A 4-year-old girl presents with fever and conjunctivitis. Exam shows a polymorphous rash and strawberry tongue. Most likely diagnosis is:

Questions 57

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ATI LPN Test Bank

Pediatric Nursing Cardiac Practice Questions Questions

Question 1 of 9

A 4-year-old girl presents with fever and conjunctivitis. Exam shows a polymorphous rash and strawberry tongue. Most likely diagnosis is:

Correct Answer: B

Rationale: Kawasaki disease includes conjunctivitis and strawberry tongue, per AHA. A, C-E differ.

Question 2 of 9

A 5-year-old boy presents with fever and a petechial rash. Labs show leukocytosis. Most likely diagnosis is:

Correct Answer: C

Rationale: Meningococcemia fits fever and petechiae, per CDC. A, B, D, E differ.

Question 3 of 9

A nurse understands that medical play helps accomplish therapeutic goals for medical procedures. Which of the following is an example of medical play for a school-aged child?

Correct Answer: B

Rationale: Medical play, like giving a doll a shot , helps children process procedures. Seeing equipment or reading is educational, and blocks are unrelated.

Question 4 of 9

A 6-year-old boy presents with abdominal pain and diarrhea. Stool shows leukocytes. Most likely diagnosis is:

Correct Answer: B

Rationale: IBD features diarrhea and leukocytes, per AGA. A, C-E differ.

Question 5 of 9

A new mother stated that her infant must be cold because the baby’s hands and feet are blue. The nurse explains that this is a common and temporary condition called

Correct Answer: C

Rationale: Acrocyanosis C is a normal, temporary blue discoloration of hands and feet, per document 2.

Question 6 of 9

A nursing student is helping the nursery nurses with morning vital signs. A baby born 10 hours ago via cesarean section is found to have moist lung sounds. What is the best interpretation of this data?

Correct Answer: B

Rationale: The lungs of a baby delivered by cesarean section may sound moist for 24 hours after birth B due to retained fetal lung fluid, common in C-section deliveries, per document .

Question 7 of 9

Which first-line agents are preferred in treating seizures secondary to hypoxic-ischemic encephalopathy (HIE):

Correct Answer: D

Rationale: Phenobarbital is the first-line treatment for neonatal HIE seizures, per AAP and WHO guidelines, due to efficacy and safety. Benzodiazepines are adjunctive, paraldehyde is obsolete, phenytoin is second-line, and propofol is contraindicated in neonates.

Question 8 of 9

A 2-year-old boy presents with fever and a seizure. Exam shows a bulging fontanelle. Most likely diagnosis is:

Correct Answer: B

Rationale: Meningitis fits fever, seizure, and bulging fontanelle, per AAP. A, C-E lack this triad.

Question 9 of 9

The most common complication of chickenpox is

Correct Answer: C

Rationale: Skin infection C is most frequent, per document p60, 8.

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