Clinical picture of a 15-day-old newborn with severe coarctation of aorta will include the following Except:

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 9

Clinical picture of a 15-day-old newborn with severe coarctation of aorta will include the following Except:

Correct Answer: B

Rationale: Coarctation of the aorta typically causes weak femoral pulses but does not affect the right brachial pulse significantly, as the narrowing is usually distal to the right subclavian artery.

Question 2 of 9

The hallmark of atopic dermatitis is

Correct Answer: A

Rationale: Intense pruritus is the hallmark of atopic dermatitis, often leading to scratching, lichenification, and secondary skin infections.

Question 3 of 9

Which is not a common cause of latex allergy?

Correct Answer: D

Rationale: Food handlers are not a common group at risk for latex allergy, unlike healthcare workers, spina bifida patients, atopic individuals, and children with multiple surgeries.

Question 4 of 9

The most common viral cause of encephalitis is:

Correct Answer: B

Rationale: Enteroviruses, including Coxsackie and Echoviruses, are the most frequent cause of viral encephalitis worldwide, affecting both children and adults.

Question 5 of 9

A head-injured 4-year-old patient opens eyes to painful stimulus, is confused, and withdraws from pain. His Glasgow Coma Score is:

Correct Answer: B

Rationale: The Glasgow Coma Scale evaluates consciousness. Eye-opening to pain (2), verbal confusion (4), and withdrawal from pain (4) sum up to a total score of 10.

Question 6 of 9

The MOST common cause of food protein-induced enteropathy is

Correct Answer: C

Rationale: Cow's milk protein is the most frequent trigger of food protein-induced enteropathy, which can cause malabsorption and chronic diarrhea.

Question 7 of 9

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 8 of 9

High pH, low carbon dioxide, and normal bicarbonate best fit which of the following disorders?

Correct Answer: D

Rationale: Uncompensated respiratory alkalosis occurs when excessive breathing reduces CO2 levels, raising pH. Bicarbonate remains normal in the acute phase before renal compensation.

Question 9 of 9

What is the role of calcium gluconate in hyperkalemia treatment?

Correct Answer: D

Rationale: Calcium gluconate stabilizes cardiac membranes, preventing life-threatening arrhythmias without affecting serum potassium levels.

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