ATI LPN
Pediatric Gi Nclex Practice Questions Questions
Question 1 of 5
A 1-year-old girl presents with fever and a bulging fontanelle. CSF shows gram-negative bacilli. Most likely diagnosis is:
Correct Answer: B
Rationale: Bacterial meningitis fits fever, bulging fontanelle, and gram-negative bacilli, per AAP. A, C-E differ in CSF.
Question 2 of 5
A 5-year-old girl presents with fever and a vesicular rash on the scalp. Most likely diagnosis is:
Correct Answer: C
Rationale: Herpes zoster presents with a vesicular rash in a dermatome (e.g., scalp), per CDC. A, B, D, E differ in distribution.
Question 3 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 4 of 5
Best diagnostic test to detect central precocious puberty is:
Correct Answer: C
Rationale: GnRH stimulation test confirms central precocious puberty, per AAP (doc p148, Q564).
Question 5 of 5
Best screening test for congenital hypothyroidism is:
Correct Answer: B
Rationale: Serum TSH is the most sensitive screening test for congenital hypothyroidism, per AAP (doc p149, Q580).