ATI LPN
Pediatric Nursing Practice Questions Bank Questions
Question 1 of 5
A child appears with metabolic acidosis. Basic laboratory tests should include all of the following except:
Correct Answer: D
Rationale: Liver enzymes aren’t routine for initial metabolic acidosis workup; A-C, E assess cause and severity (AAP).
Question 2 of 5
Most common site of necrotizing enterocolitis (NEC) is:
Correct Answer: A
Rationale: Distal ileum is the most common NEC site in preterms, per AAP. A-D are less frequent.
Question 3 of 5
A 5-year-old boy with moderate persistent asthma appears with wheezing and shortness of breath despite using inhaled steroids for the past 3 months. The next step in management is:
Correct Answer: B
Rationale: Adding a leukotriene antagonist is the next step for uncontrolled moderate persistent asthma on inhaled steroids, per GINA. A-D may escalate unnecessarily.
Question 4 of 5
A child with a history of cystic fibrosis appears with abdominal pain and vomiting. Physical examination reveals a palpable mass in the right lower quadrant. Most likely diagnosis is:
Correct Answer: C
Rationale: Distal intestinal obstruction syndrome fits abdominal pain, vomiting, and a mass in cystic fibrosis, per CFF. A, B, D, E are less likely.
Question 5 of 5
A child with a history of cystic fibrosis appears with increased coughing and wheezing. Pulmonary function test reveals FEV1 of 60% predicted. Most likely diagnosis is:
Correct Answer: D
Rationale: Cystic fibrosis exacerbation fits increased symptoms and reduced FEV1, per CFF. A-C, E are less likely.