ATI LPN
PN VATI Pediatric Nursing Quiz Questions
Question 1 of 9
A 5-year-old girl presents with polyuria and weight loss. Labs show blood glucose of 300 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 most important nursing action for a child with a tracheostomy is
Correct Answer: D
Rationale: All D ensure tracheostomy care, per document p27, 7.
Question 3 of 9
Best diagnostic test for Graves disease is:
Correct Answer: C
Rationale: TSH receptor antibodies confirm Graves disease, per AAP (doc p150, Q585).
Question 4 of 9
A nurse is assessing a child for dehydration. Which of the following signs and symptoms should the nurse report? Select one that does not apply.
Correct Answer: C
Rationale: Dehydration in children is indicated by dry mucous membranes , sunken eye sockets , dry skin , and lethargy due to fluid loss affecting tissue hydration and energy levels. Hypertension is not a typical sign; hypotension is more common in severe dehydration due to reduced blood volume.
Question 5 of 9
Which newborn reflex is elicited by stroking the lateral sole of the infant’s foot from the heel to the ball of the foot?
Correct Answer: C
Rationale: Babinski reflex C is elicited by stroking the lateral sole, per document 8.
Question 6 of 9
A newborn appears with respiratory distress and a scaphoid abdomen. Chest x-ray reveals bowel loops in the left hemithorax. Most likely diagnosis is:
Correct Answer: B
Rationale: Congenital diaphragmatic hernia fits distress, scaphoid abdomen, and bowel in chest, per AAP. A, C-E differ.
Question 7 of 9
Immediate priority in nursing care for a 6-year-old with pneumonia is
Correct Answer: D
Rationale: Rest D reduces respiratory demand in pneumonia, per document p9, 7.
Question 8 of 9
A mother refuses to administer inhaled steroids to her 5-year-old son with moderate persistent asthma because of potential side effects. The physician should start with:
Correct Answer: D
Rationale: Leukotriene antagonists are an alternative controller for moderate persistent asthma when inhaled steroids are refused, per GINA. A-C, E are less suitable.
Question 9 of 9
Williams syndrome is due to the deletion of one elastin allele located in chromosome:
Correct Answer: A
Rationale: Williams syndrome results from a microdeletion on chromosome 7q11.23 , affecting the elastin gene, leading to cardiovascular and developmental issues (NIH). Other chromosomes (B-E) are unrelated.