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

Sign of biliary atresia on ultrasound?

Correct Answer: A

Rationale: The 'triangular cord' sign, a fibrotic remnant of bile ducts, is a characteristic ultrasound finding in biliary atresia.

Question 3 of 5

Regarding pubertal gynecomastia, which statement is TRUE?

Correct Answer: D

Rationale: Severe or persistent cases of gynecomastia might require surgical intervention if conservative measures fail.

Question 4 of 5

The drug of choice for cold-induced urticaria is

Correct Answer: C

Rationale: Cyproheptadine, an antihistamine with serotonin-blocking properties, is effective in treating cold-induced urticaria.

Question 5 of 5

A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant. The nurse should recommend that the infant be given:

Correct Answer: C

Rationale: The correct answer is C. For infants younger than 1 year, the American Academy of Pediatrics recommends the use of breast milk or iron-fortified formula. If breastfeeding is discontinued before 1 year, it is important to switch to a commercial iron-fortified formula to ensure the infant is receiving all the necessary nutrients for growth and development.

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