ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
The following signs are more in favor of circulatory failure Except:
Correct Answer: B
Rationale: Marked tachypnea with recessions suggests respiratory distress rather than circulatory failure, which is characterized by weak pulses and organ hypoperfusion.
Question 2 of 5
A previously healthy 7-month-old white male presents one summer day with a temperature of 41.1°C, a pulse of 190, a respiratory rate of 70, and a blood pressure of 65/20. He has a 1-day history of diarrhea (five stools in 24 hours) and is now unresponsive to verbal commands or painful stimuli. The most appropriate initial therapy is
Correct Answer: C
Rationale: Normal saline is the initial therapy for hypovolemic shock due to diarrhea, aiming to restore circulating volume and improve perfusion.
Question 3 of 5
What is the most appropriate diagnosis for a 7-year-old boy with recurrent motor movements?
Correct Answer: C
Rationale: Persistent Tic Disorder involves motor or vocal tics that last for more than a year. Tourette's Disorder requires both motor and vocal tics, while Provisional Tic Disorder lasts less than a year. Sydenham Chorea is typically associated with rheumatic fever.
Question 4 of 5
The nurse is doing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed. This should be interpreted as which of the following?
Correct Answer: A
Rationale: The correct answer is A because the closure of the anterior fontanel between ages 12 and 18 months is considered a normal finding in infants. It is a part of the typical growth and development process.
Question 5 of 5
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.