ATI LPN
Pediatric Gi Nclex Practice Questions Questions
Question 1 of 9
A 3-year-old has been brought to the emergency department. She has a 'froglike' croaking sound on inspiration, is drooling and is very anxious. She continues to sit upright. Which of the following should this nurse do first?
Correct Answer: C
Rationale: Signs of epiglottitis (croaking sound, drooling, upright posture) require immediate physician notification and tracheostomy prep (C) due to airway emergency risk. Examining the pharynx (A) risks obstruction, mist tents (B) are ineffective here, and lying down (D) worsens breathing. Document: 'Epiglottitis is always a medical emergency requiring… immediate medical evaluation.'
Question 2 of 9
A 3-year-old girl presents with recurrent fractures and blue sclerae. Most likely diagnosis is:
Correct Answer: A
Rationale: Osteogenesis imperfecta causes recurrent fractures and blue sclerae, per NIH. B-E lack this combination.
Question 3 of 9
A 5-year-old girl presents with fever and a vesicular rash on the scalp. Most likely diagnosis is:
Correct Answer: C
Rationale: Herpes zoster presents with a vesicular rash in a dermatome (e.g., scalp), per CDC. A, B, D, E differ in distribution.
Question 4 of 9
A child with a fractured femur in traction should be monitored for
Correct Answer: D
Rationale: All *E* are critical in traction care, per document p23, 0.
Question 5 of 9
A 1-year-old boy presents with recurrent infections and failure to thrive. Sweat chloride test is positive. Most likely diagnosis is:
Correct Answer: C
Rationale: Cystic fibrosis fits infections and positive sweat test, per CFF. A, B, D, E differ.
Question 6 of 9
A woman gave birth to a healthy 7-pound, 13-ounce infant girl. The nurse suggests that the woman place the infant to her breast within 15 minutes after birth. The nurse knows that breastfeeding is effective during the first 30 minutes after birth because this is the
Correct Answer: C
Rationale: First period of reactivity C is when newborns are alert and breastfeeding is effective, per document p5, 0.
Question 7 of 9
A child appears with chronic cough and failure to thrive. Physical examination reveals nasal polyps and digital clubbing. Sweat chloride test is positive. Most likely diagnosis is:
Correct Answer: D
Rationale: Cystic fibrosis matches chronic cough, failure to thrive, polyps, clubbing, and positive sweat test, per CFF. A-C, E don’t fit.
Question 8 of 9
Which tool should the nurse use to monitor pain in a toddler-aged patient?
Correct Answer: B
Rationale: The FLACC scale is designed for nonverbal children like toddlers, assessing behavior (e.g., face, legs, activity). FACES and Oucher require comprehension, and numeric is for older children.
Question 9 of 9
Most common complication of type 1 diabetes in children is:
Correct Answer: A
Rationale: Hypoglycemia is the most common acute complication in type 1 diabetes, per AAP (doc p151, Q596).