ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 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 2 of 5
A 14-year-old girl with type 1 diabetes has hyperglycemia (20.2 mmol/L) and ketones (1.2 mmol/L) despite insulin pump therapy. What is the best advice?
Correct Answer: B
Rationale: If hyperglycemia and ketones are present, insulin pump failure should be suspected. A correction dose via syringe or pen is recommended.
Question 3 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 4 of 5
The following drugs are used in resuscitation Except:
Correct Answer: D
Rationale: Digitalis is not used in acute resuscitation as it does not provide immediate cardiovascular support.
Question 5 of 5
Of the following, the skin manifestation that is MOST suggestive of SLE in children is
Correct Answer: A
Rationale: Malar rash is highly specific for SLE.