ATI LPN
PN Pediatric Nursing Online Practice B Questions
Question 1 of 5
A 15-year-old boy with a history of wheezing during exercise was playing soccer. He appears with shortness of breath. He is using albuterol inhaler as needed with no significant improvement. The next step in management is:
Correct Answer: B
Rationale: Inhaled steroids are the next step for uncontrolled exercise-induced asthma, per GINA, to reduce inflammation. A, C-E are less immediate or effective.
Question 2 of 5
A child appears with chronic cough and recurrent pneumonia. Physical examination reveals digital clubbing. Sweat chloride test is positive. Most likely diagnosis is:
Correct Answer: D
Rationale: Cystic fibrosis fits chronic cough, recurrent pneumonia, clubbing, and positive sweat test, per CFF. A-C, E don’t align.
Question 3 of 5
A child with a history of cystic fibrosis appears with bone pain and difficulty walking. X-ray reveals multiple fractures and osteopenia. Most likely diagnosis is:
Correct Answer: C
Rationale: Cystic fibrosis-related bone disease fits bone pain, fractures, and osteopenia, per CFF. A, B, D, E don’t match history.
Question 4 of 5
A 9-year-old girl presents with abdominal pain and a palpable mass. Ultrasound shows an ovarian cyst. Most likely diagnosis is:
Correct Answer: B
Rationale: Functional cysts are common in prepubertal girls and often benign, per ACOG. A-D are less likely without specific signs.
Question 5 of 5
A 6-year-old boy presents with fatigue and joint pain. Labs show antinuclear antibodies. Most likely diagnosis is:
Correct Answer: B
Rationale: SLE features fatigue, joint pain, and ANA positivity in children, per ACR. A, C-E differ in serology.