ATI LPN
Pediatric Nursing Practice Test Questions Questions
Question 1 of 9
A 4-year-old girl presents with fever and drooling. X-ray shows a thumbprint sign. Most likely diagnosis is:
Correct Answer: B
Rationale: Epiglottitis shows fever and thumbprint sign, per AAP. A, C-E differ.
Question 2 of 9
An Apgar score of 7 indicates that:
Correct Answer: C
Rationale: An Apgar of 7 C suggests mild distress needing stimulation and oxygen, per document p5, 7.
Question 3 of 9
A 5-year-old girl presents with hematuria and proteinuria. Labs show low C3 levels. Most likely diagnosis is:
Correct Answer: B
Rationale: Poststreptococcal GN features hematuria, proteinuria, and low C3, per AAP. A, C-E have normal or different complement.
Question 4 of 9
A 3-year-old boy presents with fever and a limp. Hip x-ray shows joint space widening. Most likely diagnosis is:
Correct Answer: B
Rationale: Septic arthritis features fever, limp, and joint widening, per AAP. A, C-E differ in acuity.
Question 5 of 9
The nurse is educating the parents of a child diagnosed with C. diff to proper precautions for infection control. Which statement by the parents indicated to the nurse that more education is needed?
Correct Answer: D
Rationale: C. difficile requires contact precautions (A, B, C are correct). However, hand sanitizer is ineffective against C. diff spores; soap and water handwashing is required, indicating a need for further education.
Question 6 of 9
Mode of inheritance in adrenoleukodystrophy is:
Correct Answer: B
Rationale: Adrenoleukodystrophy is X-linked , due to ABCD1 gene mutations (NORD). A, C-E don’t apply.
Question 7 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.
Question 8 of 9
A mother explains to the nurse that she feels guilty leaving her child when she has to go to work. When she returns, her child seems to ignore her. What is the nurse's best response?
Correct Answer: C
Rationale: Ignoring the mother reflects the detachment stage of separation anxiety, a normal response in hospitalized children, reassuring the mother.
Question 9 of 9
The most important nursing action for a child with epiglottitis is
Correct Answer: B
Rationale: Airway B is the priority in epiglottitis, per document p33, 8.