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

Juvenile systemic sclerosis (JSS) has multisystem involvement and exacerbation. The common manifestation of the early course of JSS is

Correct Answer: A

Rationale: Edema is an early finding in systemic sclerosis.

Question 3 of 5

All the following are controlled modes of mechanical ventilation EXCEPT:

Correct Answer: A

Rationale: Pressure support ventilation (PSV) is a spontaneous mode of ventilation, where the patient initiates the breaths, and the ventilator provides support. The other options are controlled or synchronized modes.

Question 4 of 5

A 14-year-old girl with type 1 diabetes has hyperglycemia (20.2 mmol/L) and ketones (1.2 mmol/L) despite insulin pump therapy. What is the best advice?

Correct Answer: B

Rationale: If hyperglycemia and ketones are present, insulin pump failure should be suspected. A correction dose via syringe or pen is recommended.

Question 5 of 5

Menses typically begins 2.5 years after the onset of puberty at an average age of

Correct Answer: D

Rationale: Menarche generally occurs about 2.5 years after thelarche, averaging around 12.5 years.

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