ATI RN
Pediatric Nursing Certification Practice Questions Questions
Question 1 of 5
A 5-year-old patient with near drowning in icy water presents with fixed dilated pupils and deep coma. He is apneic and pulseless with a temperature of 25°C. The most appropriate approach to his care is
Correct Answer: D
Rationale: Immediate CPR and rewarming are critical in near-drowning cases, especially in hypothermic patients, as they may still be viable.
Question 2 of 5
A neonate presents with persistent hypoglycemia despite adequate enteral feeding. Which condition should be suspected?
Correct Answer: B
Rationale: Hyperinsulinism is a common cause of persistent neonatal hypoglycemia due to excessive insulin production. It requires medical management with dextrose infusions or medications like diazoxide to prevent neurodevelopmental impairment.
Question 3 of 5
Skin biopsy for diagnosis of possible urticarial vasculitis is recommended for
Correct Answer: A
Rationale: Urticarial vasculitis presents as lesions persisting longer than 24 hours, often with purpura, requiring biopsy to differentiate from chronic urticaria.
Question 4 of 5
Shock associated with increased central venous pressure includes:
Correct Answer: A
Rationale: Cardiogenic shock leads to elevated central venous pressure due to poor cardiac output and venous congestion, unlike hypovolemic or distributive shock.
Question 5 of 5
Spondyloarthritides are largely genetically determined. Which of the following characteristics is never associated with such diseases?
Correct Answer: D
Rationale: Rheumatoid factor positivity is rare in spondyloarthritides.