After institution of treatment of anaphylaxis, the patient should be monitored in the emergency room for at least

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

After institution of treatment of anaphylaxis, the patient should be monitored in the emergency room for at least

Correct Answer: B

Rationale: Patients should be monitored for at least 4 hours due to the risk of biphasic anaphylaxis, which can recur after initial resolution.

Question 2 of 5

Nasal congestion of rhinitis is usually relieved by

Correct Answer: C

Rationale: Pseudoephedrine is a nasal decongestant that relieves congestion by vasoconstriction.

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 12-year-old with repeated episodes of streptococcal pharyngitis experiences another episode of sore throat... The most appropriate therapy is

Correct Answer: A

Rationale: Epinephrine is the first-line treatment for anaphylaxis, which is the most likely diagnosis given the symptoms.

Question 5 of 5

Acrodynia, or pink disease, is a rare idiosyncratic hypersensitivity reaction to mercury that occurs predominantly in children exposed to mercurous powders. The symptom complex includes the following EXCEPT

Correct Answer: A

Rationale: Generalized spasticity is not a common feature of acrodynia; the other symptoms are typical of mercury toxicity.

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