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You have an NP student with you today during your clinical shift. She cannot remember the classifications of shock. You are helping her to identify them. The following list shows examples of shock EXCEPT for:  

A couple comes to you with questions following the diagnosis of Trisomy 21 in their now 18 week fetus. They ask what medical problems may be anticipated for a child who has Down syndrome. Of the following, the medical problem that is encountered most frequently in infants who have Trisomy 21 is

Rhythm Strips   A.    B. C.   D.

There is a patient being admitted to the PICU with status epilepticus. What would be important to remember as a part of first line therapy for this patient?    

 A 28-month-old girl with a history of a cleft lip and cleft palate is noted on physical examination to have delayed eruption of the teeth and a single central maxillary incisor.  Which of the following disorders is most likely to be identified during additional evaluation?

A 5 month old infant recently adopted from Southeast Asia presents to the Emergency Department with pallor, failure to thrive, frontal bossing, hepatomegaly, splenomegaly, and jaundice. In considering differential diagnoses, the most helpful diagnostic study results to indicate Beta Thalassemia would be:

  You are an Acute Care PNP on the general surgery service and are called to the special care nursery to evaluate a 6 hour old infant with trisomy 21 who has bilious emesis. The abdominal x-ray is notable for a double-bubble sign. What is the most likely diagnosis?     

You are caring for a 12 y.o. boy with ODD with ADHD on the RNF for an asthma exacerbation.  What medication would you expect to see on his medication list from home?

You are the NP in the Recovery Room. You are caring for a 3 year old patient who recently underwent a PICC line. Anesthesia used Ketamine during this procedure. Your patient is experiencing fear and hallucinations. As the NP you suspect an emergence phenomenon. What medication can you order to treat this?  

An adolescent who presents with agitation, disorientation, and hypertension has hypernatremia and an elevated urine sodium. Which of the following is the MOST likely cause?