Regarding disorders of acid-base balance, what is the compensatory mechanism that takes place to keep pH normal when there is bicarbonate loss in urine?

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

Regarding disorders of acid-base balance, what is the compensatory mechanism that takes place to keep pH normal when there is bicarbonate loss in urine?

Correct Answer: C

Rationale: Hyperventilation is the compensatory mechanism for metabolic acidosis, leading to increased CO2 elimination and normalization of pH.

Question 2 of 5

Atypical depression is a form of major depressive disorder (MDD) characterized by all the following EXCEPT

Correct Answer: D

Rationale: Insomnia is not a typical feature of atypical depression, which instead involves hypersomnia.

Question 3 of 5

Regarding pubertal gynecomastia, which statement is TRUE?

Correct Answer: D

Rationale: Severe or persistent cases of gynecomastia might require surgical intervention if conservative measures fail.

Question 4 of 5

The cut-off number of transfused blood units to start an iron chelating agent in chronic hemolytic anemia patients is:

Correct Answer: B

Rationale: Patients with chronic hemolytic anemia receiving more than 8-10 transfusions require iron chelation to prevent iron overload complications.

Question 5 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.

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