ATI LPN
Nclex-Pn Practice Questions Pediatrics Questions
Question 1 of 9
A child with a history of cystic fibrosis appears with fever and respiratory distress. Chest x-ray reveals hyperinflation and perihilar infiltrates. Most likely diagnosis is:
Correct Answer: D
Rationale: Cystic fibrosis exacerbation fits fever, distress, and x-ray findings, per CFF. A-C, E are less likely.
Question 2 of 9
To promote absorption of an iron supplement, it should be administered
Correct Answer: C
Rationale: Vitamin C in orange juice enhances iron absorption post-meal C, per document p5, 2.
Question 3 of 9
A 4-year-old with a burn requires
Correct Answer: D
Rationale: All *E* are essential burn care, per document p29, .
Question 4 of 9
The incubation period of rubella is
Correct Answer: C
Rationale: 14-21 days C is rubella incubation, per document p53, 0.
Question 5 of 9
A 2-month-old with a fever should receive
Correct Answer: C
Rationale: Paracetamol C is safest, per document p60, 5.
Question 6 of 9
Doctor orders: levothyroxine 0.2 mg PO daily. Available is levothyroxine 200 mcg/tab. How many tablets will you give?
Correct Answer: A
Rationale: To determine the number of tablets, convert the ordered dose to the same units as the available dose. Ordered: 0.2 mg = 0.2 × 1000 = 200 mcg. Available: 200 mcg per tablet. Divide the ordered dose by the available dose per tablet: 200 mcg ÷ 200 mcg/tab = 1 tablet. Thus, you give 1 tablet.
Question 7 of 9
The nurse understands which of the following as a common fear for a hospitalized pediatric patient between the ages of 6 to 36 months?
Correct Answer: C
Rationale: Stranger anxiety peaks at 6-36 months, a developmental fear in toddlers. Restraints and death are less age-specific, and play is not a fear.
Question 8 of 9
An adolescent is at the pediatrician's office because he has been experiencing intense itching, particularly in the axilla and between the fingers. The itching is worse during the night and he has not been sleeping well. This symptom is associated with:
Correct Answer: B
Rationale: Scabies (B) causes intense nocturnal itching in interdigital and axillary areas due to mite burrows. Eczema (A) is chronic, lice (C) affect the scalp, and tinea (D) is fungal. Document: 'Intense itching, especially at night, is characteristic of scabies.'
Question 9 of 9
A 2-year-old with a fracture in traction should be monitored for
Correct Answer: D
Rationale: All D are critical in traction, per document p35, 7.