ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 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 2 of 5
Which of the following statements is TRUE regarding hypernatremic dehydration:
Correct Answer: A
Rationale: Hypernatremic dehydration occurs when water loss exceeds sodium loss, leading to increased serum osmolality (>295 mOsm/L) and sodium levels (>145 mEq/L). This can result from inadequate fluid intake, excessive sweating, or osmotic diuresis.
Question 3 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 4 of 5
Intrauterine transplacental infection is of significance to the fetus and/or newborn
Correct Answer: A
Rationale: Hepatitis B virus (HBV) primarily affects the liver and is not typically associated with significant intrauterine or transplacental effects compared to rubella, toxoplasmosis, and Parvovirus B19.
Question 5 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.