ATI LPN
Pediatric Gi Practice Questions Quizlet Questions
Question 1 of 9
A 6-year-old girl in sickle cell crisis requires priority nursing concerns of
Correct Answer: A
Rationale: Hydration and pain management A are urgent in sickle cell crisis, per document p5, 7.
Question 2 of 9
A 2-month-old infant presents with poor feeding and tachypnea. Echocardiogram shows a large atrial septal defect. The next step is:
Correct Answer: B
Rationale: Diuretics manage heart failure in large ASDs, per AHA. A is for severe cases, C-E are not primary.
Question 3 of 9
A 1-year-old girl presents with recurrent pneumonia and steatorrhea. Sweat chloride test is positive. Most likely diagnosis is:
Correct Answer: C
Rationale: Cystic fibrosis fits pneumonia and positive sweat test, per CFF. A, B, D, E differ.
Question 4 of 9
Most common electrolyte abnormality in patients with cystic fibrosis is:
Correct Answer: A
Rationale: Hyponatremia is common in cystic fibrosis from salt loss in sweat, per CFF. B-E are less frequent.
Question 5 of 9
The most important nursing action for a child with a cast is
Correct Answer: A
Rationale: Monitoring circulation A prevents complications, per document p51, 9.
Question 6 of 9
Parents bring their infant to the clinic seeking treatment for vomiting and diarrhea that has lasted for 2 days. On assessment, the nurse detects dry skin and mucous membranes, and listlessness. What other findings suggests a fluid volume deficit?
Correct Answer: C
Rationale: Sunken eyes and fontanel (C) indicate fluid volume deficit in infants due to dehydration from fluid loss. Dehydration causes increased pulse (not decreased, A), decreased BP (not increased, B), and high specific gravity (not low, D). Document: 'Signs of fluid volume deficit… include sunken fontanels, increased pulse rate, and decreased blood pressure.'
Question 7 of 9
A 3-year-old girl presents with a barking cough and inspiratory stridor. Symptoms improve with cool mist. Most likely diagnosis is:
Correct Answer: B
Rationale: Croup presents with barking cough and stridor, responsive to cool mist, per AAP. A, C-E differ in symptoms.
Question 8 of 9
A newborn appears with prolonged jaundice, umbilical hernia, and large fontanelles. Labs reveal elevated TSH and low T4. Most likely diagnosis is:
Correct Answer: B
Rationale: Congenital hypothyroidism fits jaundice, hernia, large fontanelles, and abnormal thyroid labs, per AAP (doc p149, Q581).
Question 9 of 9
A 3-year-old girl presents with fever and a stiff neck. CSF shows acid-fast bacilli. Most likely diagnosis is:
Correct Answer: C
Rationale: TB meningitis features stiff neck and acid-fast bacilli, per CDC. A, B, D, E differ in CSF.