In vivo skin testing for allergen-specific IgE involves a wheal and flare reaction measured after

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 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 2 of 9

What is a major challenge faced by developing countries?

Correct Answer: A

Rationale: Many developing countries struggle with providing access to clean water, which affects public health and economic productivity.

Question 3 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.

Question 4 of 9

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 5 of 9

Infants at risk for hyperinsulinemic hypoglycemia include all of the following EXCEPT

Correct Answer: C

Rationale: Galactosemia does not typically cause hyperinsulinemic hypoglycemia

Question 6 of 9

The main differentiating item between intermittent versus persistent allergic rhinitis is

Correct Answer: B

Rationale: Persistent allergic rhinitis is characterized by more frequent and troublesome symptoms that impact daily life, distinguishing it from intermittent cases, which occur less frequently.

Question 7 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 8 of 9

Avoidance of triggering agents is crucial in urticaria and angioedema. The MAINSTAY of pharmacologic treatment is

Correct Answer: A

Rationale: Second-generation H1 antihistamines are first-line for chronic urticaria due to their efficacy and fewer side effects.

Question 9 of 9

A 12-year-old with repeated episodes of streptococcal pharyngitis experiences another episode of sore throat... The most appropriate therapy is

Correct Answer: A

Rationale: Epinephrine is the first-line treatment for anaphylaxis, which is the most likely diagnosis given the symptoms.

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