A 4-year-old with otitis media should be positioned

Questions 56

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ATI PN Pediatrics Proctored Exam 2020 Questions

Question 1 of 9

A 4-year-old with otitis media should be positioned

Correct Answer: B

Rationale: Head elevated B aids drainage, per document p58, 5.

Question 2 of 9

All of the following conditions cause fetal bradycardia (heart rate less than 120 beats/minute) except:

Correct Answer: C

Rationale: Local anesthetics don’t typically cause fetal bradycardia; A-D are known causes (ACOG).

Question 3 of 9

In caring for a child with superficial burns, actions include all EXCEPT

Correct Answer: A

Rationale: Breaking blisters A increases infection risk, per document p13, 0.

Question 4 of 9

A 2-year-old boy presents with a high fever and rash. Exam shows Koplik spots. Most likely diagnosis is:

Correct Answer: A

Rationale: Measles features fever and Koplik spots, per CDC. B-E differ.

Question 5 of 9

Most common cause of delayed puberty in boys is:

Correct Answer: C

Rationale: Idiopathic is the most common cause of delayed puberty in boys, per AAP (doc p149, Q566).

Question 6 of 9

A 3-year-old with a burn requires

Correct Answer: D

Rationale: All D are burn care essentials, per document p60, 1.

Question 7 of 9

A 1-year-old boy presents with fever and irritability. Exam shows a bulging tympanic membrane. Most likely diagnosis is:

Correct Answer: B

Rationale: Acute otitis media features fever, irritability, and a bulging TM, per AAP. A, C-E differ in presentation.

Question 8 of 9

The nurse discussed ideas with a mother on how to prevent her daughter from having recurrent urinary tract infections. Which of the following statements indicates the mother needs additional information?

Correct Answer: C

Rationale: Bubble baths (C) irritate the urethra, increasing UTI risk, indicating misunderstanding. Front-to-back wiping (A), cotton underwear (B), and fluids/frequent voiding (D) prevent UTIs. Document: 'Oils in bubble baths… are known to irritate the urethra.'

Question 9 of 9

A 2-month-old boy with a history of cystic fibrosis appears with vomiting and dehydration. Laboratory findings reveal sodium of 125 mEq/L and chloride of 80 mEq/L. Most likely diagnosis is:

Correct Answer: C

Rationale: Cystic fibrosis-related salt loss fits vomiting, dehydration, and hyponatremia, per CFF. A, B, D, E don’t match.

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