ATI LPN
PN Pediatric Nursing Practice 2023 B Questions
Question 1 of 9
A 6-year-old boy presents with fatigue and pallor. Labs show hemoglobin of 9 g/dL and MCV of 70 fL. Most likely diagnosis is:
Correct Answer: C
Rationale: Iron deficiency anemia is microcytic, per AAP. A, B, D, E differ.
Question 2 of 9
A 5-year-old boy presents with fever and a petechial rash. Labs show thrombocytopenia. Most likely diagnosis is:
Correct Answer: C
Rationale: Meningococcemia fits fever and petechiae, per CDC. A, B, D, E differ.
Question 3 of 9
A 1-month-old infant presents with jaundice and hepatomegaly. Labs show elevated GGT and direct bilirubin. Most likely diagnosis is:
Correct Answer: B
Rationale: Biliary atresia features jaundice and elevated GGT, per AAP. A, C-E differ.
Question 4 of 9
A 2-year-old with a burn should avoid
Correct Answer: A
Rationale: Breaking blisters A increases infection risk, per document p58, 1.
Question 5 of 9
Best drug of choice for a severe listeria infection is:
Correct Answer: C
Rationale: Ampicillin plus gentamicin is the standard for severe Listeria infections, enhancing efficacy (IDSA). A-D are suboptimal.
Question 6 of 9
A 6-year-old boy presents with weight loss and night sweats. Chest x-ray shows mediastinal widening. Most likely diagnosis is:
Correct Answer: C
Rationale: Lymphoma features night sweats and mediastinal widening, per NCI. A, B, D, E differ.
Question 7 of 9
A 7-year-old girl presents with polyuria and polydipsia. Blood glucose is 300 mg/dL, and urine shows ketones. Most likely diagnosis is:
Correct Answer: B
Rationale: Type 1 diabetes is common in children with hyperglycemia and ketonuria, per ADA. A, C-E don’t fit the profile.
Question 8 of 9
A patient who is using herbal product, what instruction would the nurse give to the patient?
Correct Answer: B
Rationale: Patients should inform their healthcare provider of herbal use (B) due to potential interactions or risks, especially in pregnancy. Cheaper brands (A), label claims (C), or high doses (D) can be unsafe. Document: 'The question of whether or not to continue [herbal products] during pregnancy… must be discussed with the health care provider.'
Question 9 of 9
Most frequent humoral immunologic abnormality in patients with ataxia-telangiectasia is:
Correct Answer: B
Rationale: Selective IgA deficiency is most common in ataxia-telangiectasia, impairing mucosal immunity (NORD). Other options (A, C-E) are less typical.