ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
A 12-month-old receives the MMR vaccine and suddenly becomes flushed, tachycardic, tachypneic with weak peripheral pulses & deteriorating consciousness. What is the likely explanation?
Correct Answer: D
Rationale: This is an anaphylactic reaction (a form of immunological shock) that occurs post-vaccination.
Question 2 of 5
The nurse is doing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed. This should be interpreted as which of the following?
Correct Answer: A
Rationale: The correct answer is A because the closure of the anterior fontanel between ages 12 and 18 months is considered a normal finding in infants. It is a part of the typical growth and development process.
Question 3 of 5
In metabolic disorders, which of the following is most likely associated with cerebral edema if improperly treated?
Correct Answer: B
Rationale: Rapid correction of hypernatremia can lead to cerebral edema due to osmotic shifts in brain cells.
Question 4 of 5
The cut-off number of transfused blood units to start an iron chelating agent in chronic hemolytic anemia patients is:
Correct Answer: B
Rationale: Patients with chronic hemolytic anemia receiving more than 8-10 transfusions require iron chelation to prevent iron overload complications.
Question 5 of 5
Atypical depression is a form of major depressive disorder (MDD) characterized by all the following EXCEPT
Correct Answer: D
Rationale: Insomnia is not a typical feature of atypical depression, which instead involves hypersomnia.