ATI LPN
Pediatric Nursing Cardiac Practice Questions Questions
Question 1 of 9
A 6-month-old boy appears with fever, wheezing, and respiratory distress following an upper respiratory infection (URI). Physical examination reveals bilateral wheezing, subcostal retractions, and nasal flaring. Most likely diagnosis is:
Correct Answer: D
Rationale: Bronchiolitis is typical at 6 months post-URI with bilateral wheezing and distress, per AAP. Asthma is rare this young, and A, B, E are less likely.
Question 2 of 9
A nurse understands that medical play helps accomplish therapeutic goals for medical procedures. Which of the following is an example of medical play for a school-aged child?
Correct Answer: B
Rationale: Medical play, like giving a doll a shot , helps children process procedures. Seeing equipment or reading is educational, and blocks are unrelated.
Question 3 of 9
After circumcision of a newborn male, the most essential immediate observation is
Correct Answer: B
Rationale: Hemorrhage B is the critical immediate risk post-circumcision, per document p11, .
Question 4 of 9
Which first-line agents are preferred in treating seizures secondary to hypoxic-ischemic encephalopathy (HIE):
Correct Answer: D
Rationale: Phenobarbital is the first-line treatment for neonatal HIE seizures, per AAP and WHO guidelines, due to efficacy and safety. Benzodiazepines are adjunctive, paraldehyde is obsolete, phenytoin is second-line, and propofol is contraindicated in neonates.
Question 5 of 9
Best diagnostic test for Addison disease is:
Correct Answer: B
Rationale: ACTH stimulation test confirms adrenal insufficiency in Addison disease, per AAP (doc p150, Q589).
Question 6 of 9
The triad of NEC is:
Correct Answer: C
Rationale: NEC triad is prematurity, formula feedings, and ischemia , per AAP. A, B, D, E miss key elements.
Question 7 of 9
A 5-month-old should be able to
Correct Answer: B
Rationale: Rolling over B is a 5-month milestone, per document p47, 6.
Question 8 of 9
A nurse is collecting data on a child with a diagnosis of rheumatic fever. Which of the following questions would the nurse initially ask the mother of the child?
Correct Answer: B
Rationale: Rheumatic fever follows streptococcal sore throat (B), assessed via ASO titer. Chest pain (A), vomiting (C), and diarrhea (D) are less initial. Document: 'Rheumatic fever tends to recur… [after] a sore throat.'
Question 9 of 9
A 3-month-old should be able to
Correct Answer: B
Rationale: Holding head steady B is a 3-month milestone, per document p56, 5.