ATI LPN
PN Pediatric Nursing Online Practice 2023 B Questions
Question 1 of 9
A 5-year-old girl presents with polyuria and polydipsia. Labs show blood glucose of 250 mg/dL and ketonuria. Most likely diagnosis is:
Correct Answer: B
Rationale: Type 1 diabetes fits polyuria and ketonuria, per ADA. A, C-E differ.
Question 2 of 9
The purpose of traction for children with fractures is to
Correct Answer: D
Rationale: Realigning bone fragments D is traction’s primary goal, per document 1.
Question 3 of 9
When caring for a neonate with imperforate anus, observe urine for
Correct Answer: D
Rationale: Meconium D in urine suggests fistula, per document p18, 5.
Question 4 of 9
A 6-month-old infant presents with stridor and respiratory distress. Laryngoscopy shows a subglottic mass. Most likely diagnosis is:
Correct Answer: C
Rationale: Hemangioma can present as a subglottic mass, per AAP. A, B, D, E differ.
Question 5 of 9
A 10-year-old boy appears with weight gain, moon facies, and striae. History reveals chronic steroid use for asthma. Most likely diagnosis is:
Correct Answer: C
Rationale: Cushing syndrome fits weight gain, moon facies, and steroid use, per AAP (doc p150, Q591).
Question 6 of 9
A 4-year-old girl presents with pallor and lethargy. Labs show hemoglobin of 8 g/dL and Howell-Jolly bodies. Most likely diagnosis is:
Correct Answer: B
Rationale: Sickle cell disease shows Howell-Jolly bodies from splenic dysfunction, per ASH. A, C-E differ.
Question 7 of 9
Lissencephaly is a disorder of what stage of neural development?
Correct Answer: C
Rationale: Lissencephaly, a smooth brain appearance, results from defective neuronal migration (Choice C) during weeks 8-14 of gestation, impairing cortical layer formation. Myelination (Choice A) occurs later. Neuronal and glial proliferation (Choice B) precedes migration. Neuronal organisation (Choice D) follows migration. Migration defects cause lissencephaly’s hallmark.
Question 8 of 9
Because young children cannot express themselves well, the nurse uses the therapeutic intervention that allows children to act out their feelings, which is:
Correct Answer: B
Rationale: Play therapy (B) lets young children express feelings through play. Art (A), music (C), and bibliotherapy (D) are less suited for preverbal kids. Document: 'Play therapy allows a young child to act out… concerns.'
Question 9 of 9
Which of the following are considered signs of respiratory distress in the newborn?
Correct Answer: B
Rationale: Nasal flaring B is a sign of respiratory distress, per document p5, 2.