ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
A head-injured 4-year-old patient who opens eyes to painful stimulus, is confused, and withdraws from pain has a Glasgow coma score of:
Correct Answer: B
Rationale: A GCS of 10 is calculated as follows: Eye opening to pain (2), Confused verbal response (4), and Withdrawal from pain (4), summing up to 10.
Question 2 of 5
A previously healthy 7-month-old white male presents one summer day with a temperature of 41.1°C, a pulse of 190, a respiratory rate of 70, and a blood pressure of 65/20. He has a 1-day history of diarrhea (five stools in 24 hours) and is now unresponsive to verbal commands or painful stimuli. The most appropriate initial therapy is
Correct Answer: C
Rationale: Normal saline is the initial therapy for hypovolemic shock due to diarrhea, aiming to restore circulating volume and improve perfusion.
Question 3 of 5
A 6-year-old boy with basal ejection systolic murmur, systolic click, and evidence of right ventricular apex in plain CXR is suspected to have which congenital heart disease?
Correct Answer: A
Rationale: Pulmonary stenosis presents with an ejection systolic murmur, systolic click, and right ventricular hypertrophy on X-ray.
Question 4 of 5
A neonate with an omphalocele is at increased risk for which associated condition?
Correct Answer: B
Rationale: Omphalocele is a midline abdominal wall defect often associated with congenital heart defects and chromosomal abnormalities such as trisomy 13, 18, and 21. It requires surgical repair and careful monitoring.
Question 5 of 5
Obstructive shock is characterized by which of the following:
Correct Answer: A
Rationale: Obstructive shock is due to mechanical obstructions such as cardiac tamponade or pulmonary embolism.