ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
Alkali therapy for the treatment of metabolic acidosis in RDS may result in all the following EXCEPT
Correct Answer: D
Rationale: Alkali therapy can cause hypernatremia and skin slough but not hyperkalemia. The other options are potential side effects.
Question 2 of 5
The treatment of choice for childhood onset of major depression is
Correct Answer: C
Rationale: Serotonin reuptake inhibitors (SSRIs) are preferred over older medications like tricyclics due to better safety profiles and efficacy in pediatric depression.
Question 3 of 5
A -year-old boy has unexplained recurrent attacks of severe abdominal pain over the past years, not resolving during holidays; physical examination and lab investigations are unremarkable. Of the following, the risk factor that is LEAST likely associated with this disorder is
Correct Answer: D
Rationale: School attendance is less likely to be a direct cause of somatoform disorders compared to emotional or familial issues. Emotional distress, marital conflict, and abuse are more directly linked to psychological stressors.
Question 4 of 5
A 3-year-old child presents with prolonged diarrhea. Serum sodium is 115 mEq/L, urinary sodium excretion is 8 mEq/L. What is the most accepted explanation for this sodium abnormality?
Correct Answer: C
Rationale: The child has hyponatremia due to sodium depletion from prolonged diarrhea. Low urinary sodium suggests total body sodium loss rather than water overload.
Question 5 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.