ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 9
Clinical picture of a 15-day-old newborn with severe coarctation of aorta will include the following Except:
Correct Answer: B
Rationale: Coarctation of the aorta typically causes weak femoral pulses but does not affect the right brachial pulse significantly, as the narrowing is usually distal to the right subclavian artery.
Question 2 of 9
Which of the following statements about bronchial asthma is correct?
Correct Answer: B
Rationale: Asthma is a TH2-mediated inflammatory condition where eosinophils play a key role in airway hyperresponsiveness. Increased IgE, not IgA, is associated with allergic asthma, and viral infections can trigger but do not cause asthma.
Question 3 of 9
One of the following can cause heart failure in a full-term neonate:
Correct Answer: D
Rationale: Severe coarctation leads to critical left ventricular outflow obstruction, causing neonatal heart failure.
Question 4 of 9
The hallmark of atopic dermatitis is
Correct Answer: A
Rationale: Intense pruritus is the hallmark of atopic dermatitis, often leading to scratching, lichenification, and secondary skin infections.
Question 5 of 9
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 6 of 9
Which of the following statements about bronchial asthma is correct?
Correct Answer: B
Rationale: Asthma is a TH2-mediated inflammatory condition where eosinophils play a key role in airway hyperresponsiveness. Increased IgE, not IgA, is associated with allergic asthma, and viral infections can trigger but do not cause asthma.
Question 7 of 9
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.
Question 8 of 9
In vivo skin testing for allergen-specific IgE involves a wheal and flare reaction measured after
Correct Answer: A
Rationale: Skin prick testing results are typically read within 15 to 20 minutes, allowing for immediate diagnosis of allergic sensitivities.
Question 9 of 9
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.