ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 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 2 of 5
A 14-year-old girl with type 1 diabetes has hyperglycemia (20.2 mmol/L) and ketones (1.2 mmol/L) despite insulin pump therapy. What is the best advice?
Correct Answer: B
Rationale: If hyperglycemia and ketones are present, insulin pump failure should be suspected. A correction dose via syringe or pen is recommended.
Question 3 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.
Question 4 of 5
A neonate with an abdominal wall defect and exposed bowel without a protective sac is diagnosed with:
Correct Answer: B
Rationale: Gastroschisis is a congenital defect where the intestines protrude through the abdominal wall without a covering sac, increasing the risk of infection and dehydration. It requires surgical repair soon after birth.
Question 5 of 5
Sign of biliary atresia on ultrasound?
Correct Answer: A
Rationale: The 'triangular cord' sign, a fibrotic remnant of bile ducts, is a characteristic ultrasound finding in biliary atresia.