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

Which of the following statements about bronchial asthma is correct?

Correct Answer: B

Rationale: Asthma is a TH2-mediated inflammatory condition where eosinophils play a key role in airway hyperresponsiveness. Increased IgE, not IgA, is associated with allergic asthma, and viral infections can trigger but do not cause asthma.

Question 3 of 9

One of the following can cause heart failure in a full-term neonate:

Correct Answer: D

Rationale: Severe coarctation leads to critical left ventricular outflow obstruction, causing neonatal heart failure.

Question 4 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 5 of 9

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 6 of 9

Which of the following statements about bronchial asthma is correct?

Correct Answer: B

Rationale: Asthma is a TH2-mediated inflammatory condition where eosinophils play a key role in airway hyperresponsiveness. Increased IgE, not IgA, is associated with allergic asthma, and viral infections can trigger but do not cause asthma.

Question 7 of 9

Which of the following statements is TRUE regarding hypernatremic dehydration:

Correct Answer: A

Rationale: Hypernatremic dehydration occurs when water loss exceeds sodium loss, leading to increased serum osmolality (>295 mOsm/L) and sodium levels (>145 mEq/L). This can result from inadequate fluid intake, excessive sweating, or osmotic diuresis.

Question 8 of 9

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.

Question 9 of 9

A neonate with an abdominal wall defect and exposed bowel without a protective sac is diagnosed with:

Correct Answer: B

Rationale: Gastroschisis is a congenital defect where the intestines protrude through the abdominal wall without a covering sac, increasing the risk of infection and dehydration. It requires surgical repair soon after birth.

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