For a 5-year-old child with breath-holding spells, which response/advice is NOT true?

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

For a 5-year-old child with breath-holding spells, which response/advice is NOT true?

Correct Answer: B

Rationale: While reassurance and behavioral strategies are appropriate, ordering an MRI brain is unnecessary unless neurological concerns exist. EEG may help rule out seizures.

Question 2 of 5

Which form of hypersensitivity reaction is characterized by antigen-antibody reactions on the cell membrane with activation of complement and destruction of the involved cell?

Correct Answer: B

Rationale: Type II hypersensitivity involves antibody-mediated cell destruction via complement activation.

Question 3 of 5

A 2-month-old infant presents with cough, tachypnea, and wheezing. The most likely viral cause is:

Correct Answer: D

Rationale: Respiratory syncytial virus (RSV) is the most common cause of bronchiolitis in infants, presenting with cough, tachypnea, wheezing, and respiratory distress. It spreads via respiratory droplets and is especially severe in premature and immunocompromised infants.

Question 4 of 5

A -year-old boy has unexplained recurrent attacks of severe abdominal pain over the past years, not resolving during holidays; physical examination and lab investigations are unremarkable. Of the following, the risk factor that is LEAST likely associated with this disorder is

Correct Answer: D

Rationale: School attendance is less likely to be a direct cause of somatoform disorders compared to emotional or familial issues. Emotional distress, marital conflict, and abuse are more directly linked to psychological stressors.

Question 5 of 5

The MOST consistent statement of structural MRI brain findings of autistic spectrum disorders (ASD) is

Correct Answer: B

Rationale: Increased brain size is a consistent finding in early childhood for individuals with ASD.

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