A systolic ejection murmur at upper left parasternal associated with ejection click is best heard with:

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

A systolic ejection murmur at upper left parasternal associated with ejection click is best heard with:

Correct Answer: B

Rationale: Valvular pulmonary stenosis produces a systolic ejection murmur with an ejection click due to turbulent flow across a stenotic pulmonary valve, best heard at the upper left sternal border.

Question 2 of 5

The nurse is doing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed. This should be interpreted as which of the following?

Correct Answer: A

Rationale: The correct answer is A because the closure of the anterior fontanel between ages 12 and 18 months is considered a normal finding in infants. It is a part of the typical growth and development process.

Question 3 of 5

A 12-month-old receives the MMR vaccine and suddenly becomes flushed, tachycardic, tachypneic with weak peripheral pulses & deteriorating consciousness. What is the likely explanation?

Correct Answer: D

Rationale: This is an anaphylactic reaction (a form of immunological shock) that occurs post-vaccination.

Question 4 of 5

A normal platelet count with prolonged bleeding time is seen in:

Correct Answer: B

Rationale: Von Willebrand disease affects platelet function rather than count, leading to prolonged bleeding time despite a normal platelet count.

Question 5 of 5

The Look-Listen-Feel procedure is used to:

Correct Answer: B

Rationale: Look-Listen-Feel is a primary assessment step in BLS to check for effective breathing before initiating rescue breaths or CPR.

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