with NGN: 2023/2024 Exam | Complete and Comprehensive 70
Screenshot Questions with Answers and Professor Rationale to
Guarantee High Score on First Attempt
Answer: (A) Monitor for pallor or swelling in the child’s affected
hand
Rationale:
Monitoring for pallor or swelling in the child's hand is crucial as it signals possible
circulation issues after cast application.
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Answer: (C) I will ensure that my child is tested for tuberculosis every year
Rationale:
Children with HIV need annual tuberculosis testing due to their weakened immune
system, which increases TB risk.
, Answer: (C) Avoid raw fruits and vegetables in the child’s
diet
Rationale:
For a child with neutropenia, avoiding raw fruits and vegetables is essential to
reduce infection risk from bacteria on uncooked foods.
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Answer and Rationale:
• Administer folic acid as prescribed: Folic acid helps stimulate the production of new red
blood cells, which is critical in sickle cell disease to counter the chronic destruction of red blood
cells during a vaso-occlusive crisis.
• Monitor oxygen saturation continuously: Continuous monitoring is important because a
sickle cell crisis can reduce oxygen supply to tissues. Ensuring adequate oxygen levels helps
prevent further complications.
• Instruct the parent to ensure the pneumococcal vaccine is current: Sickle cell patients
are more prone to infections due to impaired spleen function. Keeping vaccinations, like the
pneumococcal vaccine, up to date helps prevent infections.
• Apply cold compresses to the affected joints: Cold compresses can alleviate pain and
swelling in the joints during a sickle cell crisis, providing non-pharmacological pain relief.
• Give oral hydroxyurea: Hydroxyurea increases fetal hemoglobin levels, improving the
quality of red blood cells and reducing the frequency and severity of painful vaso-occlusive
crises.