ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
Exfoliative dermatitis may develop in patients with atopic dermatitis and extensive skin involvement, usually caused by inappropriate therapy or superinfection with
Correct Answer: C
Rationale: Exfoliative dermatitis in atopic dermatitis patients can be due to superinfection, with Herpes simplex virus being a common cause (eczema herpeticum). It presents as widespread vesicular eruptions, requiring antiviral treatment to prevent complications like systemic dissemination.
Question 2 of 5
The main diagnostic sign of cardiac arrest is
Correct Answer: C
Rationale: Absence of a central pulse (carotid or femoral) confirms cardiac arrest. Peripheral pulses may be weak in shock, but loss of a central pulse requires immediate resuscitation efforts.
Question 3 of 5
Alkali therapy for the treatment of metabolic acidosis in RDS may result in all the following EXCEPT
Correct Answer: D
Rationale: Alkali therapy can cause hypernatremia and skin slough but not hyperkalemia. The other options are potential side effects.
Question 4 of 5
On the second day of life, the patient in Questions and experiences bradycardia and hypotension with cyanosis and a metabolic acidosis Likely diagnoses include (may choose more than one)
Correct Answer: D
Rationale: Preterm infants have limited glycogen stores and are at risk of hypoglycemia, which can lead to bradycardia, hypotension, and metabolic acidosis.
Question 5 of 5
Which of the following causes metabolic acidosis with a normal anion gap?
Correct Answer: B
Rationale: Diarrhea leads to metabolic acidosis with a normal anion gap due to excessive bicarbonate loss in stool. This type of acidosis is known as hyperchloremic acidosis, where chloride replaces lost bicarbonate.