ATI LPN
PN VATI Pediatric Nursing Quiz Questions
Question 1 of 9
A 4-month-old infant presents with a heart rate of 220 bpm and poor feeding. ECG shows narrow QRS tachycardia. Most likely diagnosis is:
Correct Answer: B
Rationale: SVT is common in infants with narrow QRS tachycardia, per AHA. A, C-E have different ECG findings.
Question 2 of 9
A parent comments that her adolescent daughter seems to be daydreaming a lot. The nurse understands that this behavior indicates she is:
Correct Answer: D
Rationale: Daydreaming (D) helps adolescents mentally rehearse situations, aiding coping. Boredom (A), fatigue (B), or stress (C) are less specific. Document: 'Daydreaming allows adolescents to act out… [to] prepare for… interactions.'
Question 3 of 9
A 4-month-old infant presents with a heart rate of 220 bpm and poor feeding. ECG shows narrow QRS tachycardia. Most likely diagnosis is:
Correct Answer: B
Rationale: SVT is common in infants with narrow QRS tachycardia, per AHA. A, C-E have different ECG findings.
Question 4 of 9
A 3-month-old infant presents with tachypnea and poor weight gain. Chest x-ray shows cardiomegaly. Most likely diagnosis is:
Correct Answer: B
Rationale: CHF features tachypnea and cardiomegaly, per AHA. A, C-E differ in x-ray.
Question 5 of 9
A 5-year-old boy presents with fever and neck stiffness. CSF analysis shows pleocytosis and low glucose. Most likely diagnosis is:
Correct Answer: B
Rationale: Bacterial meningitis features fever, neck stiffness, and CSF with pleocytosis and low glucose, per AAP. A, C-E differ in CSF findings.
Question 6 of 9
A 6-year-old boy presents with fatigue and pallor. Labs show hemoglobin of 7 g/dL and Howell-Jolly bodies. Most likely diagnosis is:
Correct Answer: B
Rationale: Sickle cell disease shows Howell-Jolly bodies, per ASH. A, C-E differ.
Question 7 of 9
Adolescent girl on antineoplastic drugs for cancer requires early preparation for which side effect?
Correct Answer: A
Rationale: Alopecia A is a common, visible side effect requiring psychological prep, per document .
Question 8 of 9
A newborn's failure to pass meconium within the first 24 hours after birth may indicate which of the following?
Correct Answer: A
Rationale: Hirschsprung’s disease (A) causes delayed meconium passage due to absent intestinal motility. Celiac (B) affects absorption later, abdominal defects (C) are structural, and intussusception (D) occurs postnatally. Document: 'Failure to pass meconium… may be an indication of Hirschsprung disease.'
Question 9 of 9
A 3-year-old boy presents with fever and petechiae. Blood culture grows Neisseria meningitidis. The best treatment is:
Correct Answer: B
Rationale: Ceftriaxone treats meningococcemia, per CDC. A, C-E are inadequate.