ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) can be caused by all the following EXCEPT
Correct Answer: C
Rationale: Allopurinol is not a major cause of DRESS syndrome, whereas anticonvulsants and sulfonamides are common triggers.
Question 2 of 5
Acrodynia, or pink disease, is a rare idiosyncratic hypersensitivity reaction to mercury that occurs predominantly in children exposed to mercurous powders. The symptom complex includes the following EXCEPT
Correct Answer: A
Rationale: Generalized spasticity is not a common feature of acrodynia; the other symptoms are typical of mercury toxicity.
Question 3 of 5
Which is not a common cause of latex allergy?
Correct Answer: D
Rationale: Food handlers are not a common group at risk for latex allergy, unlike healthcare workers, spina bifida patients, atopic individuals, and children with multiple surgeries.
Question 4 of 5
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 5 of 5
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.