ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
Menses typically begins 2.5 years after the onset of puberty at an average age of
Correct Answer: D
Rationale: Menarche generally occurs about 2.5 years after thelarche, averaging around 12.5 years.
Question 2 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 3 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 4 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 5 of 5
A previously healthy 7-month-old white male presents one summer day with a temperature of 41.1°C, a pulse of 190, a respiratory rate of 70, and a blood pressure of 65/20. He has a 1-day history of diarrhea (five stools in 24 hours) and is now unresponsive to verbal commands or painful stimuli. The most appropriate initial therapy is
Correct Answer: C
Rationale: Normal saline is the initial therapy for hypovolemic shock due to diarrhea, aiming to restore circulating volume and improve perfusion.