ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 9
Regarding pubertal gynecomastia, which statement is TRUE?
Correct Answer: D
Rationale: Severe or persistent cases of gynecomastia might require surgical intervention if conservative measures fail.
Question 2 of 9
Early postnatal exposure to dexamethasone, within the 1st wk of life, in VLBW infants, is associated with the following EXCEPT
Correct Answer: D
Rationale: Early postnatal dexamethasone is associated with adverse effects such as metabolic derangements, poor growth, and increased infection risk, but it is not directly linked to cerebral palsy. The other options are known risks.
Question 3 of 9
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 4 of 9
Which of the following is the primary treatment for patent ductus arteriosus (PDA) in a preterm infant?
Correct Answer: B
Rationale: Indomethacin, a nonsteroidal anti-inflammatory drug, is used to help close a patent ductus arteriosus in preterm infants by inhibiting prostaglandins, which are involved in maintaining the ductus open.
Question 5 of 9
A concerned parent of an 18-month-old child expressed a brief tonic movement after being upset and cried. All the following are true advices EXCEPT
Correct Answer: C
Rationale: Interfering early by calming the child may disrupt the natural resolution of the spell, which is typically brief and self-limiting.
Question 6 of 9
Soft areas in the occipital region suggest the irregular calcification and wormian bone formation usually associated with the following conditions EXCEPT
Correct Answer: B
Rationale: Craniosynostosis involves premature fusion of cranial sutures and does not typically present with soft areas or wormian bones. The other conditions are associated with irregular calcification and wormian bone formation.
Question 7 of 9
One of the following can cause heart failure in a full-term neonate:
Correct Answer: D
Rationale: Severe coarctation leads to critical left ventricular outflow obstruction, causing neonatal heart failure.
Question 8 of 9
High pH, low carbon dioxide, and normal bicarbonate best fit which of the following disorders?
Correct Answer: D
Rationale: Uncompensated respiratory alkalosis occurs when excessive breathing reduces CO2 levels, raising pH. Bicarbonate remains normal in the acute phase before renal compensation.
Question 9 of 9
Intrauterine transplacental infection is of significance to the fetus and/or newborn
Correct Answer: A
Rationale: Hepatitis B virus (HBV) primarily affects the liver and is not typically associated with significant intrauterine or transplacental effects compared to rubella, toxoplasmosis, and Parvovirus B19.