In metabolic disorders, which of the following is most likely associated with cerebral edema if improperly treated?

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

In metabolic disorders, which of the following is most likely associated with cerebral edema if improperly treated?

Correct Answer: B

Rationale: Rapid correction of hypernatremia can lead to cerebral edema due to osmotic shifts in brain cells.

Question 2 of 5

Which of the following is NOT a common feature of systemic lupus erythematosus?

Correct Answer: D

Rationale: Hyperglycemia is not a typical feature of systemic lupus erythematosus; it is more commonly associated with diabetes.

Question 3 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.

Question 4 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 5 of 5

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.

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