ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 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 2 of 9
The most common organism causing bacterial tracheitis is:
Correct Answer: D
Rationale: Bacterial tracheitis is most commonly caused by Staphylococcus aureus, leading to severe airway obstruction.
Question 3 of 9
Which of the following clinical signs is pathognomonic of rubella?
Correct Answer: D
Rationale: Post-auricular lymphadenopathy is a classic early sign of rubella, differentiating it from measles, which presents with Koplik spots.
Question 4 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 5 of 9
A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant. The nurse should recommend that the infant be given:
Correct Answer: C
Rationale: The correct answer is C. For infants younger than 1 year, the American Academy of Pediatrics recommends the use of breast milk or iron-fortified formula. If breastfeeding is discontinued before 1 year, it is important to switch to a commercial iron-fortified formula to ensure the infant is receiving all the necessary nutrients for growth and development.
Question 6 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 7 of 9
Which of the following statements about bronchial asthma is correct?
Correct Answer: B
Rationale: Asthma is a TH2-mediated inflammatory condition where eosinophils play a key role in airway hyperresponsiveness. Increased IgE, not IgA, is associated with allergic asthma, and viral infections can trigger but do not cause asthma.
Question 8 of 9
Sign of biliary atresia on ultrasound?
Correct Answer: A
Rationale: The 'triangular cord' sign, a fibrotic remnant of bile ducts, is a characteristic ultrasound finding in biliary atresia.
Question 9 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.