Nocturnal enuresis is described by all of the following EXCEPT

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

Nocturnal enuresis is described by all of the following EXCEPT

Correct Answer: D

Rationale: Primary nocturnal enuresis is generally not linked to emotional disorders but instead to factors like genetics, bladder capacity, or nighttime urine production.

Question 2 of 5

A previously healthy 7-month-old white male presents one summer day with a temperature of 41.1°C, a pulse of 190, a respiratory rate of 70, and a blood pressure of 65/20. He has a 1-day history of diarrhea (five stools in 24 hours) and is now unresponsive to verbal commands or painful stimuli. The most appropriate initial therapy is

Correct Answer: C

Rationale: Normal saline is the initial therapy for hypovolemic shock due to diarrhea, aiming to restore circulating volume and improve perfusion.

Question 3 of 5

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 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 5 of 5

The best method of oxygen delivery suitable for an arrested child is

Correct Answer: C

Rationale: An Ambu bag provides manual positive pressure ventilation, making it the preferred method for oxygen delivery in a child with respiratory arrest.

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