ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
A 3-year-old female child with repeated admissions as bleeding tendency in a form of spontaneous ecchymosis and bleeding through the nose and urine. She had another daughter who died because of similar undiagnosed illness. The mother is a staff nurse and she is highly concerned about her child illness. Lab investigations usually show either PT and/or PTT prolongation with normal platelets, which usually normalized after empiric vitamin K administration. The father is a petrol engineer and never seen accompanying the family. Of the following, the MOST helpful investigation is
Correct Answer: A
Rationale: Factor VII deficiency is consistent with the described coagulation profile (PT prolongation, normal platelets, improvement with vitamin K). Factor II assay and von Willebrand factor assay are less relevant here.
Question 2 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.
Question 3 of 5
The earliest studies of autism suggested a relatively poor prognosis, with only a small number of individuals being able to function independently as adults. Of the following, the factor that carry POOR outcome is
Correct Answer: D
Rationale: Average nonverbal cognitive skills suggest limited adaptive functioning, contributing to poorer outcomes.
Question 4 of 5
Which is not a common cause of serum sickness?
Correct Answer: D
Rationale: Aspirin is not a common cause of serum sickness, unlike the other options listed.
Question 5 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.