A 2-month-old infant presents with cough, tachypnea, and wheezing. The most likely viral cause is:

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

A 2-month-old infant presents with cough, tachypnea, and wheezing. The most likely viral cause is:

Correct Answer: D

Rationale: Respiratory syncytial virus (RSV) is the most common cause of bronchiolitis in infants, presenting with cough, tachypnea, wheezing, and respiratory distress. It spreads via respiratory droplets and is especially severe in premature and immunocompromised infants.

Question 2 of 5

Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) can be caused by all the following EXCEPT

Correct Answer: C

Rationale: Allopurinol is not a major cause of DRESS syndrome, whereas anticonvulsants and sulfonamides are common triggers.

Question 3 of 5

Sara, age 4 months, was born at 35 weeks of gestation. She seems to be developing normally, but her parents are concerned because she is a more difficult baby than their other child, who was term. The nurse should explain that:

Correct Answer: A

Rationale: Infant temperament has a strong biologic component and is part of their unique characteristics. Sara's behavior is likely influenced by her individual temperament, not by failure to bond or painful experiences in the neonatal period.

Question 4 of 5

A neonate with an omphalocele is at increased risk for which associated condition?

Correct Answer: B

Rationale: Omphalocele is a midline abdominal wall defect often associated with congenital heart defects and chromosomal abnormalities such as trisomy 13, 18, and 21. It requires surgical repair and careful monitoring.

Question 5 of 5

Daily long-term control therapy is recommended for infants and young children (0-4 years) who had in the previous year

Correct Answer: B

Rationale: Three or more wheezing episodes lasting over one day in a year indicate persistent asthma, warranting long-term control therapy.

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