ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
Regarding Non-Hodgkin lymphoma:
Correct Answer: B
Rationale: Abdominal mass is the most common presentation of pediatric Non-Hodgkin lymphoma, as it often arises from extranodal sites like the GI tract. Systemic symptoms are less frequent than in Hodgkin lymphoma.
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
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
A 6-year-old boy has a 1-year history of cough that is worse at night & with exercise. Which one of the following tests is most likely to assist you to make a diagnosis?
Correct Answer: D
Rationale: Spirometry is the best test to assess obstructive lung diseases such as asthma. It evaluates airflow limitation and reversibility with bronchodilators, helping confirm the diagnosis.
Question 5 of 5
The earliest studies of autism suggested a relatively poor prognosis, with only a small number of individuals being able to function independently as adults. Of the following, the factor that carry POOR outcome is
Correct Answer: D
Rationale: Average nonverbal cognitive skills suggest limited adaptive functioning, contributing to poorer outcomes.