ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 9
A 9-year-old boy with migratory polyarthritis, a new apical pansystolic murmur, fever, CRP+, and ASOT 500 units is diagnosed with rheumatic fever. What is his classification?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 9
Of the following, the WORST prognostic factor in pediatric osteosarcoma is
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 9
Postinfectious arthritis describes arthritis that occurs after infectious illnesses, mainly viruses. Of the following, rubella the LEAST likely causative viral infection is
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 9
Clinical examination of a child with large unilateral pneumothorax can show:
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 9
A term infant is born with Apgar scores of 5 at minute and 7 at 5 minutes The infant has a heart rate of 7 and demonstrates pallor with hepatosplenomegaly A Coombs test on maternal blood yields positive results The most likely diagnosis is
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 6 of 9
Which clinical manifestation should a nurse monitor for when assessing a pediatric client diagnosed with a basilar skull fracture?
Correct Answer: A
Rationale: Periorbital ecchymosis, also known as raccoon eyes, is a classic sign of a basilar skull fracture. It presents as bruising around the eyes due to blood collecting in the tissues. Monitoring for periorbital ecchymosis is crucial in assessing a pediatric client with a basilar skull fracture because it can indicate the presence of this serious injury.
Question 7 of 9
Two weeks after a viral syndrome, a 9-year-old girl presents to your clinic with a complaint of several days of drooping of her mouth. In addition to the drooping of the left side of her mouth, you note that she is unable to completely shut her left eye. Her smile is asymmetric, but her examination is otherwise normal. This girl likely has:
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 8 of 9
A healthcare provider at an urgent care clinic is assessing an adolescent client who has an upper respiratory tract infection. Which of the following findings should the provider recognize as a manifestation of pertussis?
Correct Answer: C
Rationale: The correct answer is C: 'Dry, hacking cough.' A dry, hacking cough is a classic manifestation of pertussis. Pertussis typically presents with symptoms of an upper respiratory tract infection, starting with a persistent, severe, and uncontrollable cough that can worsen at night. This cough is often followed by a high-pitched 'whoop' sound as the patient tries to catch their breath, hence the term 'whooping cough.' In contrast, options A, B, and D are not typically associated with pertussis. Inflamed throat with exudate may suggest a bacterial throat infection like streptococcal pharyngitis, purulent eye drainage is more indicative of a bacterial conjunctivitis, and Koplik spots on the buccal mucosa are specific to measles. Therefore, recognizing the dry, hacking cough as a manifestation of pertussis is crucial for early identification and appropriate management of the disease.
Question 9 of 9
The therapeutic effect of phototherapy depends on the following factors EXCEPT
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.