ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
The blueberry muffin appearance in infants with TORCH infections most likely represents
Correct Answer: B
Rationale: Dermal erythropoiesis refers to extramedullary hematopoiesis in the skin, causing a characteristic blueberry muffin appearance
Question 2 of 5
Which of the following statements is TRUE regarding hypernatremic dehydration:
Correct Answer: A
Rationale: Hypernatremic dehydration occurs when water loss exceeds sodium loss, leading to increased serum osmolality (>295 mOsm/L) and sodium levels (>145 mEq/L). This can result from inadequate fluid intake, excessive sweating, or osmotic diuresis.
Question 3 of 5
A head-injured 4-year-old patient who opens eyes to painful stimulus, is confused, and withdraws from pain has a Glasgow coma score of:
Correct Answer: B
Rationale: A GCS of 10 is calculated as follows: Eye opening to pain (2), Confused verbal response (4), and Withdrawal from pain (4), summing up to 10.
Question 4 of 5
A 3-year-old child presents with prolonged diarrhea. Serum sodium is 115 mEq/L, urinary sodium excretion is 8 mEq/L. What is the most accepted explanation for this sodium abnormality?
Correct Answer: C
Rationale: The child has hyponatremia due to sodium depletion from prolonged diarrhea. Low urinary sodium suggests total body sodium loss rather than water overload.
Question 5 of 5
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.