ATI LPN
PN Pediatric Nursing Online Practice B Questions
Question 1 of 9
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 9
Which physical evaluation technique should not be used when caring for a child diagnosed with a Wilm's tumor?
Correct Answer: B
Rationale: Palpating the abdomen (B) risks dislodging a Wilms’ tumor, spreading malignancy. Other techniques (A, C, D) are safe. Document: 'Palpation of the abdomen could disturb the tumor and cause the malignancy to spread.'
Question 3 of 9
A child appears with systemic lupus erythematosus (SLE)-like syndrome without characteristic SLE serology. Most likely complement deficiency is:
Correct Answer: C
Rationale: C1q deficiency causes SLE-like syndromes without typical autoantibodies due to impaired immune complex clearance (NIAMS). Later complement defects (A-D) lead to infections, not SLE-like features.
Question 4 of 9
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.
Question 5 of 9
The nurse is aware that the neonate can generate warmth by:
Correct Answer: C
Rationale: Metabolizing brown fat C is a key neonatal thermoregulation mechanism, per document p5, 4.
Question 6 of 9
When administering IV fluids to a dehydrated infant, the most critical factor is
Correct Answer: D
Rationale: Maintaining flow rate D prevents overload or underhydration, per document 0.
Question 7 of 9
Which nursing action is most appropriate to reduce stress while preparing a 5-year-old pediatric patient for surgery?
Correct Answer: C
Rationale: Parental presence until sedation reduces stress for a 5-year-old, leveraging attachment. Jewelry is unsafe, quick explanations may overwhelm, and a firm voice increases anxiety.
Question 8 of 9
A 2-year-old with croup should be placed in
Correct Answer: A
Rationale: Cool mist A relieves croup, per document p38, 3.
Question 9 of 9
A child with a foreign body in the nose requires
Correct Answer: D
Rationale: Referral D ensures safe removal, per document p59, 7.