ATI RN
Pediatric Clinical Nurse Specialist Exam Questions Questions
Question 1 of 5
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 2 of 5
One of the following is FALSE in hemolytic disease of the newborn caused by Rh incompatibility
Correct Answer: B
Rationale: Rh incompatibility does not 'never' occur in first-born infants. While it is less common, sensitization can occur during delivery or other events in the first pregnancy, leading to hemolytic disease in the first-born infant.
Question 3 of 5
Soft areas in the occipital region suggest the irregular calcification and wormian bone formation usually associated with the following conditions EXCEPT
Correct Answer: B
Rationale: Craniosynostosis involves premature fusion of cranial sutures and does not typically present with soft areas or wormian bones. The other conditions are associated with irregular calcification and wormian bone formation.
Question 4 of 5
In metabolic disorders, which of the following is most likely associated with cerebral edema if improperly treated?
Correct Answer: B
Rationale: Rapid correction of hypernatremia can lead to cerebral edema due to osmotic shifts in brain cells.
Question 5 of 5
A 5-year-old boy with a history of bronchial asthma was rushed to the emergency department with increasing shortness of breath, pyrexia, and a productive cough. He has difficulty communicating due to an inability to complete a sentence. Examination reveals crackles and wheezes in the lower lobes, tachycardia, and a bounding pulse. Arterial blood gas: pH 7.3, PaCO2 68 mmHg, HCO3 28 mmol/L, PaO2 60mmHg. How would you interpret this?
Correct Answer: B
Rationale: The patient has a low pH (acidosis), elevated PaCO2 (respiratory cause), and an increased HCO3, indicating partial compensation. This suggests respiratory acidosis due to CO2 retention from severe asthma exacerbation.