ATI RN
Pediatric Nursing Test Bank Questions
Question 1 of 5
A 3-day-old newborn develops jaundice with dark urine and pale stools. What is the most concerning diagnosis?
Correct Answer: C
Rationale: Biliary atresia is a progressive obstruction of the bile ducts, leading to jaundice, dark urine, and pale stools. It requires early diagnosis and surgical intervention (Kasai procedure) to prevent liver failure.
Question 2 of 5
Timing of an innocent murmur is usually:
Correct Answer: A
Rationale: Innocent murmurs are typically ejection systolic murmurs due to normal blood flow turbulence in a structurally normal heart. They are soft, vibratory, and heard best over the left sternal border, increasing with fever or excitement.
Question 3 of 5
The apt test is useful for diagnosis of
Correct Answer: C
Rationale: The apt test is specifically used to differentiate between fetal and maternal blood in cases of swallowed blood syndrome or suspected neonatal bleeding. Hemorrhagic disease of the newborn is diagnosed differently, often through clinical presentation and vitamin K levels.
Question 4 of 5
The following disorders are associated with a large anterior fontanel EXCEPT
Correct Answer: D
Rationale: Vitamin A deficiency is not associated with a large anterior fontanel. The other conditions listed can cause delayed fontanel closure or enlargement.
Question 5 of 5
The only inhaler corticosteroid (ICS) with FDA-approved labeling for children <4 years of age is
Correct Answer: B
Rationale: Budesonide nebulizer suspension is the only ICS FDA-approved for children under 4 years old.