The nurse is assessing a client diagnosed with ventricular septal defect (VSD), the nurse is aware that many infants with these conditions also receive a diagnosis of which of the following?

Turner syndrome

Trisomy 18

Spina bifida

Trisomy 21

Answer and Explanation

The Correct Answer is B

A. Turner syndrome is a chromosomal disorder affecting females and does not typically coincide with VSD.

B. Trisomy 18 (also called Edwards syndrome) is a chromosomal disorder that often presents with congenital heart defects, including VSD.

C. Spina bifida is a neural tube defect and is not directly related to VSD.

D. Trisomy 21 (Down syndrome) may have congenital heart defects but is not specifically associated with VSD as commonly as trisomy 18.

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Correct Answer is A

Explanation

A. In epiglottitis, there is typically an absence of spontaneous cough because of severe airway obstruction. Dysphonia (difficulty speaking) is also common due to swelling of the epiglottis.

B. Generalized skin flushing is not a common finding in epiglottitis.

C. Coarse tremors and splenomegaly are not associated with epiglottitis.

D. A harsh, productive cough and rhinorrhea are more common with viral respiratory infections, not epiglottitis.

A. Household smoking B. A history of urinary tract infections C. Exposure to illness in daycare centers or schools D. Native American ethnicity E. Absence of breastfeeding F. Craniofacial anomalies

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

Explanation

A. Household smoking increases the risk of otitis media by irritating the respiratory tract and impairing immune function.

B. A history of urinary tract infections is not a risk factor for otitis media.

C. Exposure to illness in daycare centers or schools increases the likelihood of respiratory infections, which can lead to otitis media.

D. Native American ethnicity has a higher incidence of otitis media, likely due to genetic and environmental factors.

E. Absence of breastfeeding increases the risk of otitis media because breastfeeding provides immune protection.

F. Craniofacial anomalies (e.g., cleft palate) increase the risk of otitis media due to poor Eustachian tube function and chronic ear infections.

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The nurse is assessing a client diagnosed with ventricular septal defect (VSD), the nurse is aware that many infants with these conditions also receive a diagnosis of which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a child with epiglottitis. Which of the following would be an expected finding?

Correct Answer is A

Explanation

A 4-year-old child is diagnosed with otitis media. The parent asks the nurse about the causes of this illness. Which risk factors would the nurse include in response to this parent? Select all that apply.

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

Explanation

The nurse employed in an emergency department is monitoring a child diagnosed with epiglottitis. The nurse notes that the child is leaning forward with the neck extended. How would the nurse interpret this finding? -

The nurse is assessing a client diagnosed with ventricular septal defect (VSD), the nurse is aware that many infants with these conditions also receive a diagnosis of which of the following?

The primary health care provider prescribes patching for a child with amblyopia of the right eye, and the nurse instructs the parent regarding this procedure. What would the nurse include in the instructions?

The nurse is providing home care instructions to the parent of a 9-year-old child diagnosed with bacterial conjunctivitis. Topical antimicrobial therapy is prescribed for the child. Which statement by the parent indicates that the teaching has been effective?

While assessing a newborn with respiratory distress, the nurse auscultates a machine-like heart murmur. Other findings are a widened pulse pressure. pulmonary congestion and right ventricular hypertrophy. The nurse suspects that the newborn has:

After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow?

A nurse is caring for a child who has acute otitis media. Which of the following classic assessment findings should the nurse expect?