ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
At what ages should children ideally be screened for autistic spectrum disorders?
Correct Answer: C
Rationale: Screening for ASD is recommended at 18 and 24 months during routine pediatric visits to ensure early detection and intervention.
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
Regarding disorders of acid-base balance, what is the compensatory mechanism that takes place to keep pH normal when there is bicarbonate loss in urine?
Correct Answer: C
Rationale: Hyperventilation is the compensatory mechanism for metabolic acidosis, leading to increased CO2 elimination and normalization of pH.
Question 4 of 5
The MOST important proposed field treatment for snake bites is
Correct Answer: B
Rationale: Immobilization prevents venom spread and is the best immediate treatment.
Question 5 of 5
Which of the following statements is TRUE regarding hypernatremic dehydration:
Correct Answer: A
Rationale: Hypernatremic dehydration occurs when water loss exceeds sodium loss, leading to increased serum osmolality (>295 mOsm/L) and sodium levels (>145 mEq/L). This can result from inadequate fluid intake, excessive sweating, or osmotic diuresis.