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 is a common complication of untreated rheumatoid arthritis?
Correct Answer: D
Rationale: Untreated rheumatoid arthritis can lead to joint deformity, cardiovascular disease, and vision loss due to systemic inflammation.
Question 3 of 9
For a 5-year-old child with breath-holding spells, which response/advice is NOT true?
Correct Answer: B
Rationale: While reassurance and behavioral strategies are appropriate, ordering an MRI brain is unnecessary unless neurological concerns exist. EEG may help rule out seizures.
Question 4 of 9
Heimlich maneuver is used for which of the following purposes
Correct Answer: D
Rationale: The Heimlich maneuver is performed to expel a foreign body from the airway in choking individuals. In unconscious patients, abdominal thrusts are avoided in favor of back blows and chest compressions.
Question 5 of 9
A concerned parent of an 18-month-old child expressed a brief tonic movement after being upset and cried. All the following are true advices EXCEPT
Correct Answer: C
Rationale: Interfering early by calming the child may disrupt the natural resolution of the spell, which is typically brief and self-limiting.
Question 6 of 9
Shock associated with decreased central venous pressure includes the following Except:
Correct Answer: A
Rationale: Cardiogenic shock leads to increased central venous pressure due to heart failure, while hypovolemic and septic shock cause a drop in CVP due to fluid loss or vasodilation.
Question 7 of 9
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.
Question 8 of 9
A 5-year-old boy with a history of bronchial asthma was rushed to the emergency department with increasing shortness of breath, pyrexia, and a productive cough. He has difficulty communicating due to an inability to complete a sentence. Examination reveals crackles and wheezes in the lower lobes, tachycardia, and a bounding pulse. Arterial blood gas: pH 7.3, PaCO2 68 mmHg, HCO3 28 mmol/L, PaO2 60mmHg. How would you interpret this?
Correct Answer: B
Rationale: The patient has a low pH (acidosis), elevated PaCO2 (respiratory cause), and an increased HCO3, indicating partial compensation. This suggests respiratory acidosis due to CO2 retention from severe asthma exacerbation.
Question 9 of 9
The following is considered one of the B symptoms in Hodgkin disease:
Correct Answer: C
Rationale: B symptoms include fever, night sweats, and weight loss, indicating systemic involvement in Hodgkin lymphoma.