ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
Atypical depression is a form of major depressive disorder (MDD) characterized by all the following EXCEPT
Correct Answer: D
Rationale: Insomnia is not a typical feature of atypical depression, which instead involves hypersomnia.
Question 2 of 5
Sara, age 4 months, was born at 35 weeks of gestation. She seems to be developing normally, but her parents are concerned because she is a more difficult baby than their other child, who was term. The nurse should explain that:
Correct Answer: A
Rationale: Infant temperament has a strong biologic component and is part of their unique characteristics. Sara's behavior is likely influenced by her individual temperament, not by failure to bond or painful experiences in the neonatal period.
Question 3 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.
Question 4 of 5
An -year-old child has excellent ideas in a class discussion, but what she records on paper is primitive and unsophisticated. She can spell well in isolation and understands rules of punctuation and capitalization, but in her own writing she makes multiple errors and mistakes in punctuation and capitalization. Her handwriting is legible, but writing is painfully slow. This girl most likely is having problems with
Correct Answer: B
Rationale: The issue described points to graphomotor difficulties, where fine motor skills required for writing lag behind cognitive abilities. While ideation and expressive language seem intact, the slow and error-prone writing process suggests a motor-related challenge.
Question 5 of 5
The cut-off number of transfused blood units to start an iron chelating agent in chronic hemolytic anemia patients is:
Correct Answer: B
Rationale: Patients with chronic hemolytic anemia receiving more than 8-10 transfusions require iron chelation to prevent iron overload complications.