ATI LPN
Nclex-Pn Practice Questions Pediatrics Questions
Question 1 of 5
A child with a history of cystic fibrosis appears with rectal prolapse. The next step in management is:
Correct Answer: B
Rationale: Manual reduction and observation is the initial step for rectal prolapse in cystic fibrosis, per CFF. A, C-E are unnecessary initially.
Question 2 of 5
A 10-year-old girl presents with fatigue and pallor. Labs show hemoglobin of 8 g/dL and microcytic anemia. Most likely diagnosis is:
Correct Answer: C
Rationale: Iron deficiency anemia is the most common cause of microcytic anemia in children, per AAP. A, B, D, E have different lab profiles.
Question 3 of 5
A 7-year-old boy presents with chest pain and a murmur. Echocardiogram shows mitral valve prolapse. The next step is:
Correct Answer: C
Rationale: Observation is standard for asymptomatic mitral valve prolapse, per AHA. A, B, D, E are for complications.
Question 4 of 5
A 5-year-old boy presents with fever and a red, swollen knee. Aspiration shows gram-positive cocci. Most likely diagnosis is:
Correct Answer: A
Rationale: Septic arthritis features fever, swollen joint, and gram-positive cocci, per AAP. B-E lack infection.
Question 5 of 5
A 4-year-old girl presents with fever and a pruritic rash starting on the trunk. Exam shows vesicles and crusts. Most likely diagnosis is:
Correct Answer: B
Rationale: Chickenpox presents with fever and a pruritic vesicular rash, per CDC. A, C-E have different rash patterns.