A head-injured 4-year-old patient opens eyes to painful stimulus, is confused, and withdraws from pain. His Glasgow Coma Score is:

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

A head-injured 4-year-old patient opens eyes to painful stimulus, is confused, and withdraws from pain. His Glasgow Coma Score is:

Correct Answer: B

Rationale: The Glasgow Coma Scale evaluates consciousness. Eye-opening to pain (2), verbal confusion (4), and withdrawal from pain (4) sum up to a total score of 10.

Question 2 of 5

The treatment of choice for childhood onset of major depression is

Correct Answer: C

Rationale: Serotonin reuptake inhibitors (SSRIs) are preferred over older medications like tricyclics due to better safety profiles and efficacy in pediatric depression.

Question 3 of 5

The blueberry muffin appearance in infants with TORCH infections most likely represents

Correct Answer: B

Rationale: Dermal erythropoiesis refers to extramedullary hematopoiesis in the skin, causing a characteristic blueberry muffin appearance

Question 4 of 5

Youth violence is a problem in urban, suburban, and rural communities and affects children across race and gender. Which subset of children who has more severe violence behavior that continues into adulthood?

Correct Answer: A

Rationale: Adolescents with severe violence behavior are more likely to continue such patterns into adulthood due to entrenched antisocial tendencies.

Question 5 of 5

Regarding Non-Hodgkin lymphoma:

Correct Answer: B

Rationale: Abdominal mass is the most common presentation of pediatric Non-Hodgkin lymphoma, as it often arises from extranodal sites like the GI tract. Systemic symptoms are less frequent than in Hodgkin lymphoma.

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