A previously healthy 7-month-old white male presents one summer day with a temperature of 41.1°C, a pulse of 190, a respiratory rate of 70, and a blood pressure of 65/20. He has a 1-day history of diarrhea (five stools in 24 hours) and is now unresponsive to verbal commands or painful stimuli. The most appropriate initial therapy is

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

A previously healthy 7-month-old white male presents one summer day with a temperature of 41.1°C, a pulse of 190, a respiratory rate of 70, and a blood pressure of 65/20. He has a 1-day history of diarrhea (five stools in 24 hours) and is now unresponsive to verbal commands or painful stimuli. The most appropriate initial therapy is

Correct Answer: C

Rationale: Normal saline is the initial therapy for hypovolemic shock due to diarrhea, aiming to restore circulating volume and improve perfusion.

Question 2 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.

Question 3 of 5

Obstructive shock is characterized by which of the following:

Correct Answer: A

Rationale: Obstructive shock is due to mechanical obstructions such as cardiac tamponade or pulmonary embolism.

Question 4 of 5

Of the following, the MOST common factor that increases the likelihood of drowning in adolescents (USA) is:

Correct Answer: C

Rationale: Alcohol consumption significantly increases the risk of drowning in adolescents by impairing judgment and motor coordination, which increases the likelihood of water-related accidents.

Question 5 of 5

Which of the following is a common complication of long-term corticosteroid use?

Correct Answer: D

Rationale: Long-term corticosteroid use can lead to osteoporosis, hypertension, and diabetes mellitus, making 'All of the above' the correct answer.

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