ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
Munchausen syndrome by proxy (MBP) is a form of factitious disorder by proxy, where a parent (usually mother) mimics symptoms in his or her child. Of the following, the symptom that is LEAST likely presented is
Correct Answer: D
Rationale: Psychosis is unlikely to be fabricated by a parent, as it is difficult to mimic convincingly without clear physical signs.
Question 2 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 3 of 5
Heimlich maneuver is used for which of the following purposes
Correct Answer: D
Rationale: The Heimlich maneuver is performed to expel a foreign body from the airway in choking individuals. In unconscious patients, abdominal thrusts are avoided in favor of back blows and chest compressions.
Question 4 of 5
A 3-year-old female child with repeated admissions as bleeding tendency in a form of spontaneous ecchymosis and bleeding through the nose and urine. She had another daughter who died because of similar undiagnosed illness. The mother is a staff nurse and she is highly concerned about her child illness. Lab investigations usually show either PT and/or PTT prolongation with normal platelets, which usually normalized after empiric vitamin K administration. The father is a petrol engineer and never seen accompanying the family. Of the following, the MOST helpful investigation is
Correct Answer: A
Rationale: Factor VII deficiency is consistent with the described coagulation profile (PT prolongation, normal platelets, improvement with vitamin K). Factor II assay and von Willebrand factor assay are less relevant here.
Question 5 of 5
The MOST effective therapy for persistent allergic rhinitis is
Correct Answer: D
Rationale: Nasal corticosteroids, such as budesonide, are the most effective treatment for persistent allergic rhinitis, reducing inflammation and nasal symptoms more effectively than antihistamines or leukotriene inhibitors.