ATI LPN
Pediatric Nursing Practice Questions Bank Questions
Question 1 of 5
A 5-year-old boy with moderate persistent asthma appears with wheezing and shortness of breath despite using inhaled steroids for the past 3 months. The next step in management is:
Correct Answer: B
Rationale: Adding a leukotriene antagonist is the next step for uncontrolled moderate persistent asthma on inhaled steroids, per GINA. A-D may escalate unnecessarily.
Question 2 of 5
A child with a history of cystic fibrosis appears with increased coughing and wheezing. Pulmonary function test reveals FEV1 of 60% predicted. Most likely diagnosis is:
Correct Answer: D
Rationale: Cystic fibrosis exacerbation fits increased symptoms and reduced FEV1, per CFF. A-C, E are less likely.
Question 3 of 5
A child with a history of cystic fibrosis appears with fever and hemoptysis. Chest x-ray reveals cavitation in the right upper lobe. Most likely diagnosis is:
Correct Answer: D
Rationale: Bronchiectasis fits hemoptysis and cavitation in cystic fibrosis, per CFF. A-C, E are less likely.
Question 4 of 5
A 3-year-old girl presents with a limp and knee pain. X-ray shows a lytic lesion in the femur. Most likely diagnosis is:
Correct Answer: B
Rationale: Ewing sarcoma presents with lytic bone lesions in young children, per NCI. A, C-E have different x-ray or clinical features.
Question 5 of 5
A 2-year-old boy presents with a barky cough and stridor. X-ray shows a steeple sign. Most likely diagnosis is:
Correct Answer: A
Rationale: Croup features a barky cough, stridor, and steeple sign, per AAP. B-E differ in presentation.