ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 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 2 of 9
The drug of choice for cold-induced urticaria is
Correct Answer: C
Rationale: Cyproheptadine, an antihistamine with serotonin-blocking properties, is effective in treating cold-induced urticaria.
Question 3 of 9
The MOST important proposed field treatment for snake bites is
Correct Answer: B
Rationale: Immobilization prevents venom spread and is the best immediate treatment.
Question 4 of 9
A head-injured 4-year-old patient opens eyes to painful stimulus, is confused, and withdraws from pain. His Glasgow Coma Score is:
Correct Answer: B
Rationale: The Glasgow Coma Scale evaluates consciousness. Eye-opening to pain (2), verbal confusion (4), and withdrawal from pain (4) sum up to a total score of 10.
Question 5 of 9
Youth violence is a problem in urban, suburban, and rural communities and affects children across race and gender. Which subset of children who has more severe violence behavior that continues into adulthood?
Correct Answer: A
Rationale: Adolescents with severe violence behavior are more likely to continue such patterns into adulthood due to entrenched antisocial tendencies.
Question 6 of 9
A 2-month-old infant presents with cough, tachypnea, and wheezing. The most likely viral cause is:
Correct Answer: D
Rationale: Respiratory syncytial virus (RSV) is the most common cause of bronchiolitis in infants, presenting with cough, tachypnea, wheezing, and respiratory distress. It spreads via respiratory droplets and is especially severe in premature and immunocompromised infants.
Question 7 of 9
Which form of hypersensitivity reaction is characterized by antigen-antibody reactions on the cell membrane with activation of complement and destruction of the involved cell?
Correct Answer: B
Rationale: Type II hypersensitivity involves antibody-mediated cell destruction via complement activation.
Question 8 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 9 of 9
A 10-year-old child has intermittent symptoms of mild asthma... Which treatment option is most appropriate?
Correct Answer: D
Rationale: Inhaled β₂-agonists are recommended for intermittent asthma symptoms as needed for relief.