ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 9
The Look-Listen-Feel procedure is used to:
Correct Answer: B
Rationale: Look-Listen-Feel is a primary assessment step in BLS to check for effective breathing before initiating rescue breaths or CPR.
Question 2 of 9
A head-injured 4-year-old patient opens eyes to painful stimulus, is confused, and withdraws from pain. His Glasgow Coma Score is:
Correct Answer: B
Rationale: The Glasgow Coma Scale evaluates consciousness. Eye-opening to pain (2), verbal confusion (4), and withdrawal from pain (4) sum up to a total score of 10.
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
After institution of treatment of anaphylaxis, the patient should be monitored in the emergency room for at least
Correct Answer: B
Rationale: Patients should be monitored for at least 4 hours due to the risk of biphasic anaphylaxis, which can recur after initial resolution.
Question 5 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 6 of 9
Obstructive shock is characterized by which of the following:
Correct Answer: A
Rationale: Obstructive shock is due to mechanical obstructions such as cardiac tamponade or pulmonary embolism.
Question 7 of 9
For a 5-year-old child with breath-holding spells, which response/advice is NOT true?
Correct Answer: B
Rationale: While reassurance and behavioral strategies are appropriate, ordering an MRI brain is unnecessary unless neurological concerns exist. EEG may help rule out seizures.
Question 8 of 9
One of the following is not a screening test for a child with bleeding tendency:
Correct Answer: C
Rationale: Thrombin time is not commonly used as an initial screening test for bleeding disorders; instead, PT, PTT, and bleeding time are more relevant.
Question 9 of 9
On the second day of life, the patient in Questions and experiences bradycardia and hypotension with cyanosis and a metabolic acidosis Likely diagnoses include (may choose more than one)
Correct Answer: D
Rationale: Preterm infants have limited glycogen stores and are at risk of hypoglycemia, which can lead to bradycardia, hypotension, and metabolic acidosis.