Menses typically begins 2.5 years after the onset of puberty at an average age of

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

Menses typically begins 2.5 years after the onset of puberty at an average age of

Correct Answer: D

Rationale: Menarche generally occurs about 2.5 years after thelarche, averaging around 12.5 years.

Question 2 of 5

High pH, low carbon dioxide, and normal bicarbonate best fit which of the following disorders?

Correct Answer: D

Rationale: Uncompensated respiratory alkalosis occurs when excessive breathing reduces CO2 levels, raising pH. Bicarbonate remains normal in the acute phase before renal compensation.

Question 3 of 5

All of the following are anterior joints involved in juvenile idiopathic arthritis (JIA) EXCEPT

Correct Answer: D

Rationale: Metatarsal involvement is more characteristic of polyarticular JIA.

Question 4 of 5

Intrauterine transplacental infection is of significance to the fetus and/or newborn

Correct Answer: A

Rationale: Hepatitis B virus (HBV) primarily affects the liver and is not typically associated with significant intrauterine or transplacental effects compared to rubella, toxoplasmosis, and Parvovirus B19.

Question 5 of 5

A head-injured 4-year-old patient opens eyes to painful stimulus, is confused, and withdraws from pain. His Glasgow Coma Score is:

Correct Answer: B

Rationale: The Glasgow Coma Scale evaluates consciousness. Eye-opening to pain (2), verbal confusion (4), and withdrawal from pain (4) sum up to a total score of 10.

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