ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
A 14-year-old girl with type 1 diabetes has hyperglycemia (20.2 mmol/L) and ketones (1.2 mmol/L) despite insulin pump therapy. What is the best advice?
Correct Answer: B
Rationale: If hyperglycemia and ketones are present, insulin pump failure should be suspected. A correction dose via syringe or pen is recommended.
Question 2 of 5
One of the following is FALSE in hemolytic disease of the newborn caused by Rh incompatibility
Correct Answer: B
Rationale: Rh incompatibility does not 'never' occur in first-born infants. While it is less common, sensitization can occur during delivery or other events in the first pregnancy, leading to hemolytic disease in the first-born infant.
Question 3 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.
Question 4 of 5
Which is not a common cause of latex allergy?
Correct Answer: D
Rationale: Food handlers are not a common group at risk for latex allergy, unlike healthcare workers, spina bifida patients, atopic individuals, and children with multiple surgeries.
Question 5 of 5
A 6-year-old boy has a 1-year history of cough that is worse at night & with exercise. Which one of the following tests is most likely to assist you to make a diagnosis?
Correct Answer: D
Rationale: Spirometry is the best test to assess obstructive lung diseases such as asthma. It evaluates airflow limitation and reversibility with bronchodilators, helping confirm the diagnosis.