ATI LPN
Pediatric Gi Nclex Practice Questions Questions
Question 1 of 5
A 1-month-old infant presents with cyanosis and a murmur. Echocardiogram shows truncus arteriosus. The next step is:
Correct Answer: A
Rationale: Surgery corrects truncus arteriosus, per AHA. B-E are temporizing.
Question 2 of 5
The following statement is not true about urine culture:
Correct Answer: A
Rationale:
Choice A is false; significant colony count for catheterized specimens is ≥50,000 CFU/mL, not 1,000 (IDS
A).
Choices B-E are true per standard guidelines.
Question 3 of 5
Doctor orders: Furosemide 2 mg/kg PO daily for congestive heart failure. Available is Furosemide 10 mg/ml oral solution. How many ml will you give a child weighing 10 lbs? Round to the nearest tenth.
Correct Answer: D
Rationale: Convert weight to kg: 10 lbs ÷ 2.2 lbs/kg = 4.545 kg. Calculate the dose: 2 mg/kg × 4.545 kg = 9.09 mg. Divide by concentration: 9.09 mg ÷ 10 mg/ml = 0.909 ml. Round to the nearest tenth: 0.909 ≈ 0.9 ml.
Question 4 of 5
A child with a history of cystic fibrosis is diagnosed to have pneumonia based on chest x-ray findings. The sputum culture reveals Pseudomonas aeruginosa. The next step in management is:
Correct Answer: C
Rationale: IV antibiotics are the standard for Pseudomonas pneumonia in cystic fibrosis, per CFF. A, B, D, E are inadequate alone.
Question 5 of 5
What is the most likely underlying condition?
Correct Answer: C
Rationale: A newborn with respiratory distress, bilateral pleural effusions, dysmorphic features (hypertelorism, rotated ears, nuchal skin), and later juvenile myelomonocytic leukemia (JMML) suggests Noonan syndrome (
Choice
C). This RASopathy is associated with congenital heart defects, lymphatic anomalies (causing effusions), and a predisposition to JMML. Cockayne syndrome (
Choice
A) involves growth failure and photosensitivity, not JMML. Fanconi anaemia (
Choice
B) causes marrow failure and malformations but not this lymphatic picture. Omenn syndrome (
Choice
D) is an immunodeficiency, not matching these features. Noonan syndrome aligns with the presentation.