A neonate with an abdominal wall defect and exposed bowel without a protective sac is diagnosed with:

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

A neonate with an abdominal wall defect and exposed bowel without a protective sac is diagnosed with:

Correct Answer: B

Rationale: Gastroschisis is a congenital defect where the intestines protrude through the abdominal wall without a covering sac, increasing the risk of infection and dehydration. It requires surgical repair soon after birth.

Question 2 of 5

During early compensated shock, there is:

Correct Answer: D

Rationale: In compensated shock, blood pressure remains normal due to sympathetic activation, but tachycardia and delayed capillary refill may be present.

Question 3 of 5

Which of the following statements is TRUE regarding hypernatremic dehydration:

Correct Answer: A

Rationale: Hypernatremic dehydration occurs when water loss exceeds sodium loss, leading to increased serum osmolality (>295 mOsm/L) and sodium levels (>145 mEq/L). This can result from inadequate fluid intake, excessive sweating, or osmotic diuresis.

Question 4 of 5

Which of the following is a common feature of fibromyalgia?

Correct Answer: D

Rationale: Fibromyalgia is characterized by widespread pain, fatigue, and sleep disturbance, making 'All of the above' the correct answer.

Question 5 of 5

Which is not a common cause of serum sickness?

Correct Answer: D

Rationale: Aspirin is not a common cause of serum sickness, unlike the other options listed.

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