ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
High pH, low carbon dioxide, and normal bicarbonate best fit which of the following disorders?
Correct Answer: D
Rationale: Uncompensated respiratory alkalosis occurs when excessive breathing reduces CO2 levels, raising pH. Bicarbonate remains normal in the acute phase before renal compensation.
Question 2 of 5
The treatment of choice for childhood onset of major depression is
Correct Answer: C
Rationale: Serotonin reuptake inhibitors (SSRIs) are preferred over older medications like tricyclics due to better safety profiles and efficacy in pediatric depression.
Question 3 of 5
Early postnatal exposure to dexamethasone, within the 1st wk of life, in VLBW infants, is associated with the following EXCEPT
Correct Answer: D
Rationale: Early postnatal dexamethasone is associated with adverse effects such as metabolic derangements, poor growth, and increased infection risk, but it is not directly linked to cerebral palsy. The other options are known risks.
Question 4 of 5
Of the following, the skin manifestation that is MOST suggestive of SLE in children is
Correct Answer: A
Rationale: Malar rash is highly specific for SLE.
Question 5 of 5
A 6-year-old boy with basal ejection systolic murmur, systolic click, and evidence of right ventricular apex in plain CXR is suspected to have which congenital heart disease?
Correct Answer: A
Rationale: Pulmonary stenosis presents with an ejection systolic murmur, systolic click, and right ventricular hypertrophy on X-ray.