Avoidance of triggering agents is crucial in urticaria and angioedema. The MAINSTAY of pharmacologic treatment is

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

Avoidance of triggering agents is crucial in urticaria and angioedema. The MAINSTAY of pharmacologic treatment is

Correct Answer: A

Rationale: Second-generation H1 antihistamines are first-line for chronic urticaria due to their efficacy and fewer side effects.

Question 2 of 5

A 3-year-old child presents with prolonged diarrhea. Serum sodium is 115 mEq/L, urinary sodium excretion is 8 mEq/L. What is the most accepted explanation for this sodium abnormality?

Correct Answer: C

Rationale: The child has hyponatremia due to sodium depletion from prolonged diarrhea. Low urinary sodium suggests total body sodium loss rather than water overload.

Question 3 of 5

All the following are true, regarding pathology of neonatal necrotizing enterocolitis (NEC) EXCEPT

Correct Answer: C

Rationale: A specific pathogen is not always identified in NEC cases. The other statements are true regarding NEC pathology.

Question 4 of 5

The following signs are more in favor of circulatory failure Except:

Correct Answer: B

Rationale: Marked tachypnea with recessions suggests respiratory distress rather than circulatory failure, which is characterized by weak pulses and organ hypoperfusion.

Question 5 of 5

In vivo skin testing for allergen-specific IgE involves a wheal and flare reaction measured after

Correct Answer: A

Rationale: Skin prick testing results are typically read within 15 to 20 minutes, allowing for immediate diagnosis of allergic sensitivities.

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