For the patient in question #116: Of the following, what would be the most useful diagnostic test?  

You are examining a term female neonate who was born after an uneventful pregnancy to a 31 year old, gravida 2 para 1 mother by normal spontaneous vaginal delivery. On examination, the infant weighs 2.56kg and has mild diffuse hypotonia. He also has slightly short fingers and toes, simian creases, flat facial profile, upslanting palpebral fissures, and small ears. Of the following, the most likely diagnosis is:

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

Your 2 year old patient is intubated and ventilated. He suddenly decompensates, dropping his saturations to 50% and becomes bradycardic to 60 bpm. What is your next course of action?  

A 10-year-old with Sickle Cell anemia is admitted to your floor with fever, cough, tachypnea and diminished breath sounds over both lower lobes. His CXR shows infiltrates and consolidation in both lower lobes and his lab work shows leukocytosis and a decreased hemoglobin. Treatment for this patient includes:

A common presenting sign with retinoblastoma is:

An adolescent who is admitted to your floor presents with tall, thin stature, pectus excavatum, and joint hypermobility. Your differential diagnosis should include which of the following diagnoses? Select all that apply:

The nurse manager is evaluating a staff nurse’s knowledge, skills, and attitudes when addressing safety issues with client care. What observations indicate the nurse is skilled when addressing safety concerns? (Select all that apply)

The nurse is having a conversation with one of the patients.  Which statement by the nurse shows therapeutic communication?