ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant. The nurse should recommend that the infant be given:
Correct Answer: C
Rationale: The correct answer is C. For infants younger than 1 year, the American Academy of Pediatrics recommends the use of breast milk or iron-fortified formula. If breastfeeding is discontinued before 1 year, it is important to switch to a commercial iron-fortified formula to ensure the infant is receiving all the necessary nutrients for growth and development.
Question 2 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 3 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 4 of 5
Which of the following is a common feature of fibromyalgia?
Correct Answer: D
Rationale: Fibromyalgia is characterized by widespread pain, fatigue, and sleep disturbance, making 'All of the above' the correct answer.
Question 5 of 5
All of the following are anterior joints involved in juvenile idiopathic arthritis (JIA) EXCEPT
Correct Answer: D
Rationale: Metatarsal involvement is more characteristic of polyarticular JIA.