ATI LPN
PN Pediatric Nursing Practice 2023 B Questions
Question 1 of 5
A child with a history of cystic fibrosis suddenly develops massive hemoptysis. The next step in management is:
Correct Answer: B
Rationale: Bronchial artery embolization is the urgent treatment for massive hemoptysis in cystic fibrosis, per CFF. A, C-E don’t address bleeding.
Question 2 of 5
A 1-month-old infant presents with jaundice and hepatomegaly. Labs show elevated GGT and direct bilirubin. Most likely diagnosis is:
Correct Answer: B
Rationale: Biliary atresia features jaundice and elevated GGT, per AAP. A, C-E differ.
Question 3 of 5
Which essential oils are contraindicated during pregnancy? (Select ONE that apply.)
Correct Answer: A
Rationale: Wintergreen (
A) and anise (
C) are contraindicated in pregnancy due to potential uterine stimulation or toxicity. Jasmine (
B), lavender (
D), and peppermint (E, not listed) are generally safe. Document: 'Some essential oils… contraindicated… include anise… wintergreen.'
Question 4 of 5
Diuresis has not occurred on a child with nephrotic syndrome after a month on corticosteroids. What protocol can the nurse encourage to bring about diuresis?
Correct Answer: D
Rationale: Cyclophosphamide (
D), an immunosuppressant, induces diuresis in steroid-resistant nephrotic syndrome. Ibuprofen (
A), furosemide (
B), and ciprofloxacin (
C) don’t address the underlying issue. Document: 'A potent antisuppressant such as Cytoxan can bring about diuresis.'
Question 5 of 5
A 2-year-old with a burn should avoid
Correct Answer: A
Rationale: Breaking blisters A increases infection risk, per document p58, 1.