ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
On the second day of life, the patient in Questions and experiences bradycardia and hypotension with cyanosis and a metabolic acidosis Likely diagnoses include (may choose more than one)
Correct Answer: D
Rationale: Preterm infants have limited glycogen stores and are at risk of hypoglycemia, which can lead to bradycardia, hypotension, and metabolic acidosis.
Question 2 of 5
Juvenile systemic sclerosis (JSS) has multisystem involvement and exacerbation. The common manifestation of the early course of JSS is
Correct Answer: A
Rationale: Edema is an early finding in systemic sclerosis.
Question 3 of 5
A 5-year-old boy with a history of bronchial asthma was rushed to the emergency department with increasing shortness of breath, pyrexia, and a productive cough. He has difficulty communicating due to an inability to complete a sentence. Examination reveals crackles and wheezes in the lower lobes, tachycardia, and a bounding pulse. Arterial blood gas: pH 7.3, PaCO2 68 mmHg, HCO3 28 mmol/L, PaO2 60mmHg. How would you interpret this?
Correct Answer: B
Rationale: The patient has a low pH (acidosis), elevated PaCO2 (respiratory cause), and an increased HCO3, indicating partial compensation. This suggests respiratory acidosis due to CO2 retention from severe asthma exacerbation.
Question 4 of 5
Avoidance of triggering agents is crucial in urticaria and angioedema. The MAINSTAY of pharmacologic treatment is
Correct Answer: A
Rationale: Second-generation H1 antihistamines are first-line for chronic urticaria due to their efficacy and fewer side effects.
Question 5 of 5
Which of the following is NOT a common feature of systemic lupus erythematosus?
Correct Answer: D
Rationale: Hyperglycemia is not a typical feature of systemic lupus erythematosus; it is more commonly associated with diabetes.