ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
A 5-year-old boy with a history of bronchial asthma was rushed to the emergency department with increasing shortness of breath, pyrexia, and a productive cough. He has difficulty communicating due to an inability to complete a sentence. Examination reveals crackles and wheezes in the lower lobes, tachycardia, and a bounding pulse. Arterial blood gas: pH 7.3, PaCO2 68 mmHg, HCO3 28 mmol/L, PaO2 60mmHg. How would you interpret this?
Correct Answer: B
Rationale: The patient has a low pH (acidosis), elevated PaCO2 (respiratory cause), and an increased HCO3, indicating partial compensation. This suggests respiratory acidosis due to CO2 retention from severe asthma exacerbation.
Question 2 of 5
A concerned parent of an 18-month-old child expressed a brief tonic movement after being upset and cried. All the following are true advices EXCEPT
Correct Answer: C
Rationale: Interfering early by calming the child may disrupt the natural resolution of the spell, which is typically brief and self-limiting.
Question 3 of 5
A 2-month-old infant presents with cough, tachypnea, and wheezing. The most likely viral cause is:
Correct Answer: D
Rationale: Respiratory syncytial virus (RSV) is the most common cause of bronchiolitis in infants, presenting with cough, tachypnea, wheezing, and respiratory distress. It spreads via respiratory droplets and is especially severe in premature and immunocompromised infants.
Question 4 of 5
A -week-old infant is brought to the emergency room in coma with retinal hemorrhages and severe pallor He was born at home and was first seen by a physician at days of age and placed on amoxicillin for otitis media His diet is breast milk Diagnostic tests should include all of the following EXCEPT
Correct Answer: D
Rationale: Lumbar puncture is contraindicated in cases of severe coagulopathy or intracranial hemorrhage, as it could worsen the condition
Question 5 of 5
What is a major challenge faced by developing countries?
Correct Answer: A
Rationale: Many developing countries struggle with providing access to clean water, which affects public health and economic productivity.