A 12-month-old receives the MMR vaccine and suddenly becomes flushed, tachycardic, tachypneic with weak peripheral pulses & deteriorating consciousness. What is the likely explanation?

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

A 12-month-old receives the MMR vaccine and suddenly becomes flushed, tachycardic, tachypneic with weak peripheral pulses & deteriorating consciousness. What is the likely explanation?

Correct Answer: D

Rationale: This is an anaphylactic reaction (a form of immunological shock) that occurs post-vaccination.

Question 2 of 5

The nurse is doing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed. This should be interpreted as which of the following?

Correct Answer: A

Rationale: The correct answer is A because the closure of the anterior fontanel between ages 12 and 18 months is considered a normal finding in infants. It is a part of the typical growth and development process.

Question 3 of 5

In metabolic disorders, which of the following is most likely associated with cerebral edema if improperly treated?

Correct Answer: B

Rationale: Rapid correction of hypernatremia can lead to cerebral edema due to osmotic shifts in brain cells.

Question 4 of 5

The cut-off number of transfused blood units to start an iron chelating agent in chronic hemolytic anemia patients is:

Correct Answer: B

Rationale: Patients with chronic hemolytic anemia receiving more than 8-10 transfusions require iron chelation to prevent iron overload complications.

Question 5 of 5

Atypical depression is a form of major depressive disorder (MDD) characterized by all the following EXCEPT

Correct Answer: D

Rationale: Insomnia is not a typical feature of atypical depression, which instead involves hypersomnia.

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