ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 9
Neonatal sepsis case fatality rate is highest for
Correct Answer: D
Rationale: Candida albicans has the highest case fatality rate among neonatal sepsis pathogens due to its invasive nature and difficulty in treatment.
Question 2 of 9
Nocturnal enuresis is described by all of the following EXCEPT
Correct Answer: D
Rationale: Primary nocturnal enuresis is generally not linked to emotional disorders but instead to factors like genetics, bladder capacity, or nighttime urine production.
Question 3 of 9
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 4 of 9
All of the following are anterior joints involved in juvenile idiopathic arthritis (JIA) EXCEPT
Correct Answer: D
Rationale: Metatarsal involvement is more characteristic of polyarticular JIA.
Question 5 of 9
Shock associated with decreased central venous pressure includes the following Except:
Correct Answer: A
Rationale: Cardiogenic shock leads to increased central venous pressure due to heart failure, while hypovolemic and septic shock cause a drop in CVP due to fluid loss or vasodilation.
Question 6 of 9
Spondyloarthritis may be overlapped clinically with other forms of juvenile idiopathic arthritis (JIA). Clinical manifestations that help distinguish spondyloarthritis from other forms of juvenile arthritis include all the following EXCEPT
Correct Answer: D
Rationale: Uveitis is more common in oligoarticular JIA.
Question 7 of 9
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 8 of 9
Which is not a common cause of latex allergy?
Correct Answer: D
Rationale: Food handlers are not a common group at risk for latex allergy, unlike healthcare workers, spina bifida patients, atopic individuals, and children with multiple surgeries.
Question 9 of 9
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.