ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 9
A 10-year-old child has intermittent symptoms of mild asthma... Which treatment option is most appropriate?
Correct Answer: D
Rationale: Inhaled β₂-agonists are recommended for intermittent asthma symptoms as needed for relief.
Question 2 of 9
A neonate with an omphalocele is at increased risk for which associated condition?
Correct Answer: B
Rationale: Omphalocele is a midline abdominal wall defect often associated with congenital heart defects and chromosomal abnormalities such as trisomy 13, 18, and 21. It requires surgical repair and careful monitoring.
Question 3 of 9
Which of the following statements is TRUE regarding hypernatremic dehydration:
Correct Answer: A
Rationale: Hypernatremic dehydration occurs when water loss exceeds sodium loss, leading to increased serum osmolality (>295 mOsm/L) and sodium levels (>145 mEq/L). This can result from inadequate fluid intake, excessive sweating, or osmotic diuresis.
Question 4 of 9
The main differentiating item between intermittent versus persistent allergic rhinitis is
Correct Answer: B
Rationale: Persistent allergic rhinitis is characterized by more frequent and troublesome symptoms that impact daily life, distinguishing it from intermittent cases, which occur less frequently.
Question 5 of 9
The blueberry muffin appearance in infants with TORCH infections most likely represents
Correct Answer: B
Rationale: Dermal erythropoiesis refers to extramedullary hematopoiesis in the skin, causing a characteristic blueberry muffin appearance
Question 6 of 9
Spondyloarthritis may be overlapped clinically with other forms of juvenile idiopathic arthritis (JIA). Clinical manifestations that help distinguish spondyloarthritis from other forms of juvenile arthritis include all the following EXCEPT
Correct Answer: D
Rationale: Uveitis is more common in oligoarticular JIA.
Question 7 of 9
The Look-Listen-Feel procedure is used to:
Correct Answer: B
Rationale: Look-Listen-Feel is a primary assessment step in BLS to check for effective breathing before initiating rescue breaths or CPR.
Question 8 of 9
A red-haired, blue-eyed, Caucasian 15-year-old with a small congenital nevus undergoes a biopsy to rule out melanoma. For pain control, naproxen 15 mg/kg TID is given. Two days after surgery, blood is noted to be oozing from the wound, which won’t stop bleeding. All of the following are correct EXCEPT
Correct Answer: C
Rationale: Ibuprofen also has anticoagulant properties similar to naproxen, meaning bleeding risk would not be completely avoided by switching to ibuprofen.
Question 9 of 9
The main diagnostic sign of cardiac arrest is
Correct Answer: C
Rationale: Absence of a central pulse (carotid or femoral) confirms cardiac arrest. Peripheral pulses may be weak in shock, but loss of a central pulse requires immediate resuscitation efforts.