ATI LPN
Pediatric Ot Practice Questions Questions
Question 1 of 9
A child with a history of asthma suddenly develops unilateral wheezing and respiratory distress following choking while eating peanuts. Most likely diagnosis is:
Correct Answer: B
Rationale: Foreign body aspiration fits sudden unilateral wheezing post-choking, per AAP. Asthma is bilateral, and C-E are less acute.
Question 2 of 9
A 5-year-old boy presents with hematuria and hypertension. Ultrasound shows a renal mass. Most likely diagnosis is:
Correct Answer: B
Rationale: Wilms tumor presents with hematuria, hypertension, and a renal mass, per NCI. A, C-E differ.
Question 3 of 9
When teaching parents about their newborn's transition to extrauterine life, the nurse explains which organs are nonfunctional during fetal life?
Correct Answer: D
Rationale: Lungs and liver D are nonfunctional during fetal life; lungs are fluid-filled, and liver function is limited as the placenta handles metabolism, per AAP.
Question 4 of 9
A child with a history of asthma suddenly develops unilateral wheezing and respiratory distress following choking while eating peanuts. Most likely diagnosis is:
Correct Answer: B
Rationale: Foreign body aspiration fits sudden unilateral wheezing post-choking, per AAP. Asthma is bilateral, and C-E are less acute.
Question 5 of 9
When assessing a child admitted to the hospital for gastroenteritis, the nurse notices that the child has no tears when crying. What should the nurse be concerned about?
Correct Answer: D
Rationale: No tears when crying is a classic sign of dehydration , common in gastroenteritis due to fluid loss from vomiting and diarrhea. Delayed development , C. diff , and pyloric stenosis do not directly cause this symptom.
Question 6 of 9
A 2-year-old boy presents with a limp and knee swelling. Labs show elevated ESR and ANA. Most likely diagnosis is:
Correct Answer: C
Rationale: JIA features limp and elevated ESR/ANA, per ACR. A, B, D, E differ.
Question 7 of 9
A 1-month-old infant presents with cyanosis and poor feeding. Echocardiogram shows truncus arteriosus. The next step is:
Correct Answer: A
Rationale: Surgery corrects truncus arteriosus, per AHA. B-E are temporizing.
Question 8 of 9
Most common cause of ambiguous genitalia in a newborn girl is:
Correct Answer: B
Rationale: Congenital adrenal hyperplasia is the most common cause of ambiguous genitalia in XX females, per AAP (doc p148, Q556).
Question 9 of 9
A 7-year-old boy with a fractured femur in a P.O.P cast is discharged. The most important advice is
Correct Answer: C
Rationale: Watching circulation C prevents complications like compartment syndrome, per document .