The treatment of choice for childhood onset of major depression is

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 of 5

The treatment of choice for childhood onset of major depression is

Correct Answer: C

Rationale: Serotonin reuptake inhibitors (SSRIs) are preferred over older medications like tricyclics due to better safety profiles and efficacy in pediatric depression.

Question 2 of 5

Which of the following causes metabolic acidosis with a normal anion gap?

Correct Answer: B

Rationale: Diarrhea leads to metabolic acidosis with a normal anion gap due to excessive bicarbonate loss in stool. This type of acidosis is known as hyperchloremic acidosis, where chloride replaces lost bicarbonate.

Question 3 of 5

A head-injured 4-year-old patient who opens eyes to painful stimulus, is confused, and withdraws from pain has a Glasgow coma score of:

Correct Answer: B

Rationale: A GCS of 10 is calculated as follows: Eye opening to pain (2), Confused verbal response (4), and Withdrawal from pain (4), summing up to 10.

Question 4 of 5

Of the following, the MOST common factor that increases the likelihood of drowning in adolescents (USA) is:

Correct Answer: C

Rationale: Alcohol consumption significantly increases the risk of drowning in adolescents by impairing judgment and motor coordination, which increases the likelihood of water-related accidents.

Question 5 of 5

Which is not a common cause of serum sickness?

Correct Answer: D

Rationale: Aspirin is not a common cause of serum sickness, unlike the other options listed.

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