Regarding Non-Hodgkin lymphoma:

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

Regarding Non-Hodgkin lymphoma:

Correct Answer: B

Rationale: Abdominal mass is the most common presentation of pediatric Non-Hodgkin lymphoma, as it often arises from extranodal sites like the GI tract. Systemic symptoms are less frequent than in Hodgkin lymphoma.

Question 2 of 5

Shock associated with decreased central venous pressure includes the following Except:

Correct Answer: A

Rationale: Cardiogenic shock leads to increased central venous pressure due to heart failure, while hypovolemic and septic shock cause a drop in CVP due to fluid loss or vasodilation.

Question 3 of 5

Munchausen syndrome by proxy (MBP) is a form of factitious disorder by proxy, where a parent (usually mother) mimics symptoms in his or her child. Of the following, the symptom that is LEAST likely presented is

Correct Answer: D

Rationale: Psychosis is unlikely to be fabricated by a parent, as it is difficult to mimic convincingly without clear physical signs.

Question 4 of 5

Nasal congestion of rhinitis is usually relieved by

Correct Answer: C

Rationale: Pseudoephedrine is a nasal decongestant that relieves congestion by vasoconstriction.

Question 5 of 5

A systolic ejection murmur at upper left parasternal associated with ejection click is best heard with:

Correct Answer: B

Rationale: Valvular pulmonary stenosis produces a systolic ejection murmur with an ejection click due to turbulent flow across a stenotic pulmonary valve, best heard at the upper left sternal border.

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