Exfoliative dermatitis may develop in patients with atopic dermatitis and extensive skin involvement, usually caused by inappropriate therapy or superinfection with

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

Exfoliative dermatitis may develop in patients with atopic dermatitis and extensive skin involvement, usually caused by inappropriate therapy or superinfection with

Correct Answer: C

Rationale: Exfoliative dermatitis in atopic dermatitis patients can be due to superinfection, with Herpes simplex virus being a common cause (eczema herpeticum). It presents as widespread vesicular eruptions, requiring antiviral treatment to prevent complications like systemic dissemination.

Question 2 of 5

The main diagnostic sign of cardiac arrest is

Correct Answer: C

Rationale: Absence of a central pulse (carotid or femoral) confirms cardiac arrest. Peripheral pulses may be weak in shock, but loss of a central pulse requires immediate resuscitation efforts.

Question 3 of 5

Alkali therapy for the treatment of metabolic acidosis in RDS may result in all the following EXCEPT

Correct Answer: D

Rationale: Alkali therapy can cause hypernatremia and skin slough but not hyperkalemia. The other options are potential side effects.

Question 4 of 5

On the second day of life, the patient in Questions and experiences bradycardia and hypotension with cyanosis and a metabolic acidosis Likely diagnoses include (may choose more than one)

Correct Answer: D

Rationale: Preterm infants have limited glycogen stores and are at risk of hypoglycemia, which can lead to bradycardia, hypotension, and metabolic acidosis.

Question 5 of 5

Which of the following causes metabolic acidosis with a normal anion gap?

Correct Answer: B

Rationale: Diarrhea leads to metabolic acidosis with a normal anion gap due to excessive bicarbonate loss in stool. This type of acidosis is known as hyperchloremic acidosis, where chloride replaces lost bicarbonate.

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