ATI LPN
PN Pediatric Nursing Online Practice B Questions
Question 1 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 2 of 9
A 2-year-old boy presents with fever and a limp. X-ray shows periosteal elevation in the tibia. Most likely diagnosis is:
Correct Answer: B
Rationale: Osteomyelitis features fever, limp, and periosteal elevation, per AAP. A, C-E differ in imaging.
Question 3 of 9
A 2-year-old with croup should be placed in
Correct Answer: A
Rationale: Cool mist A relieves croup, per document p38, 3.
Question 4 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 5 of 9
Which intervention is most important when feeding an infant with pyloric stenosis?
Correct Answer: B
Rationale: Frequent burping (B) during feedings removes gas in pyloric stenosis, reducing vomiting risk. Quick feedings (A), discouraging parents (C), or stopping for vomiting (D) worsen outcomes. Document: 'The infant should be burped… to remove any gas accumulated in the stomach.'
Question 6 of 9
A 15-year-old boy has small testes and no facial hair. Karyotype reveals 47,XXY. Most likely diagnosis is:
Correct Answer: C
Rationale: Klinefelter syndrome fits delayed puberty and 47,XXY, per AAP (doc p149, Q568).
Question 7 of 9
A 15-year-old boy with a history of wheezing during exercise was playing soccer. He appears with shortness of breath. He is using albuterol inhaler as needed with no significant improvement. The next step in management is:
Correct Answer: B
Rationale: Inhaled steroids are the next step for uncontrolled exercise-induced asthma, per GINA, to reduce inflammation. A, C-E are less immediate or effective.
Question 8 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 9 of 9
Which medication would the pediatric Rapid Response Team (RRT) not consider when caring for a child demonstrating acute respiratory distress?
Correct Answer: B
Rationale: Amoxicillin , an antibiotic, treats infection, not acute respiratory distress. Diphenhydramine , methylprednisone , and epinephrine address allergic or inflammatory causes.