ATI LPN
PN Pediatric Nursing Practice 2023 B Questions
Question 1 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 2 of 9
A 4-year-old girl presents with abdominal pain and vomiting. Ultrasound shows a doughnut sign. Most likely diagnosis is:
Correct Answer: B
Rationale: Intussusception shows a doughnut sign, per AAP. A, C-E differ.
Question 3 of 9
A child with a history of cystic fibrosis suddenly develops massive hemoptysis. The next step in management is:
Correct Answer: B
Rationale: Bronchial artery embolization is the urgent treatment for massive hemoptysis in cystic fibrosis, per CFF. A, C-E don’t address bleeding.
Question 4 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 5 of 9
A 4-year-old with pneumonia should be positioned
Correct Answer: B
Rationale: Head elevated B aids breathing, per document p50, 2.
Question 6 of 9
A 5-year-old with pneumonia requires
Correct Answer: D
Rationale: All D treat pneumonia, per document p60, 7.
Question 7 of 9
A 12-year-old girl appears with polyuria, polydipsia, and weight loss. Labs reveal blood glucose of 300 mg/dL and ketonuria. Most likely diagnosis is:
Correct Answer: B
Rationale: Type 1 diabetes fits polyuria, weight loss, hyperglycemia, and ketonuria, per AAP (doc p150, Q594).
Question 8 of 9
The nurse should suspect intussusception if a child has
Correct Answer: D
Rationale: All D are intussusception signs, per document p54, 2.
Question 9 of 9
A 4-year-old girl presents with a high fever and drooling. X-ray shows a steeple sign. Most likely diagnosis is:
Correct Answer: A
Rationale: Croup shows a steeple sign with fever and respiratory symptoms, per AAP. B-E differ in x-ray.