ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
A red-haired, blue-eyed, Caucasian 15-year-old with a small congenital nevus undergoes a biopsy to rule out melanoma. For pain control, naproxen 15 mg/kg TID is given. Two days after surgery, blood is noted to be oozing from the wound, which won’t stop bleeding. All of the following are correct EXCEPT
Correct Answer: C
Rationale: Ibuprofen also has anticoagulant properties similar to naproxen, meaning bleeding risk would not be completely avoided by switching to ibuprofen.
Question 2 of 5
On the second day of life, the patient in Questions and experiences bradycardia and hypotension with cyanosis and a metabolic acidosis Likely diagnoses include (may choose more than one)
Correct Answer: D
Rationale: Preterm infants have limited glycogen stores and are at risk of hypoglycemia, which can lead to bradycardia, hypotension, and metabolic acidosis.
Question 3 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 4 of 5
A normal platelet count with prolonged bleeding time is seen in:
Correct Answer: B
Rationale: Von Willebrand disease affects platelet function rather than count, leading to prolonged bleeding time despite a normal platelet count.
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.