ATI LPN
PN Pediatric Nursing 2023 70 Questions Questions
Question 1 of 9
A 15-year-old boy with a history of cystic fibrosis appears with fever and hemoptysis. Chest x-ray reveals a new infiltrate in the right upper lobe. Most likely diagnosis is:
Correct Answer: A
Rationale: Pneumonia fits fever, hemoptysis, and infiltrate in cystic fibrosis, per CFF. B-E are less consistent.
Question 2 of 9
A neonate with jaundice under phototherapy requires
Correct Answer: D
Rationale: All *E* are essential for phototherapy care, per document p21, 0.
Question 3 of 9
A 6-year-old boy presents with chest pain and a murmur. Echocardiogram shows aortic stenosis. The next step is:
Correct Answer: B
Rationale: Balloon valvuloplasty relieves aortic stenosis, per AHA. A, C-E depend on severity.
Question 4 of 9
A child has vesicles that have ruptured around the mouth and nose to form a thick honey-colored crust. The nurse suspects that this is:
Correct Answer: C
Rationale: Impetigo (C) features vesicles rupturing into honey-colored crusts, a bacterial infection. Miliaria (A) is heat rash, corporis pedis (B) is a typo (likely tinea), and scabies (D) causes itching burrows. Document: 'Impetigo consists of moist… vesicles… [forming] thick honey-colored crusts.'
Question 5 of 9
A child with a history of asthma suddenly develops unilateral wheezing and respiratory distress following choking while eating peanuts. Most likely diagnosis is:
Correct Answer: B
Rationale: Foreign body aspiration fits sudden unilateral wheezing post-choking, per AAP. Asthma is bilateral, and C-E are less acute.
Question 6 of 9
The characteristic skin lesions of Pseudomonas are:
Correct Answer: D
Rationale: Ecthyma gangrenosum is the classic Pseudomonas lesion, featuring necrotic ulcers, especially in immunocompromised patients (IDSA). Erythema multiforme is immune-related, nodules are nonspecific, pustular melanosis is neonatal, and cellulitis lacks specificity.
Question 7 of 9
The nurse should monitor a child with a fracture for
Correct Answer: D
Rationale: All D are critical in fracture care, per document p46, 5.
Question 8 of 9
A 3-year-old with pneumonia should be positioned
Correct Answer: B
Rationale: Head elevated B aids breathing, per document p53, .
Question 9 of 9
A 15-year-old boy with a history of cystic fibrosis appears with fever and hemoptysis. Chest x-ray reveals a new infiltrate in the right upper lobe. Most likely diagnosis is:
Correct Answer: A
Rationale: Pneumonia fits fever, hemoptysis, and infiltrate in cystic fibrosis, per CFF. B-E are less consistent.