ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
Spondyloarthritis may be overlapped clinically with other forms of juvenile idiopathic arthritis (JIA). Clinical manifestations that help distinguish spondyloarthritis from other forms of juvenile arthritis include all the following EXCEPT
Correct Answer: D
Rationale: Uveitis is more common in oligoarticular JIA.
Question 2 of 5
The hallmark of atopic dermatitis is
Correct Answer: A
Rationale: Intense pruritus is the hallmark of atopic dermatitis, often leading to scratching, lichenification, and secondary skin infections.
Question 3 of 5
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 4 of 5
Alkali therapy for the treatment of metabolic acidosis in RDS may result in all the following EXCEPT
Correct Answer: D
Rationale: Alkali therapy can cause hypernatremia and skin slough but not hyperkalemia. The other options are potential side effects.
Question 5 of 5
What is the average lifespan of normal human platelets in circulation?
Correct Answer: C
Rationale: Platelets typically survive for about 10 days before being removed by the spleen.