The earliest studies of autism suggested a relatively poor prognosis, with only a small number of individuals being able to function independently as adults. Of the following, the factor that carry POOR outcome is

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

The earliest studies of autism suggested a relatively poor prognosis, with only a small number of individuals being able to function independently as adults. Of the following, the factor that carry POOR outcome is

Correct Answer: D

Rationale: Average nonverbal cognitive skills suggest limited adaptive functioning, contributing to poorer outcomes.

Question 2 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 3 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 4 of 5

Prevention of atopic dermatitis in infancy includes the following measures EXCEPT

Correct Answer: C

Rationale: Special napkins have no role in preventing atopic dermatitis.

Question 5 of 5

For a 5-year-old child with breath-holding spells, which response/advice is NOT true?

Correct Answer: B

Rationale: While reassurance and behavioral strategies are appropriate, ordering an MRI brain is unnecessary unless neurological concerns exist. EEG may help rule out seizures.

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