ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 9
The best method of oxygen delivery suitable for an arrested child is
Correct Answer: C
Rationale: An Ambu bag provides manual positive pressure ventilation, making it the preferred method for oxygen delivery in a child with respiratory arrest.
Question 2 of 9
The best 'rescue' medication in the treatment of acute asthma symptoms is
Correct Answer: B
Rationale: Inhaled short-acting beta-agonists (SABAs) are the preferred rescue medication for acute asthma symptoms, as they provide rapid relief by relaxing airway muscles.
Question 3 of 9
Which of the following is a common complication of long-term corticosteroid use?
Correct Answer: D
Rationale: Long-term corticosteroid use can lead to osteoporosis, hypertension, and diabetes mellitus, making 'All of the above' the correct answer.
Question 4 of 9
Features suggestive of large ventricular septal defect (VSD) in an infant 6 months old may include all of the following Except:
Correct Answer: B
Rationale: Infants with large VSDs often experience poor growth due to increased metabolic demand and heart failure.
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
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 7 of 9
A 12-year-old with repeated episodes of streptococcal pharyngitis experiences another episode of sore throat... The most appropriate therapy is
Correct Answer: A
Rationale: Epinephrine is the first-line treatment for anaphylaxis, which is the most likely diagnosis given the symptoms.
Question 8 of 9
One of the following is a common neonatal respiratory problem associated with premature infants
Correct Answer: B
Rationale: Apnea is a common respiratory problem in premature infants due to immaturity of the respiratory control centers in the brain. The other conditions are also seen but are less specific to prematurity.
Question 9 of 9
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.