A 4-year-old girl presents with fever and swollen hands. Exam shows conjunctivitis and rash. Most likely diagnosis is:

Questions 57

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PN Pediatric Nursing 2023 ATI Questions

Question 1 of 9

A 4-year-old girl presents with fever and swollen hands. Exam shows conjunctivitis and rash. Most likely diagnosis is:

Correct Answer: B

Rationale: Kawasaki disease includes fever, swollen hands, conjunctivitis, and rash, per AHA. A, C-E differ.

Question 2 of 9

Most common electrolyte abnormality noted in patients with pyloric stenosis is:

Correct Answer: B

Rationale: Hypochloremia results from vomiting in pyloric stenosis, per AAP (doc p149, Q573).

Question 3 of 9

A 6-year-old boy presents with chest pain and dyspnea. Echocardiogram shows pericardial effusion. Most likely diagnosis is:

Correct Answer: B

Rationale: Pericarditis features pain and effusion, per AHA. A, C-E differ.

Question 4 of 9

A child with a burn should avoid

Correct Answer: A

Rationale: Breaking blisters A increases infection risk, per document p33, 1.

Question 5 of 9

Most common cause of tall stature in children is:

Correct Answer: C

Rationale: Familial tall stature is the most common cause of tall stature, per AAP (doc p151, Q605).

Question 6 of 9

Which of the following statements indicates that the sexually active adolescent girl understands the prevention of sexually transmitted diseases?

Correct Answer: C

Rationale: Condom use (C) reduces STD risk, though not 100%. Vaccines (A) are limited (e.g., HPV), douching (B) increases risk, and the pill (D) prevents pregnancy, not STDs. Document: 'The use of condoms to prevent STDs is… recommended.'

Question 7 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 8 of 9

The most common cause of seizures in infants is

Correct Answer: B

Rationale: Fever B causes febrile seizures, per document p53, .

Question 9 of 9

The most therapeutic play for a 5-year-old is

Correct Answer: B

Rationale: Drawing B aids expression, per document p60, 2.

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