ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
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 5
A 6-year-old boy has a 1-year history of cough that is worse at night & with exercise. Which one of the following tests is most likely to assist you to make a diagnosis?
Correct Answer: D
Rationale: Spirometry is the best test to assess obstructive lung diseases such as asthma. It evaluates airflow limitation and reversibility with bronchodilators, helping confirm the diagnosis.
Question 3 of 5
A 2-month-old infant presents with cough, tachypnea, and wheezing. The most likely viral cause is:
Correct Answer: D
Rationale: Respiratory syncytial virus (RSV) is the most common cause of bronchiolitis in infants, presenting with cough, tachypnea, wheezing, and respiratory distress. It spreads via respiratory droplets and is especially severe in premature and immunocompromised infants.
Question 4 of 5
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.
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.