ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
A 3-year-old child presents with prolonged diarrhea. Serum sodium is 115 mEq/L, urinary sodium excretion is 8 mEq/L. What is the most accepted explanation for this sodium abnormality?
Correct Answer: C
Rationale: The child has hyponatremia due to sodium depletion from prolonged diarrhea. Low urinary sodium suggests total body sodium loss rather than water overload.
Question 2 of 5
The MOST effective therapy for persistent allergic rhinitis is
Correct Answer: D
Rationale: Nasal corticosteroids, such as budesonide, are the most effective treatment for persistent allergic rhinitis, reducing inflammation and nasal symptoms more effectively than antihistamines or leukotriene inhibitors.
Question 3 of 5
The following signs are more in favor of circulatory failure Except:
Correct Answer: B
Rationale: Marked tachypnea with recessions suggests respiratory distress rather than circulatory failure, which is characterized by weak pulses and organ hypoperfusion.
Question 4 of 5
Which form of hypersensitivity reaction is characterized by antigen-antibody reactions on the cell membrane with activation of complement and destruction of the involved cell?
Correct Answer: B
Rationale: Type II hypersensitivity involves antibody-mediated cell destruction via complement activation.
Question 5 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.