ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 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 2 of 5
What is the most appropriate diagnosis for a 7-year-old boy with recurrent motor movements?
Correct Answer: C
Rationale: Persistent Tic Disorder involves motor or vocal tics that last for more than a year. Tourette's Disorder requires both motor and vocal tics, while Provisional Tic Disorder lasts less than a year. Sydenham Chorea is typically associated with rheumatic fever.
Question 3 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.
Question 4 of 5
In pediatric basic life support, chest compression should be done with
Correct Answer: B
Rationale: Chest compressions in pediatric basic life support should be delivered with extended elbows for effective force generation.
Question 5 of 5
One of the following is not a screening test for a child with bleeding tendency:
Correct Answer: C
Rationale: Thrombin time is not commonly used as an initial screening test for bleeding disorders; instead, PT, PTT, and bleeding time are more relevant.