ATI LPN
Pediatric Nursing Practice Test Questions Questions
Question 1 of 9
A 4-year-old boy presents with fever and a diffuse erythematous rash. Exam shows a positive Nikolsky sign. Most likely diagnosis is:
Correct Answer: B
Rationale: SSSS features rash and Nikolsky sign, per IDSA. A, C-E differ.
Question 2 of 9
A 5-year-old boy presents with hematuria and proteinuria. Labs show low C3. Most likely diagnosis is:
Correct Answer: B
Rationale: PSGN features hematuria and low C3, per AAP. A, C-E differ.
Question 3 of 9
A 3-year-old boy presents with fever and a vesicular rash on the trunk. Most likely diagnosis is:
Correct Answer: B
Rationale: Chickenpox presents with fever and vesicular rash, per CDC. A, C-E have different rashes.
Question 4 of 9
A child with a history of cystic fibrosis appears with abdominal pain and vomiting for the past 2 days. Abdominal x-ray reveals multiple air-fluid levels and a mass in the right lower quadrant. The next step in management is:
Correct Answer: C
Rationale: Gastrografin enema treats distal intestinal obstruction syndrome in cystic fibrosis, per CFF. A, B, D, E are less appropriate.
Question 5 of 9
The nurse should monitor a newborn with jaundice for
Correct Answer: D
Rationale: All D assess jaundice, per document p60, 6.
Question 6 of 9
The physician noted pink to dark brown staining in diapers during a routine newborn physical examination. Most likely diagnosis is:
Correct Answer: C
Rationale: CEP causes porphyrin excretion, staining diapers pink to brown (NORD). PKU and homocystinuria affect amino acids, jaundice causes yellowing, and nephrotic syndrome involves protein loss.
Question 7 of 9
A 2-year-old boy presents with a limp and knee pain. Labs show elevated ESR. Most likely diagnosis is:
Correct Answer: C
Rationale: JIA features limp and elevated ESR, per ACR. A, B, D, E differ.
Question 8 of 9
A 2-year-old is in for an annual examination. Which comment by the mother alerts the nurse to a risk for lead poisoning?
Correct Answer: A
Rationale: Eating paint (A) is a major lead poisoning risk, especially from old homes. Toilet training (B), messy eating (C), and tantrums (D) are normal toddler behaviors. Document: 'Eating paint is one of the major risk factors for lead poisoning.'
Question 9 of 9
The greatest risk factor for NEC is:
Correct Answer: D
Rationale: Prematurity is the greatest NEC risk factor, due to immature gut (AAP). A, C, E contribute, B is protective.