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

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Pediatric Clinical Nurse Specialist Exam Questions Questions

Question 1 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 2 of 5

The most common viral cause of encephalitis is:

Correct Answer: B

Rationale: Enteroviruses, including Coxsackie and Echoviruses, are the most frequent cause of viral encephalitis worldwide, affecting both children and adults.

Question 3 of 5

One of the following is a common neonatal respiratory problem associated with premature infants

Correct Answer: B

Rationale: Apnea is a common respiratory problem in premature infants due to immaturity of the respiratory control centers in the brain. The other conditions are also seen but are less specific to prematurity.

Question 4 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 5 of 5

The MOST important proposed field treatment for snake bites is

Correct Answer: B

Rationale: Immobilization prevents venom spread and is the best immediate treatment.

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