ATI LPN
PN Pediatric Nursing Online Practice B Questions
Question 1 of 9
A 5-year-old girl presents with fever and a red, swollen elbow. Aspiration yields gram-positive cocci. Most likely diagnosis is:
Correct Answer: A
Rationale: Septic arthritis fits fever and gram-positive cocci, per AAP. B-E lack infection.
Question 2 of 9
8 kg = ___ lbs.
Correct Answer: B
Rationale: Convert kg to lbs: 8 kg × 2.2 lbs/kg = 17.6 lbs.
Question 3 of 9
Reye hepatic encephalopathy can occur due to use of the following medication:
Correct Answer: B
Rationale: Aspirin is linked to Reye syndrome in kids with viral infections, causing hepatic and brain issues (CDC). Other drugs (A-D) lack this association.
Question 4 of 9
CNS (central nervous system) damage such as microcephaly, intrauterine growth retardation, mental retardation is caused at these radiation dosages:
Correct Answer: B
Rationale: 10,000-15,000 mrad causes CNS damage like microcephaly (ACOG). A is lower risk, C-D are higher, E is incorrect.
Question 5 of 9
A 6-year-old boy presents with fatigue and joint pain. Labs show antinuclear antibodies. Most likely diagnosis is:
Correct Answer: B
Rationale: SLE features fatigue, joint pain, and ANA positivity in children, per ACR. A, C-E differ in serology.
Question 6 of 9
The nurse suggests a measure that might be helpful for the child with enuresis, such as:
Correct Answer: C
Rationale: Reducing fluids after dinner (C) minimizes enuresis by lowering bladder volume. Shocking (A) is unsafe, waking (B) disrupts sleep, and fiber (D) is unrelated. Document: 'Liquids after dinner should be limited.'
Question 7 of 9
A 6-year-old girl presents with jaundice and fatigue. Labs show elevated indirect bilirubin and Coombs positive. Most likely diagnosis is:
Correct Answer: C
Rationale: AIHA features jaundice and positive Coombs, per ASH. A, B, D, E differ.
Question 8 of 9
A 5-year-old girl presents with fever and a red, swollen elbow. Aspiration yields gram-positive cocci. Most likely diagnosis is:
Correct Answer: A
Rationale: Septic arthritis fits fever and gram-positive cocci, per AAP. B-E lack infection.
Question 9 of 9
A 3-year-old boy presents with fever and a swollen ankle. Aspiration shows gram-negative bacilli. Most likely diagnosis is:
Correct Answer: A
Rationale: Septic arthritis fits fever and gram-negative bacilli, per AAP. B-E lack infection.