ATI LPN
Pediatric Nursing Practice Questions Bank Questions
Question 1 of 9
A 3-year-old girl presents with a limp and knee pain. X-ray shows a lytic lesion in the femur. Most likely diagnosis is:
Correct Answer: B
Rationale: Ewing sarcoma presents with lytic bone lesions in young children, per NCI. A, C-E have different x-ray or clinical features.
Question 2 of 9
The most accurate assessment of gestational age at term is:
Correct Answer: C
Rationale: Abdominal circumference and femoral length together are most accurate at term (ACOG). A-D are less reliable late.
Question 3 of 9
A 3-year-old girl presents with fever and a limp. X-ray shows a lytic lesion in the tibia. Most likely diagnosis is:
Correct Answer: B
Rationale: Ewing sarcoma presents with fever, limp, and lytic lesions, per NCI. A, C-E differ in imaging or history.
Question 4 of 9
A 3-year-old girl presents with fever and a generalized rash. Exam shows posterior auricular lymphadenopathy. Most likely diagnosis is:
Correct Answer: B
Rationale: Rubella features rash and posterior auricular nodes, per CDC. A, C-E differ.
Question 5 of 9
A 3-year-old girl presents with stridor and a barking cough. Symptoms improve with cool mist. Most likely diagnosis is:
Correct Answer: B
Rationale: Croup features barking cough and responds to cool mist, per AAP. A, C-E differ.
Question 6 of 9
When completing a thorough health history on a child with gastrointestinal issues the nurse knows that it is important to ask which of the following questions related to gastrointestinal health? Select one that does not apply.
Correct Answer: C
Rationale: Diet , bowel habits , and pica directly relate to GI health. Pets and firearms are unrelated unless zoonotic infection is suspected.
Question 7 of 9
A 6-month-old infant presents with stridor and respiratory distress. Laryngoscopy shows a subglottic narrowing. Most likely diagnosis is:
Correct Answer: C
Rationale: Subglottic stenosis features chronic stridor and narrowing, per AAP. A, B, D, E have different causes.
Question 8 of 9
Physiological jaundice usually occurs how long after birth?
Correct Answer: B
Rationale: 48 hours B is typical for physiologic jaundice, per document p13, 4.
Question 9 of 9
Which clinical manifestations assessed when performing a genitourinary assessment for a child diagnosed with hemolytic uremic syndrome could indicate the need for dialysis? Select one that does not apply.
Correct Answer: C
Rationale: Hemolytic uremic syndrome (HUS) can lead to kidney failure, necessitating dialysis. Edema , tachypnea (B, due to fluid overload or acidosis), fluid retention , and high BP indicate worsening renal function and fluid imbalance. Bradycardia is not typical; tachycardia is more common in HUS due to stress or anemia.