleosis typically presents with fever, sore throat, and lymphadenopathy, but does not usually cause parotid swelling or testicular pain.
B. Herpes zoster (shingles) causes a painful vesicular rash along a dermatome and is rare in adolescents; it does not cause parotitis or orchitis.
C. Poliomyelitis can cause fever, malaise, and in severe cases, paralysis, but it does not present with parotid swelling or testicular pain.
D. Mumps is a viral infection characterized by fever, headache, malaise, and parotid gland swelling, often accompanied by painful chewing. In post-pubertal males, orchitis (testicular pain and swelling) is a common complication, making this the most consistent diagnosis.

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Correct Answer is C

Explanation

A. Hypomagnesemia can occur in newborns of diabetic mothers but is less immediate and not the primary concern.
B. Hypocalcemia is a possible complication but usually develops after the first 24–48 hours; it is important but not the first priority.
C. Hypoglycemia is the most immediate and critical risk in newborns of diabetic mothers due to hyperinsulinemia from maternal hyperglycemia. It can lead to seizures, brain injury, or death if not promptly recognized and treated. The nurse should monitor blood glucose closely and intervene quickly.
D. Hyperbilirubinemia may occur later, often due to polycythemia or prematurity, but it is not the immediate priority in the immediate neonatal period compared with hypoglycemia.

A. "Bathe the child in lukewarm water and oatmeal." B. "Avoid having your child wear cotton clothing." C. "Wrap your child up snugly with blankets." D. "Have the child press on the itching area instead of scratching it." E. "Keep the child's fingernails short."

Correct Answer is ["A","D","E"]

Explanation

A. Oatmeal baths in lukewarm water help soothe irritated skin, reduce inflammation, and relieve itching.
B. Children with pruritic skin conditions should wear loose, breathable cotton clothing; avoiding cotton is incorrect because synthetic fabrics can increase irritation.
C. Wrapping a child snugly can increase heat and sweating, which aggravates itching and discomfort.
D. Encouraging the child to press or pat the itchy area rather than scratch helps prevent skin breakdown and secondary infection.
E. Keeping fingernails short reduces the risk of scratching and causing further damage to the skin.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus. The nurse should recognize which of the following newborn complications as the priority focus of care?

Correct Answer is C

Explanation

A nurse is teaching parents of a child with a nursing diagnosis of pain related to pruritus from skin lesions. Which of the following would the nurse include in the instructions? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?

A nurse admits a woman who is at 38 weeks of gestation and in early labor with ruptured membranes. The nurse determines that the client's oral temperature is 38.9° C (102° F). Besides notifying the provider, which of the following is an appropriate nursing action?

What is the most appropriate intervention for the parents of a 6-year-old child with precocious puberty?

A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?

A nurse is completing a health history for a client who is at 6 weeks of gestation. The client informs the nurse that she smokes one pack of cigarettes per day. The nurse should advise the client that smoking places the client's newborn at risk for which of the following complications?

A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client?

According to the heparin protocol, a patient is to receive 20 units per kg IV before a continuous heparin infusion is started. For a patient weighing 80kg, how many units of heparin should be administered? Whole number.