ATI LPN
PN VATI Pediatric Nursing Quiz Questions
Question 1 of 9
A 6-year-old boy presents with fatigue and pallor. Labs show hemoglobin of 7 g/dL and Howell-Jolly bodies. Most likely diagnosis is:
Correct Answer: B
Rationale: Sickle cell disease shows Howell-Jolly bodies, per ASH. A, C-E differ.
Question 2 of 9
A 4-year-old girl presents with pallor and fatigue. Labs show hemoglobin of 7 g/dL and spherocytes. Most likely diagnosis is:
Correct Answer: C
Rationale: Hereditary spherocytosis fits pallor and spherocytes, per ASH. A, B, D, E have different smears.
Question 3 of 9
Which of the following statements made by the parent of a 3 week old infant that would alert the nurse about the presence of a congenital heart condition?
Correct Answer: B
Rationale: Fatigue during feeding (B) suggests congenital heart defects due to poor oxygenation. Sleeping (A), hunger (C), and fussiness (D) are normal or nonspecific. Document: 'Fatigue during feeding… is common to most infants with congenital cardiac problems.'
Question 4 of 9
During genetic counseling, choices for reproduction are decided by the:
Correct Answer: B
Rationale: The family decides reproductive choices, with A-D providing guidance, per ethics (ACMG).
Question 5 of 9
A 5-year-old with a seizure should be
Correct Answer: B
Rationale: Lowering to floor B ensures safety, per document p56, 1.
Question 6 of 9
A child appears apathetic and weak. His growth is below normal for his age. There is white streak in the child's hair. The nurse recognizes these signs as characteristic of:
Correct Answer: D
Rationale: Kwashiorkor (D), protein malnutrition, causes apathy, weakness, stunted growth, and white hair streaks from melanin loss. Rickets (A) affects bones, scurvy (B) gums, GERD (C) reflux. Document: 'The earliest sign… is a white streak in the hair… apathetic and weak.'
Question 7 of 9
An infant with pyloric stenosis will exhibit
Correct Answer: D
Rationale: Projectile vomiting D is a hallmark of pyloric stenosis, per document p21, .
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
The nurse witnesses a child collapsing in the cafeteria. Which is the priority action by the nurse?
Correct Answer: B
Rationale: Per BLS, determining unresponsiveness is the first step to assess the need for further action, ensuring a systematic response.